I was at my new mom’s group today, and here’s the first thing to know – everyone has such different experiences in pregnancy, labor and birth, and postpartum!  We all had different experiences in each phase of this childbearing year. So, though I teach postnatal yoga, going through the experience and listening to others reaffirms that we each have to go at our own pace.

Here’s what I’ve learned from my yoga practice in the first two weeks postpartum.  Remember, this is me, and your experience after giving birth will be different:

1)      For some period of time, you will wonder if you’ll ever feel normal again.

When I first stood up after giving birth, I thought my hip was displaced, my hamstring was pulled and all my nerves from the waist down were on high voltage.  After a few minutes, things settled down, but it’s a crazy experience your body has, even if it’s designed to do this!

For the first week after giving birth, I felt like I was twice my age!   I was so creaky and cranky in my muscles and joints.   I stayed in bed a lot, walked a little, and didn’t do a lot of yoga asanas (see what I did in #2 below).   By the second week, I felt like myself, just extra stiff.   I added simple asanas to my yoga routine, like shoulder stretches.    Now entering the third week, I feel totally normal, and my yoga practice is coming back to normal.  Besides intensive core work, I can do the basics of most any pose – inversions, twists, back strengtheners, hip openings etc.

2)      It’s all about moola bandha and uddiyana bandha.

If you’re not an experienced yogini, these might be foreign terms to you.   The bandhas are a bit complex to explain in words (and they’re not easy to teach either), but these two techniques are essential to start practicing postpartum!   Moola bandha is essentially an engagement (or lift) of your  pelvic floor, and uddiyana bandha is essentially engaging you midsection abdominals.   My primary yoga in the first week was feeling these two “locks,” or bandhas.   They are the weak links after going through pregnancy and then giving birth (even if you don’t have a vaginal birth, both are still weakened).

3)      Many people experience a euphoric state for a few weeks, but watch out for the crash!

You may think you’re superwoman the first week or two!  Watch out – you have to rest or else you’ll crash.   We have hormones that get us through the first few weeks, but after that, you need to have some sleep and nutritional reserves built up.

There’s been a few days where I’ve planned too much, and it’s made me AND Yona (and my husband Gadi) cranky.   So I’m getting better at acknowledging limits – 1-2 guests per day visiting, and for a short period of time only.   And for now, as we’re starting to venture out of the house, I’ve realized only 1 outing per day.  It’s been hard to stick to this “rule,” but it pays off.   My midwife says that the number 1 thing we can do to heal after birth is to rest.  It’s so hard to give yourself, but in the long run, it pays off.

4)      Additional non-yoga care has been helpful.

I’ve used a belly band and done some uterine massage to help settle my organs (an extension of uddiyana bandha).   I didn’t use stairs for a whole week after birth to heal my pelvic floor (an extension of moola bandha).  I can go into more detail about these things in a later post if anyone’s interested.

A little splurge could be great too!  I cannot wait to get a pedicure – it’s not going to heal my body, but it will help me feel like my normal self again!   Massage, going out to eat, shopping, going to the beach.   Try to find something to do in the first 2 months that help *you* feel like *you* again!

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When I get back to teaching postpartum yoga, I will be so excited to have gone through this experience!   We’ve always focused a lot on the pelvic floor and the abdominals in class (along with sore backs and shoulders).   But having experienced it first-hand now, I can truly say that postnatal yoga makes a huge difference.

I can feel after two weeks that my abdominals are coming together – they’re looking good too!   My pelvic floor is strong and supporting me and my organs (I’m not ready to go jogging yet, but that will come in time).   Though I’m still stiff in the legs and shoulders, I know with regular practice, I’ll loosen up again.

What would I do without yoga?   It’s such a blessing, time after time!    I’ll keep you updated on my progress as I continue on this postpartum journey.

Namaste,

Barrett

And then I read this article from the NYTimes two days ago, all about “babywearing” instead of strollering.   Very interesting!   Moms and Dads, what do you prefer?

Love and light,

Barrett

1. Monday, March 22 at 7pm.   Mass Midwives Birth Circle at the Cambridge Women’s Center.  “Each meeting will include positive birth stories in all settings as well as additional topics regarding pregnancy, birth, and parenting. Come meet women who treasure their birthing experiences.”  For more information see above Women’s Center link or email info@mfom.org

2.   Mothering Magazine – I get a digital subscription and it’s awesome!  No magazines cluttering my house!  I wish more magazines did this – I’d subscribe.    Occasionally, Mothering also offers packets of helpful information, like this Sleep Packet.   The number 1 thing new moms discuss is sleep – their lack of it, and their babies’ ever changing patterns of it.   This packet has a lot of helpful information about sleep during the first year of your baby’s life.

3. A new pamphlet out from Childbirth Connection called Comfort in Labor.    This is a helpful guide to print out and use when you go into labor.  Also,  I highly recommend having a doula if you’re giving birth in a hospital – she’ll help you through all the things this handout mentions, and more!  

4. One of my favorite articles to come out in the last few months on the NYTimes concerns laboring women’s right to eat and drink during labor.  This has been quite exciting, because if you’ve been in labor you know it’s a lot of work and you need *fuel.*   Midwives and doulas have been encouraging moms to snack for years in labor, and hopefully this lifting of the ban on eating and drinking during labor will go by the wayside quickly. 

 I’ll leave you with some cute pictures of our mom and baby class that happens on Friday afternoons.   Happy families!

I realize that wherever you are in the world, it’s so important to find a community that can give you these kinds of resources.   I’m always learning from moms in my classes about new resources.   It got me thinking -

How do you find your community?  

1)     Go to movement class – preferably yoga!!   When you’re pregnant, it’s so helpful not only to move and breathe in pregnancy, but also to meet moms.  This goes for the postpartum period as well.   After my Friday afternoon new moms yoga class, participants go across the street to the local café to keep on talking.   I know many pregnant and new moms make walking/hiking dates, and even have girls’ nights out, baby-free!  

2)     When you’re pregnant, go to the new moms groups, like LaLecheLeague.  Going before you have your baby helps you scope out the best  resources ahead of time, while you still have time! 

3)     Consider taking  childbirth education classes earlier.  The trend these days is to take CBE classes all in one weekend later in the 3^rd trimester.   I recommend taking a 6 week series between your 2^nd-3^rd trimester (like 24-30 weeks).   You’ll interact more in a longer series, and you’ll have more opportunity to act on helpful information you receive (caregivers, test options, etc.)

4)      Keep hanging out with your non-parent friends.   Keeping this all in context is so important!!  In the first months postpartum, it’s difficult to talk about anything else besides babies.   Having some good friends around who have been with you through pregnancy will be invaluable in this time.   They’ll listen to you, but they’ll also help you with some non-baby conversation and stimulation!

5)     Get online.   There are a lot of virtual communities as well that can be a good source of support and information.  Nothing replaces real human connection, of course, but this can be a good adjunct.

I hope this helps moms in my local area, but also around the world.   Please pass along!

Love and light,

Barrett 

I’m adding to my list of favorite books to suggest in pregnancy.   Boston resident (and friend of mine) Ananda Lowe has written a FANTASTIC book all about what you need to know to give birth in the US today.  

It’s called “The Doula Guide to Birth: Secrets Every Pregnant Woman Should Know”  and it’s chock full of helpful tips from Ananda’s years as a doula, prenatal massage therapist, and employee at ALACE (I took her job at ALACE when she left in 2003, and learned much of what I know about pregnancy, birth and postpartum while working there). 

I like this book because it’s very open to all the possibilities of what someone may want in their birth.   I don’t think this book leaves anyone out – she speaks to single moms, lesbian moms, twin moms, and the dads/partners of said moms.  

A student of mine mentioned that she thought the book pushed the idea of getting a doula a little too much.   I’m such a fan of having a doula that I didn’t notice that at all, but I guess someone who knows they do not want a doula might experience that as well.  However, even if you know you don’t want a doula, I found information in this book that is hard to find written about anywhere else, so I still think it’s a great read.

Enjoy!

Barrett

I think this could be a really useful survey that will give many future parents good information about care providers when they are pregnant.   Read about the Birth Survey here.   If you’ve given birth in the last 3 years, I encourage you to fill out the survey.   Future moms need your experience to help them navigate through their choices in childbirth!

The Birth Survey was designed by CIMS – the Coalition for Improving Maternity Services.   They do great work!

Let me know if you fill out the survey!

Barrett

Mom and Baby Yoga – Fridays 1:30 – 2:45pm Starts today!  Taught by Barrett

Sunrise Yoga – Thursdays 6:30-7:45am Starts April 30, taught by Sarah

I’m really excited to be starting my new moms yoga class today at Black Lotus!! This is one of my favorite classes to teach, and one of the most challenging – there’s a lot going on.  I think of the class as controlled chaos

But, it’s extremely helpful for new moms.   We focus on a mom’s essential needs postpartum:

-          to move and breathe in a way that feels invigorating but restful

-          to strengthen and tone the physical body postpartum, especially focusing on the pelvic floor and abdomen

-          to relax mentally and go with the flow of caring for a newborn

-          to enjoy time with your new baby

-          to connect with other new moms in a supportive space

We do this by making the babies as comfortable as possible in the beginning of class.   I invite moms to come early, to feed and swaddle their babes and make them content.   Then we get down to business with yoga!   Of course, sometimes babies will need something during the 75 minutes of our class.   We have specific standing, sitting, nursing, and lying down postures to practice with the baby as well, so you can stay in the yoga zone even if your baby needs to be held for a bit.

We also work in stages, so the class is appropriate even if you’re newly postpartum.   When you first begin attending, you’ll work with the most gentle postures, and after several weeks, you’ll move into more intermediate and advanced postures.

Also at Black Lotus, Sarah is offering a Sunrise Yoga class starting April 30!

This 8-week class will help you dedicate time in your life to your yoga practice in two ways: Class will meet every Thursday morning from 6:30-7:45 AM for 8-weeks beginning April 30.  In addition, every other week, Sarah will post a 5-20 minute podcast for you. These podcasts will be mini-yoga classes to help fortify your practice and  give you some material to work with on your own. Pod casts will have the following topics: yoga at your desk; breathing easy; feel the stretch (for flexibility); rinsing out (twisting series). Tuition for the full course is $99. Please call or stop in to Black Lotus to reserve your spot today! 617.899.4775

See you on the mat!

Barrett

New moms and babies at a recent brunch I hosted at my house

I read this report a few days ago about how hospitals unintentioally discourage breastfeeding through various interventions.   It’s sad that we know the benefits of breast milk for babies, and yet new families often aren’t supported in their goal to breastfeed.

I started thinking about how yoga can help moms who are committed to breastfeeding, even if they’ve had challenges getting started.  One of the challenges with breastfeeding can be getting both mom and baby comfortable for feedings, which can last 10-50 minutes (or longer sometimes).  In my new mom’s class (which is starting again on April 24), we work a lot on the upper body so that it’s comfortable to hold and feed a baby several hours each day.   You can see a short article here that mentions some of the postures we focus on in class:

The Breastfeeding Guru has tips for how to start your yoga practice after you give birth, and when to breastfeed in relation to exercise. Another challenge is just finding the time to dedicate to feeding as well as to everything else (nevermind yoga!).  I know in class, it’s helpful to feed a baby before class because then the baby is content and (hopefully) will give mom some solid time to practice!  

Sometimes a innovative position can be helpful, like side lying while breastfeeding.   This mom talks about how to feed from the side lying position without having to move to switch sides.   She calls it lactation yoga, because it reminds her of some yoga positions she’s practiced. 

The greatest impact yoga may have on encouraging moms through the first few months of a baby’s life is in cultivating patience.   A newborn requires an intensive amount of energy, especially from the feeding parent.  In the new moms class, one goal is to help each mom find the present moment, and connect to their baby and to themselves.   One mom I worked with said that the hours of feeding her baby kept reminding her of the patience she cultivated on her yoga mat, one breath at a time, one pose at a time.  I hope that remembering how it feels to be connected on the yoga mat helps new moms (and all new parents) be connected through the long hours and days and months of a new baby’s life.  

Finally, a very cute video – am I weird for wanting to be this mom someday?   Warning – there’s a breast in this video, don’t watch if that’s not cool with you J  

Namaste,

Barrett

For all the moms who I’ve worked with over the years, I always recommend Mothering Magazine, and often give out a complimentary copy of the magazine in my prenatal classes (I’ll be giving them out today at Black Lotus – Monday 2/16 President’s Day)  

Awhile ago, Mothering started offering their magazine online, which is fantastic!  Here are the benefits of subscribing to the online edition of a magazine:

-          Cheaper than getting the print copies

-          Ecofriendly – no paper!   This is also good for folks like me who are trying to be more minimalist (ie have less clutter).

-          Access to previous issues – they have an archives section!

-          Can print what you need, and also email articles to friends

-          Awesome content

I also love the Mothering.com discussion boards, and just checking out their website, which features even more content.

Check it out, moms and moms-to-be!  Now, if only other magazines would follow suit, I’d have some room in my office…

Namaste,

Barrett

Here’s our Part 2 installment from new mom blogger Catherine.  A few weeks ago, she wrote this post about some common postpartum issues.   Enjoy!

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The next issue is a major one – the Vaccine Issue. My husband and I had been warned that there were some controversies around vaccines (mercury content, unnecessary vaccines, bad side effects, possible autism links, and so on). We did our best as new parents to look into this, research it with our friends, and read about it. But, of course, we are busy people so we don’t have time to read all of the literature about vaccines. We came across the Dr. Sears book (aptly named “The Vaccine Book”) which, for us, was the most balanced look at vaccines written for laypeople. We decided to follow Dr. Sears’ alternative vaccine schedule for our son. In this schedule, you get all of the recommended vaccines, just in a different order and staggered differently. From our first pediatrician visit, I warned our pediatrician that this is what we wanted to do. I offered to set up a special meeting with her where we could talk about the vaccine schedule that we were going to follow. Nevertheless, at our two-month visit, she had the four regular shots prepared to give him and was offended when I told her that we were not going to get those because we were doing something different. She harrumphed and made a photocopy of the Dr. Sears schedule. She then told me that what we were doing was against all medical protocol. I said, “OK, but that’s what we are doing nevertheless.” She was disgruntled for the rest of the appointment and I started thinking seriously about changing pediatricians at that point.

The final issue that made me switch pediatricians is not really a single issue. After the vaccine visit, I had other new parent issues and questions come up. Are his grunts normal? Until when should I swaddle my son? Is the red around his bottom a diaper rash? What kind and what’s the best treatment? Will the white bump on his face go away? He hates being on his tummy, is his neck really weak now? These and many other questions. I realized that I didn’t want to bring up any of these little questions with his pediatrician because I did not trust her. I was afraid that she wouldn’t respect my desire for a non-interventionist approach to raising my son – i.e. as few prescriptions and medications as possible. I was afraid that if I brought up an issue, she would bring out her prescription pad. 

This was the point where I realized that I trusted the Internet more than my pediatrician. I could go on the Internet to look up diaper rash, for example, and choose to read the information that accorded with my desire for natural methods (rubbing breast milk on his bottom – a natural solution that really worked!) And the Internet was full of information and never condescending to me. I didn’t have to withold information from Google because I wasn’t afraid of what Google would think of me as a mother.

So why not just have the Internet as your pediatrician, you might ask? (You probably wouldn’t ask that, but just for the sake of argument…) Well, looking up diaper rash and swaddling is one thing, but what if he becomes really ill? I don’t want to be keeping that information from my pediatrician and hoping that WebMD will be able to diagnose him remotely (“Please click here once you have placed your baby on the scanner.”) I realized I needed a pediatrician who I could trust, who would respect my wishes for a low-intervention parenting style, and who would understand that I’m trying to do the best I can for my son. I think I have found the right practice – one town away – and I hear they are friendly to alternate vaccine schedules. We have our first appointment tomorrow.

This is from guest poster, Catherine.   She’s a dedicated yogini and a new mom whose agreed to write a few guest posts for us here.  I thought it would be great to get her perspective about life with an infant.  Thank you Catherine!

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Uh Oh. I trust the Internet more than my pediatrician.

I have a big, healthy four-month-old son. Everything about him so far is very normal and average (which is great!) When I was pregnant, my belly would measure exactly on target for the week that I was in and I actually went into labor on his due date.

Given that I had such a low-risk pregnancy, I didn’t think much of the choice of his pediatrician. Around our 38th week, the midwife asked for the name of the pediatrician and my husband and I looked at each other as it dawned on us, “Oh, right. We should probably do that before he’s born.” Given that we were attempting to get 1000 other things done before he arrived, we went to the first pediatrician that we could find who was close to our house and covered by our insurance. We didn’t think much about the choice at the time. After ten minutes talking to the pediatrician, we thought she seemed like a very reasonable, knowledgeable woman.

And she DID turn out to be a reasonable, knowledgeable woman, but not the right pediatrician for us. 

She wasn’t right for us for a few reasons. First of all, there was the Eye-Gunk Issue. From birth, my son would get mucus-y stuff in his eyes. It happened particularly when he slept, but occasionally at other times as well. For the first 6-7 weeks of his life it didn’t get worse or better, there was just always eye gunk in his eyes and I would wipe it away whenever I could with a warm washcloth. When it first started happening, I looked it up on the Internet (of course, right? Why go to a knowledgeable professional when you have Google?) and it seemed to simply be a clogged tear duct. All the sites say to just keep it clean and the tear duct will eventually open on its own. When we saw the pediatrician, however, she saw the eye gunk and prescribed erythromycin to rub on his eyes.

I said, “But is it an infection? Isn’t that an antibiotic?” She said, “No, it’s not an infection but this will clear it up.” I remained confused by her answer but after another week where the eye gunk level stayed the same, I decided to actually fill the prescription and start applying it. We had a messy several days of me trying to coat the inner eyelid of a baby with petroleum-based goo. He would then always rub his eyes with his hands and then of course stick them in his mouth. Being a new mom, I then became worried about him eating the eye goo. Since it didn’t seem to help the eye gunk issue, I simply stopped administering the goo and just didn’t tell our pediatrician. I just made sure that his eyes were nice and clean right before we went to see her. Now that he’s four months, the eye gunk issue is totally gone. Chalk one up for the Internet.

Next time I post I’ll write about another major issue – all about Vaccines. 

It’s an amazing video for those of you thinking about your birth options, now or in the future.  It’s pretty well-balanced, interviewing a range of providers and families, but the central story it tells is about why giving birth, and the place you give birth and the way you give birth, is controversial.  And why it matters to many women and their partners.  

I want to recommend it to anyone who is planning on being pregnant in the next few years, or to anyone who cares about healthcare and access to a range of care options.  I found particularly compelling the parts of the documentary about how few birth centers there are, and about the lobbying actions of ACOG (American College of Obstetricians and Gynecologists) to make homebirth illegal.  In Massachusetts, we had 3 birth centers when I started working in the prenatal field – one closed about 3 years ago, and 1 is on the  verge of closing now, as I’ve written about here in this blog.  That leaves only one left, the Cambridge Birth Center.   They are maxed out, filled to capacity, months in advance.   Clearly, there’s a desire on the part of women to avoid the excess of interventions in birth, and yet there’s little access to low-tech birth options.

Anyway, when I watch something like this, it confirms to me that prenatal yoga is more important than ever.  As you’re growing your baby, you need a safe and sacred space away from all the hype, and the fear, and the questioning.   Each of us need that space in our lives to be still and silent, and let our bodies’ wisdom shine forth.   I think if more women felt good about themselves, from yoga or childbirth education classes, or from positive, empowering visits with their midwives/doctors, then we’d have better outcomes for women and babies.    

I encourage you to watch the documentary – it’s compelling! Next on my list is to read Birth and Pushed.   Anyone read them?

Here’s her article:

Preventing and Healing from a Diastasis
A diastasis is the separation of the first layer of abdominal muscles called the recti. These muscles overstretch from the growing uterus, and due to the softening hormones of pregnancy can pull away from the dark line below the naval called the linea negra.

A diastasis can also develop during the pushing stage of labor, especially from excessive breath holding during pushing.

To prevent a diastasis during pregnancy:

• Avoid sitting straight up from a lying down position; instead roll to the side and sit up with the aid of your arms and hands pushing down.
• Avoid bearing down and holding the breath when lifting something heavy or during elimination. When lifting stand close to the object, bend your knees, tilt the pelvis forward and lift with the strength of the legs.
• Eat plenty of fruits and vegetables and drink 8-10 glasses of water daily to promote elimination and avoid constipation.

Healing Poses After the Birth
These poses strengthen the pelvic floor and abdominal muscles, free energy in the pelvis, and improve digestion and elimination.

Agni sara
Lie down, knees bent and feet hip width a part; place your hands on your lower belly. On exhale, contract anal and urethral sphincter (as if you are tying to stop urinating), lower abdominal and upper abdominal muscles, then release upper, lower and pelvic floor as you inhale.
Start with 10 rounds and over a period of a several weeks increase to 20+ rounds. Always do this on an empty stomach. Women should avoid this pose during menstruation.

Side-lying leg lifts
Lie on your right side with your head resting on your arm; bend the left knee bringing the left foot behind your right leg. Inhale lifting the right leg, foot flexed, no more than 12 inches from floor. Exhale extending the right leg away from you and down to the floor. Do this 10 to 20 times. Now bend your right knee and bring it towards the belly and straighten left leg, foot is flexed. Inhale raising the left leg up no more than 2 feet. Exhale, extend the leg out and down to the floor. Do this 10 to 20 times. Change sides.

Stirring the pot
Sit with your legs stretched out and hip-width apart. Interlace your fingers together as if you were holding a big stick. With your arms straight, exhale and bend forward, reach between your feet. Inhale over to the right and draw back as if you were stirring a large pot of soup. Move from the waist. Exhale and bend forward down the middle again. On the inhale swivel to the left and lean back as far as possible. This is one round. Do 5 to 10 rounds.

It’s heartening to read this front page news in the NYTimes about more women choosing home birth.   I think enough information is out there about women not being listened to in some hospital settings, and of the huge number of unnecessary interventions happening these days (I’ve written on this before here).

My sincere question is – if ACOG (the American College of Obstetrics and Gynecology) and the AMA (American Medical Association) really want satisfied customers and good outcomes for healthy and happy babies *and* moms, why don’t they try to support homebirth with the best kind of backup support and communication between midwives and doctors? Instead, doctors are strongly discouraged from developing relationships with homebirth midwives.  Why don’t they try to establish a more nurturing atmosphere in the hospital so that more families are satisfied with their hospital birth experiences?  Instead, more often than not, women are pressured into following hospital protocol, and aren’t encouraged to question their care on anything – from the easy (do I have to wear a hospital gown – why can’t I give birth in my own clothes?) to the more complicated (why do you induce labor? when do you induce labor?  what are the many methods of induction?  what if I don’t choose to be induced?).    

Finally, it’s all well and good that ACOG says they support births in either a hospital or “accredited birth center on hospital grounds.”  But how many birth centers are left these days?   We had three in Massachusetts.  The Wellesley Birth Center closed abruptly a few years ago.  The North Shore Birth Center is about to close as we write (click here to get in on the consumer actions being taken to try and save the birth center).   Only the Cambridge Birth Center remains – which fills up months and months in advance.  The fact is, the climate exists where birth centers can’t operate freely – the owners/practitioners are scared out of business.  It’s only because of the homebirth midwives, who really are tenacious, amazing women who will not be silenced, intimidated or scared, that we still have a national conversation about a family’s rights in the birthing world. 

To all my wonderful prenatal and postnatal students, present, past and future: every birth is sacred.   On some level, I don’t care how or where someone gives birth (that’s only one part of the whole experience of pregnancy and parenthood). I only care that every mom and family feels respected, cared for, and informed.  I am supporting homebirth midwives, birth centers, and all other practitioners who are working for this same right to choose how you will bring your baby into the world.