Background: Pelvic floor muscle exercises are increasingly acknowledged for their crucial role in preserving women's reproductive and overall health. Weak pelvic floor muscles can result in dysfunction, heightening the likelihood of urinary and fecal incontinence, prolapse, and sexual dysfunction. This study focuses on evaluating the knowledge, attitudes, and practices concerning pelvic floor muscle exercises among women visiting a tertiary care hospital setting.

Materials and methods: A cross-sectional study was conducted among women attending the Obstetrics and Gynaecology OPD at ESIC Medical College and Hospital in Sanath Nagar, Hyderabad, between July and August 2024. A total of 253 participants were included, and data were collected after obtaining informed consent. The data was analyzed using SPSS software.

Results: Majority of the women belonged to the age group of 26–30 years. Among them, 58.1% were multigravida, 29.8% were primigravida, and 15.9% were nulliparous. Most participants received information about pelvic floor muscle exercises from healthcare professionals [30%).

Of the total, 125 [49.6%) participants demonstrated good KNOWLEDGE, while 48 [19%) lacked adequate knowledge. 56.3% disagreed with the idea that exercise could damage the pelvic muscles. Additionally, 41.9% disagreed with the notion that during the postpartum phase, rest and nourishment should come before exercise. This ATTITUDE thus favoured exercises. Regarding PRACTICE, 135 [53.7%) participants had never performed Kegel exercise, whereas 118 [46.3%) had experience practicing them.

Conclusion: The study highlighted that while many women were aware of pelvic floor muscle exercises, only a small proportion actively practiced them. Although most participants expressed willingness to receive further guidance, their attitudes toward the exercises varied The results highlight the need for improved training and assistance from medical professionals to promote the successful uptake of pelvic floor muscle workouts.