Finding your pelvic floor muscles
Sit comfortably with
you knees slightly apart. Now imagine that you are trying to stop
yourself passing wind from the bowel. To do this you must squeeze the
muscle around the back passage. Try squeezing and lifting that muscle
as if you really do have wind. You should be able to feel the muscle
move. Your buttocks and legs should not move at all. You should be
aware of the skin around the back passage tightening and being pulled
up and away from your chair. Really try to feel this squeezing and
lifting.
Now imagine that you are sitting on the toilet passing urine.
Picture yourself trying to stop the stream of urine. Try doing this
now while you are reading this. You should be using the same group of
muscles that you used before, but dont be surprised if you find
this harder.
Pelvic floor exercises
Now you can find your pelvic floor muscles, here is how to make and
keep them strong:
- Your pelvic floor muscles need to have stamina. So: sit, stand
or lie with your knees slightly apart. Slowly tighten and pull up
the pelvic floor muscles as hard as you can. Try lifting and
squeezing them as long as you can. Rest for 4 seconds and then
repeat the contraction. Build up your strength until you can do 10
slow contractions at a time, holding them for 10 seconds each with
rests of 4 seconds in between.
- These muscles also need to react quickly to sudden stresses from
coughing, laughing or exercises that put pressure on the bladder.
So practise some quick contractions, drawing on the pelvic floor
and holding it for just one second before relaxing. Try to achieve
a strong muscle tightening with up to ten quick contractions in
succession.
Aim to do a set of slow contractions (exercise 1) followed by a set
of quick contractions (exercise 2) six times each day.
Check you are doing the exercises properly
If you do not check, you may easily be tensing the wrong muscles!
So check: if you place a finger in your vagina you should be able to
feel the pelvic floor muscles squeeze, or you should be able to see
the "lift and squeeze" effect in a small mirror.
If you do find you have trouble with controlling either your
bladder or your bowels after your baby is born, do not despair! The
chances of a cure are good if you get the right advice.
Do not suffer in silence: call the Continence Foundation Helpline
and talk to a specialist nurse, talk to your GP or obstetrician or to
your health visitor or the local specialist continence service you
can get their details from the helpline number.
Enjoy having your baby! There is no reason to fret or worry: these
points are just a few to help you avoid trouble and get the best for
your baby and the best for yourself.
More information
For more information and support, call the Continence
Foundation on 020 7831 9831. Lines are open from 9.30am to
4.30pm every weekday and staffed by specialist nurses
Click
here to visit the Continence
Foundation website
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