The Barbell Mamas Podcast | Pregnancy, Postpartum, Pelvic Health

A wave of excitement hit social media over a perimenopause hormone therapy “study” that hadn’t even cleared peer review. We pull back the curtain on how posters at medical conferences actually work, why methods and nuance matter, and how hype from massive accounts can eclipse the careful voices of the researchers themselves. It’s a candid look at women’s health misinformation, how it spreads, and why long-form conversations offer a better path to clarity.

From there, we dive into real questions from active moms. What explains breathlessness and fatigue at just eight weeks when your body looks the same? How do you navigate the identity whiplash of being an athlete who suddenly feels slower, quieter, and less recovered? We share practical ways to stay consistent, lean on community, and reframe expectations without losing performance completely. You’ll learn how to assess lower abdominal soreness after toes-to-bar, when a hip flexor or lower abdominal strain is the likely culprit, and when anxiety or ectopic history means it’s time to see a clinician.

We map out first-trimester strength work in clear terms: three focused full-body days, two to four sets per lift, rep ranges that respect energy, and simple progressions—add a rep, add a little load, or add a set as recovery allows. Instead of defaulting to scaling everything, we push for a progression mindset and modify only when your body asks. On pelvic girdle pain and sciatica, we compare slimmer pelvic belts like the Serola with fuller supports, explain who benefits most, and pair any device with targeted hip and trunk strengthening. We also spotlight a missing piece in the literature: how pre-pregnancy injury history shapes pain during pregnancy, and what that means for prevention.

If you’re an active mom, coach, or clinician who values evidence with empathy, this conversation gives you tools you can use today—plus the context to spot hype before it takes root. Subscribe, share with a friend who trains, and leave a quick review to help more women find trustworthy guidance.

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Conflicting rules about pregnancy exercise can make even seasoned athletes second-guess their training. We cut through the noise with a practical framework that honors your history, your symptoms, and your goals—so you can keep moving with confidence. Christina Previtt, pelvic floor physical therapist and researcher, digs into why guidance still conflicts, what the latest research actually supports, and how to use simple guardrails to make smart decisions in real time.

We break down the 150-minutes-plus-strength target, why “some” beats “none” at every step, and how to think about intensity when heart rate naturally runs higher during pregnancy. Runners get a deep dive on comfort strategies: strength training to reduce pelvic floor dysfunction risk, SI belts and compression to offload the pelvis and abdominal wall, and internal bladder supports like Impressa or Uresta for urethral hypermobility. If you’ve been told “don’t lift” or “no squats,” you’ll hear a clearer path: pick movements you can breathe through, brace without pain, and recover from within 24 to 48 hours, and modify when symptoms speak up.

We also reframe diastasis recti. A two-finger gap is often below clinical concern, the linea alba will lengthen to make room for baby, and targeted core work is not off-limits. Learn which exercises actually train the abdominal wall, how to scale without bulging or pain, and why capacity matters more than chasing closure during pregnancy. By the end, you’ll have a steady set of cues, tools, and options to tailor running, lifting, and daily activity across trimesters—without fear or guesswork.

If this Q&A style hits home, tap follow, share with a friend who’s training through pregnancy, and leave a quick review with your top question for part two. Your feedback shapes the next round of topics and helps more active moms find evidence they can use.

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You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here! 

Imagine your daily choices in pregnancy quietly shaping your child’s metabolism, stress responses, and emotional regulation for years. That’s the compelling throughline from our time at the Canadian Society for Exercise Physiology pre-conference, where leading researchers shared how movement and food quality during pregnancy build health that lasts well beyond birth.

We break down what the latest studies suggest about prenatal exercise, resistance training, and reducing ultra-processed foods. You’ll hear how even simple interventions—like pairing grocery support with a pedometer goal—can improve early childhood outcomes up to 36 months. We also talk candidly about the barriers that make “just exercise and eat well” feel unrealistic: long commutes, childcare, nausea, finances, or medical restrictions. Our aim is to cut the fear and guilt, and replace them with doable wins grounded in the 24-hour movement guideline, where any shift toward more activity and less sitting moves the needle.

Whether you’re an experienced lifter cruising through classes or taking your first steps into movement, you’ll find a flexible framework that respects context and celebrates small gains. We explore the nature–nurture blend and how epigenetics helps explain the long arc from prenatal habits to early development, without overselling certainty. The takeaway is warm and practical: choose what’s possible today, protect sleep where you can, keep stress in check, and let consistency do the heavy lifting for both you and your baby.

If this conversation helps, share it with a friend who needs encouragement, subscribe for more evidence-based guidance on pregnancy and postpartum performance, and leave a review to support the show. Your feedback shapes future episodes and helps more parents find their path.

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You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here! 

Fear thrives where facts are fuzzy—especially around pelvic organ prolapse. We open the blinds with clear explanations, zero scare tactics, and a practical path back to the barbell. You’ll hear why the vagina isn’t a hollow tube, what normal movement of vaginal tissues looks like when you bear down, and how providers actually assess prolapse across the anterior, posterior, and apical walls. More importantly, we focus on what your symptoms mean for your life and training, not just what a grade says on paper.

We get honest about timing and healing. Early postpartum tissues are remodeling, so a six‑week verdict rarely predicts your long‑term baseline. Think of prolapse like stretch marks: some bodies show more change, some less, and sensitivity varies. When heaviness or that “golf ball” sensation shows up, we map out next steps—conservative care to coordinate your pelvic floor, simple recovery positions to calm flares, and how a pessary can act like a sport-ready brace with the right fit. We also outline when surgery is typically considered, what options exist, and the trade‑offs to discuss if future pregnancies are on your mind.

Then we take on the weight room myths. Occupational lifting data isn’t the same as structured strength training, and newer research doesn’t show a significant increase in descent among strenuous sport athletes. Translation: you didn’t “cause” prolapse by one heavy session. We walk through a return-to-lifting framework—clean up bracing to avoid bearing down, use your breath as a pressure gauge, manage load to raise your symptom threshold, and reintroduce the belt with purpose. Along the way, we tackle constipation, coughing, and pelvic floor tightness, so you’re not clenching your way into more discomfort.

If this conversation eased your fears or gave you a plan, share it with a friend, subscribe for more evidence-based guidance, and leave a review to help other moms find reliable support.

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You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here! 

The room got quieter when the number landed: HCG at 5,000—far too low for nearly thirteen weeks. From that moment, everything we’d been planning—the crib shuffle in our three-bedroom house, the baby names our kids were arguing over, the assumption we’d crossed into a “safe zone”—shifted into the harsh clarity of a missed miscarriage. We’re sharing the story we needed to hear: what the ER limbo feels like, how bedside ultrasound can foreshadow a formal diagnosis, and why lab values can be both information and heartbreak.

We walk through the real choices families face after pregnancy loss: expectant management and its long, uncertain timeline; medical management with misoprostol, including what the pain, bleeding, and safety thresholds actually feel like at home; and surgical management via D&C when speed, tissue testing, or medical necessity make it the right call. Along the way we talk about follow-up plans, HCG monitoring, when to seek help, and how to make decisions that match your values, schedule, support system, and mental health. This is practical, compassionate guidance from people who just carried it.

You’ll also hear the partner’s perspective—what it’s like to hold hope in a waiting room, to field waves of well‑meant messages, and to grieve a child without the physical markers of loss. We share how we told our kids, why simple rituals like a barefoot hike helped, and how community support can be both overwhelming and lifesaving. If you’ve been here, you’re not alone. If you haven’t, this conversation can help you support someone who has with empathy instead of minimization.

Subscribe for more honest, evidence‑informed conversations on pregnancy, postpartum, pelvic health, and strength. If this episode resonates, share it with someone who needs it and leave a review to help others find these stories.

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You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here! 

The internet turned pelvic floor training into a turf war—“always Kegels” on one side, “never Kegels” on the other. We cut through the noise with a clear, evidence-backed framework that shows how to build strength, practice relaxation, and keep moving with confidence through pregnancy.

We start by grounding the conversation in what the research actually supports: pelvic floor muscle training can reduce postpartum urinary incontinence and help many pregnant athletes and recreational movers maintain function as load increases. From there, we zoom out to the system that matters most—the diaphragm, abdominals, hips, and pelvic floor—and explain why coordination beats clenching. You’ll hear how to choose your focus based on your starting point, what symptoms to watch, and why both contraction and full release are essential skills for labor, lifting, and daily life.

Together, we map a practical plan you can live with: simple tests to decide when to prioritize strengthening, how to practice relaxation without overthinking it, and easy “habit cues” to fit training into a full schedule. We also challenge the myth that strengthening blocks relaxation during pushing and show how education and timing are the real game changers. Whether you’re entering pregnancy with previous leaks or feeling strong and symptom-free, you’ll learn how to adapt training to your week, trust your body’s signals, and stay aligned with long-term pelvic health.

If this helped you drop the confusion and find your middle ground, follow the show, share it with a friend who lifts, and leave a quick review with your biggest takeaway. Your questions shape future episodes—what should we unpack next?

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You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here! 

Cesarean delivery affects one in three births in America, yet many expectant mothers remain unprepared for this possibility. As a pelvic floor physical therapist and athlete who has competed while pregnant, I'm pulling back the curtain on C-sections with compassion and expertise.

The journey begins with addressing the emotional landscape. If you experienced an unplanned cesarean, hear this: you did not fail. You delivered your baby. This message resonates deeply with listeners who've felt disappointment when birth plans changed unexpectedly. I explore the value of doulas as advocates during these pivotal moments and explain why grieving an unexpected birth experience is both normal and important.

We dive into the different types of cesarean births - planned, emergent, and emergency - demystifying each scenario with clear explanations that go beyond medical jargon. You'll learn what actually happens during the procedure, from the horizontal skin incision to the lesser-discussed vertical internal cut that impacts your recovery.

The podcast shines in its practical recovery guidance. We explore the concept of a "gentle cesarean" with music, delayed cord clamping, and skin-to-skin contact. I share evidence-based rehabilitation techniques including early walking, pelvic floor exercises, and the crucial but often overlooked scar mobilization techniques for both the visible and internal incisions.

Most powerfully, this episode transforms anxiety into agency through knowledge. Whether you're currently pregnant, recovering from a cesarean, or planning future pregnancies, you'll gain a comprehensive understanding of cesarean delivery that empowers rather than frightens. The techniques shared apply whether your C-section was six weeks or six years ago.

Ready to rebuild your strength after cesarean birth? Visit thebarbellmamas.com to explore our programs designed specifically for athletic mothers at every stage of the journey.

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You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here! 

Exercise during pregnancy has long been shrouded in caution and confusion. What if many of the modifications we've been taught are unnecessary? Drawing from both cutting-edge research and personal experience through multiple pregnancies, this episode challenges conventional wisdom about prenatal exercise.

The fitness landscape for pregnant women has dramatically evolved over the past decade. Where once pregnant women received advice limited to walking or gentle yoga, we now recognize the benefits of maintaining strength and conditioning throughout pregnancy. But questions remain: should every pregnant woman modify exercises in the same way? Does holding your breath while lifting actually increase your risk of pelvic floor issues? What's the difference between physiologically-based recommendations versus outcome-based evidence?

Two distinct approaches have emerged in pregnancy fitness guidance. One camp bases recommendations on physiological changes happening during pregnancy, suggesting universal modifications regardless of individual fitness levels. The other acknowledges the body's remarkable adaptability, suggesting women continue their pre-pregnancy routines until symptoms indicate a need for change. My journey as both a clinician and researcher has led me from firmly believing in the first approach to increasingly embracing the second.

Most compelling is emerging evidence showing that fitness level entering pregnancy serves as a protective factor against pain and dysfunction. Rather than focusing exclusively on which movements to avoid, we might better serve pregnant women by emphasizing the importance of strengthening their bodies before and during pregnancy. This represents a profound shift away from fear-based messaging that can unnecessarily limit movement during a critical life stage.

Ready to explore how your body's signals might guide your pregnancy fitness journey better than universal modifications? Listen now to discover why the most beneficial approach might be less restrictive than you've been led to believe.

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Don't miss out on any of the TEA coming out of the Barbell Mamas by subscribing to our newsletter

You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here! 

Pregnancy fitness has undergone a revolution. What was once a landscape of caution and restriction has transformed into one of empowerment and evidence-based freedom. In this candid exploration, pelvic floor physical therapist Christina Previtt shares both personal experience and cutting-edge research showing just how dramatically prenatal exercise recommendations have evolved.

Remember when lifting anything over 20 pounds during pregnancy was considered dangerous? When heart rate limits were gospel? When certain sports were absolutely off-limits? Those days are rapidly disappearing as research consistently demonstrates that pregnant bodies are far more capable than previously believed. Christina walks us through the mountain of evidence now supporting strength training during pregnancy, including studies showing that previously feared practices like lifting heavy weights, exercising on your back, and holding your breath during lifts pose no threat to mother or baby. Similarly, intensity restrictions for cardio have been largely debunked, with studies of ultramarathoners and other endurance athletes challenging our assumptions about exercise limits.

Perhaps most fascinating is the shift in how we approach sports participation during pregnancy. From soccer players to equestrians to even bull riders, athletes are pushing back against blanket restrictions in favor of individualized risk assessment based on their intimate knowledge of their sports and bodies. The trend is clear: pregnancy exercise is moving away from one-size-fits-all prescriptions toward personalized approaches that respect each individual's unique pregnancy journey.

Christina also candidly addresses where research gaps remain, particularly around the pelvic floor, and shares exciting developments from her current research that may soon provide answers to these lingering questions. Whether you're an athlete, fitness enthusiast, or health professional, this episode offers valuable perspective on how far we've come and where we're headed in the world of pregnancy fitness.

Have questions about exercise during pregnancy or postpartum that you'd like to see addressed by future research? Christina would love to hear from you as she continues her work in this rapidly evolving field.

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You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here! 

That positive pregnancy test changes everything—suddenly you're questioning your exercise routine, wondering if you need to modify, and trying to navigate the world of first trimester symptoms while maintaining your identity as an active person. For athletic women, this period can be especially challenging as you balance your love for movement with new physical limitations.

The nausea, fatigue, and sometimes vomiting that often peak around six weeks can derail even the most dedicated fitness enthusiasts. But here's the mindset shift that changed everything for me: when you're operating at 40% of your normal capacity and give 40% effort in your workout, you're actually working at 100% of what your body has available that day. This auto-regulation approach—adjusting based on how you feel each day—allows you to honor both your pregnancy and your athletic identity.

Many women fear they'll need to abandon competitions or significantly scale back immediately upon becoming pregnant. However, research doesn't support this concern. In uncomplicated pregnancies, there's nothing about first trimester physiology that requires stepping away from races or meets. I personally PR'd at a weightlifting competition at 10 weeks pregnant! Similarly, the research is clear that exercise does not increase miscarriage risk—an important reassurance for those exercising after loss. 

Most importantly, remember that your pregnancy journey is uniquely yours. Some days, moving your body might actually help alleviate symptoms (I've found aerobic exercise particularly helpful for my nausea), while other days might require complete rest. Morning workouts often work better as fatigue accumulates throughout the day, but never sacrifice sleep for exercise. Set low barriers to start—commit to just one kilometer or one set—and you'll often accomplish more than expected. Above all, choose movements that bring you joy during this time of tremendous change. Your body is doing incredible work growing a human, and every bit of movement counts!

Subscribe to the Barbell Mamas podcast for more conversations about navigating motherhood as an active woman, and share your own first trimester fitness experiences with our community.

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Don't miss out on any of the TEA coming out of the Barbell Mamas by subscribing to our newsletter

You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes.

Interested in our programs? Check us out here!