After birth week one

We've written out what's been said in this video below if you'd like to read instead of listening to it. If you'd like it in another language, click here for instructions.

The pelvic floor muscles sit between the pubic bone and the tailbone.

They sit around the back passage, vagina and opening of the bladder maintaining bladder and bowel control and supporting the pelvic organs.

Pregnancy increases the load on these muscles so strengthening the pelvic floor during and after every
pregnancy is essential whether you've had a vaginal or a caesarean birth.

To do your pelvic floor exercise:

• Squeeze and lift the back passage as if you're trying to stop wind then continue the squeeze and lift to the front as if you're stopping the flow of urine.
• Try not to hold your breath or contract your buttocks or legs.
• Let go fully after the contraction repeat long contractions lifting and holding the muscles for up  to 10 seconds before releasing give yourself 5 to 10 seconds rest between each contraction.
• Aim to do this up to 10 times or until your muscles tire then repeat short contractions by lifting and
  releasing until your muscles tire which may be up to 10 times or more.
• Do the short and long pelvic floor contractions three times a day starting as early as you can in your pregnancy and continuing after having your baby once any catheter has been removed.
• Using the NHS Squeezy pelvic floor app is a good way to gain motivation and
  guidance.

We've written out what's been said in this video below if you'd like to read instead of listening to it. If you'd like it in another language, click here for instructions.

During labour you should pass urine regularly every two to four hours. If you have any concerns please speak to your Midwife.

During and following birth drink small amounts of water regularly, rather than having a large volume all at once.

After birth or having your catheter removed, you should have passed urine within the first six hours. It's important that when you first pass urine it's measured by the midwife. To help pass urine, sit on the toilet seat and relax. It might help to run some water or gently tap over the bladder.

Some women have difficulty fully emptying their bladders after giving birth which can lead to long-term issues if not identified.  In this case, your healthcare provider may advise that you have a catheter for a short period of time to allow your bladder to rest and recover. Remember it's important to avoid constipation and straining. It's important to tell your midwife if the sensation to empty your bladder is reduced.  You can set a reminder to urinate every two to three hours to help with this.

If you have difficulty emptying your bladder. If you've not been able to pass urine within six hours of birth or catheter removal, or if you notice that you're leaking urine particularly when standing and moving around.