Chapter-19 Pelvic Floor Exercises

BOOK TITLE: Evidence based Guidelines During Pregnancy for the Obstetricians

1. Saxena Richa
Publishing Year
Author Affiliations
1. New Delhi, India, Obstetrician and Gynecologist, New Delhi, India, Course mentor (online interactive e-learning platform www.crackingmrcog.com) New Delhi, India, Course Mentor: Cracking MRCOG, New Delhi, India
Chapter keywords


Pelvic floor problems are commonly related to pregnancy and child-birth. The muscles of the pelvic floor form the major support on which the uterus and vagina rest, related anteriorly to bladder and urethra and posteriorly to rectum and anal canal. As a result, pelvic floor dysfunction can result in problems like uterine organ prolapse, urinary incontinence, bowel incontinence, sexual dissatisfaction, etc. to name a few. Therefore it is important for every woman to understand what she can do to keep her pelvic floor strong and protect it from injury. This chapter discusses how performances of simple exercises help in strengthening the perineum and pelvic floor soon after the childbirth, thereby preventing the development of potential complications in the future. The perineum and pelvic floor muscles are most commonly injured during childbirth. Their anatomy, briefly followed by the types of injuries, which can occur, and exercises to strengthen the weakened pelvic floor muscles would be described in this chapter. While women often lay emphasis on exercising the muscles of their abdomen, trunk and limbs, in the process they often forget about exercising their pelvic muscles. Exercising their pelvic muscles through Kegel exercises would go a long way in keeping them free from various health related problems including uterine prolapse and urinary or fecal incontinence. The women must be advised to incorporate these exercises in her daily schedule in form of a life long practice.

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