If there is one mantra, dogma, or axiomatic belief among women “in the know” when it comes to birth and babies, it’s that Kegels are wonderful, necessary, beneficial, etc. Now, someone is challenging that assertion. In short, the way the pelvic floor is understood is wrong, and needs to be changed. Tighter doesn’t necessarily mean better; it just means tighter, which may actually lead to a worsening of the problem. You need to read the whole article, because I’m skipping a lot (or else I’d be tempted to copy and paste most of it, but that wouldn’t be nice), but basically, squatting is what she recommends for incontinence and other things that Kegels are supposed to help.
If she just said that Kegels don’t work, I might be a tad suspicious that rather than being a lone voice of reason, she’s a lone voice for a reason [sorry, couldn’t help the chiasmus there :-)], although I’ve read enough from people who say that most women don’t do them right, and doing them “wrong” is worse than not doing any at all to know that there are many people who share her opinion at least to an extent. However, it was her suggestion of doing squats rather than Kegels which resonated with me.
Squatting is natural; doing Kegels is not, really. For most of human history, women (and men too) had to do a lot of physically demanding work, including a lot of squatting — tending the fire, garden, children, etc. Even in the absence of work, squatting was a natural way to rest and relax, if a chair was not available for whatever reason. Squatting is a normal part of life except for (primarily Western) adults who view squatting as either menial or childish. It’s not really a normal part of life to try to stop and hold the Kegel muscles, is it?
So, I’ll add this to my mental list of reasons to squat more regularly. What do you think of this article?