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Postpartum recovery: an action plan
Pregnancy

Postpartum recovery: an action plan

3 min readWeek 39
Key takeaways
3 min
  • Practice daily breathing exercises lying on your back to strengthen separated abdominal muscles and help with diastasis recti recovery.
  • Wear a supportive nursing bra with wide bands and straps to prevent breast sagging while your breasts are heavy with milk.
  • Start pelvic floor exercises like Kegels 6-8 weeks postpartum to prevent incontinence and painful intercourse.
  • Use a postpartum belly band constantly for the first two weeks to support weakened abdominal muscles as your uterus returns to size.
  • Moisturize your skin regularly on breasts, belly, and stretch mark areas to minimize postpartum skin changes.

Postpartum recovery focuses on three key areas: breast care with supportive bras and good posture, abdominal healing through breathing exercises and belly bands, and pelvic floor strengthening with Kegels starting 6-8 weeks postpartum to prevent incontinence and painful intercourse.

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1. Breasts

Continue to care for your breasts after birth. Stretch marks can occur after childbirth. Yes, their stretch marks are mostly dependent on genetics, hormonal changes and skin tension, but there are a few steps we can all take to minimize them. The two most important steps are: Moisturize the skin and wear a good, supportive bra. Choose nursing bras with wide bands and straps that provide adequate support for your breasts. They are heavy with milk and need more support than before.

Exercise. Often during feeding, we may find ourselves slouching, and the shoulder and back muscles may weaken. Exercising and practicing good posture will help prevent the appearance of drooping.

2. Stomach

Perform breathing exercises. The front wall of the abdomen is formed by several muscle groups. During pregnancy, they seperate — this is called diastasis [1]. After giving birth, the muscles should come back together, but sometimes this does not happen. To strengthen the core, the first exercise you can do is breath work. Lie on your back. On the inhale, push out your stomach, on the exhale — draw in. Repeat several times a day, 5 to 20 times. It is proven that such exercises can help in the early stages of diastasis [2].

Wear a postpartum bandage. The weakened front wall of the abdomen can hardly cope with the load of your intestines as your uterus returns to size. Help your abdomen out with a belly band or bandage. Wear it constantly for the first two weeks, and then gradually reduce the time.

Take care of your skin. Due to growth of your belly, a fine-wrinkled mesh or creases may appear. Moisturize regularly.

3. Intimate area

Train the pelvic floor muscles. The growing uterus presses on the pelvic floor and during childbirth the muscles open up and stretch to allow safe passage of baby. As a result, the pelvic diaphragm weakens. This can cause a plethora of uncomfortable problems from painful sex to incontenence [3]. After six to eight weeks, start training your pelvic muscles.

Exercises such as kegels and physical therapy on fitball will help strengthen these incredibly crucial muscles. Several authoritative studies have shown that such physical exercise works [4, 5, 6, 7]. Painful sex and peeing when you sneeze do not need to be the new norm. Seek expert help; specifically trained doctors and therapists can give you detailed instructions on postpartum physical therapy.


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Frequently asked questions

You can begin gentle breathing exercises immediately after birth. Start pelvic floor exercises like Kegels after 6-8 weeks postpartum. Always consult your doctor before beginning any exercise routine.

Wear a postpartum belly band constantly for the first two weeks after birth. Gradually reduce wearing time as your abdominal muscles strengthen and your uterus returns to normal size.

Diastasis recti appears as a gap between your abdominal muscles, creating a bulge down the middle of your belly. You may notice this when sitting up from lying down or during core movements.

Wear a well-fitted nursing bra with wide bands and straps for proper support. Practice good posture during feeding and do exercises to strengthen your back and shoulder muscles.

Pelvic floor weakness causing incontinence or painful sex is common but not something you have to accept. Targeted exercises and physical therapy can effectively strengthen these muscles and resolve issues.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated September 7, 2024

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