YES, pelvic floor exercises (Kegels) are safe and highly recommended for pregnant women and new mothers! If you're experiencing urine leakage (peshab ka tapakna) during pregnancy or after delivery, you're not alone - this affects up to 50% of women. The good news is that regular pelvic floor exercises can significantly improve bladder control and support recovery.
Why This Matters for Mothers
Watch: Are you doing these exercises with your baby? Is your baby enjoying?
During Pregnancy:
Growing baby puts pressure on bladder
Hormones relax pelvic muscles
May cause urine leakage when coughing, sneezing, or laughing
Preparing for delivery
After Delivery:
Vaginal delivery stretches pelvic floor
C-section also weakens muscles due to pregnancy weight
Recovery time needed for strength
Prevents long-term bladder problems
Common Issues from Weak Pelvic Floor:
Stress incontinence (urine leaks during activity)
Urge incontinence (sudden strong urge)
Pelvic organ prolapse (later in life)
Reduced intimacy satisfaction
Understanding Your Pelvic Floor
What are Pelvic Floor Muscles?
Think of them as a hammock or trampoline at the base of your pelvis that supports:
Bladder
Uterus
Bowels
These muscles:
Control urine and bowel movements
Support your baby during pregnancy
Help with delivery
Affect intimate sensations
Step-by-Step Pelvic Floor Exercises
Finding Your Pelvic Floor Muscles
Method 1: The Stop Test
While urinating, try to stop the flow midstream
The muscles you squeeze are your pelvic floor
Don't do this regularly - only to identify muscles
Method 2: Visualization
Imagine you're stopping gas from passing
OR imagine picking up a small marble with your vagina
The muscles that tighten are your pelvic floor
Basic Kegel Exercise
Exercise 1: Slow Squeezes
Sit comfortably or lie down with knees bent
Squeeze your pelvic floor muscles
Lift and hold for 5 seconds (work up to 10)
Release slowly for 5 seconds
Rest for 5 seconds
Repeat 10 times
Exercise 2: Quick Pulses
Squeeze pelvic floor quickly
Release immediately
Repeat 10 times rapidly
Rest and repeat set
Exercise 3: The Elevator
Imagine your pelvic floor is an elevator
Squeeze and lift to "floor 1" - hold 2 seconds
Squeeze higher to "floor 2" - hold 2 seconds
Squeeze to maximum "floor 3" - hold 2 seconds
Lower back down floor by floor
Repeat 5 times
Daily Routine
Morning Set:
10 slow squeezes (5-10 second holds)
10 quick pulses
Afternoon Set:
Same as morning
Do while sitting at desk, cooking, or resting
Evening Set:
Same as morning
Do before bed
Total: 30 slow squeezes + 30 quick pulses daily
Exercise Timeline
When
What to Do
**During Pregnancy**
Start gentle exercises from first trimester, continue throughout
**After Vaginal Delivery**
Start gentle exercises after 24-48 hours (or when comfortable)
**After C-Section**
Wait until catheter removed, start gentle exercises within a week
**First 6 weeks postpartum**
Focus on reconnecting with muscles, gentle holds
**6 weeks to 3 months**
Increase hold duration and repetitions
**3+ months**
Full routine, add progressions if needed
Tips for Success
Be consistent - Daily practice is key
Don't hold your breath - Breathe normally while squeezing
Isolate the muscles - Don't squeeze buttocks, thighs, or stomach
Start gentle - Especially after delivery
Do them anywhere - While cooking, watching TV, in auto/bus
Set reminders - Link to daily activities (after meals, during tea)
Be patient - Results take 4-6 weeks minimum
Empty bladder first - Don't exercise on full bladder
Stay hydrated - Drink adequate water
Track progress - Notice improvements in control
Common Mistakes to Avoid
Wrong:
Squeezing buttocks or thighs
Holding breath
Pushing down instead of lifting up
Doing too many too fast
Stopping when pregnant/postpartum feels hard
Only doing exercises when you remember
Right:
Only pelvic floor muscles engaged
Breathing normally throughout
Lift and squeeze upward
Start slow, build gradually
Be consistent even on difficult days
Set reminders for daily practice
When to Worry (Red Flags)
Contact your doctor if you notice:
No improvement after 6-8 weeks of consistent exercises
Worsening leakage despite exercises
Pain during pelvic floor exercises
Heaviness or bulging sensation in vagina
Complete inability to control urine or bowel
Blood in urine
Burning during urination
Unable to identify pelvic floor muscles
Additional Support
Pelvic Floor Physiotherapy:
Available in major Indian cities
Specialist can assess muscle strength
Provides personalized exercise program
May use biofeedback devices
Ask your gynecologist for referral
Products That May Help:
Kegel exercise apps with reminders
Pelvic floor weights (under guidance)
Biofeedback devices (under guidance)
Beyond Exercises: Lifestyle Tips
Do:
Maintain healthy weight
Eat fiber to prevent constipation
Drink adequate water
Practice good posture
Lift correctly (bend knees, not back)
Avoid:
Straining during bowel movements
Heavy lifting without engaging pelvic floor
Chronic coughing (treat if present)
High-impact exercises without control
Smoking (causes chronic cough)
Frequently Asked Questions
Q: Delivery ke baad peshab control nahi ho raha - kya yeh normal hai?
A: Some leakage in the first few weeks after delivery is very common and usually improves with time and exercises. Start gentle Kegels as soon as you're comfortable. If leakage continues beyond 3-4 months despite regular exercises, consult your doctor. Many women see significant improvement within 6-8 weeks of consistent practice.
Q: Can I do Kegels during pregnancy?
A: Yes! Pelvic floor exercises are safe and recommended throughout pregnancy. They help support the growing baby, prepare for delivery, and prevent incontinence. Start early and continue throughout. Just be gentle and don't overdo it. If you feel any discomfort, pause and consult your doctor.
Q: How do I know if I'm doing Kegels correctly?
A: Insert a clean finger into your vagina and squeeze. You should feel pressure around your finger if done correctly. You should NOT be squeezing your buttocks, thighs, or holding your breath. Another test: You should be able to stop urine midstream (do this only once to test, not regularly).
Q: How long until I see results from pelvic floor exercises?
A: Most women notice improvement in 4-8 weeks with daily practice. Full strength may take 3-6 months to develop. The key is consistency - doing exercises every day. If you don't see any improvement after 8 weeks of proper, daily exercises, consult a pelvic floor physiotherapist.
Q: Will pelvic floor exercises help with intimate life after baby?
A: Yes! Strong pelvic floor muscles improve sensation during intimacy for both partners. Many women report better satisfaction after regular Kegel practice. Wait until your doctor clears you for intimacy (usually 6 weeks postpartum) and ensure you're physically and emotionally ready.
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This article was reviewed by a pediatrician. Last updated: January 2025
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