Antenatal and postnatal Kegel's exercises

Pelvic floor muscles (PFM) are the layer of muscles that support the pelvic organs and span the bottom of the pelvis. Weakened PFM mean the internal organs are not fully supported and can lead to difficulties controlling the release of urine, feces or flatus. Pregnancy and vaginal birth are a recognized cause of PFM weakness. Pelvic floor dysfunction (PFD) is a complex process that develops secondary to multifactorial factors. The incidence of PFD is increasing with increasing life expectancy. PFD is a term that refers to a broad range of clinical scenarios, including lower urinary tract excretory and defecation disorders, such as urinary and anal incontinence, overactive bladder, and pelvic organ prolapse, as well as sexual disorders. It is a financial burden on the health care system and disrupts women's quality of life. Pelvic floor muscle training is commonly recommended during pregnancy and after child birth both for prevention and treatment of incontinence. So, women's health care providers should be aware of risk factors and primary prevention strategies for stress urinary incontinence in order to reduce associated physical and emotional suffering.