Postpartum: Your Body

Postpartum: Your Body

Returning to exercise

Walking can start within days. Running and impact wait until about twelve weeks and a ready pelvic floor. Leaking or heaviness means slow down.

General research · seeking a stewardpostpartumAlso searched as: when can I work out, running after birth, core after baby, postpartum fitness

What it is

You want to know when you can work out again, or run, or do anything with your core. The answer has two parts: what your tissue can take, and what your pelvic floor can take. The first is roughly fixed by weeks. The second is specific to you.

What's typical

Weeks zero to six: walking, breathing, gentle pelvic floor squeezes and releases. After a cesarean, wait for your provider's check before anything past walking. Weeks six to twelve: strength work, no jumping or running. Twelve weeks and beyond: impact, if you can jump and run without leaking, heaviness, or pain. Signs to pull back: bleeding that returns, a belly that domes, leaking, pressure, or pain.

What's known

ACOG says exercise can resume gradually once it is medically safe, and that walking is fine almost right away. A widely used UK guideline advises against running before twelve weeks, and only after a pelvic floor check.

What helps

  • Walk first. Add minutes before you add speed.
  • Breathe out on the hard part of every move.
  • Book a pelvic floor PT check before impact. One visit can tell you what your body is ready for.

When to call someone

  • Now (go in): heavy bleeding, chest pain, or breathlessness during exercise.
  • Todaybright red bleeding that comes back after it had stopped, or a new bulge.
  • At your next visitleaking, heaviness, or a doming belly with exercise. Ask for pelvic floor PT.

Who helps

Tools: Birthworker Directory

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Sources

  • American College of Obstetricians and Gynecologists — Committee opinion on physical activity and exercise during pregnancy and the postpartum period
  • Goom, Donnelly and Brockwell — Returning to running postnatal: guidelines for medical, health and fitness professionals

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