After pregnancy and childbirth, women may experience a wide range of symptoms that deserve proper assessment. Some symptoms improve naturally, but others may need treatment, referral or follow-up. A postnatal GP check can help identify problems early and reassure women about what is expected during recovery.
Pelvic floor symptoms
Pelvic floor symptoms after childbirth happen when the muscles, ligaments and connective tissues that support the bladder, bowel and pelvic organs become weakened or stretched during pregnancy and delivery. Symptoms can include:
Bladder symptoms
After childbirth, many women notice changes in their bladder function as the pelvic floor muscles recover from the strain of pregnancy and delivery. Common symptoms include leaking urine when coughing, sneezing, laughing or exercising, a frequent need to urinate, sudden urges to empty the bladder, or a feeling that the bladder is not emptying completely.
Bowel symptoms
The pelvic floor also plays an important role in bowel control. When these muscles become weakened or injured during childbirth, symptoms can include difficulty controlling wind, bowel urgency, constipation, haemorrhoids, difficulty emptying the bowels, or, in some cases, leakage of stool.
Pelvic organ prolapse symptoms
A weakened pelvic floor can lead to pelvic organ prolapse, a condition where the bladder, uterus or bowel descends into the vagina due to reduced support. Women may experience a feeling of heaviness, pressure or dragging in the pelvis, particularly after standing for long periods. Some describe a sensation of something bulging or "falling down" within the vagina.
Pelvic pain and discomfort
Pelvic floor dysfunction can contribute to ongoing pain and discomfort after childbirth. Symptoms may include pelvic pain, lower back pain, tailbone pain, groin pain or a feeling of tension and discomfort within the pelvic region. These symptoms can affect daily activities, exercise and overall quality of life.
Core strength and abdominal symptoms
The pelvic floor works closely with the deep abdominal and core muscles. As a result, pelvic floor dysfunction can contribute to reduced core strength, difficulty returning to exercise and feelings of instability during movement. Some women may also develop diastasis recti, a separation of the abdominal muscles that commonly occurs during pregnancy.
Sexual health symptoms
Childbirth can affect sexual function in a number of ways. Some women experience pain during intercourse, reduced vaginal sensation, feelings of vaginal looseness or difficulty achieving orgasm. These symptoms may be related to pelvic floor weakness, scarring, muscle tension or changes in the surrounding tissue.
All of these can affect your comfort, mobility, confidence, intimacy and mental wellbeing. Some women may feel embarrassed to raise these symptoms, but early assessment can help.
Perineal tears
If a perineal tear is not healing, our GP can discuss pain relief, check for signs of infection, advise on pelvic floor recovery and refer you onwards if specialist input is needed. This may include pelvic health physiotherapy, a gynaecology, colorectal or perineal clinic or mental health support - depending on your symptoms.
General postnatal health
A postnatal GP check can also help with a range of general health concerns, including fatigue, symptoms of anaemia, headaches and blood pressure issues.
Support is also available for caesarean section wound healing, contraception and family planning, changes to periods and menstrual cycles and breastfeeding challenges such as pain, latch difficulties or concerns about milk supply.