Pelvic floor muscle relaxation 7 months postpartum, with prolapse occurring when holding the baby, what should I do?

Postpartum pelvic floor muscle relaxation is mainly caused by excessive stretching and damage to the pelvic floor muscles during pregnancy and childbirth. Pelvic floor muscle relaxation may lead to a series of symptoms, such as vaginal laxity, urinary incontinence, and organ prolapse. Increased abdominal pressure while holding a baby may worsen the prolapse.

It is recommended to undergo a pelvic floor muscle function assessment to determine the degree of relaxation. Assessment can be performed through pelvic floor muscle strength testing and pelvic ultrasound. Subsequently, appropriate rehabilitation training should be conducted based on the evaluation results.

Common training methods include pelvic floor muscle exercises, which involve contracting and relaxing the pelvic floor muscles. Each contraction should be held for 3–5 seconds, followed by relaxation. This should be repeated daily in 3–4 sets of 10–15 repetitions per set. The duration and number of contractions can be gradually increased over time. Biofeedback therapy can also be used, whereby instruments help patients better sense and control the contraction of their pelvic floor muscles.

In daily life, one should avoid activities that increase abdominal pressure, such as prolonged standing, lifting heavy objects, chronic coughing, and constipation. If the prolapse is severe, supportive devices such as pessaries may be required. For patients who do not respond well to conservative treatment, surgical intervention may need to be considered.

It is recommended to seek treatment at a reputable hospital under the guidance of a qualified physician.