Showing posts with label kegels. Show all posts
Showing posts with label kegels. Show all posts

Tuesday, September 13, 2011

Pelvic Floor Party: Kegels are NOT invited.

Very interesting information and something that I am going to look into more!


Recently I met a woman who told me she used to be a runner. Naturally, I asked: Why don't you still run? The answer: "Because 60 hours of labor with my first child and a forceps delivery ruined my desire to run anymore."

To sum up for those who still may not infer the problem: She pees her pants when she picks up the pace.

My friends and I joke about sneeze pee, jumping jack pee, trampoline pee, and other bladder challenges. But full blown incontinence is no laughing matter. I'm a firm believer that a strong pelvic floor is the answer to incontinence (although pharmaceutical companies and surgeons often try to persuade people with other remedies). A strong pelvic floor, I've learned, not only makes the difference between wet and dry running shorts, but also keeps me running pain-free: I no longer suffer from the back and hip problems that used to plague me.

So today I bring you an interview with Katy Bowman. I have had the opportunity to interview Katy for magazine articles. Since becoming a freelance writer 13 years ago I have interviewed scores of sources. Very few I remember. Katy made an impression. She is a biomechanical scientist who applies her knowledge on the human body. Among other things, she has her own DVD program, "Aligned and Well," and is the director of the Restorative Exercise Institute. Her blog, Katy Says, is amazing (and she's as funny as she is smart). I like that combination so I asked her to chime in about the pelvic floor. I had no idea she would rock my pelvic floor world. Even if you've never peed in your running shorts even a little bit, you should still read what she has to say about pelvic floor strength.

Mama Sweat: First, a lot of women just assume it's childbirth that causes incontinence, but I've read that pregnancy itself puts a strain on the bladder (so a c-section won't necessarily save you) and that most women, as they get older--whether they've had children or not--will likely experience problems with incontinence. And even men aren't immune. All this suggests that a weak pelvic floor doesn't discriminate.


Katy Bowman: Nulliparous women (that's women who've never had a baby) and men are equally affected with PFD (pelvic floor disorder) so while child birth may accelerate PF weakening, it is not a primary cause of PFD. PFD is first caused by slack in the pelvic floor due to the fact that the sacrum is moving anterior, into the bowl of the pelvis. Because the PF muscles attach from the coccyx to the pubic bone, the closer these bony attachments get, the more slack in the PF (the PF becomes a hammock).


MS: So rather than a hammock, you'd rather your PF be more like a stretcher--more firm and able to hold up weight without buckling?


KB: I like to think of the PF like a trampoline--the material is supple, but taut...the perfect muscle length.

To read the rest of this article click here.

Tuesday, July 12, 2011

Whether To Worry: Letting Go Of Control

In my prenatal water aerobics class last night, our instructor reminded us to do our Kegel exercises while "bicycling" on our foam "noodle." Another woman and I noted to each other that we simply can't do Kegels while in this position. Of course, my mind gave this problem the run-through: Can other women do this? Can other pregnant women do this? Is it a big deal that I can't? Will it make my labor long and terrible and inefficient?

To read the rest of this article click here.

Thursday, January 22, 2009

Doula Digest - Bradley Birth Education

Posted by Kim:

As part of my doula training I had to take a childbirth education class (not pregnant). It seems like I am always meeting Bradley birth educators and a lot of people are talking about it so I thought I would check it out, plus I really loved the idea of the Husband Coached Childbirth. It sounded like a method that my husband would have liked and appreciated. If only I was as educated then as I am now. I almost feel like I know so much more now that it is a shame that I am not having another baby. This is not to say that I haven't been lobbying for baby #3 for the last year! Back on track......

For convenience sake and the fact that I already knew her I decided to enroll in Michelle Mueller's Natural Childbirth Education class. There were four pregnant couples in the class and as the weeks passed we became a pretty close group. Unlike the birth education class we took. In our class there were about 50 people in our class and there was absolutely no intimacy or sharing of information between the students. WE simply learned what the teacher wanted us to know. Not that she was a bad teacher, we definitely learned the facts, but we didn't get the different perspectives from the students because no one really felt open to share in front of 50 people! Again I digress, back to Bradley.

Our class met for 11 weeks beginning in September and we covered the following topics:
  • Exercise
  • Nutrition
  • Pregnancy/Gestation
  • Variations and Options
  • Intro to First Stage
  • Intro to Second Stage
  • Birth Plans
  • Coaching
  • Postpartum
  • Advanced First Stage (Labor Rehearsal)
  • Advanced Second Stage
Each class started with Michelle asking each couple how their week went, how their nutrition was for week and if they have any concerns (including concerns about their care provider). In addition Michelle would ask each couple if they had been practicing their Taylor sitting, kegels and relaxation techniques. What struck me the most about this class was how fun it was to see each couple grow and develop during their last trimester. There was definitely quite a difference between the first class and the last, boy could I relate to how they all felt as they grew closer and closer to their due date.

The primary theme throughout the class was nutrition, labor management and the intervention spiral. We discussed the common interventions, why they are done, benefits, risks and alternatives. Some common interventions and their alternatives that we discussed were:
  • Vaginal Exams - request that they do not do the exams unless there is a compelling medical reasons.
  • Non-Stress Test - fetal movement counting
  • Induced Labor - Waiting, nipple stimulation, sex, accupressure, herbs, acupuncture, or Castor oil
  • Membrane Stripping - Nipple stimulation
  • Vaginal exams in labor - Limit exams prior to pushing,
  • Gowning - Wear own clothes
  • Separation of mom from support during admission - Do all admission work ahead of time
  • IV - Stay hydrated
  • Restricting food & drink - eat lightly, drink sips of water, eat ice chips or popsicles. Energy gels or honey.
  • Electronic Fetal Monitoring - Use fetoscope or doppler or intermittent EFM
  • Doptone - Use fetoscope if someone is trained to use it.
  • Restricted movement during labor - walk around, change positions often, take a shower or bath
  • Amniotomy - Use natural ways to speed up labor like walking, suck thumb, nipple stimulation, acupressure or acupuncture
  • Narcotics/Analgesics - Natural methods of pain relief
  • Epidural - Natural pain coping techniques: relazation, changing positions, movement, birth ball, visualization, bath or shower
  • Augmentation - Use natural methods of speeding up labor
  • Episiotomy - Choose a caregiver who does not perform them. Do pre-natal perineal massage. Do not lay on his back to push, practice kegels
  • Forceps or Vacuum Extraction - Prevention: good pushing positions and techniques, avoiding epidural
The Cascade Effect of Interventions:
  1. Break water to advance labor
  2. Gel
  3. Pitocin
  4. Drugs/Epidural
  5. C-Section
Common side effects of the Epidural are:
  1. Drop in mom's blood pressure
  2. They only work 85% of the time
  3. It may only work on one side
  4. Epidural headache 25% of the time
  5. Pain at the injection site
  6. Need for the use of forceps ro vacuum extraction
  7. C-Section
  8. Episiotomy
Overall I really enjoyed this class. I thought Michelle presented a great point of view and each couple could cater the information they learned to their own wants and needs. However, learning about Bradley made me more curious about the other methods of childbirth education. I think I may need to take the other methods so I can learn about them and then be knowledgeable about the different methods my different doula clients may choose to follow. Now I just need to find the time!

To learn more about the Bradley Method of childbirth please visit their website www.BradleyBirth.com