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Pelvic health

Anyone can be affected by pelvic health problems during or after pregnancy

On this page

Pelvic Health Videos
  • 1 in 5 pregnant women experience discomfort around the pelvic region
  • 1 in 3 experience urinary incontinence (leaking wee) after having a baby
  • 1 in 10 experience faecal incontinence (leaking poo) after having a baby
  • 1 in 12 experience pelvic organ prolapse (bulge or dragging sensation in the vagina) after having a baby

However, a lot can be done to reduce or prevent the chance of experiencing issues. Please do not suffer in silence.

The Perinatal Pelvic Health Service aims to provide support and information for women around pelvic health during and after pregnancy. On this page, you can find out about the support you can get from the service, along with more about how your pelvic floor works, what happens to it during pregnancy and birth, and problems you may experience.

About your pelvic floor

Your pelvic floor is made from muscles and ligaments. It should support your internal organs and help control when you go to the toilet.

The growing weight of your baby during pregnancy puts your pelvic floor under strain. Birth can also weaken the pelvic floor. This may cause problems such as accidental leakage of wee or poo, difficulties with sex (for example, pain or reduced sensation), and a bulge or dragging sensation in the vagina.

Symptoms of pelvic floor problems

It is often difficult to know what changes are normal, or when you should seek help. If you experience any of the following symptoms, we advise you to seek help from a health professional.

  • Urinary incontinence (leaking wee, for example when you are standing, sitting, running, coughing, sneezing or jumping)
  • An overactive bladder (urgency to go to the toilet often and without warning)
  • A bulge in the vagina, or a heavy dragging sensation (this could be a prolapse where one or more of the pelvic organs comes down into the vagina)
  • Anal incontinence (accidentally leaking poo or wind)
  • Problems with sex such as pain, discomfort, or reduced sensation

Information and resources that can help you

Evidence shows that starting pelvic floor exercises as early as possible in pregnancy can reduce the likelihood of you experiencing symptoms later in pregnancy and after birth. However, it is never too late to start.

Take a look at these links to see how you can improve your pelvic health.

Pelvic health videos

This series of pelvic health videos (see below for other languages) offers help and advice during and after pregnancy.

Topics include:

  • Pelvic floor health and exercises
  • Exercise during pregnancy
  • Back and pelvic pain during pregnancy
  • Perineal massage
  • After birth pain management, bladder care and return to exercise

Pelvic health video series in other languages

Our patient information leaflets

‘Your Pelvic Floor and More’ – free physiotherapy-led pelvic health sessions

You do not need to accept poor pelvic health as an untreatable result of pregnancy and birth. 70% of women and birthing people who do pelvic floor exercises during and after pregnancy improve their symptoms.

Our pelvic health session provides support and information to prepare you for your body’s journey during pregnancy and after birth. The sessions also provide an opportunity to discuss any issues you may be experiencing with a physiotherapist.

The free one hour 30 minute group session will cover:

  • What your pelvic floor is, why it is important and what exercises you can do
  • How you can improve symptoms such as leaking wee or poo, vaginal changes or pain, bulging or heaviness in the vagina, or pain when having sex.
  • How to treat back pain and pelvic girdle pain
  • When and how to seek further help

Pelvic health classes booking details
Information:

If using the online form, please check your junk mail for a reply!

To book a place for your preferred session date, please fill in the form on the link above, email ghn-tr.womenshealth.physio@nhs.net or phone 0300 422 3053.
Dates are listed below.

Information:

Classes resume in late August! Please complete the form and we will get back to you with locations

We have classes in Forest of Dean; Stroud; Dursley; Cheltenham; Tewkesbury; Bourton on the Water; Moreton in Marsh and Gloucester.

Squeezy app

The Squeezy Connect app can help you to easily remember your exercises throughout the day? You can find out more information about the app at:

https://squeezyapp.com/women/about-squeezy-for-women/

A lot of women find it hard to remember to regularly do pelvic floor exercises (also known as Kegels), so if you are finding it difficult, you are not alone.

How do I access the app for free? If you are pregnant or have recently delivered a baby and live in Gloucestershire you can ask for us to sign you up to NHS Squeezy Connect ‘Maternity’ version of the app by completing this form

To find out more please read our information leaflet:

GHPI1891_03_25 Squeezy Connect Maternity

Further Physiotherapy Support

Pelvic Health Physiotherapy Service

We encourage anyone who is pregnant or has had a baby in the last 12 months to attend one of our Pelvic Floor and More sessions. However, if you are experiencing pelvic health issues and can’t attend a session or would prefer a private appointment, you can access the Pelvic Health Physiotherapy Service by:

Perineal Clinic

The Perineal Clinic is for women who have had a tear or episiotomy (surgical cut) during birth. To access this clinic, please ask your GP, midwife, health visitor or physiotherapist to refer you.

Active mums

Gentle exercise classes led by physical trainers are being set up around Gloucestershire. They are aimed at people who have recently had a baby. Would you like a gradual introduction to moving more and building physical activity into your life, as well as connecting with others in your local community? If so, click on the link below.

https://wecanmove.net/join-in/health/active-mums

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