Transcript
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This is the Eat Well, Think Well, Live Well podcast.
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I'm Lisa Salsbury, and this is episode 81 bounce back culture in postpartum with Arielle Martin.
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If you've had a baby, you've heard the term bounce back.
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How quickly you bounced back into your body or your life is often celebrated, but does this hinder our recovery?
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And more importantly for my clients.
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And for you listeners, are you still carrying some of those thoughts about trying to get your body back?
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Into your weight loss today.
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Listen as Dr.
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Ariel Martin and I discuss what true recovery looks like in postpartum and how we can avoid this talk of bouncing back and keep listening.
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Even if you are multiple years postpartum, like I am, it is never too late.
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Spoiler alert.
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We are going to talk about peeing with sneezing.
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Welcome to Eat Well, Think Well, Live Well; the podcast for women who want to lose weight, but are tired of counting and calculating all the food.
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I'm your host, Lisa Salsbury.
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I'm a certified health and weight loss coach and life coach, and most importantly a recovered chronic dieter.
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I'll teach you to figure out why you are eating when you aren't hungry, instead of worrying so much about what you are eating.
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Welcome back to the eat well, think well, live well podcast.
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I am excited to have Ariel Martone.
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She is a physical therapist and a postpartum wellness coach here on the podcast today.
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Welcome Ariel.
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Hi, thank you.
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So we are going to be talking all about her expertise in postpartum wellness.
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So I'm going to let her get started with introducing herself a little bit about what she does, and then we'll jump into our conversation.
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Yes, sure.
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So thank you for having me, Lisa.
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I am a doctor of physical therapy, a yoga teacher, pre and postnatal coach.
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And I've shifted fully into postpartum wellness coaching.
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After having my two kids, I had to do IVF for both of them.
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And so it was a long process to get there.
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And through that process, and really through my own postpartum, phase and postpartum journey.
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I, you know, being a physical therapist and having some training in women's health and pelvic health prior to my own motherhood journey, and having, you know, strong interest there, I sort of knew what to expect, at least from, from the physical recovery aspect.
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I knew that one, I needed to physically recover, which I feel is something that It's not really well, well known after having a baby.
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We kind of just brush through it and gloss over it and we think that, Oh, it's just this natural process that happens.
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And so we just kind of go back to how we were.
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Without having to do anything, but you know, our body was adjusting and growing and shifting for the entire, you know, nine, closer to 10 months of carrying the baby, then the actual delivery process, however that occurs, and then afterwards, so it does need to heal, and then we do need to go through an active recovery to really kind of Thank you.
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really move forward with how our body is moving and functioning properly.
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So I had, you know, I had some background in that.
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I had some awareness, um, but I wasn't really prepared for kind of one, the difficulty of it and two.
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I was kind of expecting a little bit more guidance on it.
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You know, I was a physical therapist.
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I've been practicing for close to 15 years now.
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And I've worked in almost every setting.
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I've worked in a hospital and after any type of surgery, you are met with a physical therapist for pretty much any surgery.
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With my son, I had a C section.
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Major abdominal surgery, not a single therapist came into the room.
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Again, fortunately, because I knew how to move around after a surgery, I was able to, you know, get myself out of bed rolling to my side and all, and all of that.
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Um, but I was kind of surprised that there really was no guidance on What we should be doing.
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We were giving kind of a brief list of what not to do for that six week time frame and then Basically, you're like good to go
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I feel like the only thing I was given is like, don't have sex for six weeks.
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That was like the only instruction.
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Like, take it easy.
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Don't have sex.
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Then you're good to go.
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yeah with so with with my daughter because I was able to have the V back vaginal birth after That was basically the instruction no sex for six weeks and no exercising for six weeks but like But what does that even mean, Grace?
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We should have a little bit of guidance on that.
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Um, but after the C section, there was a little bit longer of a list.
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Basically, it was no, um, you know, not too much twisting and lifting.
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Nothing heavier than the baby, but the baby in the car seat carrier, pretty much, which is actually quite heavy.
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Pretty heavy and awkward.
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Cause it's to the side.
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It's like a weird motion.
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I know, and I practice, I know there's a way that you're supposed to carry it, where your arm is kind of straight, and it's, your hand is hooked on the side, I like, I've tried so many times, and I don't know if it's just my proportions, I'm a little shorter, I could not get it,
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Yeah.
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I never could get that either.
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it was always, awkward and heavy to carry, um, but those, those are basically, you know, the instructions that I was, I was given an abdominal binder, but how long should I be wearing it?
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How tight should I be wearing it?
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There really wasn't any education around that, or really like what to look for, for signs of infection with the incision or how to take care of the incision there's a lot of information that, that could be given and should be given out to mothers after a C section specifically, but really, you know, after a vaginal birth as well on like what to do, what to expect for, you know, going to the bathroom for the first few times and how to make that easier and, you know, just.
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just simple things that we really take for granted that when you come home with your baby, you're like, okay, and now what?
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And now what do I do?
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Okay.
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So that is amazing.
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I think we all can tell stories about our postpartum and pretty much no one has a story of like, Oh yes.
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And they offer me physical therapy and it was so easy to recover.
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So nobody has that, but specifically, why are we talking about this today on my podcast being that Primarily I focus on weight loss and, and, you know, health and stuff.
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And one of the things Ariel and I wanted to discuss is the bounce back culture, the bounce back culture, which has a lot to do, not just with your physical shape and strength and those kinds of things, but also with your actual scale weight, a lot of my listeners know I have four kids.
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And so I basically was pregnant or nursing for like nine years.
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So.
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Of my 20s, like for most of my 20s.
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Right.
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And I had these like breaks in between.
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I'd have like a year in between.
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I'd have nine months in between.
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And my major thought was like, I've got to get my body back.
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Like, where did it go?
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Did I lose it?
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Like what?
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And I felt a lot of pressure.
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Uh, there was a lot of stories back then, specifically from my mother.
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Um, love her, never want to throw her under the bus.
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But, you know, oh, well, so and so, she wore her pre pregnancy jeans right out of the hospital.
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I, I know who she's talking about.
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She's told me this story a lot of times.
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And, you know, she mentioned how, how long it took her to get back into her jeans.
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All of those kinds of stories.
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And so it was a lot of pressure.
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And then with my last, and I knew she was going to be my last, my youngest, I got pregnant.
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And I was like, okay, This is the last time I can be fat.
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And this painful thought is etched in my brain.
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Even though I know pregnancy is not the same as being overweight, even though I know that what I should have done is really take care of my body.
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But what my brain said is this is the last time you have permission to eat all the cupcakes.
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And not worry that it's going to put on pounds.
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And so I had a lot of, you know, this was well before I found coaching well before I was, um, much healthier in my thoughts about my body and my weight and what I eat.
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And so not only was I.
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Overeating during pregnancy, because I thought I had the permission to, but I also thought I had the permission to not exercise and not do any kind of training to really prepare my body.
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And I know you are primarily in postpartum, but there's gotta be some, some issues there as well with like going into this, you know, major feet, physical feet, which is birth with.
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You know, zero, zero strength basically in my abdominal region.
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So aerial.
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sent me a message and was like, I think I'd be great on your podcast.
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And I'm like, yes, because we have all this like pent up stuff about this bounce back stuff.
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And all of these things that we did not get when we were pregnant and in that postpartum.
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So first of all, I just want to.
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Establish the baseline of is formal recovery needed in postpartum.
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Is it true that we're just like, Oh, it's natural.
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So everybody recovers normally there, you know, we don't really need anything formal.
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That's, that's what everybody believes, but what do you believe?
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Right.
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No, I, I believe that everybody needs formal recovery, at least to some extent after having a baby.
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Um, yes, it is a natural process and there are natural changes that occur, but they do not always just bounce back together.
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Um, You know, we can look at a sprained ankle, you're running and you twist your ankle, sure that happens naturally as well, right?
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And there's a natural process with inflammation and all of that, that kind of helps to mend it a little bit.
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And you could, depending on the degree of the sprain and all that, you could potentially not do anything about it.
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I know a lot of people that don't do anything about it, right?
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They are told to just walk it off and they let it go, whatever.
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And.
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The ankle heals, but it doesn't heal the way that it did or the way that it was before, right?
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There, there's going to be limitations and restrictions in that foot and ankle if you don't rehab it properly afterwards.
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And it's the same with our pelvis and our body after childbirth.
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So do things go back together?
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Yes, not always.
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Sometimes the pelvis itself doesn't go back into that pre pregnancy positioning without assistance after having a baby, and it could be because of, you know, just the, um, you know, the ligament laxity and, the positioning that it needs to be in to hold the baby, and then as the baby is delivering, our pelvis kind of shifts again, and the, um, You know, the lower portion of the pelvis kind of wings outward to make room for the baby to pass through.
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Uh, that can sometimes Kind of get stuck there.
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Usually it goes back together, but it doesn't for everyone and the same with the sacrum the flat bone In the back of the pelvis like where your tailbone is Um that tends to kind of go into flexion So it tips forward so that that tailbone piece is kind of pointing out towards your backside Again to make room for the baby's head and body to go through and usually again It kind of goes back into place, but it doesn't always go back into place.
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And it can kind of get stuck in that forward position, which can lead to a lot of pain and discomfort when you're sitting.
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It can lead to issues with, um, bowel and bladder, um, whether it, you know, be a constipation because you're not able to kind of fully empty or, you know, allow your, your bowel movement to pass.
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so I, I would say that, yes, everybody needs some type of recovery.
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After having a baby, definitely if there was a cesarean, birth that had to occur because again, that is a major abdominal surgery that happens.
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So it absolutely needs to be recovered and, and be really treated and kind of honored as such.
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We kind of just brush it off as like, Oh, well, you know, we just, just had a baby.
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Uh, it's just another way of doing it.
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It's almost so routine now that it is, I mean, it is the most common, most common surgical procedure in our hospitals today.
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so it is very routine.
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but because of that, it doesn't really get the attention that it really deserves for the care afterwards.
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On some of those things, I'm.
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Hearing some of myself in, in those issues you're describing and I'm 15 years postpartum almost 16, she's about to turn 16.
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My youngest is, is it ever too late?
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no.
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So It's ideally, it's always better to happen sooner rather than later because the recovery process.
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will be quicker, the closer to the event.
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Um, but it's, it's, it is never too late.
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You can go back, especially if you're having any type of issues, which a lot of times women do, you know, it's so common to have urinary incontinence.
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If you're laughing or sneezing to just, pee a little bit.
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And again, it's one of those things that's, it's so common that it's normalized.
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And because it's normalized, people don't do anything about it.
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They just kind of laugh it off and be like, Oh, you know, mom life.
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Well, we laugh it off with our legs crossed.
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Exactly.
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but yeah, because it, it's, it's normalized and a lot of, you know, it is so common, I believe because we are neglecting that postpartum care that our bodies really deserve afterwards or to the point of bounce back culture.
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We're trying to.
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To get back or, you know, into either the activity that we were doing prior to that we really enjoyed for our own sanity or to get our body back, um, and rushing into exercises that we're not really prepared for, and that can cause issues, down the road, but no, it's, it's definitely not too late.
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Yeah, I, I have a few spots in my body that I just know, like, and I'm like, well, that's from childbirth.
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Like I was doing these plate adduction things where basically, you know, you're bringing a plate in on the, the plates on the floor and you're pulling it in with your foot.
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And so it's an adduction movement.
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Every time I do that or any of those things, I feel it in the pubic symphysis, which is the, the little pad in the middle of the, well, you can explain it better, but it's in the front of the pelvis and it really gets soft.
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So that it spreads apart there.
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And I feel like somehow that piece never really healed, right.
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Because I can feel it in the, and it's like, I can't, I can't do a heavy enough weight to feel it in my adductors and my thighs because it kind of hurts that little spot.
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And then I have this other, like, I've been told it's called the round ligament and it, um, and it hurts every time I like do a certain cough movement or, you know, if I cough or, and I'm like.
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I, and I remember because it, I first noticed it after childbirth and I asked my doctor and they're like, Oh yeah, you know, that's from pregnancy.
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And I'm like, okay, but it's been 16 years.
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Yeah.
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Yeah.
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Just like the, you just have to deal with it.
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Yes.
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But yeah.
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So with your pubic synthesis specifically, it could, it, you know, there's a chance that it is still wider, that it never like, closed up like it should, or if it shifted at all.
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So sometimes what happens is, you know, one half of the pelvis, depending on the positions that you gave birth, you can have one side of your pelvis kind of shift up higher than the other.
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So there might be some more separation that way too.
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Yeah.
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So don't ignore this stuff.
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I know I've been talking a lot on the podcast about don't not ignoring our, um, perimenopause symptoms.
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And now I'm like back to childbirth.
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I'm all over the place, but I mean, as women, this is, this is how it is.
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There's, there's issues from childbirth and then you just really get right into your hormonal issues.
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I was gonna say it's it's all related and if we're used to just kind of brushing those things under the rug and being like, Oh, well, you know, those first few weeks or, or months or a year or so after having a baby, my hormones are going to be all over the place.
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And we just kind of, we normalize that we normalize these like big mood swings, because we think that Again, that it's just normal and it's going to happen, uh, but it doesn't need to happen, you know, to the extent that we're, we're feeling it.
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Yeah.
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So why do you think that new moms have this, like, feeling like they have to, like, they must get their bodies back postpartum?
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And is, is that an issue to be thinking that?
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So I, I think it's kind of twofold.
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One, I think we have a lot of society pressure on us.
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Um, that's very, um, kind of over and covert at the same time.
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Like there's, there's certain messaging out there that is just.
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Very obvious, tons of marketing towards getting your body back after baby, lots of, you know, dieting to do even a lot of, you know, I see talk of healing your diastasis, um, the separation of your abdominal muscles and healing your pelvic floor after baby in relation to getting your body back.
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Right.
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To the shape of your body, not to the health of your body, but like, get this back so that you can get back into your jeans or look
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yeah.
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Get rid of your mom belly and yep.
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so there's, there's a lot of that that we're getting and there's also.
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You know, you get six weeks, and if you're lucky, you get maybe 12 weeks of time off, uh, and then you're expected to kind of just be back at work and, you know, just kind of bounce back into your, your roles.
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With your relationships change after having a baby, and there's really no time or space that we allow for that to kind of develop or for us to kind of look in, in words to it and kind of see and allow shifts to happen.
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But we're expected that, you know, our relationship with our partner is just Exactly like it was before, but now there's this baby in there.
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Or if you have multiple kids, you know, your relationships are constantly adjusting between, you know, you and, and all of your children making room for this new baby that's coming in.
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And we don't really allow for that.
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We don't talk about that.
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It's just kind of like, okay, you have this baby, you go home and everything is going to be great and wonderful and good luck.
00:19:15.250 --> 00:19:17.710
but I think, you know, there's also.
00:19:18.164 --> 00:19:25.690
I feel like because the transition into motherhood is such This big abrupt transition.
00:19:26.019 --> 00:19:33.589
you know, hormonally, our, our roles are changing as well, and, you know, physically we're having a lot of changes.
00:19:33.589 --> 00:19:38.589
Our brain changes, after having a baby, and it all happens like very quickly.
00:19:38.869 --> 00:19:45.380
and the, the hormone shifts are, you know, the greatest that we experience in the shortest amount of time.
00:19:46.025 --> 00:19:51.974
As women so, you know, puberty and menopause being the other really big shifts, but they're a little bit more.
00:19:52.384 --> 00:20:03.404
Yeah, they're more gradual as opposed to like you have the baby and it's this abrupt change, even you know pregnancy or hormones are shifting but again it's kind of gradually over that, you know, nine to 10 month period.
00:20:03.460 --> 00:20:03.740
Mm hmm.
00:20:04.009 --> 00:20:04.579
That makes sense.
00:20:04.990 --> 00:20:06.099
I've never thought about that.
00:20:06.109 --> 00:20:06.900
Like that.
00:20:07.430 --> 00:20:07.640
Yeah.
00:20:07.640 --> 00:20:10.710
All of our other hormone changes really occur over time, but
00:20:10.950 --> 00:20:11.539
Yes.
00:20:11.549 --> 00:20:14.140
So we're, we're like slowly adjusting to them.
00:20:14.140 --> 00:20:16.720
I mean, they can, they're, they're
00:20:16.859 --> 00:20:17.730
it's still hard.
00:20:17.799 --> 00:20:18.319
well.
00:20:18.329 --> 00:20:19.849
But yeah, so it's still hard.
00:20:19.849 --> 00:20:20.490
It's still impactful.
00:20:20.519 --> 00:20:22.710
You need to make adjustments and kind of change.
00:20:23.099 --> 00:20:32.880
but I feel like, you know, with motherhood, there's, you know, the physical and the hormonal changes, but then our role changes as well and how we're identifying ourself changes.
00:20:33.440 --> 00:20:42.119
And it's, it's a lot at once, and I feel like it's harder to kind of pinpoint your, your role change and your, how you're identifying yourself.
00:20:42.150 --> 00:20:50.309
And it's easier to kind of put all of that onto something physical that you can see, and it's kind of our body that takes the brunt of it.
00:20:50.349 --> 00:20:52.910
Like, I'm not feeling like myself.
00:20:53.000 --> 00:20:54.480
I'm feeling a little bit lost.
00:20:54.480 --> 00:20:56.039
I'm feeling disconnected.
00:20:56.039 --> 00:20:58.170
Like, oh, it's because my body.
00:20:58.529 --> 00:21:49.960
Is squishy now, you know, and I had the baby in there, but now it's all squishy And I just want it to be back to normal in quotes Because once that happens then i'm going to feel good once that happens then i'm going to feel confident You know once that happens then I can do xyz or my relationship with my partner is going to be great again And it's not really the case um, because there's a lot of kind of inner work and digging that we need to do to really Allow ourselves to develop into that role as mother as well as still seeing ourself as a whole person which is really important because we can kind of Narrow in on like now i'm a mom and that is that's like everything blinders on but we really have to account for, you know, for all of us, our, our whole being, um,
00:21:50.190 --> 00:21:50.539
I can,
00:21:50.750 --> 00:21:52.400
at, at that role adjusting.
00:21:53.509 --> 00:22:03.480
I can see how to, like when you're describing that thinking how, you know, basically everything will be different when my body goes back to.
00:22:03.950 --> 00:22:08.039
Again, we're putting a lot of things in air quotes here, meaning normal, right?
00:22:08.410 --> 00:22:11.960
When my body goes back to how it was before or pre pregnancy.