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Giving birth is a most assuredly a transformative experience—physically, emotionally, and mentally. But one aspect that often doesn’t get enough attention is the impact childbirth can have on the pelvic floor. Whether you had a vaginal delivery or a cesarean section, your pelvic floor muscles have supported you through pregnancy and birth, and they deserve some care and attention during your postpartum recovery. Let's explore what the pelvic floor is, why it’s so crucial to your well-being after childbirth, and practical ways to strengthen it during the postpartum period. What is the Pelvic Floor? The pelvic floor is a group of muscles and connective tissues that stretch like a hammock from your pubic bone to your tailbone. These muscles support key organs including the bladder, uterus, and rectum. They also play a critical role in urinary and bowel control, sexual function, and core stability. Why is Pelvic Floor Health Important Postpartum? During pregnancy, your pelvic floor carries the increasing weight of your growing uterus. Then, during vaginal birth, these muscles stretch significantly, sometimes tearing or weakening. Even if you had a cesarean section, pregnancy alone can put strain on the pelvic floor. Common postpartum issues related to pelvic floor dysfunction include:
When Can You Start Pelvic Floor Exercises? Generally, you can begin gentle pelvic floor exercises, often called Kegels, within a few days after birth, especially if you feel ready and comfortable. However, every birth is different, so it’s essential to:
How to Strengthen Your Pelvic Floor Postpartum
Here are simple, safe ways to start restoring your pelvic floor health after birth: 1. Kegels- These are small but powerful contractions that help rebuild strength and endurance in your pelvic floor.
2. Pelvic Tilts- Lie on your back with your knees bent and feet flat. Gently tilt your pelvis so your lower back presses into the floor, then release. This helps engage your deep abdominal muscles along with the pelvic floor. 3. Diaphragmatic Breathing- Deep breathing helps reduce intra-abdominal pressure and allows the pelvic floor to move naturally.
4. See a Pelvic Floor Physical Therapist- If you’re dealing with discomfort, incontinence, or just want expert support, a pelvic floor PT can create a personalized plan to help you recover safely and effectively. Pelvic floor recovery isn’t a race. Healing takes time, and every body is different. Rest, hydration, and gentle movement are all part of the equation. And remember: asking for help, whether from your OBGYN, a physical therapist, or a postpartum coach, is a sign of strength, not weakness. Caring for your pelvic floor after childbirth is one of the best investments you can make in your long-term health and quality of life. Whether you’re newly postpartum or a few years into parenthood, it’s never too late to start. Strong doesn’t mean “bouncing back”, it means building back better, with awareness, support, and self-compassion. Got questions? Contact me for resources and recommendations for local pelvic floor therapists.
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The early days of the fourth trimester are beautiful, exhausting, and demanding all at once. In the whirlwind of those early postpartum days, one of the most thoughtful ways to support new parents is by providing meals. Meal trains—a system where friends and family sign up to bring food on designated days—have long been a go-to tradition. But while well-intentioned, traditional meal trains aren’t always the best option for postpartum mothers. Here’s why and how we can do better.
The Problem with Traditional Meal Trains Traditional meal trains often fall short because they don’t take into account the specific nutritional needs, dietary restrictions, and personal preferences of postpartum mothers. Some common issues include:
The Importance of Postpartum Nutrition Postpartum recovery isn’t just about rest, it’s about replenishing the body, healing tissues, and supporting hormone regulation. Proper nutrition plays a pivotal role in all of these. Some postpartum nutrition guidelines include:
How Friends and Family Can Truly Help Instead of relying on the traditional model, here are more thoughtful, flexible, and nourishing ways to support a postpartum family: 1. Cook or Deliver Requested Meals
The heart behind a traditional meal train is always appreciated, but as we grow in understanding postpartum recovery, it’s clear we need to move beyond casseroles and cookie-cutter solutions. Supporting new moms means nourishing them in ways that honor their bodies, preferences, and healing journey. So, the next time someone you love welcomes a baby, ask how you can feed them their way, not just what’s easiest for you. Thoughtful nourishment is one of the most profound gifts you can give a new mother. The fourth trimester is a season often wrapped in quiet mystery. It’s not talked about enough, and when it is, it’s usually painted in broad strokes of sleepless nights and sweet baby snuggles. While there’s truth in that, there’s a deeper, more complex reality that deserves honest conversation. This sacred, raw chapter is a period of transformation, healing, and reckoning—not just with your new baby, but with your new self. Here are five essential truths about the fourth trimester and why embracing change is not just helpful, but necessary. 1. Postpartum Nutrition Is the Key to Physical and Mental Health Your body just performed a miracle—growing and birthing a human being—and now it’s in recovery mode. The healing process requires more than rest; it demands nourishment. Postpartum nutrition is about replenishing the body’s stores, supporting hormone regulation, and fueling the energy needed for sleepless nights and endless feedings. It’s not about dieting or “bouncing back.” It’s about giving your body what it needs. Think warm, healing foods rich in iron, healthy fats, protein, and fiber. Hydration, mineral replenishment, and nourishing snacks aren’t luxuries, they’re essentials. Prioritizing your nutrition is one of the most loving things you can do for both your physical and mental well-being. 2. It Can Be Lonely Even with a partner or family nearby, the fourth trimester can feel incredibly isolating. The demands of caring for a newborn can leave little time for adult connection, and many new parents feel like the world has moved on without them. This is why community matters. Whether it's a trusted friend, a postpartum doula, a local mom group, or even a virtual support space, surround yourself with people who get it. Ask for help. Accept help. Lean into relationships that allow you to show up as you are, messy bun and all. You weren’t meant to do this alone. Motherhood has always been a communal experience, so don’t be afraid to claim that for yourself. 3. Bouncing Back Isn’t Realistic There’s a quiet pressure to “bounce back” after birth emotionally, socially and especially physically. But the truth is, there’s no going back—only forward into something new. Your body won’t heal overnight, and it shouldn't be expected to. It took nine months to grow your baby, and it may take longer than that to fully recover and recalibrate. Your image of yourself may shift. You might not recognize your body at first, and that’s okay. This is a season of becoming. Be gentle with yourself. Give yourself permission to heal slowly, imperfectly, and with deep compassion. You are not less. You are more—expanded in love, resilience, and strength. 4. Your Priorities Will Change (and That’s Okay) What once felt urgent may now feel trivial. Your habits, routines, even your goals may shift. That doesn’t mean you’ve lost yourself, it means you’re evolving. This change doesn’t have to be feared. It’s a signal of growth. Embrace the simplicity of slower mornings, the joy in tiny milestones, and the peace that can come from doing less. This is a time for recalibration and what no longer fits can be lovingly released. You’re not becoming someone else; you’re becoming more you. 5. Your Relationships Will Change Motherhood alters the dynamic of your closest relationships—with your partner, friends, and even your own parents. These shifts can be beautiful, but also painful or confusing. Communication becomes more important than ever. You may need to re-negotiate roles, rediscover intimacy, or even set new boundaries. Some friendships may fade; others may deepen. Your relationship with yourself will also evolve and that relationship, above all, deserves your tenderness and care. These changes aren’t signs of failure. They’re natural responses to growth and responsibility. Let them happen and give your relationships the grace to grow with you. The fourth trimester isn’t a detour, it’s a continuation of your journey. One where healing, identity, and connection are in flux. It’s okay to feel joy and grief in the same breath. It’s okay to change your mind, your priorities, your plans.
This chapter asks a lot of you, but it also gives you the opportunity to rediscover your strength, redefine your self-worth, and root deeper into what matters most. Be kind to yourself. You are not alone. And you are doing beautifully. Becoming a parent is often described as one of life’s most joyful experiences. But what many new parents don’t expect is that joy can coexist with anxiety, sadness, irritability, or even despair. For many new parents, the flood of hormones, sleep deprivation, and life changes can bring on an abundance of feelings. These early emotions are often referred to as the "baby blues", and they affect up to 80% of new mothers. Thankfully, baby blues usually fade within two weeks. But what happens when those feelings don’t go away or they get worse? If you’re experiencing lingering or intense emotional distress after having a baby, you may be dealing with a Perinatal Mental Health Disorder (PMHD). PMHDs are the most common complications of childbirth, affecting up to 1 in 5 new moms and 1 in 10 new dads. Let's explore what Perinatal Mental Health Disorders (PMHDs) are, how to spot the warning signs, who is at higher risk, and—most importantly—where to get support. What are PMHDs?
PMHDs (Perinatal Mental Health Disorders) include a range of mental health conditions that can occur during pregnancy and up to a year postpartum. They include:
Who is at risk for PMHDs? PMHDs can affect anyone, regardless of background. However, certain factors can increase vulnerability:
Some sobering statistics:
Warning Signs to Watch For It's normal to feel emotionally sensitive or tearful in the days following birth. This is often referred to as the “baby blues” and typically resolves within 1–2 weeks. But when symptoms persist or intensify, it could be a sign of a PMHD. Here are some signs that what you're feeling might be more than just baby blues: Emotional Symptoms:
Physical and Behavioral Symptoms:
If these symptoms last more than two weeks after birth, interfere with your daily functioning, or feel like they’re getting worse, it’s time to seek help. What to Do Next: Steps Toward Healing Please know that you are not weak and you are not alone if you are experiencing signs of a perinatal mental health disorder. Here's what you can do to seek help: 1. Talk to your healthcare provider- Let your OB/GYN, midwife, or primary care doctor know how you're feeling. They can screen you for PMHDs and connect you with mental health professionals. 2. Reach out to a therapist- Look for a therapist who specializes in perinatal mental health. Many offer telehealth appointments, which can be especially helpful with a newborn. 3. Connect with support groups- Sometimes, talking to other parents who have been there can be incredibly healing. Peer support groups can reduce isolation and offer real-world advice. 4. Involve your partner or support system- Let those close to you know what you’re experiencing. They may be able to help with baby care, offer emotional support, or attend appointments with you. 5. Emergency support- If you're having thoughts of self-harm or harming your baby, seek emergency help immediately by calling emergency services or going to the nearest ER. Resources for Support Here are some trusted organizations offering help:
If you’re struggling right now, please know: this is not your fault. PMHDs can affect anyone, and with help, they do get better. You deserve support, healing, and peace during this chapter of parenthood. Take the first step. Help is waiting. To learn more about PMHDs and the fourth trimester, sign up for my Postpartum Recovery Class. Becoming a parent is one of life’s most profound and transformative experiences. The first six weeks after birth, or the newborn phase, are a whirlwind of emotions, challenges, and precious firsts. It’s a time when you’re learning how to care for your baby, healing from childbirth, and adjusting to a completely new rhythm of life.
This blog outlines what you can expect for both postpartum recovery and newborn care, so you feel a little more prepared for the road ahead. Newborn Care: What to Expect 1. Feeding Patterns
2. Diaper Changes
3. Sleep Patterns
4. Umbilical Cord Care
5. Bathing
6. Doctor Visits & Screenings
Postpartum Recovery: What You Might Experience Your body and mind are healing from pregnancy and birth. Whether you had a vaginal delivery or C-section, recovery takes time—and rest, support, and patience are essential. 1. Physical Healing
2. Breast Changes
3. Hormonal Shifts & Mood Changes
4. Sleep Deprivation
5. Body Image & Identity
Tips for Surviving the First Six Weeks
The first six weeks are tough, but they’re also temporary. Every day, you and your baby are learning and growing together. Some moments will feel overwhelming, others will be filled with awe and love you’ve never known before. Be gentle with yourself. You are doing something extraordinary. |
About the AuthorKelly Collins Archives
February 2026
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