New Mother Recovering from C-Section in Petaling Jaya

Presenting Complaint

Nurul presented 8 weeks postpartum following a Caesarean section delivery. She reported a visible bulge along her midline when sitting up, persistent lower back pain, occasional urinary leakage when coughing or sneezing, and a feeling of heaviness in her pelvic area. She was struggling with daily tasks including lifting and carrying her baby and was anxious about returning to work.

Assessment Findings

Assessment revealed a 3-finger width (approximately 3.5cm) diastasis recti above the umbilicus. Pelvic floor strength was graded 2/5 (Oxford scale). C-section scar was well-healed but with some adhesion. Core activation pattern was dysfunctional with breath-holding tendency during exertion. Posture showed increased lumbar lordosis likely from pregnancy-related changes.

Treatment Plan

• Pelvic floor muscle retraining with real-time biofeedback
• Diastasis recti rehabilitation – progressive core reconnection program
• C-section scar mobilisation and desensitisation techniques
• Breathing pattern retraining and diaphragm-pelvic floor coordination
• Postnatal posture correction and body mechanics education
• Safe return-to-exercise guidance (progressive loading)
• Baby-friendly exercises that can be done during care routines
• Education on safe lifting and carrying techniques for baby care

Outcome

After 12 weeks of specialised women's health physiotherapy, Nurul achieved functional closure of her diastasis recti and restored pelvic floor strength to near-normal levels. Urinary incontinence was fully resolved. She returned to work with confidence and continues a maintenance exercise routine. She was also connected with a postnatal fitness group for ongoing support.