when to start kegel exercise in pregnancy?

How, When and Why to Do Kegel Exercises During and After Pregnancy

woman doing kegels exercises during pregnancy
These pelvic floor exercises are key to preventing incontinence — plus Kegels can lead to a shorter labor and a faster post-birth recovery.
In This Article

What are Kegel exercises?
The benefits of Kegel exercises for pregnancy
How to do Kegel exercises
When to do Kegel exercises during pregnancy and postpartum
How to make Kegel exercises fun

Pushing your baby through your pelvis and into the world is demanding not only on you, but also on your pelvic muscles as they stretch to new proportions during the process. Not only do pelvic floor muscles play an important role during delivery, but when they work correctly, they hold your uterus, bladder and rectum in place, as well as help to keep urine from leaking when you cough or laugh — a skill set you | re only likely to notice when it | s gone.

Fortunately, there | s one exercise that experts agree can help prevent problems with your pelvic muscles after birth and may even make your labor go a little smoother: Kegels.
Baby Feeding Schedule and Food Chart for the First Year
What are Kegel exercises?

Named after gynecologist Arnold Kegel, Kegel exercises engage and strengthen your pelvic floor, which is a group of muscles and ligaments that hang like a sling between your hips. Your pelvic floor muscles support your bladder, uterus and other organs and control the flow of urine and the contraction of the vagina and anal sphincter.

The goal of a Kegel is to contract and then relax the pelvic floor muscles for short periods of time. It's best to aim for several short sets a few times a day (more on that below).
The benefits of Kegel exercises for pregnancy

Study after study has shown that regularly doing Kegels before, during and after pregnancy can help decrease the odds of pelvic floor issues. As your baby puts on the pounds inside your uterus during pregnancy, your pelvic floor muscles have to support more and more weight. Sometimes, they | re not fully up to the job.

When you finally go into labor, these muscles will stretch even more to make room for baby to pass through. Around a third of women have some tearing in the pelvic floor muscle tissue during birth, researchers have estimated. Doing Kegel exercises while pregnant (and postpartum!) can help avoid future problems though.

Here's how you'll benefit from adding them to your routine:

Better bladder control. Up to an estimated third of women experience postpartum loss of bladder control, and doing Kegels can help prevent and treat urinary incontinence. If you notice occasional urine leaking — when you cough, sneeze or try to go on a jog — that | s because your over-burdened pelvic floor muscles aren | t able to fully support your bladder the way they usually do.
Lower risk of fecal incontinence. An even smaller number of women — usually those who had severe, third-degree tears or a major episiotomy during birth — experience postpartum fecal incontinence, which Kegels can help prevent.
Faster labor. Research has also suggested that women who do pelvic floor exercises may have a slightly shorter active phase of labor than other women.
More enjoyable sex. And as if that's not enough, Kegels have even been shown to boost your sexual health and pleasure and help you reach orgasm more easily.

How to do Kegel exercises

Kegel exercises are fast and free, and once you know how to do them, you can do them just about anywhere — when you | re stuck at a red light, waiting in line or watching TV. Here's how:
Finding your pelvic floor muscles

Before you begin, you'll want to make sure you're engaging the right muscles. If you | re not sure where to find your pelvic floor muscles, try stopping urination mid-stream. The muscles you | re tightening to do this are the same ones you | ll want to contract when you do a Kegel. But once you find them, don | t repeatedly engage those muscles while you | re urinating — this can actually lead to urinary incontinence, urinary tract infections and other problems.

If you | re still not sure you | ve found the right muscles, put a clean finger in your vagina. If you | re doing a Kegel correctly, the vagina should contract around your finger. Just try not to hold your breath, and avoid clenching your thighs, stomach or butt muscles at the same time.

Still having trouble? Don | t hesitate to ask your healthcare practitioner to coach you next time you | re having a pelvic exam — that | s what he or she | s there for!
Practicing Kegel exercises

Once you | ve located your pelvic floor muscles, here | s the recommended Kegel routine:

Tighten the muscles for three to five seconds, and then relax them for as many seconds. Relaxing is as important as contracting. Begin with one set of ten squeezes per day.
Start contracting and relaxing the muscles tight for longer — working up to 10 seconds at a time — and doing more repetitions as it becomes easier.
Try to work up to 3 sets of 20 repetitions daily.

Don | t get frustrated if you | re nowhere close to that goal when you start. Quality is much more important than doing a bunch of Kegels incorrectly. And remember, these are muscles like any other in your body. With time and consistent, mindful work, they can only get stronger.
This video file cannot be played.(Error Code: 102404)
When to do Kegel exercises during pregnancy and postpartum

It | s never too early to start doing Kegels, but the earlier and more regularly you practice them throughout pregnancy, the greater the benefits.

After you | ve delivered, you can restart your Kegel routine immediately. Make it a habit to do them regularly — while, say, you | re feeding your baby — to stimulate circulation, promote healing and improve muscle tone. Don | t worry if you can | t feel yourself doing them initially — the perineum will be numb after birth, but feeling will return gradually over the next few weeks.

In the meantime, the work is being done even if you can | t feel it. If you | re doing your Kegels regularly and correctly, you should expect to see improvement in your bladder control within a few weeks to a few months.

How long should you keep doing Kegels? If you want to keep your pelvic muscles in shape, many healthcare practitioners recommend making them a regular, lifelong habit.
How to make Kegel exercises fun

If you | re having trouble remembering to do your daily Kegels, or they just seem like a drag, there | s no better way to mix business with pleasure than performing Kegels during sex — which can double the pleasure for you and your partner. Your partner can also use his or her clean fingers to check whether you | re tightening the right muscles.

If you | re looking for ways to make Kegels more fun on your own, try a smartphone app. A number of options send you daily reminders, track your exercise habits and even provide musical routines for your pelvic floor workouts.
There are also devices known as vaginal exercisers that claim to help you isolate the pelvic floor muscles or work them for you. Some are shaped like cones and are held in place in your vagina by your tightened muscles. Others provide electrical stimulation to the muscles. While they could be helpful for some women, they could also introduce bacteria into the vagina — so skip them if you | re pregnant or recovering from childbirth, and check with your doctor first before trying one for the first time.