Anastasia Nikolskaya Perinatal fitness trainer
Program

The early postpartum program

Reconnect with the body and start recovery

The early postpartum period is the first three months after birth. This is not a time for "workouts" in the usual sense. It is a time to recover the foundation: the pelvic floor, the deep abdominal muscles, the work of the diaphragm and the body’s connection with breathing. After a vaginal birth, full load is possible no earlier than week 6–8, after a C-section – no earlier than week 10–12, and only after a doctor’s exam. Before that point we work gently: breathing lying down, Kegels, stretching the neck and shoulders, minimal spine mobility. This is not "not enough" – it is exactly as much as is needed to start recovery the right way. Any strength work, ab work, jumping in the first 6–8 weeks after birth is a risk of organ prolapse, diastasis recti, incontinence, scar separation after a C-section. The goal of this phase is not to "get back in shape" but to let the body recover at a safe pace and build a base from which, in 3 months, you can train normally. If worrying signs appear (painful discharge, scar separation, pelvic pain), see a doctor right away – no workouts until the problem is resolved.

0–3 months after birth 1–2 times a week · 15–20 minutes 0–3 months after birth
What matters most for you now

Reconnect with the body and start recovery

Core principles

What we do
  • Diaphragmatic breathing lying down – 5 minutes daily
  • Kegels and reverse Kegels – gently, without straining, as you feel
  • Walking: start with 5–10 minutes, adding 5 minutes each week
  • Gentle stretching of the neck and shoulders – to release tension from feeding
  • Cat-cow – to restore spine mobility
  • Calf raises seated or standing – to prevent thrombosis and swelling
  • Glute bridge lying down – only after the pain in the perineum or scar is gone
What we avoid
  • Crunches and the classic ab work – until the diastasis closes
  • The plank – until a physiotherapist clears it
  • Jumping and running – at least until 3–4 months, after a dedicated program
  • Lifting weights without a strengthened core
  • Training through pain: any discomfort is a signal to stop

Exercises

The full set of exercises for this phase. Each one comes with an illustration, sets, and steps. Do them under a trainer’s supervision or after agreeing it with your doctor.

№ 01

Diaphragmatic breathing

daily · 5 min
  1. Lying on your side, legs slightly bent, one hand on the ribs, the other on the belly
  2. Breathe in through the nose – the belly and ribs expand, the chest stays still
  3. A long exhale – the pelvic floor gently draws up (lightly, without effort)
Important

Trains the connection between the diaphragm and the pelvic floor. This skill lowers intra-abdominal pressure – the foundation of safety for any load during pregnancy and after.

№ 02

Kegels

3 × 10 daily
  1. Lying down or seated, breathing freely, the glutes and abs relaxed
  2. Slow: squeeze the pelvic floor muscles for 8–10 seconds, then fully relax
  3. Fast: 10 short 1-second contractions
Important

Being able to engage the pelvic floor quickly helps with coughing and sneezing. But the main thing is not to overtrain it: strength without elasticity is useless. Alternate with the reverse Kegel.

№ 03

Reverse Kegel

daily · 5 min
  1. Lying on your back, knees bent, feet on the floor
  2. Inhale – gently open the pelvic floor down and out
  3. Exhale – a neutral position, with no extra squeezing
Important

Being able to relax the pelvic floor is more critical than being able to squeeze it hard. This lowers the risk of tearing in birth and helps you recover more easily after.

№ 04

Glute bridge

3 × 15
  1. Lying on your back, knees bent, feet hip-width apart. Press the lower back to the floor – tuck the pelvis
  2. Exhale – lift the pelvis up, hold for 2 seconds
  3. Inhale – lower the pelvis vertebra by vertebra. At the bottom – relax the lower back, return the pelvis to neutral
Important

Strengthens the glutes and unloads the lower back. Do it on the exhale, without breath-holding.

№ 05

Cat-cow

2 × 10
  1. On all fours, palms under the shoulders, knees under the hip joints. The back is neutral
  2. Exhale – round the back, the head gently drops down, the pelvis tucks under
  3. Inhale – make a slight arch in the thoracic spine, the head rises forward and up
Important

Builds the skill of a neutral spine and teaches you to move the back without engaging the lower back. Safe before and during pregnancy.

№ 06

Hip opener

2 × 1 min
  1. Sit on the floor cross-legged, hands on the knees. Feel that you are sitting on the two sitting bones at the bottom of the pelvis – to do this, roll the pelvis slightly forward
  2. Tilt the torso slightly forward, keeping the lower back straight
  3. Breathe calmly, with each exhale gently relaxing the inner thighs
Important

Good hip mobility makes birth easier – it is worth building up in advance.

№ 07

Seated neck stretch

2 × 30 sec per side
  1. Sitting tall, one hand on the thigh
  2. With the other hand, gently tilt the head toward the shoulder
  3. Hold, without lifting the opposite shoulder
Important

Releases the tightness from the forced posture during feeding.

№ 08

Child’s pose

1–2 min at the end
  1. Sitting on the heels, knees spread wide
  2. The torso leans forward, the forehead touches the mat
  3. The arms extended forward, the shoulders relaxed
Important

A resting pose. Good at the end of any workout.

№ 09

Marching in place

3 × 30 sec
  1. Standing tall, hands on the waist or at your sides
  2. Lift the knees one at a time to a comfortable level
  3. A slow tempo, even breathing
Important

The start of the return to upright load. With dizziness – stop.

№ 10

Calf raises

3 × 12
  1. Standing, holding the back of a chair or the wall
  2. Slowly rise onto the toes, hold for 2 sec
  3. Lower smoothly
Important

Prevents thrombosis and swelling in the legs in the postpartum period.

A week of training

A rough plan you can adjust to how you feel.

4 training days
0 rest days
~15 мин average length
FOCUS strength + cardio + mobility
MON/THU
Recovery session
20 min
  • Breathing · 5 min
  • Gentle glute bridge · Cat-cow · Marching in place
  • Neck stretch · Child’s pose
THU OR ANOTHER
Mobility
15 min
  • Cat-cow · Hip opener
  • Calf raises
DAILY
Pelvic floor
10 min
  • Diaphragmatic breathing · 5 min
  • Kegels + reverse Kegel
DAILY
Walking
5–20 min
  • Start with 5–10 minutes in the first weeks
  • Add 5 minutes each week
  • A walk with the stroller counts

Frequently asked questions

From which week after birth can I start?

It depends on the type of birth:

  • After a physiological birth without complications – gentle activation (breathing, Kegels) from the first days; full workouts from week 6–8
  • After a C-section – from week 10–12

A must before startingA doctor’s exam: to confirm there is no scar separation, endometritis or other complications.

Why no ab work after birth?

After birth the rectus abdominis muscles are stretched – most women have a functional diastasis recti.

Crunches and the classic ab work in this state make the separation worse instead of restoring the abdominal wall.

The right sequence:

  • Breathing first
  • Transverse abdominis activation
  • After 3–4 months – more strength load can be added
I have diastasis recti – can I train at all?

You can and you should, but on a dedicated program.

The first task with diastasis recti is to learn to activate the transverse abdominis through breathing.

Off-limits:

  • Crunches
  • Classic planks
  • Sit-ups
  • All-fours poses without belly control

After 3 months and an assessment, gentle strength exercises are added.

Breastfeeding and workouts – are they compatible?

Yes. Moderate load does not affect lactation.

Tips:

  • Drink more water
  • Train after feeding, so the breasts are not full
  • Wear a supportive top

The myth of "bitter milk from lactic acid" is not confirmed by current research. Intense load can briefly change the taste of milk, but most babies do not react.

Save the plan as a PDF or book an intro session

The plan above is a general program for the "Early postpartum" phase. Working one-on-one with a trainer takes into account your specific features, your schedule and your goals. An intro session – from 1,600 ₽.

Message or call Anastasia:

Other phases: Before pregnancy · First trimester · Second trimester · Third trimester · Early postpartum · Recovery · After the first year

Information on this site is for educational purposes and does not replace a medical consultation. If you have medical indications, consult your doctor. All training recommendations are applied individually, after assessment.