Kegelexercises, also called pelvic muscle exercises, are performed to strengthen the muscles of the pelvic floor, which can help prevent incontinence, strengthen vaginal muscles, prevent accidentally passing gas or stool, and improve orgasms.
Women who perform Kegel exercises during pregnancy may have an easier time during childbirth because strengthening the pelvic muscles can help a woman control those muscles during labor and delivery.
Women can start to perform Kegel exercises immediately or as soon as she is able to after birth. Studies have shown that women who regularly performed Kegel exercises significantly reduced the development of urinary and fecal incontinence from pregnancy to postpartum.
Pelvic floor muscles can be identified by attempting to stop the flow of urine mid-stream. They can also be located by inserting a finger into the vagina and attempting to squeeze the muscles around it. These are the muscles that are targeted for Kegel exercises.
Pelvic floor muscle training exercises can help strengthen the muscles under the uterus, bladder, and bowel (large intestine). They can help both men and women who have problems with urine leakage or bowel control.
A pelvic floor muscle training exercise is like pretending that you have to urinate, and then holding it. You relax and tighten the muscles that control urine flow. It is important to find the right muscles to tighten.
The next time you have to urinate, start to go and then stop. Feel the muscles in your vagina, bladder, or anus get tight and move up. These are the pelvic floor muscles. If you feel them tighten, you have done the exercise right. Do not make it a habit to do the exercises each time while you urinate. Once you can comfortably identify the muscles, perform the exercises while seated, but NOT when you are urinating.
If you are still not sure whether you are tightening the right muscles, keep in mind that all of the muscles of the pelvic floor relax and contract at the same time. Because these muscles control the bladder, rectum, and vagina, the following tips may help:
A woman can also strengthen these muscles by using a vaginal cone, which is a weighted device that is inserted into the vagina. Then you try to tighten the pelvic floor muscles to hold the device in place.
You can do these exercises at any time and place. Most people prefer to do the exercises while lying down or sitting in a chair. After 4 to 6 weeks, most people notice some improvement. It may take as long as 3 months to see a major change.
A word of caution: Some people feel that they can speed up the progress by increasing the number of repetitions and the frequency of exercises. However, over-exercising can instead cause muscle fatigue and increase urine leakage.
If you feel any discomfort in your abdomen or back while doing these exercises, you are probably doing them wrong. Breathe deeply and relax your body when you do these exercises. Make sure you are not tightening your stomach, thigh, buttock, or chest muscles.
Lentz GM, Miller JL. Lower urinary tract function and disorders: physiology of micturition, voiding dysfunction, urinary incontinence, urinary tract infections, and painful bladder syndrome. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 21.
Newman DK, Burgio KL. Conservative management of urinary incontinence: behavioral and pelvic floor therapy, urethral and pelvic devices. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 121.
Updated by: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
MomJunction believes in providing reliable, research-backed information to you. As per our strong editorial policy requirements, we base our health articles on references (citations) taken from authority sites, international journals, and research studies. However, if you find any incongruencies, feel free to write to us.
Kegel exercises after delivery are proven to help women strengthen their pelvic floor muscles and lessen postpartum discomfort (1) (2). Therefore, if you are thinking of doing kegel exercises as your routine postpartum exercise, you must first understand the pelvic floor muscles.
The right time to start kegel exercises depends on the type of delivery (normal or cesarean) you had and how active you were during pregnancy. In the case of uncomplicated normal birth, you may start simple and effortless kegel exercises a few weeks after giving birth. But in the case of normal delivery with episiotomy, you might have to wait for a few weeks.
If you have had a c-section, it takes four to six weeks for the incision to heal, after which you should be able to start the exercises (3) (4). In any case, you should talk to your doctor before starting the exercise as every pregnancy is different.
A study evaluated the occurrence and severity of urine leakage in pregnant women. The graph below shows that women who performed pelvic floor exercises during pregnancy reported urinary incontinence significantly less often than women who did not.
It is good for both strengthening the pelvic and abdominal muscles (10) (11). You may ask your doctor about this exercise and the right time to do it post-delivery. In case you find it difficult or feel uncomfortable during or after the exercise, do not continue.
Three months after the delivery, your body is ready to perform other workouts too. Squatting and mini squats holding your baby are among the recommended exercises to help your back, pelvic floor muscles, and even abdomen area (13).
Some people recommend doing the plank exercise postpartum. However, a few also suggest avoiding them. There is no proper evidence to support the claims. You may ask your healthcare professional to advise you based on your condition post-delivery.
Pregnancy and childbirth put tremendous strain on pelvic floor muscles that may cause a weakened pelvic floor in several women. Urinary leakage, abdominal muscles separation (diastasis recti), low back pain, and pelvic organ prolapse are some of the common pelvic floor issues new moms could experience after delivery (14).
Research indicates that pelvic muscle exercises, such as kegel exercises, could enhance sexual self-efficacy after delivery. Therefore, consult your gynecologist to devise a specific plan and incorporate these exercises into your workout regime (17).
Although these exercises benefit women, they must be performed while taking certain simple precautions. For example, women must refrain from doing Kegel exercises while urinating or applying excessive pressure when performing the exercise, as it could cause negative consequences for the kidneys and vaginal muscles (18).
Kegel exercises are simple and do not require any equipment, allowing you to work out in the privacy of your home. To tone and strengthen your pelvic floor muscles and promote postnatal healing, you have to take a few minutes of your day and learn Kegel exercises after delivery. You can try standing Kegel activation, heel slides, pelvic tilt, pelvic bridge, pelvic rock, and other postpartum exercises. Confer your doctor if you have any concerns about a kegel exercise, and stop doing it if you feel any discomfort or pain.
Kegel exercises, also known as pelvic floor muscle training exercises, strengthen the pelvic floor muscles, supporting the uterus, bladder, small intestine, and rectum. These exercises are beneficial for pregnant women as they help in staying fit during pregnancy. Training your body before giving birth can tone the body accordingly.
By doing kegel exercises during pregnancy, you can make your pregnancy experience less painful. These exercises involve postures and stretches that keep the pelvic muscles active which further ease the birth process. Kegel exercises train your body and give you the ability to control them during labour.
One of the things which continuously bothers you during pregnancy is the frequent urge to urinate. It happens because, during pregnancy, your uterus expands and puts pressure on the bladder. Frequent urination is one among 8 common signs of early pregnancy and is even considered a healthy sign. Exercising the pelvic muscles will strengthen them and will improve the function of the rectal sphincter and urethra.
As your muscles have gone through a lot of exertion while giving birth, the muscles tend to become weak and even loosen a bit. If you keep practicing Kegels, it will help your muscles tighten up and spare you those unwanted leaks while sneezing and coughing.
After pregnancy, you have to give your strength back and proper time to heal. Kegels helps in increasing blood circulation and will help in healing perineal muscles faster. It will also help stimulate the growth of new muscle tissues, ensuring healing of the muscles which might have torn in the process.
Performing squats keep the pelvic muscles in motion during pregnancy so that they do not get weak. Squats also help to open up the hips. One does not need to do it with weights during pregnancy. The first stage of pregnancy is the perfect time for squats.
Changes in hormones may lead to breathing issues in pregnant women. At times it may seem that you can not get enough air. During pregnancy, the diaphragm gets pushed by the uterus, limiting the lungs' ability to breathe.
Apart from that, they also increase the core strength but initially, it might not be easy to hold the positions or carry on the exercise for the standard time, so be it. Increase the time as per your comfort level but do not force anything on your body.
Kegel exercises will help you. It has no side effects, but of course, when you are pregnant, you must discuss every change you make in your routine with your doctor and do it only with their permission. Also, it is important to know if you are doing it the right way. Consult an expert for the same. Pregnancy is a very sensitive stage, do not risk anything by doing it with half knowledge.
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