Week 6 After C-Section:
Your Clearance
Six weeks marks the end of the formal C-Section recovery window. Your 6-week clearance is a genuine milestone — but cleared at 6 weeks doesn't mean fully healed. The work of pelvic floor and core recovery extends well beyond today.
Your OB will examine your incision, check blood pressure and uterine involution, and ask about bleeding, pain, and emotional wellbeing. They'll typically clear you to return to sex, exercise (gradually), lift more than your baby, and end remaining restrictions. Don't leave without discussing contraception, pelvic floor PT, and mental health.
Externally — yes, for most moms. Internally — no. The uterine scar and fascia continue strengthening for 3–6 months. Core and pelvic floor often needs 3–12 months of rehabilitation. 'Cleared' means you've passed the main safety threshold, not that your body is back to pre-pregnancy.
The evidence-based recommendation is to wait at least 12 weeks before starting a return-to-running programme — and only after pelvic floor physiotherapy. Running is high-impact and places significant load on the pelvic floor. Starting too early increases risk of prolapse, incontinence, and abdominal complications.
Yes — and it can take longer than couples expect. Hormonal changes (especially breastfeeding) reduce lubrication. The scar can cause pulling or tightness. All of this is normal. If you experience persistent pain with sex, mention it to your OB or pelvic floor physiotherapist — it's treatable.
A women's health physiotherapist will assess pelvic floor strength, coordination, scar mobility, bladder function, and diastasis recti. They create a personalised programme — which may include pelvic floor exercises, core rehabilitation, scar mobilisation, and breathing retraining. Not the same as generic Kegels.
Longer than most expect. Surgical recovery — managing daily life without significant pain — takes 4–6 weeks. Internal healing of the uterine scar takes 3–6 months. Core and pelvic floor function often takes 6–12 months of active rehabilitation. Being kind to yourself about the pace is not weakness — it's understanding what your body has been through.
- • Any incision concerns
- • Postpartum depression or anxiety — a medical condition, not weakness
- • Bladder or bowel symptoms
- • Persistent pelvic pain or pressure
- • Any physical concern you've been putting off