Women’s Health — all lessons

Postnatal exercise prescription

Prescribing exercise from birth to one year — staged progression, pelvic floor training, strength, return to running and adjusting for sleep and feeding.

Advanced Evidence: Strong evidence 3 min read Reviewed 2026-10-31 Status: draft

Learning objectives

  • Plan staged postnatal progression
  • Integrate pelvic floor and strength training
  • Apply return-to-running guidance
  • Adjust for sleep, feeding and life demands

Before this lesson

Why this matters

A staged plan helps new mothers return to the activities they enjoy safely.

Stages

StageTiming (approx.)Focus
1. Recovery0–6 weeksWalking, breathing, pelvic floor [woodley2020]
2. Foundations6–12 weeksBodyweight strength, low-impact cardio
3. Strength12+ weeksProgressive resistance, carries
4. Impact~12+ weeks after assessmentRunning progression [goom2019]

Return-to-running checks (examples)

Walking 30 min, single-leg balance and squat, jogging on the spot, hops and bounds — all without leaking, heaviness or pain [goom2019].

Life adjustments

Short sessions, home workouts, flexible intensity. Aim to gradually return to 150 min/week moderate activity [acog2020]. Exercise also supports mood [poyatos2017].

Common mistakes and misconceptions

Case study

A runner follows the staged plan, passes return-to-running tests at 14 weeks, and builds to 5 km by 20 weeks without symptoms.

Further learning: video lessons

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Knowledge check

Knowledge check · 0/5

1. A sensible first stage after birth is…

Answer B. Recovery.

2. Before returning to running, many guidelines suggest tests such as…

Answer B. Goom et al. (2019).

3. Sleep deprivation should lead to…

Answer B. Adjust.

4. For breastfeeding comfort, mothers can…

Answer B. Practical.

5. Postnatal activity guidelines recommend gradually returning to…

Answer A. ACOG.

Short-answer & application questions

  1. Design a 12-month postnatal plan.
  2. Run a return-to-running readiness test.
  3. Adjust a session for a sleep-deprived client.

Key takeaways

  • Progress in stages: recovery → foundations → strength → impact and higher intensity.
  • Daily pelvic floor training supports recovery.
  • Return to running typically from ~12 weeks after load and impact tests.
  • Adjust for sleep deprivation and feeding.

Connected topics

References

  1. Goom T, Donnelly G, Brockwell E (2019). Returning to running postnatal — guidelines for medical, health and fitness professionals managing this population. Independent clinical guideline (published online). Guideline check pending
  2. American College of Obstetricians and Gynecologists (2020). Physical activity and exercise during pregnancy and the postpartum period: ACOG Committee Opinion No. 804. Obstetrics & Gynecology, 135(4):e178–e188. Guideline check pending
  3. Woodley SJ, Lawrenson P, Boyle R, et al. (2020). Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews, CD007471. Systematic review check pending
  4. Poyatos-León R, García-Hermoso A, Sanabria-Martínez G, et al. (2017). Effects of exercise-based interventions on postpartum depression: a meta-analysis of randomized controlled trials. Birth, 44(3):200–208. Meta-analysis check pending

Educational content only — not medical advice. Consult a qualified clinician for diagnosis or treatment.