At 3 months after a Cesarean section, with diastasis recti and a small umbilical hernia, the focus should be on deep core muscle activation, not aggressive abdominal exercises. I would avoid leg raises at this stage, as they can increase intra-abdominal pressure and may worsen the diastasis or hernia.
Start with: • Diaphragmatic breathing with transverse abdominis activation ("drawing-in" exercise)
• Pelvic tilts
• Heel slides
• Bent knee fall-outs
• Glute bridges (if pain-free)
• Pelvic floor (Kegel) exercises
• Gradually progress to modified dead bug and quadruped exercises under supervision.
Next Steps
Consult a Women's Health Physiotherapist for assessment of the diastasis width, abdominal muscle function, and hernia before progressing to higher-level core exercises. An individualized rehabilitation program is the safest and most effective approach.
Health Tips
Avoid crunches, sit-ups, planks, heavy lifting, and exercises that cause abdominal bulging or "doming." If the hernia becomes painful, enlarges, becomes red, or cannot be pushed back, seek immediate medical evaluation. Regular breathing during exercise and gradual progression are essential for safe recovery.