“I was on the Treadmill 2 days after I delivered” And in Surgery 2 months later!

April 27th, 2017

Pushing too hard to regain your pre-pregnancy physique and activity level can actually have the opposite effect and lead to injury.

In the last post, I shared how many of my clients compare themselves and their post partum progress to celebrities, who more often than not, have a full staff of people helping them with their babies, enabling them to rest, prepare them specialized diets and personally train them to get back to their pre-pregnancy physiques. I have spoken on this topic many times before in an earnest effort to put mamas’ worries to rest that they are not “slackers” if they don’t “bounce back” to their pre-pregnancy weights immediately post partum. For Mamas on Bedrest especially, most people don’t expect you to immediately dash through your homes putting everything into neat and tidy order post bed rest. You won’t have the energy. Some of you will need physical therapy to be able to regain your strength and mobility.  So I continue to encourage you to put the comparisons aside.

I also wanted to draw readers attention to a post on our Facebook Page by the Association for Prenatal and Perinatal Psychology and Health  “Women need a whole year to recover from childbirth despite the ‘fantasy’ image of celebrity mothers, study claims” 

A whole year??! Most American women balk at this statement and as one of my readers clearly stated,

“A year… wow. I wish. That’s literally impossible for most moms in the U.S.”

What a tragic statement about the US’s concern for women’s health, maternal health and the health and well being of mamas and their babies. I could write (and have written!!) an entire post about how the US doesn’t value childbearing as evidenced by our maternity policies and birth outcomes. I’ll refrain from reiterating my utter disdain at this time. But I  do want to address some very important issues that result when women resume their pre-pregnancy activities too soon, and how it can be detrimental to their own health and the health of their newborns.

Bonding – New mamas and their babies need time to bond. While there is already a very strong connection between mama and baby from the pregnancy, new mamas need to learn “this” baby’s cues; the cry of hunger, the cry from being wet, uncomfortable, tired….seasoned mamas know that every child is different, and it takes time to learn the needs and habits of their new little one. Likewise, a newborn is being bombarded with a whole world full of new cues and stimuli. The one thing that this little one needs to know is that when he/she cries, Mama (or some other caregiver) will be there to take care of them. This is the crux of the “fourth trimester” those 8-12 weeks in the early post partum when mamas and babies get to know one another, know each others cues and form their own “communication.”

Breastfeeding – I have said it before but it bears repeating; Breastfeeding is natural but it isn’t always easy. Some baby and mama duos have a hard time establishing a rhythm for breastfeeding. Getting into comfortable positions, establishing a good latch, baby being able to suck and swallow, mom not experiencing nipple pain,…this can all take time. Asian cultures have “The Golden Month” which is the first 40 days after a mama delivers. The women of her clan come and care for her, her family, her home and the baby so that she can rest and breastfeed. Mama does no housework, in fact, mama not only doesn’t leave the house, she stays mostly in bed! The elder women prepare nourishing foods and perform time honored rituals that help mama regain her strength-and establish good milk supply.

Out of necessity, here in the US many mamas must be back at work by 6 weeks. They may or may not have established their milk supply. Many will try to pump at work, but many work places don’t have adequate facilities nor provide adequate breaks in which a woman may pump and store her milk, and clean her supplies. Sadly, this situation results in many American women not breastfeeding beyond 6 months.

According to one of my favorite websites, Post Partum Progressapproximately 15% of Post Partum American women will have post partum depressive symptoms annually. That equates to approximately 600,000 American women! Many women won’t begin to exhibit symptoms for 60 days, well after the standard 6 week post partum visit. So many American women are undiagnosed, untreated and bogged down with the inability to focus, care for their babies, themselves or their families. Post partum depression is a serious medical condition as it can progress into a major depression (sometimes requiring hospitalization) or progress to post partum psychosis which can be deadly. Women with post partum depression need immediate medical attention so that they don’t hurt themselves or their babies. More important, post partum women need careful, longer term surveillance post partum, with many experts recommending that post partum health surveillance last throughout the first year!

Bodily Injury – Due to the pressure of the pregnancy on the pelvic floor and the subsequent pushing and stretching that occurred with labor and delivery, many women lose muscular tone in their perineums and experience prolapse-when a woman’s inner organs (mostly the uterus, bladder and rectum) present outside of her body. I see this primarily in women who begin too rigorous of an exercise program too soon. While not only being uncomfortable, organ prolapse can cause serious medical complications. Currently, with the exception of (mild) bladder prolapse for which a pessary can be placed to tuck the organ back up into the pelvis, the treatment for organ prolapse is surgery. Do you see the irony? While trying too aggressively to get back into shape (after bedrest?) you can land yourself back in bed! Ladies, a gentle walk with your baby in the stroller, yoga or prenatal/post partum fitness classes are the best way to get back into shape while being gentle with your body. Always remember,

“Nine months on, Nine Months off!”

I hope that these tips have helped you to remember the wonderfully fabulous beings that you are! Mamas, you’ve created and given life and that is far more important and worth celebrating than the latest celebrity siting!

 

What are your tips for getting back into the groove post partum? Share them in our comments section below and help another mama!

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