Financial matters

“Sarah Jessica Parker looked fantastic 2 weeks post partum and I look like a blob!”

April 20th, 2017

About a week ago I (re) posted an article on the Facebook Page about a study out of England which states that ‘women need a full year to recover from pregnancy and childbirth’. There was also a response by a reader,

“That’s literally impossible for most moms in the U.S.”

Sadly, she’s right. America is probably the worst industrialized nation for new mamas, not providing any sort of paid maternity leave, routine in home support for new moms or adequate resources for self care. While I have always been a fierce proponent of the “Year to grow ’em, a year to recover” philosophy, I completely understand that in America, many women MUST get back to work as soon as possible to help support their families.

Unfortunately, Far too many times I’ve had mamas “up and at ’em” just days after giving birth, trying to tackle the responsibilities of running their homes, caring for their older children, back to work full time and starting right in on an exercise regimen in order to “get back to their pre-pregnancy” physique as soon as possible. Not long after, they call me; exhausted, achey, homes and families in chaos, they’re crying at work and with faltering milk supplies. They can’t understand what’s wrong? Some women have actually sustained injuries from trying to do exercise programs that are just too rigorous for the early post partum, and I can think of two clients that actually developed organ prolapses (internal organs coming out of bodily openings) from putting too much stress on their already weakened pelvic floors.

“But Sarah Jessica Parker looked fantastic 2 weeks post partum and I look like a blob!”

What mamas fail to realize is that Sarah Jessica Parker-and other celebrity moms-usually have nannies, housekeepers, personal trainers, chefs and a hoard of other helpers that help them not only manage their homes and their babies, but also are instrumental in helping them regain that “Hollywood glow”. Most of us are lucky if our mothers can come for even a week after we deliver! Sarah Jessica Parker said as much on “The View” after the birth of her son. She shared that she was required to be back on set and able to fit into her wardrobe, so she had private pilates sessions daily, a personal chef preparing special meals and a personal assistant just to handle her affairs! She had a nanny to care for the baby which allowed her to sleep, a housekeeper and a whole host of other staff at her disposal to handle everything else. So yes, she looked fabulous just weeks post partum.

But that isn’t reality.

Mamas, pregnancy and childbirth fundamentally change a woman’s body. Even women who look utterly fabulous after their childbearing years will still have “badges of honor” indicating that they have successfully been pregnant, labored and delivered children. For some women, there will be the very slightest of slack to her abdominal muscles (until she has a tummy tuck!). Others will have faint-or not so faint-stretch marks on the belly, breasts, hips and thighs. Some women will have c-section incision scars. And still others will have invisible badges; that little trickle of urine that escapes when she laughs, coughs or sneezes, hemorrhoids, and other “inconveniences.”But all of them had to allow their bodies to recover. I can’t think of one woman who has given birth of any sort and not said,

“I never had ______ until after I was pregnant and gave birth.”

It just goes with the territory. Most of the so called “badges” are minor, simply little reminders of our journey. However, if women engage in activity that is too vigorous too soon after delivery, even returning to work before their bodies have had a chance to recuperate from the marathon that was pregnancy, labor and delivery, what may have started out as a minor inconvenience can develop into a major problem requiring more time, therapy and sometimes surgical intervention to resolve. Truly it would have been far less traumatic to simply ease back into daily routines.

American culture does not make it easy for women to recuperate from childbearing. However, women themselves can take these 7 steps to ease back into their pre-pregnancy routines.

  1. No vigorous activity until at least 8 weeks post partum, but if post c-section, consider waiting until 12 weeks post partum to fully heal.
  2. Learn and do pelvic floor strengthening exercises.
  3. Rest as much as possible, and whenever you can, take a nap.
  4. Let major housekeeping go and even get help with the small stuff if possible.
  5. Say no to outside activities. You don’t need to chaperone, bake cookies or make calls for any event. Focus on you!
  6. Spend time at home with family. This is precious bonding time for you all.
  7. Reduce work hours as much as possible.

I realize that some of these suggestions will be easier to implement than others. This list is also not exhaustive, but just a starting point. It’s just imperative mamas that you take care of yourselves so that you can get back to your daily routines with full strength and joy. It’s also important to fully heal from this pregnancy, especially if are planning to have other pregnancies in the future. If you start back too soon, you may set yourself back several weeks or injure yourself making subsequent pregnancies more difficult.

I know that it’s been a long haul, especially if you’ve spent weeks to months on bed rest. But please, please, please take a little more time to heal. Don’t compare yourselves to other women, especially not celebrities. Your journey is your journey and its best to honor your inner time table as much as possible, allowing your body to heal and prepare for subsequent pregnancies or to simply chart new territory as a mom! Whatever you decide to do, do it with a healthy, strong body!

Do you have a tip for recovering after pregnancy you’d like to share? Do you have a question? Share your thoughts in the comments section below. Your words could be just the thing a mama needs to read today!

Mamas on Bedrest: Vermont is the Best State in Which to Have Your Baby!

February 28th, 2017

According to WalletHub.com “2016 Best and Worst Places to Have a Baby”. Wallethub.com is a virtual financial planning company that helps individuals track their spending and saving, help repair credit and help individuals protect their credit history including protecting identity. Wallethub.com tracks people and money and in their opinion, if you cannot afford to have a baby, you shouldn’t. When the parameters of delivery budget (cost to have a baby, cost of living and cost/availability of health insurance), overall health care ranking (maternal and infant mortality, rates of prematurity, availability of professionals such as midwives and pediatricians, etc.. ) and baby friendliness (i.e. parental leave, available childcare, support for new moms, etc..) were analyzed for the 50 states and the District of Columbia, Vermont ranked number 1 as best place to have a baby by wallethub.com.

It is important to plan for children as unintended pregnancies can cause huge financial strains on families and can have serious health implications for mothers and infants if pregnancies occur too close together. But there are other, equally important issues to consider before becoming pregnant; availability of and access to quality prenatal care, adequate food resources, housing, how will the mama/family fare without mama’s income, childcare and availability and accessibility of resources such as transportation that may pose potential roadblocks to a healthy pregnancy and birth.

The article in question alluded to the fact that if a couple cannot afford a child, they should not have a child. Well, I live in Texas where availability of and access to family planning information and resources is extremely and increasingly limited. So what is a couple to do? Perhaps they cannot afford a child but in Texas, there is not readily available contraception and virtually no access to abortion. Should people simply stop having sex? That won’t happen!

I agree, finances should factor into the decision of whether or not to have a child. The reality is that conception is happening regardless of financial status (or even couple status!!). In my opinion, the best states or more pointedly, the best places to have a baby (because there are little oases within what I will call “maternity deserts”, areas that are fairly void of any sort of maternity support or reproductive health care) are places with the following:

  • obstetricians and midwives, and facilities that allow both to perform deliveries
  • birthing facilities that use the least amount of intervention that is safely possible
  • birthing facilities that allow fathers and doulas to be present to support mama during labor and delivery
  • birthing facilities that allow mama to freely move during labor
  • birthing facilities that believe in immediate skin to skin bonding between mother and baby (even before wiping off the vernix, provided there are no health complications in either mother or baby!)
  • birthing facilities that promote breastfeeding and provide immediate and readily available lactation support to new mothers

These characteristics should define whether or not a provider, a hospital or birthing center, a city or town or a state is “best for mama and baby.” The worst state in which to have a baby according to Wallethub.com is Mississippi and yet I would bet that within that state there are a few hospitals or birthing centers that are supportive of childbearing women and offer quality care and support. In addition to financial considerations, prior to pregnancy (or at least prior to birth) mamas and their partners should research health care providers and the health care facilities available to them in their states, cities and communities. For sure some cities will have more resources than others, and some states will have more resources than others. But that doesn’t mean that having an uncomplicated, normal healthy birth is absolutely impossible. It just means that mamas will have to be savvy, do research about what is available and collect as many resources for themselves as possible.

Mamas, be careful what you read. The headline “Vermont is the best place to have a baby” is misleading alone, may have had many mamas ready to relocate and truly doesn’t give mamas and their families tools and tips to evaluate birthing resources and facilities in their area that may in fact be “Mama and Baby Friendly”. I believe that every woman can have a healthy, uncomplicated pregnancy and birth a healthy full term normal weight infant. This is much easier to do in some areas where resources are more readily available than in others, but it is possible none the less. Use the aforementioned list as a guide to evaluating resources and with a bit of research, you too can make your pregnancy, labor and delivery mama and baby friendly-no matter where you live in the United States!

Mamas on Bedrest & Beyond is committed to helping mamas have safe, healthy pregnancies, labors & deliveries and healthy full term babies. If you need help finding resources in your area, e-mail info@mamasonbedrest.com.

References:

Wallethub.com

The US Centers for Disease Control and Prevention

The Guttmacher Institute

 

Mamas on Bedrest: Finding Funds While on Bedrest

October 27th, 2015

Mamaonbedrest-on-the-phoneLately I have been bombarded with messages and e-mails from Mamas on Bedrest seeking for financial help. I hear you and I so wish that I could help. Unfortunately, Mamas on Bedrest & Beyond was never designed to provide financial assistance to families in need.

This is not a new issue. Mamas on Bedrest & Beyond has been a staunch advocate of paid family and maternity leave since its inception. We have traveled to the halls of congress with other family leave proponents to petition legislators to pass a paid family leave bill without success. To date, The National Partnership of Women and Families, MomsRising and others continue to press for paid leave, and while we have gotten close, there still remains no uniform, national paid family leave for new parents. Thus the United States has the dubious distinction of being the only industrialized nation on the planet not to offer paid family/maternity leave to its citizens. In terms of countries with medical leave benefits, we rank approximately 168th out of 172 nations that offer medical leave benefits. The only other countries without paid leave policies are Lesotho, Swaziland and Papua New Guinea.  Thus the United States, one of the richest nations on the planet, the nation that spends more for health care than any other nation on the planet continues to have birth outcomes and overall health outcomes that rival those of developing nations without technological resources. It is a sad state indeed.

The Family Medical Leave Act is the best that we have and that has its restrictions. Passed in 1993, FMLA allows an employee to take up to 12 weeks of unpaid leave to care for a family member or for the employee to undergo treatment for illness and continue to have healthcare coverage during this time as an employee benefit. But there are some caveats. First, FMLA does not apply if you work for a small company with less that 50 employees. For companies larger than 50 employees or electing to enact FMLA, if an employee is out beyond the 12 weeks, the employers is not obligated to keep them as employees and many people have lost their jobs due to prolonged illness and absence. Additionally, while employers may be required to keep you on as an employee, they are not required to keep you in your same position or at your same salary. So after your leave, you may return to your place of employment but not to your same position.

Some individual companies have elected to offer their employees paid medical leave. This is a very individual decision and one that is not at all regulated. If your employer offers a paid leave benefit, you need to contact the human resources office to see what the rules and stipulations are regarding the paid leave. You will want to ask if there is a minimum amount of time you have had to be with the company in order to be eligible for the benefit as well as ask if you have to be a full time, salaried/exempt employee.

What else can Mamas on Bedrest do? How is a mama supposed to go on bedrest, rest, relax and calmly gestate her baby when she is filled with anxiety about her family’s finances? There are a few things that mamas can do that may help their financial situations. We offer these suggestions:

  1. Learn the laws and regulations governing paid leave for your state. Three states, California, New Jersey and Rhode Island, offer paid family and medical leave. All three states fund their programs through employee-paid payroll taxes and are administered through their respective disability programs. Other states and counties have various medical leave laws, so visit your state, county and local webpages to see what your area offers in the way of medical leave.
  2. Check with your state’s labor office. Some states have a disability program and take a portion out of your paycheck for this program. If this is the case, you may be eligible to apply for benefits. Often the benefit is a percentage of your pay, say 60%, but isn’t 60% of your salary better than nothing? These programs also have various rules and regulations so check with your state labor office for complete details and to learn how to apply if there is a program for which you are eligible.
  3. Speak with your employer. Some employers are willing to make allowances for your absence. In some cases, if you are able to work from home, they will set you up with equipment to continue working while on bedrest. In other situations you may be able to job-share; a co-worker covers for you now and you cover for them when you are able. Many employers are more amenable to being flexible than losing an employee and having to find and hire a replacement which actually represents a substantial cost to the employer.
  4. Consider Work from Home options. If you aren’t eligible for any sort of paid leave, your state/county doesn’t have a disability program and your employer/job won’t allow for you to work from home, you may want to consider work from home options. Some mamas have started businesses while on bedrest, working as virtual assistants, bookkeepers, medical transcriptionist and other jobs that have nominal equipment requirements and flexible hours. If you aren’t sure what types of work from home opportunities are available, I strongly suggest that you visit Theworkfromhomewoman.com This website is run by my friend and colleague Holly Hannah and offers tips and advice for moms who want to find legitimate work from home opportunities.

I realize that adding to the stress of being placed on bedrest and worrying about how you are going to make ends meet you may not feel like looking for a job, but I have to say that many a mama has created a wonderful business out of her bedrest experience. (i.e. Mamas on Bedrest & Beyond, the Bedrest Concierge, The Sleep Whisperer just to name a few! Also, check out our podcasts! There are several mamas there who have taken their pregnancy/bedrest experiences and turned them into satisfying and profitable businesses!). While being placed on bedrest may not seem like an opportunity, it may in fact be the start of something wonderful for you! Check out your options. Look at the resources available to you. Ask those around you if there is something that you can do to pass the time that would help them. You may be surprised at what opportunities come your way!

If you have found a way to stay financially solvent while on bedrest, or if you have started a business while on bedrest, please share your story in our comments section below. You  truly are an inspiration and other mamas will greatly benefit from your wisdom and savvy!!!