written by Keira Benson
In the many weeks that it takes to recover from a Caesarean, the last thing on your mind is exercise… and even further down that list is sex. The dissection of your stomach muscles means that just trying to move about is a struggle and the area around your scar is very painful.
However, performing Kegel and pelvic floor exercises is vital to the future health of your pelvic and pubic areas and gentle squeezing of the muscle that you use to control your urine should be tried at the first opportunity. In most cases, it is possible to perform some gentle repetitions the day after your operation, with the agreement of your health professional.
The most basic Kegel and pelvic floor exercises consist of squeezing your vaginal muscles as if you were trying to stop the flow of urine and then holding the contraction for a count of three before slowly releasing.
This means that these exercises can be done whilst you are feeding your baby, so it’s not something you have to try to fit in to what will become an increasingly crowded schedule.
After this major abdominal surgery, for six weeks, the only thing you should be lifting is your baby.
It’s hard not to want to lose the remaining excess weight of pregnancy and retrieve your figure but, no matter how desperate you are, any exercise should be restricted to gentle walking and Kegel and pelvic floor squeezing. No crunchies or sit-ups until your stomach muscles have realigned and strengthened enough to cope with that level of exercise.
The thing to focus on is that, all the time that you are doing your kegel and pelvic floor exercises, you are repairing and reinforcing the foundations of a structure that will stand you in good stead for the rest of your life.
The pelvic muscles are in the shape of a sling and run between your legs from your back bone to your pubic bone. They hold your bladder, your womb, your vagina and your rectum in place.
Carrying the weight of the baby and placenta on top of the normal organs will have placed additional pressure on this structure. In the final months of gestation, muscle and tissue relaxing hormones are released which help to allow the cervix and vagina to accommodate the passage of the baby’s head. The downside of this is that the tension in the hammock of muscles that form the pelvic diaphragm is also affected. So it is hugely important to assist those muscles to contract back to their normal size to avoid the possibility of any form of prolapse.
As well as preventing problems with prolapse, gently exercising the pelvic floor aids circulation to the womb, bladder, rectum and vagina, so regular repetitions will stop you from becoming incontinent, make your orgasms better and reduce your chances of getting piles.
The avoidance of haemerrhoids is one of the big advantages that a caesarean has over the vaginal method of delivery and our sisters who have had to push! Piles can become such a nuisance in later life that a few minutes a day now will save you a whole lot of painful irritation later on.
Once your baby reaches 12 weeks old, your health professional will confirm whether your body has recovered sufficiently to start taking on other exercise regimes but these should be in addition to, not instead of, your Kegel and pelvic floor exercises.
At about this time, you can also start to use the various available internal aids which assist with squeezing – cones, balls, barbells and the battery-operated muscle stimulants. Most of the latter come with a specially-formulated stimulation pattern designed to get your post-pregnancy pelvic floor back into shape.
As the old adage says, Use It or Lose It! Which brings us to the thorny subject of sex after a caesarean.
This is an issue that will start to become pressing right about 12 weeks. Now that your scar is less painful, you become aware of the needs of the man who has been supporting you throughout this difficult time.
To be honest, the longer you put it off, the more difficult the subject will become. Like all new mothers, you will be worried about the changes that he might find in your nether regions.
However, unlike those women who have given birth vaginally, for the mother who has had a caesarean, it is the scar that is the concern. The redness will diminish over time and, after 12 weeks, it should be able to bear the weight of your partner in missionary position. If you are concerned, then you can try spooning.
Back at the business end, we have the other major advantage of the caesarean over a vaginal delivery. The fact that the baby’s head has not stretched the vagina to facilitate its exit means that its appearance and shape should not have changed.
The great thing is that, if you have been doing your Kegel and pelvic floor exercises regularly, the muscles of the vagina will have benefitted from increased blood flow and it will feel tighter and more sensitive than it did pre-pregnancy. This means that both of you will experience more intense climaxes.
Kegel and pelvic floor exercises. Helping to maintain the tone of your vagina and pubococcygeus (or love) muscle.
Enjoy!
About the Author: Keira Benson had both her children by caesarean and maintains a regular exercise regime to retain the body she had pre-pregnancy.
For help and advice on Kegel and pelvic floor exercises during and after pregnancy, visit: http://kegelandpelvicfloorexercises.com
For more information on the various internal aids, go to: http://www.tightenmyvagina.info
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