What to Expect at Your First Postpartum Physio Session

After giving birth, your body has been through major changes, whether your delivery was vaginal or by C-section. Many women experience issues like abdominal weakness, pelvic floor dysfunction, back pain, or incontinence. That’s why seeing a women’s health physiotherapist is one of the best steps you can take for recovery.

Here’s what you can expect at your first postpartum physio session.

A Gentle Conversation First

Your physiotherapist will start by listening to your story, your pregnancy, delivery, and current symptoms. This is also your chance to share any concerns or fears. Every woman’s recovery is unique, and your goals will guide the session.

Physical Assessment: Always at Your Pace

Your physio may look at:

  • Posture, breathing, and core activation

  • Abdominal healing and diastasis recti

  • Mobility, flexibility, and any areas of pain or tension

  • Pelvic floor function (with your consent, internal exams are always optional)

What about internal assessment?

Many women worry about this part. Here’s the truth:

  • An internal pelvic floor exam is never mandatory.

  • It is only suggested if useful for your care, and always explained in advance.

  • You choose. You can say yes, no, or wait until you feel ready.

  • Alternatives exist : external observation, functional tests can give valuable information without internal touch.

👉 The goal is for you to feel safe, respected, and supported.

Your Personalised Recovery Plan

At the end of the session, you’ll leave with a clear, gentle plan that may include:

  • Pelvic floor and core exercises adapted to your body

  • Scar massage and healing support (C-section or perineal)

  • Breathing and posture strategies

  • Guidance for returning to activity, intimacy, and sport safely

Why Postpartum Physio Matters

Starting physiotherapy after birth helps you:

  • Prevent long-term pelvic floor issues

  • Rebuild confidence in your body

  • Recover faster and more comfortably

  • Feel supported at every step of motherhood


Your first postpartum physio session is about care, not pressure. Internal exams are optional, you are always in control. With expert guidance, you can restore strength, protect your pelvic health, and move forward with confidence.

Ready to take the first step? Book your postpartum physiotherapy appointment today with Mathilde

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Returning to Exercise After Birth: How and When

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Why Preparing Your Pelvic Floor Before Birth Matters