Transcript
WEBVTT
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Hello, today I have with me Christina Walsh, a New Orleans mama of two.
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Christina is a licensed physical therapist specializing in integrative manual therapy.
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Christina and her business partner, jen Lormand, known together as the Tinkler Ladies, have a combined 36 years of experience supporting women through prolapse, diastasis, recti and pelvic floor dysfunction.
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Today, we're going to be talking about breastfeeding ergonomics and how to support your pelvic floor while nourishing your baby.
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Christina, welcome and thank you so much for joining me.
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Thank you.
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Kelly, these are topics that are so near and dear to my heart, from personal experience, and I love to geek out and make sure mamas have all the information they need to feel as good in their bodies as possible.
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I agree, I am so excited about this episode.
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I live this well, I don't live it, but I help my patients every day, try to get positioning that's going to work and not end up causing even more problems later while they're breastfeeding.
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I literally did this yesterday, where I'm trying to push their shoulders back and down and get them in a position that is sustainable and comfortable, and when I heard that this was even a thing, I was so excited.
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This is going to help me and all the nurses I work with and the new mamas.
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This is amazing.
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I'm so excited it is so cool and it's so simple.
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That is the thing I think that Jen and I have loved about the work that we get to do, because when you approach something from a more pull back the viewfinder, holistic standpoint, it doesn't have to be hard.
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Simple little nudges in the right direction make all the difference.
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It's like when you just can support what the body was trying to do anyway, tenderly and gently, with that simple little nudge in the right direction, it's like your body knows your body has so much wisdom and we can tap into that.
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That's where the power comes, but it doesn't have to be hard.
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Exactly.
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I am so here for your wisdom today.
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I love it.
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So what are the first things that you like to help moms with when they're breastfeeding?
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What are the things that you want moms to know?
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So, first of all, don't take this as like one more thing, you know, because when you are learning to breastfeed, especially if it's your first time, your priority has to be on the latch, is baby getting nourished?
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So please don't hear us giving you one more thing to worry about.
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Focus on the latch, make sure baby is getting nourished and then, once you've got that established, then you can tune into these other things.
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That really will look.
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I think I've read numbers you can correct me, I'm sure, as a nurse, but I've read numbers that we spend 1800 to 2000 hours per year feeding our infants.
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So I mean, when we think about that, the position that mom that you are bought your body is in for all of those thousands of hours really is cumulative and it really does matter for the long term.
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So simple little things you can do include okay, you just had, you were just pregnant, you just gave birth, your core is going to be weak, and so I remember, when I was trying to imagine what breastfeeding would be like before I'd had a baby, I thought, okay, well, this baby is going to be like what?
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Seven or eight months, like what?
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Seven or eight pounds, like this is going to be so easy, right, but your body has just been stretched to oblivion and you're weak and it's impossible to imagine how hard it will be to just sit up straight.
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You do not have the strength and that especially in the early postpartum.
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Your core doesn't have the strength.
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This is nothing you did wrong.
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It's been stretched.
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So just sitting up straight is going to be a challenge.
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So give yourself some support.
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Have pillows all over the place.
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I did First start with one, so this is the first, the first piece.
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Start with a pillow, like long ways up and down, ways behind your back, maybe more than one, depending on the squishiness of the surface that you're sitting on.
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So first prop up your trunk, your upper body, your mid, your middle body, because you don't have the strength to hold it to yourself.
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So first start there.
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Then the next step is to prop your feet up.
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So, especially if you are a shorter lady or you're sitting in a higher chair and your feet are dangling, dangling down there, it's going to just pull on your back and your hips and your pelvis and pelvic floor and it's not going to do you any favors.
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It's going to cause strain and discomfort.
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So prop your feet up.
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I know they make cute little breastfeeding stools and whatnot, but it doesn't have to be that.
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It can just be the kid's stool, or I mean.
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Look, I mean this is really going to date me all, but I remember my mom used to use a stack of phone books for like all kind of.
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She would take duct tape and take them.
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So get creative, you don't?
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have to buy anything fancy.
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I was thinking yoga block, but I really like yours better.
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The phone book anymore, Look y'all, I'm kind of I'm 40.
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Every once in a while they show up at our door and I'm like what is this?
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I mean, my kids would not know what to think.
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Well, they'd be like Mom.
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My legit did that.
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Anyway okay.
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So to get your feet up.
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Your feet up, mama.
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It's going to save your back, your hips and your pelvis and pelvic floor from a lot of pulling and strain and discomfort.
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The next piece, which is hugely important like you were talking about the whole shoulders positioning thing, pillows again, the boppy or the my breast friend or whatever your favorite breastfeeding pillow is, is not remotely enough.
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So you have, the goal here is not to bring breasts down to baby, it's to bring baby up to breast right.
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In my case that's not even possible.
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No, go toath far down.
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Am I too either?
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I always feel like I have to disclaim when I discuss this topic, that I do not have.
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I'm not well down.
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I do not have large breasts, so maybe, if you do, you need less pillows.
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I don't really know.
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Right, If you can lean back and feed your baby.
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Props to you, man, because like I sure can't.
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But then look, you also have to deal with gravity later in a way that we probably know.
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That's true.
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So trade-offs, always trade-offs, yeah, anyway.
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So look, take the pillows and have them all over the house wherever you know you're going to be breastfeeding.
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Leave extra pillows because you want to take enough pillows under that elbow, whichever arm inside you're holding the baby.
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Wedge enough pillows under that elbow such that you can relax your shoulder muscles, your neck muscles You've got the pillow behind your back already so you're not straining to sit up.
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So you, once you get that elbow properly propped up so baby is brought up to breast and you are not leaning over, hunching over, you can relax your shoulders, your elbow, your arm, your wrist as much as possible.
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Look, I'm telling you, this is game changing.
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The number of women, like you said in the beginning, I also have a body work practice that I still work in and I treat so many moms for like.
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This is for the long term.
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Again, 2,000 hours a year or some such wild number of being in this posture really can be detrimental.
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If you don't have the right support for your body so it can protect you, it gets things like carpal tunnel, like tennis elbow, sorts of things.
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You can get all kind of discomfort in your neck and shoulders and then look if you accidentally get too used to that rounded posture, you know what's going to happen.
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You're going to be driving and you're going to have one of those moments where the toddler is screaming for a snack or the baby the pacifier fell out of their mouth and you're like doing the backseat reach right.
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We all know the backseat reach If we've been get the passing back in quick, pick up the sippy cup so you don't have to scream for 40 minutes on the way to wherever we're going.
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If you've gotten weak in that rounded shoulder forward posture, not only are you going to have neck pain, you're also going to be more likely to be the one to come into my clinic or someone else's with a rotator cuff shoulder injury because of the backseat reach.
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Yeah, so I mean, this stuff has far reaching consequences, on top of which if you're hunched and and pressure that pressurizes your abdomen, which causes increased pressure down on your pelvic floor, which is not going to do you any favors in that area of recovery either.
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So right again, latch comes first, nourishing baby comes first.
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When you've got that established, please take these simple, simple action steps to take care of you and I love.
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Okay, this is a really great thing to give dad as homework.
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Right, the men are their problem solvers, their action takers.
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They want to help, so tell the give that this is their chore list.
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Whenever you see me breastfeeding, make sure I have enough pillows.
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Check my posture, bring them to me if you don't see me with them.
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Not only do you need the cup of water there, always with the breastfeeding.
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That was going to say, bring the water, bring the water.
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But dad bring all the pillows to to protect mom's shoulder.
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She needs to have a lot of baby carrying to do, a lot of diaper bag carrying to do, a lot of backseat reaching to do, and we want shoulder snack and and core protected in this tender, vulnerable recovery time?
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Yeah, absolutely.
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I just want to also put a plug in there for hospital administrators.
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This is why we need an increased pillow budget in the hospital.
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Please cheers to that More pillows Come on More pillows, because one like some days I will walk into and granted.
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Part of the reason that labor and delivery doesn't have pillows is because they all end up on postpartum rightfully so.
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But we but we do our first breastfeeding on labor and delivery.
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So it is imperative to be able to have enough, and there is no such thing.
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It's too many pillows in a hospital, so please increase the hospital budget to that.
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Yes, these little things make such a difference, because I mean especially labor and delivery.
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We're talking about immediate postpartum.
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So, like you've never been weaker, I mean I should really speak for myself how I felt after 26 hours or 40 hours of labor.
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Right, I mean, you've never needed that support more.
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So, yes, hospital administrators, please get more pillows to labor and delivery, for breastfeeding and postpartum.
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Yes, all of it.
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All of it.
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Just on the women's and infants line All the pillows we just need a pillow funnel is what we need, Like just shoot them in, you know, like the thing at the ballpark.
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The pad sickles and the pillows.
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The pad sickles and the pillows.
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That's what we need.
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Yes.
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I love it, Definitely I love it Look there are other things you can do it.
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That's the initial setup, right, but then right something as simple as getting down on the floor to do a cat cow, a good afterwards or a good child's pose, to open up those shoulders, stretch all around those shoulder blades, to gently mobilize the low back and hips, because you are going to be more likely in a kind of a still position like breastfeeding, because your core and pelvic floor are still going to be weak.
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You're going to be more likely to feel that kind of compression from gravity, even if you're well supported.
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So give yourself the gift of two extra minutes.
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Plop down on the floor, put baby down next to you and give yourself a cat cow and a child's pose stretch or some trunk rotation.
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I mean, something that simple is a game changer to keep you feeling.
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Yeah, tummy time for baby and stretch time for mom, absolutely Unless after eating.
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I don't know if tummy time is the most.
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Yeah, I know, good point, burp first.
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All right, burp first Good burp.
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If any of you spit up as much as mine did.
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Yeah, I remember, I never left that, that upright time, and then tummy time.
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I would never put mine down on their backs without a burp cloth underneath their head, like because no matter I always.
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I just said, but the pillows I also have the burp cloths everywhere, right, and evidently you put them down on that one piece of furniture.
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That's your favorite and it's like shh there.
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Oh, that's why we had leather.
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I was like, as soon as I knew we were going to have kids, I was like everything has to be wiped down.
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I'm sorry I'm not doing that laundry.
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That's strategic.
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And I found the opposite way.
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I just kind of gave up all hope of salvaging.
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So I just stuck with the really old, dilapidated furniture because I'm like I can't justify buying anything new.
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It's going to be crumbs and greasy fingers and spit up.
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And then I talked to Jen.
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My best partner is like well, girl, I got to tell you like it doesn't get any better when they're teenagers they come on with their shoes on, they jump on the couch, they leap over it.
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I'm like, oh, so I should never get new furniture.
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Is that what?
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and for like 18 years.
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I just want you to know that.
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No, and hopefully when they put you in the nursing home, they'll have the pretty furniture for you, right?
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Or like my Pilates teacher she is, finally she's got empty nesting and she just got this gorgeous new white couch and it's like oh, that's when you do that, ok, taking it.
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Yeah, ok, great, nothing to hope for in the near future.
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Ok, so I just thought of when we can do that exercise.
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Okay, so I remember I have to go back like four years to remember the order of operations after breastfeeding.
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Right, it's that eat activity, sleeps like this oh yeah, absolutely.
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So if we're eating right, baby's eating and then I'm just gonna go ahead and assume your baby has a reflex, because you know Spit up happens Right, spit up happens.
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So you burp your baby, you do your little 10 to 15 minutes of upright time right and do some activity there, and then you can get on the yoga mat and then do your cat cow.
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While your baby's doing that tummy time, you've already got your Boppy or your my best friend where they're gonna be like leaning up on that, and then you just do your cat cow and your stretches and everything then.
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So that solves everything.
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Absolutely.
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Look, yeah.
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So now that we've solved the world's problems, oh look, and there's one more tip I forgot to mention.
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Okay, so the bonus tip is look, I know sometimes I'll speak for myself.
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Sometimes, when I was breastfeeding, I wanted to just like be so fully in the Zen with that oxytocin rush going to my head and just like bliss out with my baby.
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Other times I needed that time to be like, okay, what's the rest of the world doing?
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I need to connect with people who have a life outside of this and I would wanna get on my phone and scroll social media and just vicariously tap into what outside life looks like.
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And so if you need, if it's one of those breastfeedings where you need to be on your phone, I get it, do it.
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But make sure you have now you need pillows under the other arm, because the worst thing for the base of your skull up there there's little, two little lumps at the bottom of your, at top of your neck, bottom of your head is that kind of craning forward, Like that thing that happens when you're looking at the computer screen and you can't read it and you're like in your 40s now and you're realizing you probably have that thing.
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Or like the street signs you need reading glasses, the street signs just too far away and you're like that thing.
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When did that happen, yeah?
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that's not gonna happen to us.
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When you slide your head forward which can happen if you're having that phone time that compresses the base of your skull and look, there is a myriad of stuff that comes from that your fight or flight nerve comes out from the base of your skull right there.
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So, and then you're also that the cranial nerve that goes to your upper traps comes out there.
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So if you start getting that compressed back there, it's going to make you feel more spun up.
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Nobody needs that as a as in the survival state of new motherhood and it's gonna further contribute to that neck and shoulder tightness.
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So add a pillow for the other arm where you're holding the phone, and make sure you've got the pop socket or the loopy so you can keep your wrist in like a neutral position instead of like craning or cranking it, and on that side too.
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So you're protecting both arms, both shoulders so that you can get the most out of it without hurting yourself.
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Amazing.
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That is some great advice and I just want to say that I love my loopy that I have See.
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There you go.
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I was a pop socket girl until I found the magnet on the back, and that was it's the little things I mean, like it really is.
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I can't hang onto my phone.
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I can't see and I can't hang onto my phone, which makes life hard.
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Yeah, no, of course.
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Or, the worst, dropping your phone on your baby.
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Oh gosh, I'm trying to think.
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I'm sure I did it.
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I was probably too tired to remember.
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I do remember.
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I drop it on my face all the time, oh well, completely.
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I do remember the first time my daughter.
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She was like nine months old and right.
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We didn't have this stuff growing up.
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I'll speak for myself.
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I remember she took my phone and she swiped to unlock it and I was like, oh my God, I'm so tired.
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Was that an accident?
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Surely she didn't know how to do that yet and I, like, locked it again and handed it back to her and she did it again.
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So that's not proof.
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I do not have proof that she could unlock my phone at nine months old.
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But just found a fun swipe.
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I don't know.
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It kind of looks like she could.
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I'm like holy moly mackerel, this is a whole new journey with kids, with all this tech.
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Wow.
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Yeah, that's crazy.
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So I mean it's also scary.
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So I'm gonna have to make sure that I'm gonna be watching my kids and make sure that they're like, not hunting.
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I try to get them to lay down when they're using their iPad.
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Oh, yeah, and prop your, your arms up, prop the device up.
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These things, yeah, they matter for our kids too, absolutely, and there are chiropracties to work on kids, you know that's another thing.
00:17:14.462 --> 00:17:22.976
One of the one of the things for new moms that we recommend the most is Making sure you get to see some kind of skilled provider who can check your alignment.
00:17:22.976 --> 00:17:27.031
The ones we love to refer to, I mean, I do kind of integrative or craniosacral therapy.
00:17:27.031 --> 00:17:30.605
That's a great gentle body work, yeah, option for you.
00:17:30.605 --> 00:17:34.075
But we also refer to Webster certified chiropractors.
00:17:34.075 --> 00:17:35.779
So do you love, are they right?
00:17:36.402 --> 00:17:53.739
So they have a special skill set where they can check and adjust the joint at the front of the pelvis, the pubic joint, and that is absolutely imperative for pelvic floor health and healing Because, look, pelvic floor is just a bowl of musculature that holds your guts in.
00:17:53.739 --> 00:17:57.017
Okay, there are no bones holding your organs in from below.
00:17:57.017 --> 00:17:58.784
That is all Pelvic floor.
00:17:58.784 --> 00:18:10.160
It's muscles and soft tissue and it's been through a lot after childbirth and whether you I don't care how you delivered, if you deliver via C-section it's still been through a lot because it basically carried a bowling ball on it for 40 weeks, right?
00:18:10.160 --> 00:18:13.671
So full term caring, full term pregnancy happens either way.
00:18:13.671 --> 00:18:20.042
So we need to give our pelvic floor Gentle grace and time to heal, and part of that can be Breath.
00:18:20.063 --> 00:18:22.094
Work is wonderful and I love the way I heard.
00:18:22.094 --> 00:18:23.299
I heard you talk about expanding.
00:18:23.299 --> 00:18:27.392
Somebody else, and you're sure, talked about expanding the rib cage in three dimensions.
00:18:27.392 --> 00:18:36.672
That is hugely important because, though your weight goes so far forward, we often end up shallow, breathing into the, just the front of our ribs and flaring.
00:18:36.672 --> 00:18:44.300
Yeah, part of rebalancing the pressure and the well-being of your whole abdomen and pelvis is Breathing into the sides and back of your ribs.
00:18:44.300 --> 00:18:45.721
Again, I'm getting way off track.
00:18:45.721 --> 00:18:47.180
That's a great thing to practice with.
00:18:47.260 --> 00:18:50.821
Yeah, but that is something that I would repeat over and, over and over Along.
00:18:50.862 --> 00:18:55.354
So back to the, but the Webster certified chiropractor has the training to adjust that pubic joint.
00:18:55.354 --> 00:18:58.964
Your pelvic floor muscles connect in the front on your pubic joint.
00:18:58.964 --> 00:19:29.359
So what we see all the time and this is you will not hear this, anyone else, no one else is talking about this especially if you have urgency or frequency with pee or you have any groin or inner thigh pain either during pregnancy we're really at any time postpartum getting in to see that Webster certified chiropractor to get your pubic joint checked and adjusted Is an incredibly powerful way to help reset pelvic floor so it doesn't try to go into spasm, holding your joint in the right place, causing more bladder issues, but it also helps relieve that groin and inner thigh pain.
00:19:29.359 --> 00:19:41.051
So, like so many simple, accessible things you can do that are game changers, and that is one of them for postpartum and beyond, yeah, these things are super important but hopefully accessible to most people.
00:19:41.051 --> 00:19:47.814
I know Webster certified chiro's are way more prevalent than they used to be and and it's just a great, easy option.
00:19:48.101 --> 00:19:53.432
Yeah, and I mean you go before you have your baby, because right and after right, because you.
00:19:53.432 --> 00:19:55.424
Know for, and it's not.
00:19:55.685 --> 00:19:56.648
It's not scary.
00:19:56.648 --> 00:20:01.079
So it's nothing, nothing internal, nothing invasive, nothing aggressive.