Pelvic Organ Prolapse: What New Mums Should Know

asktheexpert motherhood new mums postpartum support May 28, 2025

For some mums, childbirth may mark the beginning of a new set of physical challenges - including a condition that often goes unspoken: Pelvic Organ Prolapse.

Understanding this condition, and how to manage it, is essential for a smoother recovery and long-term wellbeing. Here’s everything new mums should know about pelvic organ prolapse - and how expert physiotherapy can make all the difference.

What is Pelvic Organ Prolapse (POP)?

Pelvic Organ Prolapse occurs when one or more of the pelvic organs - the bladder, uterus, small bowel, or rectum - shift from their usual position and press against the walls of the vagina. This happens when the muscles and ligaments that support these organs become weakened or overstretched during pregnancy and childbirth.
POP may cause symptoms such as a sensation of heaviness or pressure in the pelvic area, urinary incontinence, difficulty with bowel movements, or a feeling of bulging in the vagina.
While pelvic organ prolapse can develop after giving birth, it’s important to remember that it isn’t an inevitable part of motherhood. Some women may experience symptoms soon after delivery, while others may not notice anything until years later. The good news is that POP is treatable - and in many cases, highly manageable with the right care.

How do you know if you have Pelvic Organ Prolapse?

Pelvic Organ Prolapse can present in different ways, and symptoms vary depending on the severity of the condition. Common signs include:

Pelvic pressure or heaviness - a sensation of something “falling” or “dragging” in the vaginal area
Urinary issues - frequent urination, difficulty fully emptying the bladder, or leaking urine
Bowel symptoms - constipation, straining, or feeling unable to fully empty your bowels
Vaginal bulge - a visible or tangible bulging of tissue through the vaginal opening
Discomfort during sex - pain or discomfort during intercourse

If you’re experiencing any of these symptoms, it’s important to consult your GP or a women's health physiotherapist for assessment and treatment options.

Why Does Pelvic Organ Prolapse Happen?

During pregnancy and birth, the pelvic floor muscles - which support your pelvic organs - come under immense strain. The weight of your growing baby and the force of labour can weaken or overstretch these muscles.
Vaginal delivery (especially if assisted with forceps or involving a larger baby) can increase the risk of pelvic floor dysfunction, including POP. Other contributing factors include:

Age - pelvic floor tone and elasticity naturally decline with age
Genetics - some women are more predisposed to pelvic floor issues due to inherited traits
Multiple pregnancies - having more than one pregnancy can increase the risk
Chronic constipation or heavy lifting - both can place undue strain on the pelvic floor

How Can Pelvic Health Physiotherapy Help?

Pelvic Organ Prolapse is common, but it doesn’t have to become a permanent challenge. With the right support, it can be treated and managed effectively.
Pelvic health physiotherapy is one of the most effective approaches. It focuses on strengthening your pelvic floor, improving posture, and teaching practical strategies for day-to-day activities that reduce pressure on the pelvic area. Carolyn Sultana and Audrey Galea Souchet, both experienced physiotherapists specialising in women’s health, lead the MyMama Women’s Health Physiotherapy services. Their expert, personalised support aims to help you regain control and confidence in your body. Whether you’re dealing with pelvic organ prolapse, urinary incontinence, diastasis recti, pregnancy or postpartum-related discomforts and pain or general pelvic floor weakness, their care combines the latest evidence-based techniques with compassion and individual support.

Can You Prevent Pelvic Organ Prolapse?

While not all cases are preventable, there are ways to reduce your risk and protect your pelvic health:

Do regular pelvic floor exercises (Kegels) - these help to strengthen the muscles supporting your organs
Maintain good posture - especially while lifting, feeding, or carrying your baby
Avoid heavy lifting - particularly in the early weeks postpartum
Don’t ignore early signs - seek help as soon as symptoms arise; early intervention can be key
Reclaiming Strength and Confidence

Pelvic Organ Prolapse is a condition many mums face, but it doesn’t have to define your postnatal experience. With the right information and professional support - like that offered by Carolyn and Audrey at MyMama - you can begin your recovery with confidence and care. If you're a new mum experiencing pelvic health concerns, don’t hesitate to reach out to us or book your appointment via www.picktime.com/mymama. Take that first step towards a stronger and more comfortable recovery!