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tout savoir sur le déroulement d'un séance avec une sage-femme

Perineal rehabilitation with a midwife: everything you need to know

Feel food postpartum 22 October 2025
Paul Grandemange Physiotherapist specialized in perineal rehabilitation

There perineal rehabilitation with or without a midwife is an essential step for women after pregnancy or in the event of perineal disorders. It allows to restore tone and functionality of this crucial muscle group. Find out in detail about the sessions and the importance of this approach for your health.

Why is perineal rehabilitation essential?

The perineum is a set of muscles and tissues supporting the pelvic organs, such as the bladder, uterus and rectum.

diagram perineum and bladder uterus rectum

He intervenes in vital functions such as urination, defecation and sexuality. During pregnancy and childbirth, these muscles undergo significant pressure, which can lead to lesions or loss of tone.

Disorders avoided thanks to perineal rehabilitation

Adapted perineal rehabilitation prevent or treat several problems. It allows you to avoid:

  • urinary incontinence or anal;
  • prolapse (organ descent);
  • pain during sexual intercourse;
  • a vaginal gap;
  • or even a reduction in sensitivity.

I test my perineum

Perineal rehabilitation: physiotherapist or midwife?

Midwives and physiotherapists are qualified for perineal rehabilitation, but their approach may differ.

Midwives, specialists in postpartum, offer global approach taking into account physical and emotional aspects of maternity.

THE physiotherapists, for their part, often intervene in cases not related to pregnancy, such as disorders related to aging or surgery. But they can still be requested as part of a postpartum rehabilitation.

Perineal rehabilitation midwife or kine

How does a perineal rehabilitation session take place with a midwife?

Each session is personalized according to the specific needs of the patient. Here are the main stages of the sessions: perineal rehabilitation carried out with a midwife.

Initial assessment

During the first session, the midwife carries out an interview to cunderstand your history, symptoms and goals.

A clinical examination via vaginal examination can be performed to assess the tone and condition of the perineum.

manual perineal rehabilitation with a health professional

Selection of rehabilitation method

The midwife then chooses the most suitable method. THE manual exercises consist of learning the contraction and relaxation of the muscles of the perineum.

THE biofeedback is an active rehabilitation method. She uses a probe to visualize muscle activity.

L'electrostimulation, for its part, is a method of passive rehabilitation. It helps with muscle contraction thanks to gentle electrical impulses.

perineal electrostimulation device

Practice exercises

Sessions include exercises guided by the midwife, often performed in a lying or semi-sitting position.

These exercises strengthen muscles while working on the breathing and posture.

Perineal rehabilitation and kegel exercises to relieve prolapse

Tips for everyday life

Many everyday gestures damage our perineum. It is important to be aware of this.

To do this, the midwife gives recommendations to take care of it and preserve it.

She will teach you to adopt a proper posture, avoid carrying heavy loads, and practice regular exercises at home.

I take care of my perineum

Duration of perineal rehabilitation sessions with a midwife​

A pelvic floor rehabilitation session generally lasts 30 minutes. The standard program includes 8 to 10 sessions, reimbursed by Health Insurance on medical prescription.

However, some patients may require additional sessions in case of persistent problems.

midwife perineal rehabilitation - Emy Trainer

When to start perineal rehabilitation?

It is recommended to start approximately 6 to 8 weeks after giving birth, once the body has recovered.

However, even years later, this rehabilitation can be beneficial for deal with problems such as incontinence or prolapse.

Why choose a midwife for perineal rehabilitation?

Midwives provide personalized and caring approach, adapted to the needs of young mothers.

Their expertise in postpartum allows us to address the physical and emotional issues gently and efficiently.

midwife perineal rehabilitation - Emy Trainer

Perineal rehabilitation at home: an innovative solution with the Emy probe

In addition to sessions with a midwife, perineal rehabilitation at home can be an excellent option to effectively strengthen your perineum.

perineal rehabilitation midwife and Emy Trainer

There Emy connected probe, developed by Fizimed, offers a simple and fun solution to maintain the tone of the pelvic floor independently.

Thanks to a intuitive mobile app, it offers interactive exercises validated by health professionals, allowing you to monitor your progress in real time.

perineum rehabilitation with the Emy application

Wireless And easy to use, the Emy probe adapts to the needs of each woman, whether after childbirth or to prevent disorders linked to relaxation of the perineum. A practical and effective method to complete your rehabilitation program and maintain profits over time!

Learn more about the Emy probe

Frequently asked questions about perineal rehabilitation

How long does a perineal rehabilitation program last?

A typical program generally includes 8 to 10 sessions, spread over several weeks. Each session lasts approximately 30 minutes.

What are the signs that I should consult for rehabilitation?

You should consult a midwife if you feel urinary leakage, of the pain during sexual intercourse or feeling of heaviness in the lower abdomen.

Is rehabilitation painful?

No, rehabilitation is painless. Each perineal rehabilitation method has its side effects.

The methods used, whether manual or via devices like biofeedback, are sweet and adapted to each patient.

Can I do exercises at home?

Yes, your midwife will offer you simple exercises to do between sessions For enhance the effectiveness of rehabilitation.

I take care of my perineum

Perineal rehabilitation, an essential step!

Perineal rehabilitation with a midwife is an essential step to regain good pelvic health after childbirth.

By combining expertise, listening and teaching, it makes it possible to prevent long-term problems And to improve your quality of life.

Don’t wait to consult a midwife and get started a program adapted to your needs !

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