Hypopressives are coming to Southampton

The Hypopressive exercise, is a relatively new technique developed to help with pelvic floor rehabilitation and postnatal recovery of the abdominals. It is a form of breathing and intense posture work that involves creating a vacuum with your breath. This activate the involuntary fibres of the pelvic floor and abdominals, you don’t have to find the right muscles and squeeze them, instead you work with the bodies natural reflexes.

Where did the Hypopressive Exercise originate?

In the late 70’s, Dr. Marcel Caufriez realized that ‘traditional’ abdominal exercises were damaging women’s pelvic floors. So he looked into alternatives, moving away from high intra-adominal exercises such as creates and planks, the hypopressives were born. These exercises have been used for 30 years in Spain and are now used postnatally in hospitals in Europe with ladies with know pelvic floor and diastasis issues. However this is all brand new to the UK, we are pleased to be on the cutting edge, bringing you this technique.

Priya has trained with UK Hypopressives and has started doing hypopressives herself. With just 10 minutes a day she is feeling the effect on her core. These exercises are fabulous as they don’t take a lot of time and do not need any equipment. If you can breath, you can do them! However you do need hands on help to learn the technique.

This is a technique that can be incorporated in with other pelvic floor safe rehabilitation work, or used on it’s own for 30 days. It really depends on what level you enter this at. For example, someone with a prolapse it would be sensible to use the hypopressives only, then build on other pelvic floor work later.

 

Additional benefits can include:

1. Decreasing back pain

2. Reducing the waistline

3. Preventing disc and abdominal hernias

4. Improving sexual function

5. Treating and preventing urinary incontinence

6. Treats and prevents Pelvic Organ Prolapse

7. Improving respiratory function

8. Improving posture and balance

If you would like to learn more and experience hypopressives for yourself then please book onto our workshops. These are kept to small numbers so that you can have plenty of hands on help to learn the technique.

Dates:

Monday 29th January 10-12pm

Book Here

Thurs 22nd March 1-3pm

Booking to come

The 3 top benefits of postnatal pilates.

It strengthens your core and fixes your body. This is HUGE NEWS. Mums are lifting, bending, rotating, reaching, rocking, pushing and feeding babies. A whole lot of work and strain on the body. The core is made up of the abdominal muscles, the back muscles and the pelvic floor. This cylinder provides the support for the rest of the body to move. After carrying a baby in your womb for 9 months there has been quite a strain on the core. Your abdominals have been stretched and may have stretched apart slightly (diastasis recti). Your pelvic floor muscles have been supporting a heavy load and then may have helped push a baby out. Your lower back muscles will need supporting and strengthening as your baby grows and gets heavier. This is where Pilates has been invaluable for me and it fixes me weekly. Yes there are plenty of other fitness classes you can do postnatally, but a specialised postnatal Pilates is the one you want to do FIRST. It provides you with the foundation that you need to rehabilitate your body after pregnancy and labour. If you do not strengthen your core and get your posture sorted then later along the line you could suffer set backs and problems such as leaking and abdominal separation that doesn’t heal up. If you have this issue come see me for a 1-2-1 session.

If you have pelvic floor issues then you need to be on my pelvic floor workshop.

There are a couple of ways we work on core strength in classes.

Firstly BREATHING. It is something we all do all of the time but breathing using the diaphragm will help the core work in synergy. The Diaphragm, abdominals, back muscles and pelvic floor are all involved in breathing. Try this out:

1. Place your hands around your ribcage. Inhale feeling the breath come into your ribcage. So your ribs move out to the side, your back expands, your chest expands.

2. As you exhale, breath out with pursed lips, feel the tummy come in, the lower back tense and try to get right to the end of your breath to feel an tension in your lower abdominals and a lift in your pelvic floor.

3. Practise this for 5-10 minutes and it really can help, plus it relaxes you 🙂

All the Pilates moves are layered on top of the breathing. It can take a while to get the breathing at the right time and in the right way but suddenly it will click.

It reconnects you with your body. As a mum your primary focus is on your gorgeous baby. There is less time for you to look after your own body and this can get pushed down the list of importance. However your postnatal period is an important time of recovery for you.

A postnatal class can teach you how your body feels when you do certain movements. I know I can be busy rushing around all day and then suddenly in a class I realise my shoulder is out of alignment or my hips ache. It makes you focus on your tummy and pelvic floor, an area many mums don’t want to connect with post-birth. Let’s  face it things are changed in or bodies but it is something to embrace and work to strengthen rather than to avoid. A class also means someone else also has a look at how your body is functioning, which can give you valuable insights and reassurance.

I myself go to classes so that someone who knows my body can give me feedback and push me further. We all need someone who knows us well to watch out for us.

It is you time. Our postnatal classes are run with a creche. I love babies, but having taught with one crawling around the studio, going under and over me… I know how distracting it is to doing the moves correctly. You tense up in order to ensure baby is safe which then means you do not get the full benefit from the class and exercises. You listen to their noises and not your body.

We’ve found over the years that having a creche away from the studio works best. Then the mums are not listening out to their babies, they aren’t all in the studio freezing each time a  baby makes a noise, working out if it is theirs, if so do they need to go to baby. It takes trust on the part of the mum, but James has been running our creche for 7 years now and has seen an awful lot of babies in that time. If he can’t cope and needs a mummy, he knows when to ask.

So if you are thinking about trying a postnatal class I would highly recommend you try Pilates. Yes I am completely biased, but I am also proof that it works. Having had 3 babies, I have rehabilitated each time with Pilates. It works.

When should I stop my normal pre-pregnancy exercise routine?

We get a lot of emails from pregnant ladies who are worried about losing their fitness whilst pregnant. They have been working out and love their current exercise routine but obviously want to look after the baby too. Well the best way to look after baby and yourself is to keep exercising but modify as you progress through pregnancy.

Years ago, the advice was for pregnancy ladies to stop all exercise and to pretty much go on bed rest. Then this changed to a focus on only low impact exercise. However now we know from the recent research that exercise in pregnancy is a good thing, but that pregnant ladies tend to reduce their exercise. In the first trimester the advice is that you shouldn’t take up a NEW form of exercise, but this seems to sometime get misconstrued into “I must not exercise”. What this advice actually means is “Keep doing your normal exercise routine as much as you can/feel ok to do so”. Of course the nausea, tiredness and  pregnancy hormones may mean you find exercising harder than normal, but some ladies do find doing exercise can help them through this trimester. 

A study on over 1,000 pregnant ladies showed the rate pf physical activity was lower in pregnancy (20.1%) and that less than half received exercise advice in pregnancy (47.4%). Yes, when you are pregnant it is absolutely important to look after the baby, but part of that is looking after your own body so it is strong, fit and able to cope with not just the demands of pregnancy but of being a mum. Carrying, lifting, feeding, rocking and crawling after a small person is pretty tough on the body.

So can you continue your normal exercise routine? Yes to an extent. You will need to seek advice and modify some things. I was teaching spin until 7 months pregnant with my first baby and I taught Step Aerobics until 2 days before baby 1 and 1 week before baby 2. Through my 3rd pregnancy daily Pilates and functional work kept me strong and sane. Maybe surprisingly (or not) doing more Pilates and functional work lead to the pregnancy with the least aches and complications and a simple homebirth. So I’m not saying that you need to be running or cross-fitting your way through pregnancy, but that many forms of exercise can be adapted for you to continue whilst pregnant.

I have ladies who have run through pregnancy, who have continued to lift weights and to do modified cross fit. For all these ladies they have naturally tapered their levels of impact and exertion down as needed. Running may become a slow job with some walking, weights can be lighter and the range of movement smaller, cross fit moves can have some of the impact taken out.

All exercise needs to have a strong core as a foundation, this is even more important in pregnancy and postally. So for me, Pilates is essential as part of an exercise routine, but it doesn’t have to be the only thing you do. Having said that, it could be! Our pregnancy classes include whole body functional movements such as lunges, squats, wall press ups and wall planks that ensure our mums are working those global muscles as well as the core. It isn’t all breathing!

The 4 keys:

1. Listen to your body. When you feel hot, tired or just not right then stop.
2. Seek the advice of a trained exercise professional who knows their stuff. Someone who knows about pregnancy and if they don’t knows where to get help.
3. Expect to make modifications.
4. Keep your core strong. This is your foundation, with your abdominals being stretched and your pelvic floor taking a heavy load you need to have more focus on this. A specific Pilates class will do this for you or check out our DVD.

3 reasons your abdominals may not be healing up.

Saggy Tummy skin?

Mummy pouch?

Abdominal separation that hasn’t healed?

Here are 3 reasons you may not be seeing results.

1. Posture.

I can’t highlight this enough. Try this out. Place one hand on your tummy muscles. Stand up with poor posture, rounded shoulders, head jutting forward. Now what does it do to your tummy? Those muscles feel taut and strong, or saggy and loose? What changes when you lengthen up through the spine, bring the shoulder blades round and down in your back and straighten your neck? You should feel your tummy muscles are tighter and in a better position to heal up when you have good posture.

DiagramPosture-01-209x300

2. Nutrition.

If you are not giving your body good nutrition then you aren’t giving it the best chance to heal. Protein, zinc, iron and vitamin C are all important in wound healing and muscle repair. I know as a mum you need quick meals and often have to eat on the hoof, but you can eat still eat healthily. It is all in the preparation and mind set. Step away from the cake and focus on nutritious snacks that give you energy and fill you. Nuts, seeds, homemade granola bars, hummus, egg muffins are good examples. A bowl of fruit, Greek yoghurt (higher in protein) and a small handful of nuts is a fabulous snack. Make overnight oats with fruit and seeds the night before, ready for an instant breakfast. Bake a pile of sweet potato’s ready for lunches, then you can heat them in the microwave for lunch, top with tuna, pile some salad on the plate and it should keep you going. The diagram below is both relative for pelvic floor healing and diastasis recti.

Nutrition for pelvic floor

3. Breathing and Stress.

How much attention do you give to your breathing? Probably very little. Yet thoracic breathing can be a deal breaker. When you breath into the ribcage and not the belly you activate the intercostal muscles instead of forcing the tummy muscles out. As you breath out your pelvic floor lifts and you core activates. So breathing alone can work to strengthen your pelvic floor and lower abdominals. Stress leads to shallow breathing higher in the chest. It also affects hormones, posture in a lot of people and eating. A triple whammy. So taking time to relax, bring your cortisol levels down and calm down can be a factor. A bath, reading for 10 mins, a pilates class, it all helps.

Breathing Quote
I know how hard it can be. I’ve been there. But I also know this stuff works! I’ve closed 2 diastasis in my own body. Don’t delay, start with the tips above today.

If you want a 1-1 session for posture assessment and exercises you can use at home then get in touch I can even work over Skype.

Mummyhood: Finding your identity

Becoming a mummy is the most exciting and nerve wracking thing I have ever done. Told me it would change my life, to be honest I shrugs that off not believing them. Now I completely agree. Life has changed, pretty much everything is different now that I have children to think about. It it changes how I shop, where I go, who I’m spending time with, what I wear and what I eat.

Pilates with Priya - mummy

In the midst of the baby sick, playing with Lego, making snacks, doing the school run, teaching pilates and trying to stay in some control of the house, it can be all too easy to lose sight of one person. Now I have these wonderful, beautiful children who are need so much on me, who am I?

Pilates with Priya - 3 amigos

As a parent (I was going to say mum, but it’s not just mums is it) I think it is all too easy to lose sight of our identity and be all consumed by the small ones. Yes, to some extent we have to be consumed by them, they do become our world. However it is important to somehow keep your sense of self as well. Knowing who you are, how amazing you are, having your own sense of style, chatter and being will keep you alive. I well know how draining life with small children can be. On those days when I feel like all the life is being sucked out of me, it is then I know I have to dig deep and find me. The me that loves to dance, the me that likes to sing about anything and everything, the me that like colour and quirkiness. The me that likes to bake, loves markets, loves travel, loves the sun.

Pilates with Priya: FINDING IDENTITY AS A MUMMY

This blog has come out of me at a point where baby 3 is almost a year. The tiny baby phase is passing, I can leave her with someone else and have a few hours to myself. That feels strange. What do I do with child-free time? It’s exciting to think about who I was and who I want to be now. I challenge you as a mummy to rediscover yourself and develop that new identity.

What postnatal pilates can do for you.

When you are pregnant there is a lot of focus on keeping your body healthy, looking after yourself and putting you first. There is a lot more time to focus on exercising well, cooking good meals and thinking in general. The midwife and friends/family are asking how your body feels, how is the bump, what aches and pains do you have and giving plenty of advice. Then the delicious baby arrives and is totally the centre of attention. Your life is suddenly a whirlwind of feeds, sleepless nights, surviving as best you can. There is little time and energy left for exercise. Cake and chocolate can be relied to get you through the day or are part of a treat at playgroups. No-one really asks how your body is feeling or what they can do to help YOU, it is more about the baby.

The problem is that when you are postnatal your body is pretty vulnerable. It has been stretched, carried a heavy weight around and then birthed a baby. Now if you had a major operation you would lie in bed, rest, recover, have meals brought to you and be looked after for a few weeks. This is really what you need after having given birth. Instead you have a little person dependant on you, you cannot rest as much as you need and you cannot listen to your body.

Postnatal Pilates: why all mums need it

As a pre/postnatal specialist Pilates teacher this is an area I focus on and love to teach.

Postnatal Issues Pilates can help with:

POSTURE:
It is hard to maintain good posture when you are sitting up feeding, especially at night. However without good posture, those aches and pains slip in. Muscles get tight in the wrong places which can cause restrictions in your movement and cause you to compensate.

Over time poor posture can cause long term pain throughout the body, so it’s not something you want to ignore. Postnatal pilates when run by a specialised teacher will put in exercises to strengthen your upper back, talk through shoulder placement with you and use functional exercises to help with those motherhood moves that you do daily.

Sitting more will also lead to tighter hamstrings, so these need to be stretched out regularly.

The key really is to find out which part of your posture you need to focus on and which muscles need releasing. A good class and teacher will highlight this to you.

FLEXIBILITY:
There can be a lot of hormones flying around. Relaxin is a hormone that can affect the laxity of your ligaments, so this can leave you vulnerable to overstretching and potentially pulling a ligament. Learning to work within the normal range of movement for your body is the key here and not pushing yourself too hard, too soon.

PELVIC FLOOR:
Having carried a baby around your pelvic floor has taken a lot of strain. If you have then pushed baby out then that is even more damage that will have occured to the pelvic floor. Pilates will help you strengthen the whole of your core, including your pelvic floor. If you need more help in this area then check out  “Pimp Your Pelvic Floor”

ABDOMINAL SEPARATION:
Many ladies suffer from Diastasis Recti, this is a condition that is common in pregnancy and nothing to be concerned about as long as it is fixed postnatally! For some, the abdominals will naturally heal up by themselves, for others it will take more work. Exercises such as curls ups, planks and sitting up from lying on your back are not suitable and can make matters worse. A specialist pilates teacher with postnatal training will be able to help you.

PELVIC GIRDLE PAIN:
If you suffered from this in pregnancy then the likelikood is that it will disappear once baby comes along. However it is always a good idea to do some strenghtening work postnatally. If your hips and pelvis were struggling in pregnancy then some TLC for them can make all the difference in the long term.

LOWER BACK PAIN:
One of the common complaints I see in mums. Those babies get heavy when you are carrying them around a lot. Having a strong core and good posture when you lift and carry is so important. Pilates will help train your body so you are stronger and more able to manage this. The release exercises will also help mobilise and decrease any pain.

If you aren’t local to me, then check out my Postnatal Pilates DVD.

Posture, Breathing and Pelvic Floor Problems

Your posture plays a huge role in helping your body work effectively and functionally. Many of those aches and pains can all be related to poor posture, which can seem obvious. What can seem less obvious is the relationship between your posture and a weak pelvic floor. Posture can affect your bladder control, prolapse issues and weak pelvic floor problems. So it’s vital to work on getting it right.

Try this out…Sit in a slumped position, with your shoulders rounded and your chest compressed. A fairly typical posture for those who sit alot, and often how we relax on the sofa! Now try to breathe deeply, you should find it is difficult to fill your lungs. In this slumped posture your abdominal contents become compressed and your diaphragm can’t move downwards, so instead of using your diaphragm effectively you use your upper chest muscles to help you breathe.

Slumped forward position and breathing with the upper chest muscles increase pressure on the pelvic floor. Not good.  In this position your core muscles (including deep abdominal and pelvic floor) can’t effectively counter the increased pressure.

Guess what, sort out your posture and breathing and suddenly the core muscles start to work in the right way. Our bodies are built in an amazing way.

So start focusing on your posture, with a tall spine, shoulders down in the back, ribcage soft and not pushed out, tall neck and allow there to be space for your abdominals to work.

the-core2

Next focus on the breath. You want to breath using the diaphragm. That may sound obvious as it is how our bodies are built to work, but so many of us do not breath correctly. It is called Diaphragmatic breathing or thoracic breathing.  Some people breath with just their tummies, some people breath with just their ribcage. You want to use BOTH.

breathe_titled

Try out this exercise:

Place 1 hand on the bottom of your ribcage and 1 hand on the side of your ribcage. Breathe in slowly and deeply so that you feel your tummy rise and your ribcage expand out to the side. You want to focus on breathing into the tummy and ribcage whilst keeping the upper chest muscles relaxed. Think of your lungs like balloons expanding out to the side of the body.

Breathe out by letting the rib cage fall back to resting and the tummy fall back down.

It takes practise and you may find it quite forced at first. Try practicing when you are relaxing or use it as a way to relax throughout the day and it will become habit.

Exercise 2: breath with a band:

Tie a band or a scarf round your body just below the ribcage. Sit with good posture, your ribcage over your pelvis. As you breath in feel your ribcage expanding into the band. As you breath out the ribcage decreases in size. The band can be a nice way to practice your breathing.

Pilates in Pregnancy, it’s a must.

I’ve been lucky enough to teach antenatal pilates for 4 years now and in that time I must have worked with over 250 ladies. I’ve also used pilates myself through 3 pregnancies and it has helped keep me strong, shown me which parts of my body needed working on and enables me to keep working and being a hands on mum throughout. The comments we get from some of our ladies are:

“If I miss a class I really notice the difference”

“My hips and pelvis ache less and I can feel the difference Pilates is making”

“Classes help to keep me strong and relaxed during pregnancy”

“I always leave feeling better than when I arrived and with exercises to use in the week”

 

Pilates with Priya: Antenatal Pilates class

 

Antenatal Pilates offers multiple benefits including, developing your natural corset to support your back and baby, helping with the changes to your posture, pelvic floor education, breathing technique, toning the muscles and, thus, helping in weight management. Practising Pilates on a regular basis can improve posture, alleviate backaches, and, ultimately, help with labour and delivery. It can even help the baby rotate in the optimal position. I tend to have a format where I use a mixture of functional exercises that help in daily living, for example moves you will need to bend, lift, rotate, get to the floor, release stretches for the areas I know get tight as pregnancy progresses, core strengthening exercises and some move to help in labour and for baby positioning.

CAT

Lets look at some of the changes that happen in pregnancy:

1. Breathlessness:

There is around 15-20% increase in oxygen consumption during pregnancy. The breathing rate will stay the same, but an expecting mum will breathe more deeply each time. The changes in the blood vessels caused by the hormonal changes together with the changed position of the ribcage and diaphragm may make a mum-to-be feel breathless at times.

The breathing we use in Pilates helps make an expecting mum’s breathing more efficient. Focusing on breathing in an antenatal class also has a relaxing and calming effect which can then be used in labour.

2. Muscle, ligament, joint and postural adaptations: 

Hormonal changes during pregnancy have an effect on muscles, ligaments and joints. There can be more movement, stretching and instability. A safe pregnancy pilates class will help you exercise within a safe range of movement and strengthen the supporting muscles. It can really help with conditions such as SPD/pelvic girdle pain.

3. Core Strength:

Pilates exercises focus on core stability, and pelvic stability. This obviously helps keep the abdominals strengthened  but it also can help keep your pelvis in good alignment and reduce pelvic girdle pain.

4.Posture:

Pregnancy affects posture as the centre of gravity shifts. Some women adopt a posterior pelvic tilt (tucked under) with a flat lower back, whilst others adopt an anterior tilt (bum stuck out) with an increased curve in the lower back. Either way it is not helpful for the body. Knowing about neutral posture will help you correct this in day to day life and pilates will provide you will a range of exercises to strengthen the right muscles.

So if you are pregnant, antenatal Pilates with a specialist teacher is a MUST. If you can’t get to a class or want something to use in between sessions check out my specialst Bump to Birth DVD.

When should I return to high intensity exercise?

Exercise can be so so key when you are a mum and so many people I work with and talk to are desperate to get back to their former routine, jeans and get time for them. Having had 2 babies and about to have the 3rd I completely get it.

Why should I wait?

  • Your pelvic floor deserves a break. After 9 months of carrying a baby it’s had a lot of extra work to do, then there is the act of pushing out a baby. It’s understandable that it may need some R&R time. Jumping back into high impact workouts will put extra pressure on the pelvic floor muscles, preventing them from recovering properly and potentially damaging them further. A weak muscle is a muscle that is easier to damage. It is NOT right to need to wear protection in your pants when you exercise. Leaks should not be the norm.

tap drip

  • Your body has had 9 months of carrying a baby around. It takes 9 -12 months to recover nutritionally, so why would it take any less time to recover your physical body?

Pilates with Priya: Baby Bump

  • You need a good, strong, solid foundation before you build. Your core is your floor. So get that strong and the rest will follow. Your lower abdominals, pelvic floor, the postural back muscles and the obliques all functions together to provide your stable base. Don’t rush into running, lifting, jumping in order to have it crumble away under you.

How long to wait:

A lot of the time this is individual and depends on your previous fitness, how many babies you have had and how your pelvic floor function and core were before. But I recommend you wait a good 4-6 months and build up slowly. Listen to your body.

Things to watch out for:

If you feel a dragging or heaviness in your pelvic floor.

Have pain in your lower back, pelvis or abdominals.

Leaks when exercising.

It generally feels uncomfortable or wrong.

THEN STOP.

Go back to working on your core, get stronger and then try again in a couple of months.

Raspberry leaf tea – a natural labour aid?

Raspberry leaf tea is one of those buzzwords that sometimes gets floated around in the last trimester of pregnancy. Until pregnancy 3 I had never given it much thought but then it was suggested to me by a midwife. Being the kind of person I am I decided to look at the evidence for it.

Pilates with Priya: Raspberry Leaf Tea: a natural labour aid?

An observational study in 1999 (1) looked at over 100 women retrospectively. Those who had taken the tea did have a shorter labour. Sounds quite promising so far

Then moving to a review by Holst in 2009 (2) who found 6 studies to compare and contrast. One of these was 50 years old and all of these were relatively small in terms of numbers of people in the studies. Sadly there just isn’t much research on this topic. The findings were that the tea can help to facilitate more rhythmic contractions of the uterus but there were some conflicting results. Some studies did show a shorter first or second stage of labour but only by a few minutes.

A  better study in 2001 (3) (a randomised controlled trial) was conducted looking at the safety of the tea. It was found to be safe to take in pregnancy. When you look at the effects it had, these were it shortened the second stage of labour by a mean of 9.59 minutes and there was a lower likelihood of needing forceps.

So all in all there seem to be no safety concerns with taking sensible, moderate amounts of raspberry leaf tea (2-3 cups a day) or the capsules in pregnancy. It is advised you start this around 32 weeks of pregnancy. The benefits can be for some that it helps the uterus prepare for contractions and for some there may be a slightly shorter second stage of labour. The research shows us these benefits are by no means sizeable but hey, I quite like the taste of it and it can help pregnant mums feel like they are doing something to help labour be easier using a natural aid.

My top tip: don’t expect to find it in a local supermarket. You may need to order it online or go to a health food shop for it.

References:

(1) Aust Coll Midwives Inc J. 1999 Sep;12(3):20-5. Raspberry leaf and its effect on labour: safety and efficacy. Parsons M1, Simpson M, Ponton Thttp://www.ncbi.nlm.nih.gov/pubmed/10754818

(2) Holst, L., S. Haavik, et al. (2009). “Raspberry leaf – Should it be recommended to pregnant women?” Complementary Therapies in Clinical Practice 15(4): 204-208.   http://www.ncbi.nlm.nih.gov/pubmed/19880082

(3) J Midwifery Womens Health. 2001 Mar-Apr;46(2):51-9. Raspberry leaf in pregnancy: its safety and efficacy in labor. Simpson M1, Parsons M, Greenwood J, Wade Khttp://www.ncbi.nlm.nih.gov/pubmed/11370690