The Serious Post-Partum Injury No One is Talking About
'When I was pregnant with my second daughter, I began to feel a pretty distinct pain by my belly button. It was so specific that I was fairly certain I was developing an umbilical hernia. I brought it up with my midwife and was told it wasn’t a hernia. I was developing a diastasis recti – a split between the muscles and muscular tissue that runs down the center of the abdomen. The pressure inside from an expanding uterus/baby was just too much for the abdominal tissue to handle so the tissue and muscles were separating.I recognized a growing group of people in need of support, awareness, and healing of Diastasis Recti: new moms. Here were these women, trying to juggle new responsibilities, healing from the changes their bodies went through during pregnancy and subsequent post-partum recovery and there was little to no support or even awareness about the problems that Diastasis Recti presented.
Diastasis Recti can affect your body in some pretty drastic ways...The effects are numerous.
- -Irregular bowel movements,
- -Lower back pain, spinal or hip injuries due to your abdominal muscle’s inability to support your body when you’re lifting or bending
- -Pain during sexual intercourse
- -Increased chance of sciatica or disc issues
- -Increased chance of umbilical hernia
- -Postural instability due to poor strength of the abdominal muscles
Now it was MY body that was going to need to be supported. My body that was going to need help carrying a car seat. A baby. My toddler. The laundry. My body that was going to be more prone to injury- that would need me to completely rethink how I went about my day.
I worked out through my pregnancy because I knew what was ahead of me. I knew my core was going to be compromised. I wanted to achieve a VBAC and I knew I would need endurance (among other things) to prevent a repeated OR experience. I went back to my books and read studies on exercise efficacy. I reviewed exercise programs for pregnant women, post partum women, and people who had just had abdominal or back surgery. I had a plan, and I HAD to be as physically strong as I could when I returned from maternity leave so I could perform my job [as a physical therapist] effectively.
I ended up with a VBAC, a baby girl, and a three-finger diastasis.
*when I say 'three-finger diastasis' I am describing how many fingers I can horizontally fit across the tissue separation. To find this, lay on the floor with knees bent and feet flat on the floor. Lift up your head slightly and contract your abdomen muscles gently. Find your belly button and make the 'scout symbol' with your fingers…see how many you can fit in there. i.e. 1 finger, 3 fingers, etc. Check the same line down by your pelvis, and again up towards your ribs. Different points along your abdominal muscles may be different fingers of separation.
I want other women to have this valuable access to connections and resources that are out there for those recovering from Diastasis Recti. I want women to know that sometimes 'mummy tummy' can actually be caused by a medical condition. I want women to know that the media are not medical professionals and there is a wide range of 'normal' when it comes to our bodies. I want other mothers to know that exercise and eating well are available to them.I want women to know there are safe exercise routines that WON’T injure a body healing from Diastasis Recti. That recovering doesn’t need to be a series of scary, out-of-reach experiences. They don’t need to spend hours in the gym (Though you certainly can, if you enjoy it!).
Recovering means that you can take a walk, be it pushing a stroller or wearing a baby. You can do squats in your living room, jumping jacks, and eventually pushups and planks. (But until you’ve healed from your diastasis, it is best to do modified planks so that you don’t further separate your diastasis or have your abdominal muscles work against you or push on that separation while you’re healing!)
I feel sad when I hear people say 'I can’t workout because…' I feel sad because they are being taught that only the big efforts count. That’s not true. I work with people for whom sitting at the edge of their bed is enormous effort, and standing requires assistance of others. When you see the enormous joy on a person’s face brought by these small yet enormous victories, you begin to understand the true beauty of the movement our bodies are capable of. What may seem like a small victory may be an enormous triumph-a giant step towards hope and healing.
Misguided emphasis on skinny and perfect or the fear of never being enough WILL STOP US in our tracks. Enough. You are enough. It’s ok to start small. It’s ok to fail. It’s ok to not be perfect. It’s ok to be YOU. It’s not about meeting someone else’s standards.
It’s about taking care of yourself, teaching your family that our bodies are a great gift and we should treat them well. It’s about understanding that you are worthy of the time and energy it will take to begin, to HEAL, and to build healthy habits that facilitate that healing and well being.
Let’s get moving, because moving not only transforms your body, but it transforms your mind, no matter what size jeans you wear.Some Exercises to Get You Started: Where am I now? I’m down to a one finger split at my belly button. I am confidently back to work full time with no restrictions. I’m still doing pelvic floor exercises and modifying my workouts to protect and strengthen my abdominal muscles so I don’t re-injure or reinforce the Diastasis Recti. I’m teaching my daughters that exercise and eating well are ways to treat your body with respect, to give it what it needs so when you need your body to work for you, it will. I’m teaching them that strong is beautiful, that healthy allows you to follow your dreams, that food is a tool and a pleasure and size is just another physical trait that varies from person to person.
Final thought… can we all agree to stop using the words 'mummy tummy' ? Please? Your tummy is awesome, mommy. Growing a human is beautiful. A body that shows the results of growing a human is also beautiful!
For more information on Diastasis Recti click here.Some Other Tips to Start Healing:
- Sitting with the best possible posture: (Pull your belly button in towards your spine. Keep breathing while doing this. Pull your shoulder blades onto your back. Keep breathing!)
- Kegels/pelvic floor exercises (contracting the pelvic floor muscles-the ones you use to stop your pee, if that makes sense!).
- Standing on one foot while brushing your teeth while pulling your belly button in towards your spine.
- Stretching before you get out of bed.
- Taking a walk or parking further from the store.
- You can climb your stairs.
- Work out with a DVD program or take a class.
- If pregnant, getting an abdominal/belly support band to help support your abdomen and relieve pain you may be experiencing.
- If in post partum recovery, gently binding your belly to help pull the muscles together and support you in those first few weeks of initial birth recovery.'