Introduction <p>Pelvic floor dysfunction (PFD) is a common condition that affects many women after childbirth. A considerable number of studies have been published on postpartum PFD; however, there is a lack of systematic quantification and comprehensive summary of these studies. This study employed bibliometric methods to systematically analyze the research status, hotspots, and emerging trends in postpartum PFD from 2005 to 2024.</p> Methods <p>Studies that were concerned with postpartum PFD were extracted from the Web of Science Core Collection (WoSCC), covering the period from January 1, 2005, to December 31, 2024. Authors, countries, institutions, references, and keywords in the field were visualized and analyzed using CiteSpace software.</p> Results <p>Over the past two decades, the number of publications has increased, with 1149 publications identified. <i>International Urogynecology Journal</i> was the most-cited journal. The research institution with the most publications was the University of Oslo. Kari Bø is the most prolific author in this field. Keyword analysis suggested that stress urinary incontinence, anal incontinence, chronic pain, mode of delivery, and transperineal ultrasound have become research hotspots in recent years.</p> Conclusions <p>This study provides a reference for current research hotspots and trends in the field of postpartum PFD through a bibliometric analysis. Future efforts should foster global collaboration, strengthen multidisciplinary studies, and advance the exploration of AI-based diagnostic and therapeutic technologies.</p>