Category: Guest blogger

Questioning Childbirth Status Quo, Part One: Common Labor Positions

On By bbpt1In community, education, Guest blogger, health awareness, injury prevention, Pregnancy and postpartum, UncategorizedLeave a comment

The following blog is a repost of Ashley Brichter’s original blog post. Ashley is a  birth educator, birth and post-partum doula, lactation counselor, and friend of the practice. She hosts many classes on childbirth, lactation, and much more. We will provide more information at the end of the post on how you can get in touch with Ashely and how you can sign up for her excellent classes. 

Ashley Brichter

Originally posted: January 22, 2019 

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Hollywood misrepresents a great deal about the childbirth process, but the fact that they show everyone delivering babies while lying on their backs in a hospital bed is accurate. As Ross clearly demonstrates above, lying down with knees apart is the most common way for someone in the United States to deliver. Here’s why you may want to question this:

A baby’s job in labor is to rotate and descend through the pelvis. If we can maximize the amount of space a baby has within the pelvis, we can not only speed this process along but minimize the stress on muscles and tissues within the pelvic bowl (and therefore minimize the risk injury).

How do you maximize the space in your pelvis to encourage the baby’s rotation and descent? The pelvis has four boney landmarks that determine the maximum circumference a baby has to fit through: the pubic bone at the front, tail bone or coccyx at the back, and two sitz bones at the bottom. Let me walk you through two very simple movements to see how you can create the most space between the pubic bone and tail bone and two sitz bones.

If you’re in a location where feeling around on your pelvis would be immodest, make a commitment to try it the next time you’re in the bathroom or back at home.

First, find the space between your pubic bone and tail bone: 

Place one hand on your pubic bone (it’s very low down under the belly, right between your legs. Isn’t it wide!?). Place your other hand on your tail bone. To find your tail bone, invite your hand to feel between the crease of your behind. It is often higher up than most people realize.  You can walk your fingers all the way down the bottom of your spine until you reach the end – and/or lean back on your fingers in order to feel it more.

Once you have fingers on the pubic bone and fingers on the tail bone, lean forward and feel the space between your fingers. Then lean back. In which direction to you have the most space between your fingers, between your pubic bone and tail bone?  When you are leaning forward or leaning back? Try this a few time before you move on.

 Then, find the space between your sitz bones: 

This is best done sitting down on the edge of a chair. Place your hands underneath your bum and your should feel your sitz bones protruding down. If you don’t feel them right away wiggle side to side a bit. You should feel boney points digging into your hands. 

Now, spread your knees out wide (like you’re having a baby!). Feel the space between your fingers. Then, bring your knees in close together (keeping your feet fairly separated). In which position do you have more space between your sitz bones? With your knees together, feet apart, or your knees and feet wide?   

Hopefully when you tried it you were able to feel that there is more space in your pelvis when you are leaning forward and that there is more space in the pelvis when your knees are closer together than your feet. 

WAIT. What? That’s right. I said it. 

Most people deliver their babies on their backs with their knees spread wide because this is the most convenient position for hospital staff. If you’re thinking about a physiological birth, looking for ways to possibly shorten your labor, or looking for ways to reduce the risk of tearing, give some serious through to positions that lend themselves to forward leaning and keeping feet wider than knees!

Let’s take one more look at the tail bone specifically: leaning backwards makes the tailbone stick in. It limits the amount of space a baby has to rotate and it asks your body to push a baby uphill!  Upright and forward leaning positions will allow the tailbone to get out of the way.   Granted, you have to deliver with a provider and in a location that is supportive of this. But that’s for another post!

You can learn more about Ashley on her website: http://overwhelmingmoments.com/

Her blogs are available here

Click here for a list of upcoming events with Ashley

 

 

A Holiday Gift for You! BBPT is Offering Free Consults for People Living in the Greater NYC Area!

On By bbpt1In BBPT Health Tip, bladder, bowel, breast cancer, cancer, Cold Laser, community, constipation, Core Stability, cupping, cycle for survival, dance medicine, diastasis recti, education, Endometriosis, fitness, fundraiser, Guest blogger, Health, health awareness, Incontinence, injury prevention, Kids Health, LGBTQ+, lymphedema, male pelvic pain, marathon, meditation, Men's Health, Modalities, multiple sclerosis, nutrition, orthopedics, Painful Bladder Syndrome/IC, Painful Sex, pediatrics, Pelvic Pain, persistent genital arousal disorder, physical therapy, Pilates, Pregnancy and postpartum, prostate cancer, prostatitis, pumpkin, recipe, relaxation, running, sexual health, sports, strength, Tech, Uncategorized, urinary dysfunction, vaginismus, Women's Health, YogaLeave a comment

Group Serious 2

Any persistent pain or chronic back or pelvic pain can be tough. It is tough to have and often times it can be extremely isolating. Many of our patients have to go through a number of clinicians before they even get a diagnosis of pelvic floor dysfunction. If you are reading this blog, you probably have some questions about pelvic floor dysfunction and if physical therapy is right for you.

We are here to help. If you are living in the Greater New York Area and have some questions about orthopedic, sports or pelvic floor dysfunction and if physical therapy is right for you, I encourage you to call our office. For a limited period of time, we are offering free 15-minute phone consults with our licensed physical therapists to patients in the greater New York Area. For those of you living outside this area, a fee may apply to the consult but can be applied towards payment for a PT visit if you chose to visit us. Don’t miss this opportunity to learn more about your pelvic floor and what PT can do for you.

The Physical Therapists at Beyond Basics also treat orthopedic (sport and joint injuries), pediatric pelvic floor dysfunction and orthopedic injury, and much more. Give us a call to discuss how PT can help with any one of these issues!

All the best,

Beyond Basics Physical Therapy

212-354-2622 (42nd Street Location)

212-267-0240 (William Street Location)

Postpartum Pelvic Floor Physical Therapy: A Patient’s Perspective

On By bbpt1In Guest blogger, Pelvic Pain, Pregnancy and postpartum, UncategorizedLeave a comment

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By Amy, a former patient at Beyond Basics Physical Therapy

I just completed a prenatal yoga teacher training. During the closing circle, we passed around a foam pelvic floor and when we wanted to share the speaker took it as though it were a “talking stick”. As I held on to the foam model, I told the rest of the women in my training how this past year my pelvic floor had caused a lot of joy in bringing my daughter into this world, but also more pain than I could have imagined.

I had complications from the delivery of my daughter that left me in terrible pain for months. Granulation tissue (excess scar tissue) grew from my vaginal tear that the doctors were unable to treat because they did not detect I had an infection until four months postpartum. I felt physically broken. A complete failure as a mother, as all the procedures caused my pelvic floor muscles to go into spasm that it was often unbearable to walk or even sit to nurse my daughter. I was in constant pain but felt like I couldn’t share it with anyone because the pain was in my “privates”.

Pain is pain no matter where it is in your body, and I wish I had lived in a world where I could’ve been honest about my traumatic recovery without having to say “sorry if it’s TMI.” If that were the case, I hope I would have recovered faster. Even my doctors (which I saw at least half a dozen different ones to seek treatment) made me feel like this pain is private. When I asked one doctor if I could speak to another patient about the surgery she told me I needed, her response was “I don’t think she would be so open.” I hate to tell you but vaginas are not just sexual organs — at least mine created a human, oh and also, they’re pretty important if you like sitting and walking.

I felt completely alone seeing other moms six weeks postpartum already being told they can exercise and have sex when I wasn’t even there at six months. When I started going to Fiona at Beyond Basics Physical Therapy, I learned that pelvic pain was not at all uncommon and that helped me open up more to others about my experiences. Then something amazing happened, the more I opened up the less alone I felt as others felt more comfortable to share with me. As I heard more stories like mine of women suffering but not knowing how to seek treatment, I asked Fiona to come speak to at my yoga studio in Brooklyn.

To spread the word about the event, I swallowed my pride and posted on my Brooklyn new mom’s group – “I had a terrible recovery from childbirth that I wouldn’t wish on my worst enemy. It landed me in pelvic floor physical therapy. Whenever I share my recovery story the line “no one ever tells you these things” kept coming up. I asked my amazing physical therapist if she would come to Brooklyn to teach others about the pelvic floor (“these things”) and she agreed.” Within a few days the session was completely booked and I even received messages from complete strangers in the group wanting to share their story and get advice from me!

At the session I shared my story and am lucky that it does have a happy ending. I finally was properly diagnosed and treated after seeing a doctor Fiona had recommended. The day after the info session in Brooklyn, almost poetically, I graduated from physical therapy. Through the relaxation exercises and sessions, I no longer was in pain and was able to reclaim my life as a new mom.

I asked Fiona if I could blog since when I was going through my recovery these types of entries always comforted and encouraged me. I hope in sharing my story of my recovery with Beyond Basics it can help comfort someone in their own journey towards recovery.

How a Birth Doula Can Help Make Labor a More Intimate Experience

On By bbpt1In community, education, Guest blogger, Health, health awareness, Pregnancy and postpartum, relaxation, UncategorizedLeave a comment

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Chantal Traub, CD, CCCE, LCCE,

Pregnant mothers may be unsure if they want to work with a doula because they would like their labor and birth to be an intimate experience between them and their partners and wonder whether having a doula would encroach on their intimacy.

The role of the doula is to help ensure a healthier, safe and positive birth experience for the whole family. She will provide emotional support, physical comfort and the information needed to make informed decisions as they arise in labor at home or at the hospital. She will present reassurance and perspective to the birthing woman and her partner, offering various positional ideas for relaxation and labor progression and hands-on comfort measures like touch, massage, counter pressure and breathing techniques.

One may wonder how an intimate experience can be enhanced with the presence of a doula and the medical staff. Intimacy refers to the feeling of being in a close personal association and belonging together. It is the familiar and very close affective connection with a bond that is formed through knowledge and experience of the other. This intimate experience can be created by having the partner taking a role in the birthing process. The experienced doula will include the partner.

The doula’s presence offers a great sense of relief for both of you, especially for your partner who may begin to feel concerned with the responsibility of supporting you and may not know what normal is in this situation. If you’re having an intimate moment with your partner, an experienced doula will know when to step in and when to step back. She will encourage and allow you both to have that moment. In fact, she will look out for and suggest opportunities for you to be together. She will gently pull your partner back if your partner is feeling overwhelmed or feels worried seeing you in pain and give your partner the tools to help support you. If your partner needs a break or a breath of fresh air, the doula will be there, so that the partner can take care of themselves knowing the doula will take care of you.

The role your partner takes depends on the two of you. If your partner would like to roll up their sleeves and offer physical support or prefers to remain emotionally present from a distance, your doula will guide you. The doula may suggest ways for your partner to hold you or breathe with you. She can show your partner ways to massage and apply pressure while you are laboring. If a partner cannot participate physically for various reasons, they may choose to assist in other ways like getting ice and water while the doula manages the physical part, or merely remain emotionally present in the room. The intimacy is in the experience, allowing your partner to remain confident and emotionally present with you.

Whether your birth is unmedicated or medically complex, every family can benefit from the guidance and support of a doula at this often vulnerable and overwhelming time in their lives.

Chantal is originally from Cape Town and after years of working in film she began teaching yoga in 1996 and in 2003 she became a Certified Doula and has been assisting women in labor ever since. She is also a Certified International Childbirth Educator and a Certified Pre/Postnatal Yoga teacher. Her Prenatal classes are informative and educational and are designed for Labor and Delivery. Chantal has been teaching and assisting families in the New York Metro area for over 15 years and she combines her wisdom and knowledge to help families prepare for a positive birth experience. 

Chantal Traub, CD, LCCE, CCCE

 www.chantaldoula.com

Certified Doula (CD)

Lamaze International Certified Childbirth Educator (LCCE)

Certified Cooperative Childbirth Educator (CCCE)

Chantal Traub is a certified doula with over 15 years of experience and is a board member for the Childbirth Education Association of Metro New York. Originally from Cape Town, South Africa, Chantal received her BA of Fine Arts and after working for many years in film as an art director, she began teaching Yoga in 1996. Chantal is a White Lotus Foundation Certified Yoga Teacher, Pre/Postnatal certified Yoga teacher and Certified Traditional Ayurvedic Bodyworker. Chantal started her Birth Doula practice in 2003 after receiving her certification from A.L.A.C.E. In 2007 She became a Certified Childbirth Educator by Lamaze International and by the Childbirth Education Association of Metropolitan NY. Chantal is trained with Kate Jordan Pregnancy and Postpartum Massage Therapy and with The Julie Tupler Maternal Fitness Technique. She’s also Certified Kangaroula by Dr Nils and Jill Bergman. She lives in Brooklyn with her husband and two children, Naomi and Noah.

Pilates Versus Yoga

On By bbpt1In BBPT Health Tip, Core Stability, diastasis recti, education, fitness, Guest blogger, Pilates, sports, strength, Uncategorized, YogaLeave a comment

Pilates vs. Yoga Kierstin Elliott, Certified in Stott Pilates

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As a pilates instructor, I am often asked the question, “How is pilates different from yoga?” Although there are many similarities between the two practices, such as developing strength and flexibility, the differences are quite substantial.

Yoga is an ancient practice that has long been established throughout Indian culture. One major factor that sets yoga apart from pilates is the spiritual element. For many, yoga promotes an environment of self awareness in mind, body, and spirit. Although there are various styles of yoga, ranging from the lively flow of Vinyasa to the meditative holds of Yin, you have the freedom to explore and evolve the limitations of your body and mind within the practice.

Pilates is a more recent method of movement created by Joseph Pilates as a form of rehabilitation and was introduced to the States in 1920. Pilates wanted to create a practice in which injured soldiers could quickly rehab with bio-mechanics. Therefore, the apparatus’ used in the practice such as the Cadillac and Reformer, closely resemble hospital beds with springs, pulleys, and slings. Pilates is focused primarily on restoring the natural curves of the spine using these 8 founding principles: breath, concentration, control, centering, flow, alignment, precision and relaxation.

Both pilates and yoga offer numerous health benefits for the mind and body in addition to complimenting each other quite well. If you are looking for a more spiritual or meditative connection through movement, yoga is the choice for you. If you are looking to strengthen your core and improve posture, pilates will be right up your alley. Give them both a try and see what makes the most sense for your body. Finding a practice that not only feels good, but one that you also enjoy, is important for maintaining consistency and progress. Only with commitment and dedication to your practice will you discover the stronger, healthier, and happier version of you!

 

kierstinbbpt_smKierstin Elliot currently teaches Pilates at Beyond Basics Physical, Flex, Kinespirit, and offers in home training. Call the office at Beyond Basics at 212-354-2622 for more information on Kierstin!

You’d Prepare for the Marathon: Why Not Your Birth!

On By bbpt1In Guest blogger, physical therapy, Pregnancy and postpartum, UncategorizedLeave a comment

 

– Ashley Brichter

Fall always makes me excited for the New York City Marathon. What’s not to love? Cheering for thousands of people who have chosen to participate in an awe-inspiring test of endurance. I leave the sidewalk full of endorphins, adrenaline pumping! You may be surprised to find out how often I reference the marathon in childbirth preparation classes. Here are the eight ways I think running a marathon is analogous to having a baby:

You can prepare, mostly.

First time competitors never run 26.2 miles before race-day. They do, however, spend at least 16-20 weeks preparing physically and mentally for the main event. By running regularly and practicing complimentary strength training and stretching they move their body towards optimal conditioning. Pregnant people can work towards optimal conditioning by staying active throughout their pregnancies and receiving massage, chiropractic care, physical therapy, or acupuncture. And, like distance runners, hydrate and nourish their bodies well. Taking a comprehensive childbirth education course to understand what lies ahead, learning about pelvic floor muscles to understand pre and postnatal physiology, and exploring mindfulness practices to reduce anxiety and decrease pain are all essential preparation tools.

 Breathing is essential

Muscles need oxygen! That is probably more obvious for runners than for those in labor. The uterus is a broad muscle, contracting regularly in labor, pushing the baby down while helping the cervix dilate. Deep breathing also reduces anxiety!

The pain is temporary

The vast majority of pain in labor is caused by uterine contractions, not the baby passing through the birth canal. Labor contractions last about 60 seconds and are followed by minutes of rest and relaxation. It can be helpful to know that both individual contractions and the process as a whole will not go on forever!

Find your rhythm, stay steady.

Don’t start out too fast! When running a marathon, the excitement and adrenaline can lead you to do too much too soon. Similarly, in childbirth you are in it for the long haul, and early on your focus should be on conserving energy. Contractions should become ritualistic and having coping strategies is essential. Some people need music, others mantras. You can practice many different coping strategies ahead of time so you’re comfortable on game day.

Stress can slow you down

Oxytocin is the our love and trust and bonding hormone. It is released when we feel safe and relaxed. Oxytocin causes the uterine contractions of labor. Fear and stress diminish the amount of oxytocin produced in the body in turn slowing down or stalling your labor.

There will be moments of self-doubt

Because it ain’t easy. And endorphin production is on a slight delay. But, you can do it!

Support can make a huge difference

It’s always a good idea to have people cheering you on. No one can “run this race” for you, but people by your side can make it more possible.

It’s worth it

For Inspiration: Sarah Moore, Founder of FigTree Childbirth Services and Doula extraordinaire ran her first New York City Marathon last year, She wrote the names of 26 clients/friends/mentors on her arms so she could look down and thing of each of them  and the power they were able to muster when things got hard. doula

Ashley Brichter is a Certified Cooperative Childbirth Educator, Certified Lactation Counselor, Birth and Postpartum Doula in New York City.