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8 Mistakes to Avoid During Postpartum Recovery

December 6, 2019 Helene Trager-Kusman
Adopting a flexible mindset is key to managing expectations during postpartum

Adopting a flexible mindset is key to managing expectations during postpartum

8 Mistakes to Avoid During Postpartum Recovery

I’ve learned a lot during these past 5 months. I could have read all the postpartum books in the world, but nothing could have prepared me for this experience. It’s hard to anticipate your needs after giving birth, but this list of what to avoid will help recovery be centered around what is most important… the needs of you and your new baby!

1. Measuring Against your Expectations

It is impossible not to have 1000 expectations and plans from the time you try to conceive. From when you want to get pregnant to what your birth will be like and how and what you plan to feed your baby- it’s hard not to fantasize about the perfect experience. While there is no harm in planing, it is important not to remain attached to these expectations, as more likely than not you will have to adapt. I was lucky that our unmedicated, natural birth became a reality, but our breastfeeding “plan” took an unexpected turn. Because I was so attached to planning on nursing for a year, I was unfairly hard on myself when things didn’t work out as expected. Adopting a flexible mindset to go along with expectations is absolutely key to physical and mental health and wellness during postpartum.

2. Comparing Your Experience to Others

The comparison game is always a tough one, especially during such an emotionally vulnerable period. In the time of social media, it is hard to see smiling new moms out with their happy baby in tow sipping on a margarita. Or a mama cooking a deliciously healthy homemade stir fry while bouncing baby on their hip. How about a 5 weeks postpartum mom hitting the gym flashing a shockingly flat tummy? Those are all things I saw on social media postpartum and couldn’t help comparing to the overwhelming day to day challenges I was facing. I did choose to go off of social media for the first couple weeks, but whether it’s digitally or in real life- there will always be other mamas to compare with and it’s about being at peace with where you are on your unique journey.

Don’t forget that an instagramworthy photo from a professional shoot is not always the full picture

Don’t forget that an instagramworthy photo from a professional shoot is not always the full picture

3. Trying to Do it All

During pregnancy I assumed that my introverted self would want as few people around as possible. The prospect of family, friends and professional help in the house gave me anxiety. When we were generously gifted postpartum doula hours for the first few weeks, I reconsidered. I figured that we could test drive a few nights and see how we felt about having someone besides family around. Literally the day after our first night home from the hospital we called to add more hours. We also begged my mom to stay with us through the first two weeks! I never anticipated how overwhelming our challenging feeding/breastfeeding experience would be and navigating first time parenting. During pregnancy I assumed that having help around would mean not spending time with my baby. But instead, having support meant, extra hands to help with the thousands of other things that allowed me to spend even more quality time with baby and make sure to take care of myself.

4. Rushing to Get Moving

6 weeks and you’re cleared to whip yourself back into shape- right? Wrong. Most women are cleared to return to normal activity after 6 weeks despite their bodies being nowhere near what they used to be. A majority of pregnancy and births result in diastasis recti (separation of the abdominal muscles) and pelvic floor issues. These require careful training and can create lifelong problems if ignored. I was fortunate to have mamas warn me about their regrets of jumping back into running and high intensity workouts too soon, leading to long term issues with incontinence and core strength. I chose to hold off on almost all activity other than short walks until 6 weeks, at which point I began 6 weeks of pelvic floor physical therapy (covered by insurance!) and gentle yoga. At 2 months postpartum I added low impact cycling and barre class. I plan to slowly and carefully return to high impact/intensity workouts at 6 months postpartum, prioritizing optimal healing for long term physical health.

Take it slow! A walk outside is an amazing postpartum workout…. save the high intensity stuff for later

Take it slow! A walk outside is an amazing postpartum workout…. save the high intensity stuff for later

5. Saying Yes When You Mean No

This is a sacred time for you and your family. Do not feel pressured to allow others to make it about them. Figure out what you want and what you don’t want. This is different for everyone. For me, I did not want a meal train, which I know is a popular form of postpartum support these days. Instead, I froze my own food and knew that those I am closest with would offer to bring us food regardless. I did not want to “say yes” to people coming by at certain pre-arranged dates and times only to find it to be a stressful day when I wouldn’t want visitors and it was worth sacrificing the help with meals. I instead asked for favors like errands, grocery pick ups and laundry. I found that the people who truly want to help will be happy to do what YOU find most helpful.

6. Neglecting Your Needs

That first week I totally went against my own beliefs on self care and neglected my most basic needs. Although I had plenty of support around me, I chose not to prioritize making time to take care of my physical health. I make a point to say “I chose not to” because it doesn’t feel like a choice, but it is. Our primal instincts kick in to devote every second of energy to baby and feel guilty stepping away and letting others help. A week in I had a day where my mental and physical health came crashing down. I recognized the need to change how I was doing things and started taking sitz baths, made sure to eat more, and sleep through a feeding each night.

Those primal instincts kick in and all of a sudden we neglect our own most basic needs

Those primal instincts kick in and all of a sudden we neglect our own most basic needs

7. Doubting Your Expertise

From the moment Harper was born, he had difficulty latching/eating. These struggles continued for 3 months until we hit rock bottom with a failure to thrive diagnosis. I knew something was wrong from the beginning and finally was ready to listen to MY intuition and figure out a solution. If I would have continued doubting my expertise, we may not have figured out he had a tongue and lip tie. Finally at 5 months, he is eating like a champ and we have found our new normal. I learned such an important lesson, as I felt strongly like something was wrong from the beginning but didn’t prioritize my own innate knowledge as a mom.

8. Focusing on Whats Next

It is so natural to long for things to get easier. I found myself thinking - I can’t wait for my stitches to heal and to feel better, for breastfeeding to feel easier, for him to gain weight, to sleep more… the list goes on. I had to constantly remind myself to stay present and enjoy these challenging, but precious moments because no matter how hard it felt- I would never get these days back. I realize that just like we did, many families face unique challenges and regardless, we have to find solace in those precious newborn moments to maintain our sanity and stay grounded.

Read More…

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Harper's Birth Story: Our Unmedicated Natural Hospital Birth
Harper's Birth Story: Our Unmedicated Natural Hospital Birth
flip breach baby
How Our Breech Baby Flipped at 37 Weeks
unexpected pregnancy changes
5 Unexpected Pregnancy Changes Part II
cortisol hormones
How My Cortisol was Secretly Sabotaging Me
In pregnancy and postpartum Tags pregnancy, postpartum health, postpartum recovery, postpartum, postpartum fitness, first 40 days, postpartum mistakes, breastfeeding, tongue tie, natural birth, unmedicated birth, fed is best, diastasis recti, pelvic floor, postpartum doula, new mom, newborn
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5 Unexpected Pregnancy Changes Part II

April 19, 2019 Helene Trager-Kusman
A lot has happened in the past 13 weeks of pregnancy! I’m updating you on the latest unexpected changes that have caught me by surprise.

A lot has happened in the past 13 weeks of pregnancy! I’m updating you on the latest unexpected changes that have caught me by surprise.

Pregnancy is a beautiful, messy and confusing time all at once. With every change, I’ve wondered why in a baby and bump obsessed media culture, I haven’t seen the important stuff: what the heck actually happens to mama in the process. I won’t bore you with the usual commonly discussed changes that the websites, apps and most doctors warn you about. Growing, swelling, stretching, vomiting and crying are all things that you’ve seen in the movies and heard before. Here’s the stuff that nobody tells you (continued from my Part 1)!

Before we dive in, I want to acknowledge that the intention of sharing this information is not to scare anyone or make pregnancy out to be a painful or stressful time (you will never see me label changes with those words!). I believe that being empowered with the knowledge of what to expect will if anything do the opposite and make future mamas, current mamas, besties and partners aware and confident in understanding the incredible changes a woman’s body undergoes during pregnancy.

Five Unexpected Pregnancy Changes Part II:

The Change: Abs start to split

I had heard that abdominal muscles can “split” during labor and birth, but had no idea this could happen earlier in pregnancy. During my second trimester I felt uncomfortable up near where the bottom of my bra sits. I figured this was due to the pressure of my endlessly growing large chest sitting on top of my baby bump.

When I told my regular OB she speculated that it was probably some high up uterine muscles stretching. However, when I went to see a holistic OB, she felt the area and discovered that I had a 2-3 finger separation in my upper ab muscles. From what I have heard and read, most women will experience some sort of separation during pregnancy and almost all women will by the time they deliver baby. In my case it is uncomfortable, but this is not always the case and it sometimes goes undetected. Here is a great post from Wellness Mama with more info and diagrams.

The Fix: New exercise routine and help from experts

I have continued visiting the holistic OB for a number of reasons, but she also monitors and has been checking to see if it has gotten any worse- which it hasn’t because of some changes I have made. I want to caution you that you will hear a range of suggestions for anything that comes up during pregnancy and you always have to go with what feels right. For me, I err on the side of caution in many cases, which is what I did this time. While other doctors/experts told me I could continue my usual exercise, my doula advised to stick to walking and restorative yoga. Most exercise activates your core and once the abs have split you need to be really careful about letting these muscles rest until undergoing more of a rehab plan for them. I feel good about doing what I can to make sure they don’t get worse during pregnancy and working on strengthening them with experts during postpartum.

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    The Change: Pelvic floor tension

    This is a super common one! As the belly starts to put more weight on the pelvic floor, some women may start experiencing tightness and tension in the area. I was also told that my abs splitting and lack of ab muscle during pregnancy contributes because those muscles aren’t working to help with the extra weight. Like anything, this varies from person to person. I know some women who have had similar daily discomfort earlier like I am experiencing and others who don’t at all or only do at the very end. It makes it hard for me to walk and engage in many normal daily movements like getting comfy in bed or getting out of the car.

    The Fix: Extra belly support, exercise ball and help from experts

    Going to a chiropractor who specializes in pelvic floor/pregnancy has really helped. I got a recommendation for one from my doula who I switched to from the regular more sports injury chiropractor I was previously seeing. She taped me, which is what the bandage looking things are in the picture below. The tape has helped take pressure from my belly off my pelvic floor. I also got taped during marathon training to help with my hips and it really helped- so I highly suggest looking into this for many different physical/muscular issues. I tried different belly bands/shirts/leggings suggested for this and didn’t find them to be helpful, but some people do! I like that the tape is on me and I don’t have to apply some tight, confining contraption. Sitting on an exercise ball also helps take the pressure off and is commonly recommended for pregnant women whether they are experiencing discomfort or not! Finally, restorative yoga with the amazing prenatal savvy teachers at my yoga studio is doing wonders for my body and also preparing me for birth!

    Getting taped by a chiropractor with pelvic floor expertise is definitely helping with belly support

    Getting taped by a chiropractor with pelvic floor expertise is definitely helping with belly support

    The Change: Cup size continues to increase dramatically

    Sore/growing boobs was one of the first signs when I found out I was pregnant, but didn’t by any means end then. Every time I think they are done growing, I am proved wrong and have heard that this will only continue at the end of pregnancy/beginning of postpartum.

    The Fix: Switch to comfortable pregnancy/nursing bras

    I’ve totally give up on regular/underwire bras and have been so impressed with the comfortable and affordable collection of nursing bras at Target. They are stretchy and comfortable enough to wear and grow into during pregnancy, plus an actual investment I would have needed to make anyway for postpartum. I got a variety of brands and styles based on what felt most comfortable and fit me- but there are a lot of great choices. If you are ordering online know that most of them will really work for any band size and just think about your cup size. I got an extra large in all of them because of my cup size and the bands still all fit even though I am usually a 32 for band, which was such a pleasant surprise. I also really like this nursing cami from Target with built in bras which has been super comfy and fit well during pregnancy. The large has worked for me, so again, size based on chest for these items even if you wear smaller clothing usually.

    The Change: Body temperature rises

    I am one of those people who is always cold, and laughed when people told me I would always be hot during pregnancy. I am definitely not always hot my any means, but get way hotter than I usually do! I used to wear socks and long pajamas to bed and now can’t even imagine having fuzzy socks on under the covers. Sweating EVERYWHERE is a normal part of my day even though I barely get my heart rate up and its still not hot here!

    The Fix: Dressing in layers, changing clothes, lots of deodorant

    Layers, layers, layers! I will go from being in a sweatshirt to being in a bra in 30 seconds. Frequent changes of bra and underwear followed by layering on tons of deodorant is a standard part of my day. I try to use natural deodorant most of the time, but don’t want to scare people so some days I have to follow it up with the regular stuff.

    The Change: Return of the first trimester

    This was mostly just a beginning of third trimester thing, but I think its important for people to be aware of! My nausea and stomach aches returned along with some detached/lonely feelings that I felt during the first trimester. Apparently the surge in hormones that happens around that time can cause similar sensations/feelings to the surge in the first trimester so this can happen. I would compare it to a wave of PMS symptoms that last about as long as those usually do. It definitely subsided a bit a week or two in. You also go back to being tired all the time, which does not go away- but I think is a pretty commonly shared change that is expected!

    The Fix: Listening to your body, being easy on yourself

    This is when I really had to start listening to my body and going easy on myself. I was already starting to go easy on my body physically due to the other changes I mentioned, but needed to be forgiving in other ways. Allowing myself to stay in bed. later, go home earlier, say no to things, rest and take on a little less helped me feel less overwhelmed and give me time and space to listen to my daily physical and emotional needs.

    If you haven’t already, make sure to read Part 1: 5 Unexpected Pregnancy Changes that Caught me by Surprise!

    Read Next

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    Grahams Birth Story: Finally Meeting Our Rainbow Baby
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    8 Mistakes to Avoid During Postpartum Recovery
    In pregnancy and postpartum Tags pregnancy changes, pregnancy symptoms, pregnancy health, diastasis recti, pelvic floor, third trimester, birth
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