Hypopressives: A Breathing Technique Every New Mom Should Know (But Most Don’t)

Written by:
Dr. Sarah Powner
May 6, 2026

If you’re a new mom, chances are you’ve been told to “just do your Kegels.” But what if the most powerful postpartum recovery tool isn’t about squeezing harder—but about creating less pressure? Enter hypopressives—a breathing and postural technique that’s quietly transforming pelvic floor rehab, yet still flying under the radar in the U.S.

What Are Hypopressives?

Hypopressives (Hypos for short) are a system of posture + breath + apnea (breath hold) designed to reduce pressure inside your abdomen and reflexively activate your deep core and pelvic floor. They’re the foundation of the Low Pressure Fitness method—a school of thought that challenges traditional core training. Instead of bracing, crunching, or “bearing down,” hypopressives aim to create a vacuum effect in the abdominal cavity. This reduces downward pressure on your pelvic organs and encourages a natural lift.

As described by Low Pressure Fitness, the goal is to generate “negative pressure… to traction the pelvic organs upwards” and support the pelvic floor without strain. 

Why Pressure Matters Postpartum

Pregnancy and delivery—whether vaginal or C-section—place enormous strain on the core and pelvic floor system. Common issues include:

  • Pelvic organ prolapse
  • Core weakness and diastasis
  • C-section scar restriction
  • Feeling “heavy” or unstable

The missing link? Pressure management.

Most traditional exercises (including some core workouts) increase intra-abdominal pressure—sometimes worsening symptoms instead of helping. Hypopressives flip that model entirely.

The Science: What Research Says

Emerging research supports hypopressives as a valid, conservative treatment option for pelvic floor dysfunction. A randomized controlled trial found that hypopressive training:

  • Reduced pelvic floor symptoms
  • Improved quality of life
  • Increased pelvic floor muscle strength 

Other studies show similar improvements in pelvic muscle structure and function, comparable to traditional pelvic floor training programs. 

That said, the research also suggests they’re not necessarily superior to pelvic floor muscle training (Kegels)—but rather a powerful complement when used correctly.  Translation: this isn’t a magic bullet—but it is a missing piece for many women.

How Hypopressives Help New Moms

1. Pelvic Organ Prolapse

Hypopressives reduce downward pressure—the very force that contributes to prolapse. By creating a lift through breath and posture, they:

  • Offload the pelvic floor
  • Encourage organ repositioning (especially in early stages)
  • Improve symptom management

2. C-Section Scar Tissue

This is where hypopressives are especially underrated. Because they:

  • Activate deep core muscles without strain
  • Improve circulation and fascial mobility
  • Reconnect the diaphragm, core, and pelvic floor

They can help restore function in a body that’s been surgically disrupted—without aggressive abdominal work.

3. Functional Core Strength (Not Just “Abs”)

Hypopressives train your core the way it actually works in real life:

  • Reflexive, not forced
  • Coordinated with breath
  • Integrated with posture

This translates to:

  • Better lifting mechanics (hello, car seats)
  • Less back pain
  • More stability in everyday movement

Why So Few Moms Know About This

Despite being widely used in parts of Europe, hypopressives are still relatively niche in the U.S. Why?

  • Postpartum care often defaults to outdated advice (“just do Kegels”)
  • Breathwork-based rehab is harder to teach quickly
  • It requires coaching and precision, not just reps

But that’s changing—especially among pelvic floor physical therapists who are adopting systems like Low Pressure Fitness.

What Hypos Actually Feel Like

Hypopressives don’t feel like a workout in the traditional sense. There’s:

  • No sweating
  • No burning
  • No “crunch” sensation

Instead, you’ll feel:

  • Rib cage expansion
  • A gentle internal lift
  • Deep, subtle activation

It’s more neurological than muscular—and that’s exactly the point.

The Bottom Line

If you’re a new mom dealing with:

  • Prolapse symptoms
  • C-section recovery
  • Core weakness or instability

Hypopressives offer a pressure-smart, body-aware approach that fills a major gap in postpartum care. They won’t replace everything—but they may be the missing link that helps everything else finally work.

Need help? Please reach out to us at Activcore Denver to schedule a session.

REFERENCE:

Navarro-Brazález, B., et al. Effectiveness of Hypopressive Exercises in Women with Pelvic Floor Dysfunction: A Randomised Controlled Trial. J Clin Med. 2020 Apr 17;9(4):1149. doi: 10.3390/jcm9041149

Disclaimer:  The views expressed in this post are based on the opinion of the author, unless otherwise noted, and should not be taken as personal medical advice. The information provided is intended to help readers make their own informed health and wellness decisions.

Dr. Sarah Powner

Physical Therapist
Sarah Powner is a residency-trained Doctor of Physical Therapy (DPT) specializing in pelvic health and orthopedic rehabilitation. She primarily works at Activcore in Denver, Colorado.‍ Sarah began her career in Los Angeles at a private practice before returning to her hometown of Denver in 2025. She is deeply passionate about supporting expecting, new, and long-time mothers, helping them prepare for childbirth and rehabilitate their bodies to return to an active, pain-free lifestyle with confidence.
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