Normal vaginal delivery is a safe and natural mode of childbirth, but it can be associated with varying degrees of pelvic floor and vaginal tissue stretching, particularly following the delivery of larger babies or prolonged labor. While many women recover well with time and pelvic floor rehabilitation, some may experience persistent symptoms that affect their quality of life and sexual function. This raises an important and often under-discussed question: Should antenatal counselling routinely include a discussion on postpartum pelvic floor changes, sexual health, and available reconstructive options when clinically appropriate?

Some clinicians advocate that women and their partners should be informed during antenatal visits about: Expected pelvic floor and vaginal changes after vaginal delivery. The role of pelvic floor exercises in postpartum recovery. Conservative management options…