Childbirth is a transformative experience, but it can also lead to lasting changes in the body—particularly to the pelvic floor. Pelvic floor disorders (PFDs) that arise after childbirth are more common than many women realize, and they can significantly impact quality of life. At Tidewater Physicians for Women in Virginia Beach and Norfolk, VA, we’re committed to helping women understand, prevent, and manage these conditions. Here’s what you need to know about childbirth-related pelvic floor disorders.
What Are Pelvic Floor Disorders?
Pelvic floor disorders refer to a range of conditions that affect the muscles, ligaments, and connective tissue supporting the pelvic organs—namely the bladder, uterus, rectum, and vagina. When these structures are weakened or injured, they can lead to:
- Urinary incontinence (leaking urine with activity, sneezing, or urgency)
- Fecal incontinence (involuntary loss of gas or stool)
- Pelvic organ prolapse (a feeling of bulging or pressure due to organs shifting downward)
- Pelvic pain or discomfort during daily activities or intercourse
How Does Childbirth Affect the Pelvic Floor?
Vaginal childbirth is a major risk factor for pelvic floor disorders. During delivery, the pelvic floor muscles may stretch, tear, or become damaged—especially if labor is prolonged, the baby is large, or assisted delivery (forceps or vacuum) is required. According to the Mayo Clinic, childbirth-related injuries can involve complex trauma such as levator ani muscle avulsion or damage to surrounding nerves and fascia, which may not always heal naturally without intervention.
Symptoms to Watch For
Pelvic floor symptoms can appear shortly after childbirth or even years later. Be sure to contact your provider if you notice:
- A sensation of vaginal pressure or bulging
- Difficulty holding in urine or stool
- Urinary urgency or incomplete emptying
- Painful intercourse
- Difficulty inserting tampons or a feeling of looseness
These symptoms are not just part of “normal motherhood”—they are treatable conditions.
Diagnosis and Treatment Options
At Tidewater Physicians for Women, we use advanced diagnostic tools to assess pelvic floor health. Treatment options depend on the severity and type of disorder and may include:
- Pelvic floor physical therapy: A cornerstone of treatment, it involves guided exercises to strengthen and retrain the pelvic muscles.
- Pessary devices: Inserted into the vagina to support pelvic organs in cases of prolapse.
- Medications: To manage bladder symptoms or address hormonal changes that affect pelvic tissues.
- Minimally invasive surgery: For more severe cases, surgical repair may be needed to restore function and support.
Prevention and Early Intervention
While not all childbirth-related injuries can be prevented, risk can be reduced through:
- Prenatal pelvic floor exercises (like Kegels)
- Avoiding excessive pushing during delivery
- Using appropriate birthing positions
- Postpartum follow-up for symptom screening and early referral to pelvic floor therapy if needed
If you’re pregnant or recently delivered, discussing pelvic floor health with your provider is an important step in protecting your long-term well-being.
Support Through Every Stage of Recovery
Tidewater Physicians for Women provides comprehensive care for pelvic floor disorders related to childbirth. Whether you’re currently experiencing symptoms or want to take preventive steps, we are here to guide you with personalized, compassionate care.
To schedule an appointment or learn more, visit us at Tidewater Physicians for Women in Virginia Beach and Norfolk, VA
Further Reading
Mayo Clinic- Advancing care for childbirth-related pelvic floor disorders
