Table 1

Key recommendations for returning to running postnatally

RecommendationLevel of evidence
1. Postnatal women can benefit from individualised assessment and guided pelvic floor rehabilitation for the prevention and management of pelvic organ prolapse, the management of urinary incontinence and for improved sexual function.Level 1+: well-conducted randomised controlled trials or randomised controlled trials with a low risk of bias
2. Return to running is not advisable prior to 3 months postnatal or beyond this if any symptoms of pelvic floor dysfunction are identified prior to, or after attempting, return to running.4: expert opinion
3. Assess pelvic health, load impact management and strength testing in order to evaluate readiness to return to running postnatally.4: expert opinion
4. Consider additional factors in a woman’s postnatal evaluation, such as weight, fitness, breathing, psychological status, diastasis rectus abdominis, breast support and feeding, Relative Energy Deficiency in Sport (RED-S) and running with a buggy.4: expert opinion