Wednesday, January 22, 2020

The dreaded Postpartum Poop

                                                 

The First Poop. 

We all know what I'm talking about right? That first poop after you give birth. It's terrifying. It's horrifying. It makes you sweaty with fear and dread that you are going to poop out your insides or rip open every stitch they just put in you. Or was this just me??

Maybe that was a little too much information for you but I'm just being honest. I'm pretty sure I was more traumatized by the idea of pooping after I delivered my first baby than I was from the actual delivery. I was so scared, in fact, that I had the nurse come in multiple times and talk me off the ledge over it. She didn't actually come into the bathroom with me while I did it or anything, but she had to give me some pep talks. And all the stool softener.

Reality was not as scary as my imagination. I took the stool softeners they gave me and tried to go as soon as I had the urge. I think I was still taking Tylenol so it didn't hurt that much, but the anticipation was rough.

Had I been a practicing Pelvic Health PT back in the day, I would have been on my game and been psyched about my first poop. However, I knew nothing. If you aren't sure what exactly that is, click here for more info.


Image may contain: 2 people, people smiling
My friend and I are both really into pelvic health and
have taught some fun yoga workshops about digestive health.
We are also very good at pooping now. Just saying. 





Here's what pooping should be like:

  • No pain with pooping
  • Soft but fully formed easy to pass stool
  • No straining or "bracing" needed
  • Pooping between 3 times a day to 3 times a week (basically enough so that you don't feel icky in your belly but not so much that it's consuming your day)









Here are some tips on how to make that first poop less scary for you than it was for me: 


  1. Stay hydrated: Stay on top of your water intake (you'll be doing that anyway if you choose to breastfeed). Hydration is key to helping your poops move properly and be solid. Soft but solid is ideal!!
  2. Take the stool softeners: If you are able, take the pills y'all. It helps soften your stool to make it easier to pass and therefore less painful. 
  3. Practice your breathing: If you follow me at all on Facebook or Instagram you'll know I'm big on breathing. Breathing deeply using your diaphragm is key to pelvic floor health. Breathing in the bed after you deliver will help relax your nervous system. This will then relax your muscles. Your pelvic floor is made of muscles. See how it works? So breathe. In the bed, while sitting up on the edge of the bed, and especially while on the toilet. Just slow down, close your eyes, and take some good belly breaths to relax the pelvic floor.
  4. Exhale, huff, blow out the candles: If you're confused, let me put it this way - don't strain! Straining on the toilet can make things like prolapse, diastasis recti (abdominal separation), pain, or swelling worse. You can avoid this by making sure you are breathing instead of holding your breath on the toilet. Imagine blowing out candles across the hospital room or make "huff" sounds with your mouth. That will help increase the pressure in your belly while also avoiding the strain.
  5. Use a trashcan: Again, that sounds confusing. Have you heard of the squatty potty? Well, most hospitals don't have one in the room which means you have to get creative. Take the trashcan in the bathroom and turn it on its side, then put your feet on top of it. You've just made a squatty potty for free!
    There is science behind this. In a nutshell, it helps relax your pelvic floor muscles so your rectum is nice and straight. Stool can just head straight on out this way instead of having to move around a curve. It's much easier. Trust me. Here's a video if you want a visual. Don't worry I'm not actually pooping in the video I swear. 
  6. Go when you feel it: When you feel the urge, go. Don't hold your poop. I know how it is with a newborn, I do, but holding your poop only confuses your sphincters and your brain and it makes it harder to go the next time. Plus, the longer it sits in there the more water gets absorbed and the harder your stool gets. Not ideal. Often you'll be most likely to poop after your first meal of the day so have breakfast, a glass of lemon water, and then try and poop!

Every body is different. As in, your body is different from my body and my body is different from my BFF's body. Every birth is different. Every postpartum experience is different. I know these tips won't work for everyone. Then again, not everyone is terrified of the first poop. But if you are, be mindful of these things to minimize discomfort. Better yet, see a Pelvic PT before you give birth. And then after you give birth. Go here to find one near you or come check out my website here for more information about Pelvic Health in Fayetteville, NC! 



Lacy Kells PT, DPT  

Owner of Fayetteville Pelvic Health & Wellness


http://www.fayettevillepelvichealth.com


lacykells@fayettevillepelvichealth.comFollow me on Facebook: Lacy Kells PT, DPT orInstagram @lacykellspt and on YouTube at Fayetteville Pelvic Health







Wednesday, January 15, 2020

Maternity Leave in Real Life

This blog is a guest post that I got permission to adapt from Instagram. My best friend Ashley is currently on maternity leave with her second son and shared some thoughts as she is home working hard to keep baby boy happy and healthy. I love her real talk and her thoughts as processes going back to work. Enjoy! 



Maternity Leave. What does it look like? Is it a vacation? 

It’s such a weird thing, you go to school working toward a career for so many years, you bust your butt to grow within that career and then before you know it it's time to expand your family. As a mom, a lot of that initial change falls to you. When you find out you’re pregnant, everything changes.

You may not be telling people about the pregnancy yet, but it’s consuming all of your thoughts and plans. You wonder how this will change your family, yourself, your career progression. It’s a bittersweet source of anxiety at first.  Then you share your news, and somehow anything that happens in your career has a filter over it. Is this because I’m pregnant? Will my coworkers be mad at me for not pulling my weight? Will I lose out on opportunities because I chose to have a family??

Then you have the baby and it’s time for maternity leave. It’s a weird place to be, having worked so many years to be able to work every day in your field. Now you are at home, focused 24/7 on this tiny little person that has turned your life upside down. In so many ways it is SO. MUCH. HARDER. than daily work and in other ways it feels like you haven’t (can’t—sleep deprivation is real) use your brain anymore. 

We all know that maternity leave here in the US is pretty dreadful, I’m lucky that I can chose to take 3 months off, albeit unpaid. For me, I got only a super small percentage of my pay by filing short term disability (though can we all agree that having a baby is not a disability?!!?)

Lately,I’ve been thinking about this transition into motherhood. It’s so different the second time around. I love the newborn phase. Yes, it’s hard as hell. I’m tired, like super tired. And yet, my main responsibility and to-do list everyday is to take care of me and to take care of the baby. I can shift all my resources and energy to those goals.
I think the hardest part about motherhood for me was with my transition back to work. If I’m doing something, I’m going at it 100%, so with my return to work I didn’t want to halfway do it. I wanted to be just as on top of it as I was pre babies. And now I have this new focus of being a great mom whenever I’m home, which is hard when you are awake every 45 minutes the night before (yup, that's what my firstborn did for a while when I first went back to work). Nighttimes get more stressful because I’m always thinking about how it’s going to affect my performance at work the next day.  I’m short with my kid and my husband because of this stress and because I’m just. so. tired. By the end of the week I remember laying on my kitchen floor, staring at the ceiling too tired to make dinner, yet arguing with my husband because I didn’t want to order food in (it would mess up the budget (#realtalk here)).

What about you guys? What was easier for you? The early newborn days or later in the game when life got busier (like the return to work or other obligations??)



Image may contain: 1 person, smiling, eyeglassesDr. Ashley Chandler is a Physical Therapist currently on maternity leave after the birth of her second son. She is a Certified Oncology Specialist and Certified Manual Therapist who is passionate about Oncology rehab and Lymphedema management. She is a wife and a mom to two awesome boys and a very fluffy Golden Doodle. Find her on Instagram @ashleychandleryoga or on Facebook at Ashley Chandler PT, DPT, CLT


























I am a Lacy Kells, a Pelvic Health Physical Therapist with a passion for informing women (and men) on the completely amazing subject of Pelvic Health.

Owner, Fayetteville Pelvic Health and Wellness

http://www.fayettevillepelvichealth.com
lacykells@fayettevillepelvichealth.com

Follow me on Facebook: Lacy Kells PT, DPT or Instagram @lacykellspt and on YouTube  at Fayetteville Pelvic Health and Wellness. 




Thursday, January 9, 2020

Exhale on the Effort! Why?? Watch to find out.





I often see women who are very active but are dealing with some pelvic floor issues despite feeling pretty strong. Very often, they are exercising regularly, lifting weights, doing things that they feel like should keep them from having pelvic floor issues yet they find themselves in the clinic for help.

Well, here's the thing. We can be strong and powerful yet still be compensating with our movements in a way that causes some dysfunction. Often, it's about pressure management through our core. Breathing properly can be such a big help in managing pressures through our abdomen so that we can prevent things like prolapse or leaking! While it's always more complicated that simply exhaling, sometimes it can be a good first step in getting yourself on track to stop leaking or prevent prolapse or worsening of your diastasis! I hope this video helps you get started and as always, find a pelvic PT asap to take a look and get you on track!




Lacy Kells PT, DPT
http://www.fayettevillepelvichealth.com


Owner of Fayetteville Pelvic Health & Wellness
lacykells@fayettevillepelvichealth.com

Follow me on Facebook: Lacy Kells PT, DPT or
Instagram @lacykellspt and on YouTube