Returning to running after pregnancy and birth

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Returning to running after pregnancy and birth

Returning to running after pregnancy and birth is a gradual process that should be approached with caution. It’s important to prioritize your recovery and listen to your body throughout the entire journey. Here are some tips to help you safely resume running after pregnancy and birth:

  • Consult with your healthcare provider: Before starting any postpartum exercise, it’s crucial to consult with your healthcare provider. They can evaluate your specific situation and provide personalized advice based on your pregnancy and delivery.

  • Start with gentle exercises: In the early postpartum period, focus on gentle exercises that help rebuild your core strength and stability. Pelvic floor exercises, such as Kegels, are particularly important. Other low-impact exercises like walking, swimming, or stationary cycling can also help you regain fitness without putting excessive stress on your body.

  • Gradually increase intensity: Once you’ve received clearance from your healthcare provider, you can begin incorporating running into your exercise routine. Start with short, easy runs or walk-run intervals. Listen to your body and gradually increase the intensity and duration of your runs over time.

  • Pay attention to your pelvic floor: Pregnancy and childbirth can weaken the pelvic floor muscles. It’s crucial to ensure they’re adequately strengthened before returning to high-impact activities like running. Incorporate pelvic floor exercises into your routine, and if you experience any symptoms like incontinence or discomfort, consult with a pelvic health specialist.

  • Supportive gear: Invest in a supportive sports bra and comfortable running shoes. Your body may have changed during pregnancy, so getting properly fitted for a sports bra can provide essential support during your runs.

  • Prioritize rest and recovery: Adequate rest and recovery are crucial during the postpartum period. Be mindful of your energy levels and don’t push yourself too hard too soon. Aim for regular sleep, proper nutrition, and hydration to support your recovery and overall well-being.

  • Be patient and kind to yourself: Remember that every woman’s postpartum journey is unique. It takes time for your body to heal and regain strength. Be patient with yourself, listen to your body, and adjust your running routine as needed.

Remember, the information provided here is general advice, and it’s important to consult with your healthcare provider for personalized guidance based on your specific circumstances.

An Overview of pelvic health

Pelvic health refers to the well-being and optimal functioning of the pelvic region, which includes the pelvic floor muscles, organs, and associated structures. The pelvic floor is a group of muscles that form a hammock-like structure at the base of the pelvis, supporting the pelvic organs, including the bladder, uterus, and rectum. The pelvic floor muscles play a crucial role in various bodily functions, such as urinary and fecal continence, sexual function, and core stability.

Here is an overview of key aspects related to pelvic health:

  • Pelvic Floor Dysfunction: Pelvic floor dysfunction refers to a range of conditions that affect the normal functioning of the pelvic floor muscles. This can include pelvic floor muscle weakness, tightness, or coordination problems. Common pelvic floor disorders include urinary incontinence (leakage of urine), fecal incontinence (loss of bowel control), pelvic organ prolapse (weakening of pelvic organs leading to descent or bulging), and pelvic pain.

  • Pregnancy and Childbirth: Pregnancy and childbirth can significantly impact pelvic health. The weight of the growing uterus during pregnancy and the process of childbirth can stretch and weaken the pelvic floor muscles. This can lead to various pelvic floor disorders. It is important for pregnant individuals to focus on pelvic floor exercises and postpartum recovery to promote optimal pelvic health.

  • Pelvic Pain: Pelvic pain can have various causes, including musculoskeletal conditions, nerve-related issues, inflammation, or underlying medical conditions. Pelvic pain can significantly impact a person’s quality of life and may require a multidisciplinary approach involving healthcare providers such as gynecologists, urologists, and pelvic health specialists.

  • Pelvic Health Specialists: Pelvic health specialists are healthcare professionals who specialize in the diagnosis and treatment of pelvic floor disorders and related conditions. They can include urogynecologists, urologists, colorectal surgeons, physical therapists, and specialized nurses. These specialists can provide comprehensive evaluations, offer targeted treatments, and guide individuals in pelvic health management.

  • Prevention and Maintenance: Maintaining good pelvic health involves adopting healthy lifestyle habits. This includes practicing good posture, maintaining a healthy weight, avoiding heavy lifting, managing chronic constipation, and avoiding habits that strain the pelvic floor muscles, such as chronic straining during bowel movements or frequent high-impact activities without proper pelvic floor support.

If you have concerns about your pelvic health or are experiencing symptoms related to the pelvic floor, it’s important to consult with a healthcare professional or a pelvic health specialist. They can provide a thorough evaluation, diagnose any potential issues, and guide you in appropriate treatment and management options to support your pelvic health.

After giving birth, some women may experience postnatal pelvic issues. Here are common signs and symptoms to be aware of:

  • Urinary Incontinence: Leakage of urine, particularly when coughing, sneezing, laughing, or engaging in physical activities, is a common sign of postnatal pelvic issues. This is known as stress urinary incontinence and can occur due to weakened pelvic floor muscles.

  • Fecal Incontinence: Loss of bowel control, resulting in the accidental leakage of feces or difficulty controlling bowel movements, is another possible symptom. This can be caused by pelvic floor muscle weakness or damage during childbirth.

  • Pelvic Organ Prolapse: Pelvic organ prolapse occurs when the pelvic organs, such as the bladder, uterus, or rectum, descend or bulge into the vaginal canal due to weakened pelvic floor support. Symptoms can include a feeling of pressure or heaviness in the pelvis, a sensation of something coming out of the vagina, or difficulty with bowel movements or sexual intercourse.

  • Pelvic Pain: Persistent or recurrent pain in the pelvic region can be a symptom of postnatal pelvic issues. It may manifest as sharp or dull pain, discomfort during sexual intercourse, or pain with specific activities.

  • Painful Scar Tissue: If you had a cesarean delivery or an episiotomy during vaginal delivery, you may experience pain or discomfort at the site of the incision or tear. Scar tissue can sometimes cause tightness, tenderness, or pain during movement or intercourse.

  • Difficulty with Sexual Function: Some women may experience changes in sexual function after childbirth, such as decreased libido, pain or discomfort during intercourse, or difficulty achieving orgasm. These issues can be related to pelvic floor muscle weakness, hormonal changes, or psychological factors.

  • Bowel Issues: Postnatal pelvic issues can also manifest as bowel-related symptoms, including constipation, difficulty with bowel movements, or a feeling of incomplete emptying of the bowels.

Pelvic floor exercises, commonly known as Kegel exercises, are a series of exercises that target and strengthen the muscles of the pelvic floor. These exercises are beneficial for both men and women and can help improve pelvic floor function, prevent or manage pelvic floor disorders, and enhance overall pelvic health. Here’s how to perform pelvic floor exercises:

  1. Identify the pelvic floor muscles: Before starting the exercises, it’s important to identify the correct muscles. The pelvic floor muscles are the ones you would contract to stop the flow of urine midstream or to prevent passing gas.

  2. Find a comfortable position: You can perform pelvic floor exercises in various positions, such as lying down, sitting, or standing. Choose a position that allows you to relax your body and focus on the targeted muscles.

  3. Contract the pelvic floor muscles: Once you’ve identified the pelvic floor muscles, contract them by squeezing and lifting them upward. Imagine pulling the muscles inward and upward, as if trying to lift them towards your belly button. Make sure to avoid tightening the abdomen, buttocks, or thighs during the exercise.

  4. Hold the contraction: Once you’ve contracted the pelvic floor muscles, hold the squeeze for a few seconds. Start with a comfortable duration, such as 3-5 seconds, and gradually work your way up to longer holds over time.

  5. Relax and rest: After holding the contraction, release and fully relax the pelvic floor muscles for a similar duration to the contraction. This allows the muscles to rest and recover before the next repetition.

  6. Repeat the exercise: Aim for a series of repetitions, gradually increasing the number of contractions as you build strength. Start with 5-10 repetitions per session and gradually work your way up to 10-20 repetitions or as advised by a healthcare provider.

  7. Maintain a regular routine: Consistency is key when it comes to pelvic floor exercises. Aim to perform the exercises at least once or twice a day. It’s important to note that overdoing the exercises or performing them with excessive force may lead to muscle fatigue or strain, so it’s best to start gradually and progress at a comfortable pace.

Remember, pelvic floor exercises may not be suitable for everyone, especially if you have an underlying pelvic floor condition or are experiencing pain or discomfort. If you have any concerns or questions, it’s recommended to consult with a healthcare provider or a pelvic health specialist who can provide guidance tailored to your specific needs.

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