Pelvic Floor and Exercise – Part 2

I have received an email from a physio who specialised in this and pointed out to me some important information about my last week post. I’d the feeling I will hear from her. So, thank you for your feedback.

I just wanted to clarify, the post it’s about me and in general how long it takes to recover. If you have any complications, I would highly recommend you to see a pelvic health physio who specialized in this area. The funny thing is, when I’d my 6-weeks check-up post partum, the GP (not my normal GP) didn’t know what to do. I chose her because she is a female and I get uncomfortable having a male GP to check on me. I don’t think she has any clue on what to look for and she asked me what do you want to know? I suggested to check on the pelvic floor, etc. Weird!!!

The mums and bubs class that I run here, you will required a clearance from your doctor before commencement and I will ask you a few questions before the class (if you are a newbie, therefore, an email or phone call to me would be greatly appreciated as I could go through this prior the class). I wanted to make sure you are ready to start exercising again. if there’s a red flag, I would highly recommend you to see a qualified pelvic health physio as they do internal examination, etc. The class is low impact and cater for all mums with pelvic floor issues, etc as the class is modify based on your status.

So, here is the info the physio who pointed out to me and I would like to share it with you (copy and paste).
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…. “I think it’s really important not to generalise all women in this category and say they should avoid high impact exercise for 6 months as this is actually not the case and there are many other variables which affect the pelvic floor and recovery.

Including levator avulsions, etc. Women can exercise with prolapse with a peccary and under the guidance of a qualified pelvic health physio.

….many women have an over active pelvic floor and they cannot relax properly and other women also have no prolapse but have a high risk of pop from their birth history etc… I encourage women (i worked on the post natal ward for many years) to get a 6 week pelvic floor internal Vaginal exam as it’s it only accurate way to give risk factors for PoP and know exactly the state and integrity of the pelvic floor.

…. but GP’s and OB/gynaes rarely do an internal at 6 weeks. They only look at sutures if anything. They don’t assess for prolapse etc..”

As I always said, if you are in doubt, let me know if you have any questions. PM esther@healthguardian.com.au or 0434 221418.

Esther Toh