A recent article in the Journal of Orthopaedic and Sports Physical Therapy (Deering et al, June 2020) discusses the research currently available to guide a return to exercise (including competitive sport) after pregnancy and childbirth. The short answer is, there’s not much. The article proposes a 3 phase approach to postpartum recovery in athletes. Phases...
The 6-week postpartum doctor’s visit is when women are often “cleared” for activity and are often advised to start slowly and gradually build exercise volume. Running is a popular activity in the postpartum population given the flexibility of scheduling exercise, weight loss and fitness benefits and ability to participate in exercise with your baby (once...
As a pelvic health physical therapist who works with individuals during pregnancy I am often asked, “What is the best position to deliver a baby in?” My answer is typically: “Just like posture, there is no “perfect position”, the best position or posture is one that continues to change and where you feel most comfortable.”...
After talking to many midwives and doulas around Boulder Country and listening to patients’ birth stories, it is clear to me that every labor and delivery is different. No two births are completely alike. While there are some aspects of labor and delivery that you cannot control, here is a list of things you can...
Dyspareunia or pain with intercourse is common after having a baby. An estimated 50% of women report pain with intercourse 3 months after delivery and 17% still report discomfort at 6 months postpartum (Buhling et al, 2006). More severe perineal injuries correlate with more persistent pain, however women who undergo a C-section delivery may also...
Many clients I work with, particularly in the greater Boulder Area who are active and fit prior to pregnancy, want to know what types of exercise and intensity is appropriate to continue during pregnancy. First, it is always important to check with your OB/Midwife to make sure you are safe to continue or change your...
Diagnosis: Pelvic girdle pain (PGP) is musculoskeletal pain that occurs at either SI joint, the pubic bone, the groin, or some combination. PGP is very common during pregnancy, affecting between 52-70% of the pregnant population, particularly during late pregnancy. As with many musculoskeletal dysfunction during pregnancy it is common, but it does not have to...
How The Use of Forceps During Delivery Impacts Urinary Incontinence in the Postpartum Period By Berrin Boyce As a pelvic floor PT working in Boulder with many people during their pregnancies I often hear the question: “What can I do to decrease the risk of developing urinary incontinence or pelvic floor issues after delivery?” I...
Low Back Pain and Postpartum Depression By Berrin Boyce, PT, DPT, PRPC Low back pain, pelvic girdle pain, and postpartum depression are relatively common following pregnancy. Musculoskeletal pain likely impacts around 50% of people in the postpartum period (Carvalho et al, 2016), while 1 in 7 women will experience postpartum depression. Although both are common,...
Postpartum runners potentially make up a large portion of community runners as most women participating in running events are of childbearing age. 35% of women returning to running after childbirth report running-related pain. In 2019, a group of international running experts developed guidelines for postpartum runners to safely and effectively return to running. This criteria...
