 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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 When planning for a new baby, most parents spend a great deal of time preparing for birth—taking classes, reading books, packing hospital bags. But one crucial period often gets overlooked in all the excitement: the postpartum phase. This is where a postpartum plan becomes not just helpful, but essential.
What Is a Postpartum Plan? A postpartum plan is a written or mental guide that outlines how you and your support system will manage life after the baby arrives. It focuses on your recovery, newborn care, mental and emotional well-being, division of household responsibilities, and support resources. Unlike a birth plan, which centers around a single event, a postpartum plan anticipates weeks or months of adjustment and change. Why a Postpartum Plan Matters 1. Supports Physical Recovery- The physical toll of childbirth—whether vaginal or cesarean—requires time, rest, and care. A postpartum plan helps make sure meals are prepared, housework is managed, and mom has time to rest. It can include arrangements for meal trains, visitors, and chore delegation to ensure recovery is prioritized. 2. Helps Manage Emotional Health- Hormonal shifts, sleep deprivation, and new responsibilities can lead to mood swings, anxiety, and postpartum depression. A plan can outline signs to watch for and include contact information for mental health professionals. Knowing there’s a proactive strategy in place gives parents peace of mind. 3. Prepares for Newborn Care- Caring for a newborn is both joyful and demanding. A postpartum plan can include who will handle nighttime feedings, how feeding will be managed (breastfeeding, pumping, formula), and what to do if complications arise. Having clarity helps reduce confusion and overwhelm. 4. Clarifies Roles and Responsibilities- Tension can build quickly if expectations aren’t discussed beforehand. A postpartum plan allows partners to openly discuss who will do what—whether it's diaper changes, sibling care, grocery shopping, or emotional support. Clear communication upfront prevents resentment later. 5. Builds a Stronger Support Network- Knowing who you can count on and when is key. A postpartum plan can include a list of people to call for help—family, friends, doulas, lactation consultants, or postpartum therapists. It ensures you're not scrambling to find support when you need it most. 6. Encourages Realistic Expectations- Parenting isn't always intuitive, and the early days can be unpredictable. A plan helps parents set realistic expectations about sleep, feeding, bonding, and recovery. It fosters flexibility and grace for the learning curve ahead. Key Components of a Postpartum Plan Here are some common areas to cover in your plan:
The postpartum period is a time of profound transformation—physically, emotionally, and relationally. Just as we wouldn’t approach birth without a plan, we shouldn’t approach postpartum without one either. Taking the time to craft a postpartum plan empowers families to face the challenges ahead with confidence, compassion, and a solid support system. Whether you’re a first-time parent or adding another child to your family, creating a postpartum plan is a powerful step toward a healthier, more supported transition into parenthood.  Induction- the process of bringing on childbirth by artificial means, typically by the use of drugs. When most people hear the word “induction,” their minds often go to ceremonies, job promotions, or the start of something significant. It’s a word that implies a beginning, often marked by formality and intention. But in the birth world, “induction of labor” can carry very different connotations—often emotional, sometimes overwhelming, and deeply personal. For many expectant parents, the idea of medical induction can stir up a mix of emotions: relief, anxiety, disappointment, fear, or even excitement. Some may have envisioned a spontaneous onset of labor—the dramatic moment when contractions begin naturally, perhaps after their water breaks or in the middle of the night. The idea of scheduling or medically initiating labor can feel like a departure from that imagined, more "organic" experience. But for others, especially those facing medical concerns or overdue pregnancies, induction may feel like a welcome, even life-saving, intervention. Let's break down what medical induction and augmentation of labor actually involve, what you can expect during the process, and the risks and benefits you should be aware of when navigating this part of the childbirth journey. What Is Medical Induction of Labor? Medical induction of labor is the process of using medications or other methods to stimulate uterine contractions before natural labor begins, with the goal of delivering the baby vaginally. It’s often recommended when continuing the pregnancy poses a greater risk than delivering the baby. Some common reasons for induction include:
Methods of Induction There are several methods used to induce labor, and the approach your care provider recommends will depend on your cervical readiness (measured by something called the Bishop score) and the specific circumstances of your pregnancy. Here are the most commonly used methods:
What Is Augmentation of Labor? Augmentation is similar to induction but refers to enhancing labor that has already started naturally but is not progressing effectively. This often involves:
What to Expect During the Process Induction can take time--sometimes hours or even days, depending on how ready the cervix is and how the body responds. Here’s a general idea of what to expect:
Risks and Considerations While induction and augmentation are common and often safe, they are not without potential risks. These may include:
 It’s important to discuss these risks with your provider and understand the benefit-risk balance in your unique situation.
Medical induction and augmentation of labor are powerful tools in modern obstetrics. For some, they are essential and life-saving. For others, they represent an unexpected turn in a carefully imagined birth plan. Whatever the reason for induction, being informed and supported is key. Ask questions. Advocate for your preferences where possible. Surround yourself with a team that listens and respects your values. And remember: whether your labor begins on its own or with some medical assistance, the ultimate goal is a safe, healthy delivery for both you and your baby. If you’ve experienced an induction or are preparing for one, feel free to share your story or ask questions in the comments. Birth looks different for everyone and every story matters.  Pregnancy and postpartum are transformative experiences, full of joy, anticipation, and change. But while you focus on preparing for your baby, it’s just as important to protect your own health. Recognizing warning signs early—during pregnancy and after birth—can be life-saving. Many complications can be treated when caught in time. Let this post serve as your guide to understanding the symptoms you should never ignore, and what to do if they appear. 1. Vision Problems & Dizziness
Sudden changes in vision—like blurriness, seeing spots, or light sensitivity—along with dizziness can be signs of preeclampsia, a dangerous condition characterized by high blood pressure. What to do: Call your healthcare provider immediately or go to the ER. These symptoms require urgent medical attention. 2. Persistent Headache If you experience a headache that doesn't go away with rest or medication, it could also indicate preeclampsia or even a more serious neurological issue. What to do: Notify your provider, especially if the headache is severe or paired with vision changes or swelling. 3. Fever Over 100.4°F (Pregnancy) or 100°F+ (Postpartum) A fever may be a sign of infection—either systemic or localized (like mastitis or a uterine infection). What to do: Don’t wait. Contact your provider to rule out infection or other underlying issues. 4. Swelling in Hands and Face While some swelling is normal in pregnancy, sudden or severe swelling, especially in the hands and face, is a red flag for preeclampsia. What to do: Contact your provider immediately for evaluation. 5. Vomiting or Diarrhea Lasting More Than 24 Hours Persistent gastrointestinal issues can lead to dehydration and may signal infection or other complications. What to do: Stay hydrated and contact your provider to assess the need for testing or treatment. 6. Vaginal Bleeding During pregnancy, bleeding could indicate miscarriage, placental issues, or preterm labor. Excessive bleeding in postpartum may signal hemorrhage. What to do: Call 911 or go to the ER if you're soaking a maxi pad in an hour or less or passing clots larger than a lemon. For lighter but concerning bleeding, contact your provider. 7. Elevated Blood Pressure High blood pressure can threaten your life and your baby’s. It’s a hallmark of preeclampsia. What to do: Regular monitoring is crucial. If you notice consistently high readings, call your provider immediately. 8. Abdominal Cramps or Pain (Not Contractions) Persistent or sharp pain could be caused by placental abruption, preterm labor, or other serious concerns. What to do: Don’t try to "wait it out." Call your provider for an evaluation. 9. Urinary Discomfort Burning, blood in urine, or inability to urinate may be signs of a urinary tract infection (UTI), which can lead to complications if untreated. What to do: Contact your provider for a urine test and treatment plan. 10. Change in Vaginal Discharge A sudden change in smell, color, or consistency, especially a foul, fishy odor, may point to an infection like bacterial vaginosis. What to do: Make an appointment with your OB/midwife to get it checked. 11. Pelvic Pressure A sensation of the baby pushing down too early could indicate preterm labor. What to do: Call your provider, especially if accompanied by back pain or regular contractions before 37 weeks. 12. Water Breaks Before 37 Weeks Preterm rupture of membranes can lead to infection or preterm birth. What to do: Head to the hospital right away. This is considered a medical emergency. 13. Decreased Fetal Movement If you notice fewer kicks or movement patterns shift drastically after 28 weeks, it may be a sign your baby is in distress. What to do: Perform a kick count. If movements are fewer than 10 in two hours, contact your provider or go to labor and delivery. 14. Swollen, Red, Painful Area on the Leg This could be a blood clot and is especially dangerous if it travels to your lungs. What to do: Go to the emergency room immediately. 15. Severe Headache That Improves When Lying Down This may be a sign of a spinal headache (often after an epidural) or an issue with cerebrospinal fluid pressure. What to do: Contact your provider. Treatment may include a blood patch or other interventions. 16. Painful Breast with Redness and Flu-like Symptoms This may indicate mastitis, a breast infection common in breastfeeding parents. What to do: Keep nursing or pumping, apply warm compresses, and call your provider. You may need antibiotics. 17. Bleeding That Soaks a Pad in an Hour or Clots Larger Than a Lemon These are classic signs of postpartum hemorrhage, which can be life-threatening. What to do: Call 911 or go to the ER immediately. 18. Thoughts of Harming Yourself or Your Baby Intrusive thoughts in the postpartum period can indicate depression, anxiety or another Perinatal Mental Health Disorder. What to do: Tell your partner or someone you trust. Call your provider and get a referral to a mental health specialist. You may also consider contacting a crisis hotline if you are alone. It can feel overwhelming to sort through which symptoms are "normal" and which are not, but you are your own best advocate. If something feels off, it’s always better to call your provider and be reassured than to ignore it and risk your health. Remember:
You deserve to feel safe, supported, and informed throughout your pregnancy and postpartum journey. Stay vigilant (not fearful) and speak up when something doesn’t feel right. Protect your peace, protect your body, and above all, know that your wellbeing matters. |
About the AuthorKelly Collins Archives
February 2026
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