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Postpartum Health Must Haves

How will pregnancy and birth change my body? This is one of the big questions EVERYONE asks. This is a fair question because although it is a natural process, we aren’t meant to “bounce back” to the way we were before.

Having a baby changes you permanently and can leave you with side effects or injuries. In fact, some issues are so common that they are overlooked as a “necessary evil” such as incontinence (lack of control over your bladder or bowels). It’s crucial to have the right tools and know-how to navigate your postpartum period for a lifetime of health. Here are some of our top suggestions…

Access to Knowledge

 

The first thing on our list of postpartum necessities is access to knowledge. Give yourself several credible and evidence-based resources for information. There are many great books out there, or sign up for a free copy of our Hair to Toe Guide.

There you can find out what postpartum symptoms are normal, common, exist on a spectrum, or should have a doctor’s opinion.

There is no substitute for the advice of your trusted doctor. Postpartum groups, friends, and your doula can all have great insight too. Just remember, everyone’s experience is different, you are an individual with a unique body and medical history.

Physical Therapy

 

You may never look or feel like you did before pregnancy, and that’s ok! You just went through something HUGE. The important thing is to feel healthy, capable, and pain-free. Physical therapy is something to consider to help pelvic weakness, back pain, separated abdominal muscles, pelvic girdle pain, incontinence, prolapse, sexual dysfunction, and more.

Check with your insurance provider to see if they will help cover your physical therapy. If you can’t get to a physical therapist, check with your doctor to see what at-home movements or exercises are safe for you. It’s a good idea to wear a support brace to help stabilize your core and protect you from injury. Never push yourself to the point of pain. 

Pelvic Support Bracing

 

When you get hurt as an athlete, there’s a brace to help get you back in the game. There are ankle, wrist, shoulder, arm, knee, neck, and more braces! These braces can be used for compression therapy to ease pain and swelling, they support and protect the injured area, and they use what’s called optimal loading to gradually let your body do more work to return to normal function.

What about bracing for after having a baby?! We asked the same question before making the Mama Strut. Studies have shown that injuries sustained while pregnant and giving birth look similar to sports injuries. So throw away your girdles, corsets, and waist trainers. These are not built for health. The Mama Strut postpartum brace does everything the sports braces do, but it is specially designed for mamas and the issues they encounter!

Learn More

Ice and Heat Therapy

 

We won’t stop comparing athletes to mamas (because Mama, you are an athlete!). Let’s take another page out of the Sports Therapy Handbook. Ice and heat therapy has been around for centuries as an all-natural remedy to pain, swelling, and mobility problems.

Ice: Use right after giving birth (and any time after) on your perineum, abdominals, and lower back for instant pain and swelling relief. 

Heat: Use after your swelling has gone down for pain relief, better mobility in muscles and joints, and to help with muscle spasms.

The Mama Strut pelvic bracing mentioned above comes with hot and cold packs that are easily insertable between your legs, on your tummy, and your back!

Postpartum Pads

 

We all know what period bleeding is like…your postpartum bleeding is NOT that. Your bleeding will last for weeks and you may see blood clots. You can’t use tampons and normal pads don’t usually cut it. Invest in postpartum pads built to stand up to the task. These will help you feel more comfortable and dry, giving you more time to focus on your baby and other things. 

Check out Postpartum Pads

Stool Softener

 

Many mamas will feel constipated due to hormones, stretched muscles, anxiety, and vitamin supplements. It also may be painful to go to the bathroom because of tears, episiotomy, or hemorrhoids. You want to avoid straining too much at this time. A stool softener will help you pass your first movement and relieve some of the anxiety you may have about it. You should never try to hold back your bowel movements because it could end up being more uncomfortable in the end.

Getting exercise, eating right, and taking care of the area and any stitches you might have are also great ways to make things easier down there. 

Perineal Spray or Wipes

 

There are many sprays and wipes that can help cool, soothe, numb, protect, and clean anywhere between your legs that may need it. These can be especially helpful before or after you go to the bathroom. Make sure you read the ingredients list, after all, this is going on and around one of the most sensitive areas on your body!

Peri Bottle

 

“Peri” refers to your perineum (the area between your vagina and anus). The peri bottle is just a squirt bottle you use before, after, or during your trip to the bathroom. Wiping with toilet paper can cause friction, pain, and leave traces of itself behind. You will most likely be given a peri bottle at the hospital but you can find other bottles with various designs and features. Always use clean water, experiment with temperature, but don’t make it too extreme, and consider adding other safe liquids to the water like witch hazel.

 

We began by saying knowledge is key, and that is how we will end. Prepare for the postpartum period as much as you prepared for your pregnancy, your birth plan, and your baby!

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Well Woman Health

Nurse comforting mama patient
well-woman health care

The fourth-trimester. AKA postpartum. You’ve heard us talk about the importance of this stage in motherhood; it’s the stage that is overlooked by many doctors, media, and even moms. Now an ally of woman’s health is also using the phrase fourth-trimester to raise the visibility of how vital it is to prioritize well woman health during this period.

A recent convening of the Presidential Task Force on Redefining the Postpartum Visit Committee on Obstetric Practice headed by The American College of Obstetrics and Gynecologists (ACOG) has produced a revolutionary article on the topic of optimizing postpartum care for the 21st Century American woman. The revolutionary part? Make it woman-focused, and woman-led.

Research has shown that women feel there is an “intense focus on women’s health prenatally, but care during the postpartum period of infrequent and late”. There’s no shortage of stories from women noting that in all their prenatal visits the topic of a postpartum care plan is rarely discussed. ACOG, in their May 2018 journal, recognizes that as many as 40% of women do not attend any postpartum visit, which leads to health disparities and an expanding array of future complications that healthcare professionals are just now realizing are tied to inadequate postpartum support. Heart disease, stroke, and future depression are among the handful of medical issues that impact women even a decade after birth, and doctors are finding that identifying and managing these issues within the first 3 weeks of delivery can positively affect a mother’s future health on the path of being a well-woman.

The holistic approach that ACOG recommends to all women is to have contact with a care provider within three (3) weeks postpartum for an initial assessment. At this visit, and new mother can consult with a healthcare provider to create a comprehensive approach to an individual woman’s needs going forward concerning a battery of health and wellness concerns. This care system planning should begin during the prenatal phase to create a postpartum plan that involves identifying who the mother’s care provider will be, address health issues (especially chronic ones), mood disorders, and external care support like friends and family.

It Takes a Village

The phrase “it takes a village” has loosely defined traditional approaches to postpartum care for decades. Robust family leave programs in other countries has underscored the poor maternal mortality rate that is scarily rising in the U.S. Today. 23% of employed women return to work within 10 days postpartum, putting a strain on a mother’s ability not only to find childcare, but find the ability to schedule a doctor appointment. Delaying these initial visits lead to undetected co-morbidities that put a woman’s life at risk.

While we wait for federal policy changes that allow for a full paid 6 week leave and well-woman health maintenance, technology can create a safety net in the interim. Phone calls, text messaging, and apps can be powerful reminders for appointments and follow-ups. Simply checking in about how a mother’s mood is, how feeding is going, and if she’s experiencing any adverse physical conditions can make a mom feel supported and be more apt to open up about any problems or concerns.

Bottom line, every woman’s health is as unique as she is, and there’s no one-size-fits-all approach to her postpartum journey. Putting as much planning into a postpartum care plan that goes into researching strollers is as instrumental to the health of a mother as it is to a baby. When a mother’s health is compromised, caring for her little one is made more difficult because small tasks like climbing stairs, doing dishes, and feeding are all potentially impacted when the fourth-trimester isn’t valued and respected. Policy changes are needed to correct an imbalance in maternal healthcare, especially for women of color, to make sure the future of postpartum care is woman-focused.

We’re wishing you Well-Woman Health!

By Anna Pederson

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My Postpartum Story: One Year Ago Today

Mama Strut Blog One Year Thumbnail

onyear-mainA year ago, I was discharged from the hospital with nearly 20 stitches and I was still bleeding from my wound. I had lost over 500ml of blood and continued to bleed for another four weeks. My condition caused me to have hot flashes and night sweats. I had trouble sleeping, I lost a lot of hair. As my swollen organs healed, they shrank back down about 2,000% to their original size.

I also lost weight. A lot of weight. More than 24 pounds in just 2 weeks. While weight loss sounds great in theory, I assure you it wasn’t in reality. My body was loose and weak – it just left me with a saggy, empty feeling.

I got dizzy when I stood up too fast. My back always hurt and my abdominal muscles were shot, so I had to use my arms to haul myself up from a lying or sitting position.

During the first 6 months of this postpartum recovery, I also caught a few colds. And every time I coughed, I peed myself because my pelvic floor muscles were shot, too.

My body itched, my face broke out, and some parts of my skin were raw and cracked. I was constantly thirsty as my body tried to keep up producing.

I was constantly in pain, which affected my mood and at times bordered on depression. I had a short temper and difficulty connecting with my loved ones. In the early days, I couldn’t see past the pain. Most days, I just didn’t see the light at the end of this long and arduous healing journey.

I sought the advice of my doctor, pleading, “This can’t be normal. I think there’s something wrong with me.” She tried to reassure me that everything I was experiencing was typical and would “resolve itself.” And I kept asking myself, “Why wasn’t I warned about this?”

When people complimented me on how great I looked and how much weight I had lost, and I would stare back at them with a strained smile, offer a polite thank you, and think to myself, “If you only knew.”

As months went by, it began to get better. I got stronger and my wounds healed. Some were still visible; some only I could sense. But my condition had forever changed my body. It felt different now – not bad, just different.

And today, one year later, I have actually gained a great appreciation for my body and its capabilities. Before these scars, I was a different person. There are scars, they are an emblem of what has shaped me into who I am today. Strong. Resilient. A mother.

This is postpartum.