Diastasis Recti - What to do.

At 19 months postpartum, I was certainly back to pre baby weight and size, but I still had "the gap." At this point it had healed some, but I was still experiencing many of those previously mentioned symptoms. Thankfully, my first appoint at physical therapy was so empowering and enlightening. Not only were there things I could do to help heal my gap, but there were also steps I could make to prevent it from possibly occurring or at the least being as severe during my next pregnancy.  For example, the doctor recommended wearing a support band during pregnancy from about 5 months forward (if not regularly, at minimum during activity). She explained that a support band helps keep the abdominal muscles trained in place instead of allowing them to shift to the side.

The doctor also advised that women who breastfeed experience healing much later than women who don't breast feed. While nursing helps the uterus to shrink and burns additional calories for mommy, it also continues to encourage the production of muscles and tendon relaxing hormones. These hormones don't make your Diastasis Recti worse, but certainly delay the natural healing process until after baby has been weaned.

During our first session I was provided a treatment plan, which has been built on each week. While this treatment plan was recommended specifically for me and should not replace an actual personalized treatment plan, I felt sharing some of the exercises may be a helpful examples of what healing exercises could look like.

The last recommendation the doctor made is my personal eye roll worthy activity... She so ever fervently advised the regular practice of kegel exercises; regular as in every stop light while driving and after every potty break. Ugh... Not my favorite for sure and certainly skipped more than I care to admit.  She of course shared a handful of other exercises, strategies and details, but in honor of keeping these short, I call this the end. Maybe other Mom's can share theirs. Hope this helps!  

Diastasis Recti... Say what?

Sooooooooooo.... I spent so much time preparing for baby that I completely ignored/overlooked issues that affected just me.  I remember I first learned about diastasis recti (abdominal splitting) at my 2 weeks post delivery check up with my midwife. She put her fingers on the middle line of my belly pushed down and said, "the gap is 3 fingers."   "Um, what gap?"

Diastasis recti is essentially when your abdominal muscles divide and move to the side in order to accommodate your ever growing baby bump. It effects 30% of all pregnancies and your chances of developing it increases when you yourself are small, deliver a high birth weight baby, have had multiple pregnancies, or are over the age of 35.

   So my earlier question, "What gap?" fled my thought process just as quickly as it had fallen into my lap until about 6 months post partum the question returned.  I had all of these other symptoms that weren't going away.

Here are some sample symptoms:

- pregnant belly look (even if you were back to or lower than pre-baby weight)

- belly bulge when cough or laugh

- urine leakage

- muscle weakness

- hernia or risk of hernia

- lower back pain

- pain during intercourse

- constipation

I had a good handful of these and my three finger gap had only reduced to a two finger gap. This of course sparked my traditional research binge routine, but this time, it ended with just more frustration. Everything I seemed to find contradicted each other. One personal trainer said, "do planks." Another would say, "planks make it worse." So, in fear I would make it worse, I scheduled an appointment to see my main care physician.  She advised me that it could take up to 12 months to heal and recommended kegels (sigh) and no abdominal workout until the gap naturally reduced.

...and there I sat until I returned to the doctor at 19 months post-partum with a 2 finger gap and demanded a referral to a physical therapist. This sitting and waiting was not fulfilling.....

Natural Birth

By: Tedi McVea

Photos from our final appointment with our Midwives at Birth Center Stone Oak. 

I knew from the start, I wanted to have a natural birth with a midwife. I had toured a birthing center and paid our deposit just weeks after our positive pregnancy test. I was ready. I knew childbirth would be painful, but my logic was the majority of women in the world deliver babies at home either unassisted or with midwifes. In fact, the US is a minority for choosing to treat childbirth as a medical condition.

I repeated the mantra, “if the majority of women in the world could do it, so could I.....” and I did.  It was beautiful! I will choose a natural birth with a midwife again. The labor and delivery of my little bear, while painful, was my favorite part of pregnancy. Something about it made me so proud. I became utterly aware of the amazing lengths my body could go and what it could achieve.

Interestingly, when I shared my delivery plan with family and friends literally everyone tried to talk me out of it. They discussed how painful birth was, how scary birth can be, how unprepared a midwife was for a medical emergencies and so on.... While all of these concerns were shared with love, no one was asking questions about why I chose this option. I was easily able to dispel many of their concerns, for example:


- Our midwife coordinates with a medical doctor via phone throughout my labor as needed


- The midwife has access to oxygen and IV fluids


- If needed, my midwife would accompany me to emergency delivery (hospital) and assist as needed


- Pregnancy complications may warrant me being required by the midwife to deliver in hospital

and so on.....

But, this same level of scrutiny is not given to hospitals. I guess as a culture, we just assume they are thinking of the birth mom and baby first. Well, here is my truth bomb. Hospitals are expensive businesses to run. Lets say that again, they are a business with lots of overhead: doctors, nurses, equipment, facilities, etc. The quicker they move moms through labor and delivery, the quicker they can fill those beds with a new mommies. They also operate from a position of reducing liability. In a time where litigation is a real issue, hospitals have policies in place to reduce their risk of liability as oppose to individualizing the birthing process to mommy and baby. This manifests itself by using prescriptions to attempt to speed up labor, transitioning to cesarean before trying other alternatives, and forgoing natural treatments such as vaginal massage, oils and lubricants to prevent tearing.

I wanted an individualized birthing process. I didn’t want a plan. My plan was to follow what my body needed and my body needed 25 hours to labor, back pressure, arnica oil, vaginal massage before the last big push, a big bath tub for labor, and lots of eating/drinking throughout.

Every woman has a right to design and choose her own birth plan. A hospital may be part of your plan, an epidural may be part of your plan, Pitocin may be desired to speed up your labor.... My goal in sharing my plan and experience is to remind people that it is not a foreign, crazy, or dangerous choice to deliver at home, in a birth center, or with a midwife. In fact, it is the natural way our bodies were designed to birth babies. My wish is that women are making the choice that best fits them and not choices based on fear, societal pressure or the business plan or defensiveness of a hospital.

Tricky People and Safety Planning

Contributing Writer: Devin Rojas of New Jersey

Children don’t benefit if they’re taught to be afraid of the world. The point of teaching tricky people over stranger dangers is to teach children to read situations and people and know how to act accordingly.  Child are still left at risk if we limit our lesson to stranger danger and limit our safety planning to "running away" or "not talking to strangers." Those solutions just don't get to the heart of the highest risk.

Approaching safety conversations from a tricky people perspective:

• Helps a child understand the red flags of a dangerous person

• Gives them a chance to ask questions and practice scenarios

• Opens a dialogue with the parent’s about the nature of the child's relationships. 

These ongoing conversations will give a child the tools they will need to keep safe if they ever encounter a sex offender.

Part of teaching tricky people is also deciding what will be done once a tricky person has been identified. Teaching children to develop a safety plan is such an important part of life. They already learn this skill when they’re mapping out fire exists in first grade, so now we just translate that to interpersonal safety. 

1) Is this a tricky person who’s contact I can control as a parent? Such as a neighbor or friend’s parent? Then I can just move play dates to my house. 

2) Is this a tricky person who’s contact I can’t control, such as a teacher or coach? Then maybe I need to increase my presence as the school, and have my kids put the buddy system in place. 

A lot of what we look for in tricky people may not be "reportable," but we can still safety plan though.  

Tricky people reinforces your child listening to their gut instincts regarding a person or relationship. Children can talk to their friends about that person and make a pact to never be alone with that tricky person. They can look out for each other and make sure other children aren’t being pulled in. With the most important piece being that an adult is aware that this tricky person makes a child feel uncomfortable. 

Photo by: http://www.jessfielderphotography.com/