Caroline Bender has now returned from Long Service Leave – Caroline is contactable via the contact form and is available for consultations at Dromana and Safety Beach.

Usanee Heron and Kat Walker are available for consultations.  Rebecca Bruce will be on parental leave from the end of April. 

Blog

swoosh-icon

Returning to Running and Sport After The Birth of Your Baby

Many women these days are doing the right thing by keeping physically fit and active in life.

Many women will also be able to exercise through their pregnancy with a guideline that if you were doing it before pregnancy, you can do it in pregnancy although to less intensity.

The American College Of Obstetricians and Gynaecologists produce some great guidelines for the general public and health practitioners to follow.

But you have delivered your baby so when is it safe to return to general exercise?

Let’s think about some different scenarios:

Exercise After Any Delivery

All women are encouraged to exercise after the birth of a baby for all sorts of reasons including especially mental health and overall wellbeing. A Study showed that getting out with your baby in a pram to walk on a daily basis correlated with good mental health.

Walking is low impact and can be started safely whenever a new Mum feels up to it. 

But as a general rule, the first 6 weeks are a time to recover and recuperate after the delivery: it is a time to establish feeding patterns if breastfeeding: a time to get to know your baby: a time to take it easy if nights are disturbed and rest in the day when your baby rests.

This all gets tougher if you have an older toddler or other children to attend to. But all family members need to be aware that Mum needs to have time to recover in those first 6 weeks before the 6 week Doctor’s check…the house might not be in ship shape, other family members might be helping prepare meals etc.

Exercise Specifically After a Normal Vaginal Delivery

First Six Weeks

It is safe to start pelvic floor exercise and “inner core” exercise: as soon as you feel able after the delivery. Inner core refers to working the deep abdominal muscle with your pelvic floor to start recovery of abdominal muscle strength (see blogs on DRAM).

After your 6 week check you can start to get back to more organised exercise if you wish.

Whatever your goal is, you can set the goal and start working back to it. But remember, for some people, pelvic floor takes more time to recover and return to higher level exercise will be slower for them than for others.

The factors to pay attention to are:

  • Forceps assisted vaginal delivery.
  • Vaginal delivery of a baby more than 4kgs.
  • A long pushing phase of labour of more than an hour.
  • A third or fourth degree tear (where you were taken to theatre to be stitched).

These are all deliveries that put more stress on the pelvic floor. If you have any doubts about the ability to do pelvic floor exercise, come and see us to find out what to do.

Six to Twelve Weeks

But for those feeling confident, from 6 weeks you might start doing more demanding, non-impact exercise like basic floor exercises (bridges, modified planks, small range squats, oblique crunches, crunches, aerobic exercise with supported pelvic floor such as stationery bike, upper body exercise on a fit ball etc etc). If in doubt about whether you have a large abdominal separation, it’s best to come in for a check. A sign of problems is when doming occurs.

See below under “caesareans” for an explanation.

Returning to Exercise After A Baby 3

From Twelve Weeks

Return to impact ie break into jog or short running is considered safe from 12 weeks.

BUT, if you experience any of the following you should stop and seek an assessment:

  • Pelvic heavy sensation
  • Pain anywhere in the back of pelvis, front of pelvis, low back pain.
  • Leakage of urine whilst running.
  • Bowel urgency or issues.

 

These are all signs that the pelvic floor might be weak.

Returning to Exercise After A Baby 2

Exercise After A Caesarean

The timeline for return to exercise after a caesarean is the same as normal vaginal delivery: first 6 weeks recovery and basic pelvic floor and deep “inner core” activation.

Women who have had caesareans expect to find pelvic floor recovery is quicker than vaginal delivery but many women struggle to regain abdominal muscles strength.

From 6 weeks, abdominal muscle strengthening can progress to include more loaded exercise, but as with vaginal delivery, you want to make sure that pelvic floor and lower the tummy works together and switches on to prevent any doming effect at the tummy. If doming is present as you try and increase exercise, it is worth coming in for assessment.

The doming effect is where the midline of the tummy between pubic bone and ribs bulges in a line when you stress the abdominal muscles for example like doing a sit up type movement to get out of bed.

Returning to Exercise After A Baby 4

If all is going well, impact exercise like running can start from 12 weeks.

A note of caution: PELVIC PAIN

If you have had pelvic pain in pregnancy that doesn’t resolve quickly after the delivery, we do recommend that you seek specific advice. Pregnancy related pelvic girdle pain can link with pelvic floor weakness, increased tone pelvic floor (tight muscles that don’t relax well). You will need to regain great inner and outer core strength. Contact us for more information if this is your concern.

Book your visit today

Book now

Frankston (TSIC)

Book now

Dromana (Pinnacle)

You may contact Caroline Bender or make and appointment with Caroline at either location. with Cee at Frankston The Sports Injury Clinic with Candice at Dromana Pinnacle (Thursdays)