Life events like having a baby can impact your pelvic floor muscles and lead to symptoms of pelvic floor weakness. But pelvic floor issues are not an inevitable part of life.

The local maternity and neonatal system (LMNS) is working to develop Perinatal Pelvic Health Services across Kent and Medway. The service will offer three levels of treatment and support:

  1. Online resources, videos and exercises for all.
  2. For more common symptoms of pelvic health conditions, we will offer a class with specialist pelvic health physiotherapists to discuss symptoms, strategies and treatment.
  3. For those who continue to experience symptoms, or for whom classes would not be appropriate, a 1:1 appointment with a specialist pelvic health physiotherapist will be offered instead.

 

What we did

In May and June 2025 we asked women across Kent and Medway to share their views on pelvic health, including what support and information would be most helpful during pregnancy, after birth, and later in life. An online survey was shared through our Have Your Say platform and promoted on social media, reaching a wide range of ages and experiences. In total, 470 people responded, including women who had given birth recently, those whose children were grown, and women who had never been pregnant but were living with pelvic health problems.

 

What we heard

People told us that pelvic health support is needed at many stages of life, not just after childbirth. There was strong interest in classes and resources covering pelvic floor exercises, incontinence, prolapse, pelvic pain, recovery after birth or caesarean section, and the impact of menopause. Many people wanted flexible options, including in‑person sessions, online classes, and access to videos and written information they could return to in their own time. Some told us that group sessions could feel embarrassing or triggering, and that having a choice — including one‑to‑one support — was important. Overall, people wanted clearer information, earlier conversations, and reassurance that pelvic health concerns will be taken seriously.

 

What happens next

We are using this feedback to help shape future pelvic health support and resources. This includes designing classes and information that are flexible, inclusive and accessible, and that recognise different life stages, experiences and comfort levels. The insights will also help inform how and when pelvic health is discussed by health professionals, so people are asked directly and supported to seek help. By listening to lived experience, we aim to improve awareness, reduce stigma, and help more women get the support they need for their pelvic health.

 

 You can read the report here:  Pelvic health analysis [docx]

 

Thank you to everyone who took part. 

Who's listening

Louise Webster

Senior Communications and Engagement Project Officer

NHS Kent and Medway

Email kmicb.engagecomms@nhs.net