When Drew Barrymore exercises, she goes all in. “I throw myself around in these classes,” she tells Allure Editor-in-Chief Michelle Lee in a new episode of the Allure Podcast. “I get all amped up from the music, and before you know it, I’m like a beach ball bouncing around these classes.”
However, after giving birth to her two children via Cesarean section (C-section) — a major abdominal surgery — Barrymore says she had “no pelvic floor.” While the pelvic floor — which board-certified gynecologist Anne Sammarco describes as a sort of “hammock” of muscles supporting the pelvic organs — doesn’t disappear during pregnancy and childbirth, it can be damaged and significantly weakened. Sammarco says pelvic floor disorders are less common in people who deliver via C-section than vaginally, but the pressure from the rapidly growing womb can certainly impact those muscles prior to childbirth. And in either case, she says the stretching from pregnancy can also take a toll on the abdominal wall muscles; with C-sections, those muscles may need to be cut to get the baby out safely, leading to even more weakness.