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diastasis recti

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Postpartum planning: Updated

** This post contains affiliate links. If you purchase from one of these links I receive a small commission at no charge to you. It helps to support my doula work.

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The postpartum period is a subject close to my heart. It's such a crazy time. Mom is trying to heal and figure out nursing, while bonding with baby and trying to stay present for any older siblings. Dad is figuring out his role and is still reeling from the birth as well. All the while everyone is exhausted, but people want to visit the new baby and help out the family. While it feels like life should pause for a while it seems to do the opposite. 

One of the most visited posts I have here at the Living Heart Doula blog is A Postpartum Checklist, and dives in to some facets of planning for postpartum. It also includes some really great slides on new babies and their families. 

Having a few things prepared, friends signed up for meals, and extended family ready to serve can make a huge difference for a new family. I’m updating the list to share new products, as well as services that can help a postpartum family.

1) Postpartum Doula Services- Having a postpartum doula is indispensable. They can start as early as the day you get home from the hospital or birth center, or you can hold off until your partner has returned to work. A postpartum doula can also do an overnight shift, so mom and partner can sleep. She can bring baby to mom for feedings, or bottle feed based on your preferences. The doula also helps with house hold chores like laundry, dishes, vacuuming, and helping older siblings. Their knowledge of breastfeeding, newborn care, and postpartum healing can be a huge help. Service prices can vary, and may be billed as hourly or as packages. Add services to your registry and have friends and family chip in! Living Heart Doula will be adding postpartum services this spring. Be on the watch for more news!

2) Earth Mama Organics- I love their products, and their postpartum items saved me with my last birth. Some must haves include perineal spray, perineal herbal packs, and organic nipple butter. They also have their own Lying-In plan for postpartum families you can find here:

Earth Mama Organics Cyber Monday

3) Takethemameal.com - Free sign up service to organize having meals brought to the family. Super easy to use and share over email and social media. The service also has a function where friends can order a meal to be delivered if they are unable to cook. Having meals covered takes the burden and logistics of food preparation away from the recuperating family.

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4) Depends - An option aside from typical menstrual pads. Wearing Depends during the first heavy days of lochia can be helpful, because the whole thing acts as a pad. No more worrying about leaking on to undies or sheets.

5) Natracare Wipes and Pads- An all natural organic option, wipes can be used for both mom and baby. The organic pads are super absorbent and keep the skin feeling dry instead of sticky like with plastic pads. However, they are not especially large. Save them for when bleeding has become more manageable.

6) Boobytubes - Awesome product by Bamboobies, these beaded tubes can be put in the freezer to help with engorgement, or in the microwave to help with a clogged duct. Can also go along the neck and shoulders to help with aches and stiffness.

7.) Ecocentric Mom Box- You can check out all the goodies I got from my subscription box here. Receive a box full of natural goodies for mom and baby, ranging from snacks to awesome hair care products. Subscriptions can vary from one time to a full year, and make a great gift for new moms. Ecocentric Mom offers a nice self-care pick me up, and a way to find some new clean products.

Ecocentric Mom box

8.) Pelvic Floor Physical Therapy - This subject really needs its own post, but I’ll give you an introduction here. In other countries, especially Europe, women receive physical therapy after they have a baby. Your back, hips, pelvis, vagina, perineum, core and bladder can all be affected by pregnancy and birth. This includes both vaginal and cesarean births. Experiencing pain, incontinence (snissing, anyone?) or diastasis recti is common, but is NOT NORMAL, and can be corrected by physical therapy. What makes it different than just doing kegels until you’re cross eyed, is that the specific muscles and tendons that are strained, weakened, and overcompensating can be identified, and you are taught how to properly release and strengthen the affected areas. Body mechanics are applied to help correct diastasis recti and ease pain as muscles recover. It can be life changing. With 50% of women experiencing prolapse in their lifetime, it’s worth the investment.

9.) Get a baby carrier- Baby wearing was how I managed to do life with both my girls. Babies want to be held and snuggled. This allows you to keep baby close, get breakfast made, and the dog walked. Moby and Boba wraps are great for newborns, and as baby grows soft structured carriers like Boba are great for getting baby on and off easily, as well as place in a back carry. You can learn more about carriers here.

10.) Sitz Bath and accessories- I’m a little bitter no one taught how to do a sitz bath when I had my girls. Available at drug stores like Rite Aid or CVS, it’s essentially a large basin that fits in the toilet. Fill with warm water, Epsom salt, or herbs. Place in your toilet, and simply soak. It’s great for hemorrhoids and perineal tearing. It also relaxes the pelvic floor muscles so you can actually go #2. No one said postpartum was glamorous.

11.) K-Tape Services Frederick Birth Center- K-Tape is a cotton elastic adhesive, with therapeutic properties that can be applied to ligament function, muscle applications, corrective postures, and lymphatic drainage. During the postpartum period, K-tape can help with numerous issues, including swelling, engorgement, diastasis recti, and mastitis. Mom’s who have had a cesarean birth can benefit from lymphatic drainage. The scar tissue can disrupt neurological pathways and the drainage of lymph in the lower body. K-tape can support the return of menstruation, and can ease uterine cramping. Gynecological issues like prolapse and incontinence can benefit from K-Tape. While I’ve focused on the benefits of K-Taping for women, anyone can come and get taping at the Frederick Birth Center! Contact the staff at FBC for an appointment.

12.) Like Neighbors- This is a service that allows friends, families, and neighbors to help in your time of need while being across the country. Services like lawn mowing, house cleaning, dog walking, gift cards and meal delivery can all be added. It’s a great way to have support and let people know what your family’s needs are.

13.) Postpartum belly binding- Beng Kung belly wraps, Mama Strut, and Velcro girdles are all ways to support your core and back after birth. Your muscles have taken a vacation for at least six months, and having the support helps to engage them and maintain proper posture. This helps to prevent and correct diastasis recti, as well as the aches and pains we often feel while nursing for long periods and carrying carseats.

14.) Strong as a Mother: How to Stay Healthy, Happy, and (Most Importantly) Sane from Pregnancy to Parenthood: The Only Guide to Taking Care of YOU! by Katie Rope- This book breaks down all things postpartum, from healing, birth recovery, and mental health. Author Katie Rope shares stories from a wide variety of mothers, breaking down the mommy traps we can get sucked into. It’s one of the few books out there talking about postpartum in an open way, while not beating around the bush of how hard modern moms have it.

15) Placenta Encapsulation - Encapsulation is the process of steaming, dehydrating, grinding, and putting a placenta into pill form. Benefits include a boost in hormones, increased milk production, and faster recovery. The evidence is still anecdotal at this point, but you only have one shot at preserving the placenta to try. If you plan on having your placenta encapsulated, please use a professional encapsulator that is blood borne pathogen certified. I recommend Deborah Bailey of Doulas of Central Maryland.



What have I missed? What really helped your family in the postpartum period?







 

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Diastasis Challenge Update

For the month of September I attempted a 30 day exercise challenge to heal my diastasis recti. I generally stink at making exercise a priority in my day, and thought the challenge would be a good way to start making it a daily habit. The exercises were gentle, and slowly built up in number of repetitions.

 

Most days I did them as soon as I got up in the morning, and I literally got it out of the way in a matter of minutes. Some days I needed to handle something with the kids, and put it off until bed time. A few times I forgot until I was climbing into bed. I got down on the floor and got it done!

 

About halfway through the challenge my belly started hurting. Not in a way that was telling me I was just exercising muscles that hadn’t worked in a while, but that something was still strained.

 

I’m back to the drawing board. Healing doesn’t happen overnight, as much as I’d like to will my body to. For now, I’m working on posture, walking and hiking more. When I can I’m doing low rep gentle exercises for the pelvic floor and transverse abdominal. Some of these include heal slides, toe taps, and bridges.

 

The former 20-something gym rat in me is rolling her eyes. But in reality, this body is not the same.

One step at a time. 

One step at a time. 

 

I’m treating it gently this time around.

 

What are your goals? How do you heal, patiently?

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Diastasis Recti: Things to try and Resources

So back in March I had strained my stomach muscles while carrying in my daughter from the car. I had ignored my diastasis recti (DR, separation of abdominal muscles) and weakened core muscles from my pregnancies, and paid the price.

 

That injury set me back a lot. I couldn’t baby wear my toddler. I had difficulty cleaning my house, specifically vacuuming. I had to slow down physically which is extremely difficult for me. (Please don’t make me ask for help!)

Nope, I'm good really. I got it...

Nope, I'm good really. I got it...

 

I had started looking online for help when my care provider couldn’t offer me any answers. Here are my three favorites:

·         Sarah Elis Duvall of www.coreexercisesolutions.com

She has great workout programs and free workshops with in-depth information. Her newsletters have great tips on postures and simple solutions to build up your pelvic floor and core strength.

 

·         Beyond fit mom (beyondfitmom.com) has several blogs and workouts geared towards correcting DR. Also included is information on pelvic floor issues, because unfortunately the two can go hand in hand. If the pelvic floor is weak you need to take extra care in building that first. The site includes a 30 day diastasis recti challenge to help kickstart healing. You can find it here:

       http://beyondfitmom.com/how-to-heal-your-diastasis-recti/

·         Diastasis Recti: The Whole -Body Solution to Abdominal Weakness and Separation by Katy Bowman.

Written by a biomechanist, this book gives great insight into how the body develops DR, and how we can heal from this condition without surgery and spot treatments. By correcting our misalignments, changing how we move, and exercises specific for correcting a host of issues alongside DR (weak pelvic floor, lower back pain, hip flexor tightness, etc.).

 

 

Initially after my injury I began wearing a belly support band. It seemed to help with posture and keeping my core engaged. However, it was constantly rising, shifting around, and being generally a nuisance to wear. I wore it faithfully for a month, before relegating it to only when I was doing something strenuous like vacuuming (it’s so sad for me to type this) or days where I was picking up and holding my toddler alot. I had to ease back into my normal activities, and often I was sore afterwards.

 

Whenever I had over exerted myself or was just having an extra painful day, I treated myself with arnica (topically and internally) and lemongrass essential oil. Arnica is a homeopathic medicine for trauma, bruising, and swelling. Lemongrass essential oil is known for helping with inflamed tendons. I also would ice my stomach or take ibuprofen on rough days.

 

I have had to learn my new limits with this injury, and go slow with my recovery.

 

I returned to somewhat normal functionality around five months later. I can now haul my vacuum up and down the stairs without being in pain.

 

My gap was close to three fingers, and is now reduced to two. I think posture, belly breathing, and the belly band has been the start to healing my DR. I struggle with making exercise a priority, and am hoping to correct that.

Definitely not me. I'd be in pain. And probably on the side of the road catching my breath. A girl can dream though right? She looks so calm. She's owning this road. I need to own my body again. 

Definitely not me. I'd be in pain. And probably on the side of the road catching my breath. A girl can dream though right? She looks so calm. She's owning this road. I need to own my body again. 

 

 I will be completing the 30-day challenge from Beyond Fit Mom starting September 1. I’m hoping that having a short daily regimen will help me get into a routine. I’ll keep you posted!

 

Are you healing postpartum? Share with us!

 

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Self-Care: A Case for Taking Care of Mom

It was a Thursday, and everyone in my house woke up on the wrong side of the bed. My oldest was whining, the baby was throwing herself on the floor in epic fashion. I was just done. I wasn't about to try to muddle through the mess that day. I texted a friend and we made plans to head to the aquarium in Baltimore for the day. (We had a membership; a thoughtful present from the grandparents!)

 

Our escape plan turned our day around. No more tantrums. No more whining. Just fun with friends and fish.

When in doubt, get out of the house!

When in doubt, get out of the house!

 

Both girls fell asleep on the car ride home. I pulled up to our house and began to unload the car. I picked up my sleeping four-year-old, thinking, "How did this girl get so dang heavy?!" and didn't think anything of it. I laid her on the couch, and went back for her sister. The rest of our evening was normal.

 

And then I woke up the next morning with a painful and swollen stomach. What did I do?!

 

I had ignored a big problem, that's what I did. After my second baby was born, I was sure I had a wide diastasis recti (gap in the abdominal muscles, DR) and was very weak in my back and core. I would struggle to sit up from a laying position. Any abdominal muscle strength I had was gone. I had asked my OB to check my stomach at my six-week appointment, and all he could tell me was that I didn't have a hernia. No guidance on what to do for the gap in my muscles, regaining any strength in my core, and recovery for my pelvic floor.

 

I knew I needed to exercise. I needed to heal this body that was battered by my pregnancies. But where was the time? Kids had to come first. Then errands. Who else would clean our house? I needed to get work done towards certification. I was too tired by the time the kids were in bed.

 

 I continually added to the forever growing list of reasons to put off dealing with me.

 

Until I hurt myself.

 

I couldn’t pick up my 18-month old. I couldn’t vacuum. I needed to rest until I could get in to make sure I hadn’t given myself a hernia. I hid in my bedroom for the weekend and rested. It felt so odd, but so good. I hadn’t been sleeping well for months, and the extra rest paid dividends. I added some arnica and essential oils in to my recovery. Ordered an abdominal brace in the hopes it'd be helpful.

My four year old snapped this while playing on my phone. I was resting on the couch, and couldn't help clutching my stomach. I hurt. Badly.

My four year old snapped this while playing on my phone. I was resting on the couch, and couldn't help clutching my stomach. I hurt. Badly.

 

Jump ahead: two doctor visits and an ultrasound later there was no detectable hernia. But they also couldn’t tell me why I was in so much pain and why I looked 5 months pregnant.  I also couldn’t get in to the physical therapy I was hoping for unless I did more testing. The results would determine if I could get in or not. I may have normal test results, which would exclude me from the therapy, even with the issues I had. Dude, totally lame.

 

I have taken matters into my own capable hands, and started finding tons of moms like me who have healed their bodies. They are on YouTube with awesome videos for healing diastasis recti and strengthening weak pelvic floors. I do my best to get in gentle and DR safe yoga every day. Even if it means the kids are crawling on me and dishes are undone. It makes my inner OCD twitchy, but I must keep in mind that my self-care needs to be a priority. If I am broken and hurting, I cannot serve my family. If I am exhausted and run down, my family feels that too.

What you want exercise with your kids to be like...

What you want exercise with your kids to be like...

What exercise with your kids actually looks like. Blurry cell phone photo, messy living room, and I am attempting to do pelvic floor exercises with my kids around. Mom on the floor = jungle gym.

What exercise with your kids actually looks like. Blurry cell phone photo, messy living room, and I am attempting to do pelvic floor exercises with my kids around. Mom on the floor = jungle gym.

I have been neglecting my own care, and have been trying to rectify that, even beyond the injury. Even just keeping in mind things like, have you washed your face? Read a book? Used essential oils today? All things that keep me grounded and take care of the introvert in me.

 

I’ll be writing and sharing more about healing my belly in the weeks to come. How do you take care of you, while caring for others?

 

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