Category: PostNatal

Losing the Baby Weight Week 4.

Priya Tew

The past 4 weeks has on the one hand flown past and on the other hand it feels like its been forever that this little boy has been around. Life has calmed down with visitors being less frequent, more of a natural routine appearing and sleep deprivation properly setting in as the adrenaline wears off!

I’ve just gone back to post natal Pilates, very cautiously. It’s great to be back in my studio exercising with other mums but I’m pacing myself and only doing short bursts of gentle core work.  My tummy muscles separated a little in this second pregnancy, a condition known as diastasis recti, and I have a 1cm gap at present. This is nothing to worry about but I’m keen to close this gap completely before attempting any exercises that involve curling up.

For more on diastasis recti see here and here.

Here is my post natal mummy tummy. I’m keen to dispel the perfect tummy, air brushed celeb look and would love pics of your post baby tummies, at at any stage after baby for a blog post. Names optional! Please send them through to me – [email protected]

 

Pilates with Priya: Post Natal Tummy Week 4
Pilates with Priya: Post Natal Tummy Week 4

I’m also trying to fit in a daily walk, the fresh air and cardiovascular exercise is great for me and baby. Plus having a toddler have to get out and about. It’s all about pacing yourself and planning I think. What are your thoughts?

Losing the Baby Weight: Week 2

Priya Tew

This week has been mainly spent in hospital as baby Judah lost a little too much weight. Now most babies tend to lose some weight post-birth and they are allowed to lose up to 10% of their birthweight with no concerns. Little Judah ended up losing 15% of his birthweight so we were admitted for tests and monitoring.

Now hospital is not a fun place to be and with all the tests, feeding and being in a hospital room it became 5 days of mainly sitting and lying down with occasional sleeping 😉 So all the gentle walks I had been planning didn’t happen.

On of the questions the medical team had was over my milk supply and quality, so I focused a lot on feeding, expressing milk and eating well. You need an extra 3-500kcals per day when breastfeeding. The best thing is to ensure your meals are all balanced and then to eat according to appetite. I find I’m often hungriest last thing at night and at the night feeds.

All that feeding and expressing seems to be doing the trick as I’ve definitely lost weight this week and I’m back in my “slightly large, extra comfy” jeans – you know the type I mean. I’ve done a couple of very basic pilates exercises on occasions including single knee folds, pelvic tilts and standing heel floats. Don’t rush to get back into exercise at this point, just settle into getting to know your baby but do think about your posture when feeding and carrying baby. Stand/Sit tall, imagine you are lifted by the crown of your head towards the ceiling, slide your shoulder blades down in your back, have your weight balanced evenly over both feet and try to keep your lower back in a neutral position.

Bump to Birth Pilates: Day 14 post-birth
Bump to Birth Pilates: Day 14 post-birth

Top Tips:

  • Make sure you eat extra to enable your body to provide enough milk and good quality milk needed for baby.
  • Keep a snack box handy filled with healthy items you can munch on as you feed. For example healthy flapjack, nuts, raw veggies and hummous, oatcakes and peanut butter, dried fruit and cereal bars all feature in mine.
  • Keep going with your pelvic floor exercises, try to do these each time you feed baby.
  • If you can build in a couple of short, gentle walks.
  • Remember your posture.
  • Look out now for post-natal exercise classes and pilates classes.

Losing the Baby Weight, Week 1.

Priya Tew

It’s day 7 post birth and slowly my body feels like it is returning to normal. My mummy tummy is shrinking gradually and the after birth pains are definitely diminishing. For me these after birth pains have been the worst thing. I didn’t have them with baby number 1, but everytime I feed it feels like another contractions. This is due to my uterus contracting and everything shrinking back to normal so it’s a good thing, but I’m not enjoying it!

Bump to Birth Pilates: Day 2 Post-Birth
Bump to Birth Pilates: Day 2 Post-Birth

Having a toddler means little time to rest so I’m quite active around the house. I’ve already learnt that I can’t lift my toddler, it’s too much for my back and lifting her led to some twinges (yikes) so I’m steering clear of heavy lifting for a while.

So what exercises have I been doing?

Pelvic floor exercises or kegels. I’ve been trying to do these everytime I feed the baby. If you aren’t sure where these are they are the muscles that now don’t work very well  😉 Imagine you are doing a wee and try to stop the flow of urine, it’s those muscles. Try doing some fast contractions where you squeeze the muscles all the way up and then release – imagine a lift going up inside you. Then also do some slow contractions where you slowly take the lift up, hold at the top for 5 seconds and slowly release. You really want to strengthen these muscle as otherwise there will be problems when you cough, laugh, sneeze, jump…. you get the picture!

TVA or core activation. Think about drawing in the muscles below your belly button. There is a belt-like muscle that comes all the way around your body like a corset. Try not to scoop in all your tummy but just tighten up the lower tummy muscles. It may help to place your fingers just inside your hip bones, then cough. Did you feel something tighten? That’s the muscle.

Rest time is also essential though personally this is the bit I find hardest to fit in as I seem to have babies that require a lot of feeding! Try to rest when the baby is napping and remember you don’t have to be superwoman at this point in life. If you have a slightly “messy round the edges house” no-one will mind 😉 Plus if you do too much you can affect your milk supply, so be kind to yourself.

Giving Birth for the Second Time.

Priya Tew

Judah Elisha Tew was born on Thursday 12th September at 11.46am, 7lb 1oz.

Pilates with Priya: Baby Judah

This was my second labour which did make it easier in terms of I knew a little more about what to expect and had the knowledge that I’d done it all before so could do it again. However it was not easy. Anyone who gives birth to a baby is amazing in my opinion.

I’m very fortunate in that I seem to have happy, healthy pregnancies. I worked all the way through both pregnancies, this time I was still teaching Pilates and seeing dietetic clients, in fact I had run a clinic Thursday afternoon and chatted to a journalist about an article that evening and then my waters broke!

My waters broke just before midnight and trickled throughout labour. Having had a 23 hour labour with my first baby I had a snack, a quiet whoop of excitement and then went back to bed to rest. A quick nudge to the hubby to let him know and he rolled over back to sleep 😉 At 3 am I decided to alert the birthing centre, they wanted me to go in to check my waters had gone, however I knew they had and wasn’t prepared to wake a sleeping toddler and leave her with friends at this stage. So I waited until 6am by which time the contractions were building but manageable. Now getting a toddler up, explaining the situation and getting out of the house with contractions every 3 minutes was a bit of a challenge, but typically the car journey led to the contractions slowing. Very frustrating, but quite common.

At the birthing centre I was 3 cm dilated, so we got ready for action. By 8am I was in the birthing pool and things started to get hard. Although my active labour wasn’t long in the moment of it, it felt like a long time. Around 9cm dilation I started to panic and needed reassurance, at this stage the gas and air was given to me. Thank goodness. Even though it did make me feel slightly woozy and sick I needed it to take the edge of the contractions. Pushing didn’t take long at all and it is amazing how your body takes over, suddenly I was aware I had to push, looked down in the water and there was a head – very odd to see!

This labour I really found made me go deep into myself, I was talking myself through it, willing myself on and it showed me how determined I can be. Focusing on the contractions and moving around as much as I could really helped. In the last stages of labour and pushing my husband took over and he was the voice willing me on, talking me through it and telling me what was happening. I gave birth in a birthing centre where they let the woman take the lead, this was amazing as it was a very natural birth but I also needed to know what was going on and have a plan ahead of me. This is where my birthing partner (hubby) came in. He was my eyes and ears.

Top Tips:

1. Stay as active as you can in the early stages, I found circular hip movements helped me work through the contractions.

2. Stay calm and focus on getting through one contraction at a time.

3. Find something to distract yourself early on. I blogged an article and finished making some breakfast/breastfeeding bars.

4. Eat food that will sustain you. I’ve not wanted to eat once my contractions have started coming fast and strong, so eat early on. Pasta, an oat based cereal, rice dish, wholemeal toast with peanut butter or a tuna sandwich for example.

5. Keep drinking and have small snacks in case you fancy a bite. Cereal bars, bananas, sport drinks can all be useful.

6. Have a birthing plan but be prepared for it to change!

7. Discuss your ideas with your birthing partner. Think through things they may be able to do to help you. Gentle massage or running you a bath for pain relief for example.

8. When your waters break collect a sample, the midwife may want to check! So take a wet pad with you.

9. Focus on the final goal – your baby! Labour is hard work but it is only a small part of the adventure of mummyhood.

10. Try and get some skin to skin time and a breastfeed in as soon as possible after giving birth.

11. Practise breathing techniques before hand. Pilates has taught me these.

12. Antenatal exercise classes can really help you be in tip top condition for giving birth. Don’t forget my “From Bump to Birth DVD”.

I feel privileged and completely blessed to have had a water birth, in a calm amazing environment. The human body is an awesome piece of work and giving birth shows what you can do. However I’m not planning on doing it again anytime soon 😉

Why is Pilates so beneficial for new mums?

Priya Tew

Pilates is still quite a new form of exercise in the UK.  Just to give you some background, Joseph Pilates, a German-born gymnast, circus-performer, boxer and anatomical-chart model, developed his training method during the 1920s, so it’s been around for quite a while.  He named his method “Contrology”, initially to rehabilitate soldiers during the war.  Later, it became popular in the ballet circuit, then went mainstream, where now it’s suitable for just about everyone.

You’ll hear Pilates Instructors mention your “core” muscles quite a lot during class.  The “core” is made up of several muscles which wrap around your spine – a bit like a cylinder.  There are muscles at the front of your body (transverses abdominus/hip flexors), side (obliques), back (multifidis), top (diaphragm) and base (pelvic floor).

To find your core muscles, you just need to tighten/pull/draw your abdominal muscles in slightly.  Start by breathing into your belly first, then as you breath out, drawing your tummy muscles in towards your spine and keeping that light tension switched on.  These muscles are slow to contract and slow to fatigue, so it means you should be able to hold your tummy muscles inwards with a low level of contraction, for a minute or two, then simply move an arm or a leg, or the spine, to create an unstable environment and therefore provide a challenge for the muscles.  Pilates is quite simple in design.

Pilates is particularly beneficial for postnatal women, because, put simply, it targets the very muscles which get weakened by pregnancy itself eg the pelvic floor and core.  It also helps you breathe better, puts your body in an optimal postural position and relieves tension in your neck, shoulders, hips and lower back from constant lifting, carrying, feeding and changing your baby.

 

Top Tips on Maintaining Neutral Spine and Pelvis

Priya Tew

Neutral pelvis is a funny concept where we aim to keep the pelvis neither tilted up or under but in “neutral alignment”. The idea is to have a straight line from hip bone to hip bone and to be flat from that hip bone area all the way through to the pubic bone. With Neutral spine it can be simpler to think of the spine being straight, however this isn’t actually true! When lying down there will be a slight natural curve in the lower back, for some this will be bigger than others. Think about being able to pass an envelope underneath your lower back and get your instructor to check if you are not sure.
Most people find getting into neutral is relatively easy to achieve at the start of an exercise but maintaining it is the tricky bit. My top tips are to:

1. Think about the lower back being heavy and almost sinking into the back (we don’t actually want it to do this but the imagery can help)
2. Think about there being a heavy weight on the ribcage holding you down to the mat.
3. Keep the sides of the body long and strong to hold you still.
4. Think about the core being weighty as this is what is keeping you in neutral.

If you feel yourself coming out of neutral, stop the exercise, check your core is drawn in and then try again. You may need to make the movement smaller until your body is a bit stronger.

 

Royal Bumps and normal bumps, tips on getting your body back post birth.

Priya Tew

So on Monday …… the newest addition to the Royal Family made an appearance. With Kate in labour there were people camping outside the hospital, live feeds recording the hospital and all sorts of chatter going on. Now I understand the excitement but thinking back to the birth of my first child, personally I was pleased to see they were given some privacy. The whole labour experience can be so challenging, unexpected and yet at the end there’s the amazement of meeting that gorgeous baby that you have been carrying around for 9 months. Those first few days are overwhelming, emotional, tiring and a big change to life.

The thing that I’ve found sad is the media chatter around Kate’s baby bump still being present a few days post-birth. Now in my mind that’s completely natural and normal. After 9 months of growing a baby your body is going to just spring back to it’s previous shape after a couple of days. It’s made me, as a pregnant lady and a antenatal Pilates instructor, think about the pressure on new mums. Yes, we wants new mums to look after their bodies, to eat healthily, to restart exercise when it’s safe to and to get that body confidence back…… but there can be far too much pressure. Having said that everyone’s bodies are different and if you have exercised through your pregnancy you are more likely to lose the weight quicker. Here I am 8 days post-baby number 1 back in my “comfy jeans” but certainly not back to my normal size and shape, who knows how I’ll be after baby number 2.

Bump to Birth Pilates: 8 days post baby.
Bump to Birth Pilates: 8 days post baby.

My advice:

  • It’s taken 9 months to grow a baby, it will take time for the baby weight to come off, be patient.
  • A few days after birth light exercise such as gentle walking and pelvic floor exercises should be safe.
  • Don’t engage in any high impact exercise until you have had your 6 week check from your GP and have built up to it. Jumping straight into high impact work can cause more damage than good. Strengthen your core and pelvic floor first.
  • Build your exercise back up slowly and steadily. Start with gentle walking, some light resistance work perhaps and think about a post natal Pilates class to strengthen your core and pelvic floor safely.
  • You may have diastasis recti (a gap in your tummy muscles) so certain abdominal exercises will not be suitable, post natal Pilates will help with this.
  • Try not to succomb to the cakes, biscuits and chocolates that are often around 😉 yes you need extra calories when breastfeeding but it’s better to get these from nutritious sources such as fruit, vegetables and wholegrains, lean protein, nuts and seeds. Keep the “treat foods” as treats.
  • Relaxin is a hormone that makes you more flexible and supple than usual, this hormone is still around post-birth so take care when stretching or in yoga moves.
  • If you are still bleeding post-birth be cautious not to overdo it, if the bleeding gets worse then rest.
  • Remember you have a new baby to look after and will be up in the night, so rest is also important.
  • Specialist post natal classes are fantastic – look for a cardio class such as a boot camp or aerobics class to complement a Pilates class. You can often take your baby to class with you.
  • Be active, take time for you and be kind to yourself!

Breastfeeding and Exercise

Priya TewLeave a Comment on Breastfeeding and Exercise

I’m posting this after a couple of posts and questions on the topic… I myself remember being a bit worried about breastfeeding and exercise but my experience was that as long as I fed before and after exercise I had no problems (the hubby on the other hand sometimes had a fractious baby!). I’ve based some of this on my initial questions and those I’ve been asked.

Feed before exercise

I’d always suggest that you feed your baby before your exercise.  If your breasts are full, chances are they will feel uncomfortable, and any amount of activity may stimulate milk flow, so it’s advisable to wear breast pads. If it’s a class like the ones I teach you can probably arrange to get there early and feed the baby before class. If not feed at home or even in the car! Remember you could also express if feeding is not an option.

Bump to Birth Pilates

Is a sports bra necessary?

Getting a properly fitted sports bra is essential if you’re embarking on any type of fitness class or activity to reduce the amount of “bounce” and provide adequate shock absorption to the breasts. Although wearing a nursing bra is very convenient for feeding before or after class it will not provide enough support. Consider wearing two bras, with a nursing bra on first, then a sports bra over the top. I know it sounds like a bit of a nuisance, but this “double-bra” effect will you with the support you need. I remember doing this and then whipping my top and sports bra off to feed in between classes on occasion – rather crazy but necessary 😉 I’m going to be looking out for a breastfeeding sports bra with baby 2 on the way, these are now more readily available thankfully.

Body positioning

I’m always quite aware of this in my  post-natal classes. Lying directly on your front can feel uncomfortable when breastfeeding.  For others, it feels fine.  When performing any exercise in this position, if it feels uncomfy, either mention it to your instructor who should be able to offer you an alternative exercise or you could try placing a rolled up towel above and/or below your breasts to reduce the amount of discomfort/pressure. Personally I only put ladies on their tummies for a short period of time then we change position.

Range of movement

Again, for comfort, it’s advisable to keep the range of movement of some arm exercises smaller and controlled. Anything vigorous that involves you reaching your arms over your head repetitively will cause tenderness, so it’s important you keep the range of movement of your arms smaller.  You know your body best, at the end of the day, so choose what feels comfortable for you.

Milk production

There is no significant research to suggest that moderate-intensity exercise inhibits milk production. Examples of moderate-intensity exercise include: weight training, low-impact aerobics, walking, swimming.  A study by Carey & Quinn (2001) suggested that lactate levels of milk production changed only after a mother performed maximal intensity exercise, and this may affect baby’s acceptance of post-exercise breast milk. But, the authors agreed that it’s highly unlikely that a postnatal women would feel comfortable pushing themselves to this level, so its findings have been discounted. Moderate-intensity exercise however, with good hydration will not affect the quantity or the quality of breast milk. Note the key here is good hydration. A great tip is to have a glass of water every time you breastfeed.

I hope this helps, any questions let me know and I’d love to hear your feedback too.

Priya Talks Pilates on the Katie Martin Show, BBC Radio Solent.

Priya Tew

On Wednesday I had the pleasure of talking on BBC Radio Solent about Pilates, myself and Katie Martin had a lovely chat about the pressure on mums to spring back into shape after having a baby, Kate Middleton’s post birth figure and I gave some top tips on eating and exercising after having a baby.

Listen here for a few more days, it starts at 36 minutes:

http://www.bbc.co.uk/programmes/p01ck39c