I decided to share this after a conversation with one of the mothers in my community last week. Leaking after birth is common but not normal.
We are getting pretty good at sharing our plevic health stories now. In my most recent postnatal class many of the women shared that one of the reasons for coming was to support pelvic floor function.
But what we arenāt great at talking openly about with fellow mums is how our dysfunction came to be.
When iām looking at pelvic floor dysfunction I think of it from 3 angles. Two of which I can help with. One of which I would refer you to a super duper pelvic physio that I know!
Pelvic floor dysfunction after physical injury
Now this is common place in mothers. Either through tearing (again very normal most bodies tear when birthing often when we birth without intervention our tears are small and will naturally heal if looked after) But in a world where birth intervention is rising many women now experience significant tearing either from coached pushing or birth positions that are not right for their bodies. We also have many women experiencing episiotomyās (cutting of the pelvic floor ) to assist the birth of your baby. A physical injury requires the support of a pelvic health physio. Always. Not just a one off look over but repeated visits to help the women heal. Feel seen. And supported.
Emotional pelvic floor dysfunction
This piece relates directly to physical injury and dysfunction. Becuase after a traumatic experience our bodies tend to freeze. It holds on. Your facia thinks itās under threat and both the nervous system and your muscles tighten. Over time this holding on this inability to relax fully and feel safe will result in some form of pain or dysfunction in the pelvic floor or associated areas of the back and or hip. Sure we can do a bit of breathing to help. Yes we can do pelvic floor exercises. But this is where the deeper worth MATTERS! Having the massage and body work like closing the bones regularly over a period of time. Putting the body in spaces that feel safe! Allowing the nervous system and the woman it belongs to slowly soften. We have too look outside of physical therapy and exercises for muscles. We have to go DEEP! Sometimes into wounds that are not even related to child birth but stem back to childhood!
Postural pelvic floor dysfunction
This is huge so many postnatal mothers that I see perhaps 6 months after birth who maybe had a section or an intervention free birth are still developing dysfunction. No physical injury. But because our posture changes so much between maiden and mother we have to often realign. If we continue to carry our heavier baby and then return to our old life we will suffer. Pelvic floor issues related to posture can be treated with movement and of course massage. Both together is ideal.
So there you have it a whistle stop tour of pelvic floor dysfunction for mothers who are living with it.
Where does yours come from? What are you doing to support yourself and how can I help you? I would love to know.
Motherworth begins on the 2nd of October if you want to dip your toes into the deep work of healing yourself in motherhood
And if you want understand and rebuild slowly with deep connection this foundational movement programme Mother Body Reset is perfect.
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