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Guest Contributor Physical Health

My Cesarean Experience & Why It Matters

by Kimberly Obanion

On June 2018, 2017 at 39 weeks pregnant I was admitted into our hospital to be induced. My OB-GYN as well as my High-Risk OB-GYN both agreed that being induced at 39 weeks was best for both baby and I due to complications caused from my Rheumatoid Arthritis. Due to the complications I endured throughout the entire pregnancy I agreed to be induced as I believed this is what was best for both baby and me. Little did I know I was WRONG. After checking into the hospital, being hooked up to what felt like a never-ending line of wires, having an IV placed, and monitors everywhere they inserted the Cervidil to begin thinning my cervix.

After 12 hours of laying in bed, not able to get up, or move unless it was to go to the restroom, the nurse then came in, took the Cervidil out and began the Pitocin drip.  Once starting the Pitocin, my contractions began getting stronger and stronger, and I was being checked every 2-3 hours to see if I had dilated any more. Once I was dilated to a 4, my doctor came in and broke my water to try and speed up dilating and progress labor on faster, little did we know that would be the beginning of a very long, very painful labor. After being in active labor for 26 hours and dilated to a 5 I was then given the opportunity to get my epidural and I took it.

After getting my epidural, an exceptionally long 2 hours passed, and it wore off on my entire left side of my body. I was in excruciating pain, while battling contractions, only to be told I was still only dilated to a 5! During this time I had also become very tachycardic, my heartrate skyrocketing up to as high as 200, and I also developed a fever, as well as baby’s heart rate dropping down between 30 bpm to 40 bpm the nurse and I became very concerned for both my baby and myself.

After consulting with my doctor, he decided that an emergency C-Section was the best option for both myself and baby, due to the high fever, tachycardia, being able to feel everything on one side of my body, and the fear of infection trying to set in.  At this point, myself, my mother and my grandmother began calling family, friends, co-workers, church family and whomever else we could think of to start a prayer chain for both myself and baby, that God would put his hands around us and bring us both out alive. Before I was prepped and taken back to the OR I was able to see my oldest daughter, dad, mom, brother, Mimi and Pawpaw.

I will never forget my Pawpaw standing by my bedside, holding my hand, telling me everything was going to be ok and praying. My life at that point changed forever. I was then taken back to the operating room with my mom, where 15 minutes later my 7 lb. 15 oz baby girl was brought into this world. Due to her being stuck in the birth canal for so long, me becoming tachycardic and spiking a fever and her heart rate nearly disappearing she came out blue, not crying and was rushed out to be cared for.

Little did I know this would be the first battle on a long road to recovery.

Trying to care for a newborn while just being sliced open right above your pelvis with a 3-inch incision and trying to care for yourself is not an easy task. I would refuse my pain medication so I could always keep her in my room with me, only to regret that decision a couple days later. What they do not tell you is that it will hurt to sit down, lay down, stand up, walk, go to the restroom, or even cough. Heaven forbid you must cough; it feels as though you are being shot a million times with little tiny shards of glass. To be discharged from the hospital after having a child whether it be by C-Section or vaginal they require you to have a bowel movement, what they do not tell you is that you will feel as though you are giving birth all over again and will want to scream, cry, curse, yell, and throw something while trying. I have an exceedingly high pain tolerance but recovering from a C-Section is one of the worst pains I have ever felt.

Then you go home, where you have little to no help. There are midnight feedings, changing diapers, showering, and did I mention, having to bend over with a 3 inch incision, God only knows how deep, and Lord only knows how many stitches keeping all of your insides intact, talk about PAINFUL! Some people say that having a C-Section is the “easy way out” and that you “aren’t really a mom if you have a C-Section” but I think C-Section mommas deserve a medal! As a mom who has had both a vaginal birth and a C-Section, I would take a vaginal birth 100 times over, recovery from it wasn’t the grandest, but it was by far faster, less painful and more rewarding because I was able to spend more quality time with baby.

Recovering from a C-Section is like living a nightmare over and over again, you feel the constant pain of your incision with every step you take, every twist, every turn, every time you shake a bottle to mix it, every time you bend over to change baby’s diaper or pick baby up, not to mention you can only lift 10 pounds at a time and what happens if baby is over 10 pounds, you can’t carry their car seat, or lift them to put them in the car, you have to rely on someone else to be there with you. I say all that to say this, C-Section mommas are warriors, and are not “taking the easy way out” and they are most certainly MOTHERS!! Mothers who may have fought for their life, or their baby’s life, and mothers who have given their all to bring a precious life into this world and sacrificed their body to make!

The next time you hear someone say that “C-Section moms just want the easy way out so they don’t have to go through labor” simply educate them, and let them know that it is most certainly not taking the easy way out because they give up so much bonding time with baby and they may not have had a choice, they may have been forced to have a C-Section to save their life, or the baby’s life. Do not undermine the person saying these things, simply educate them and guide them through what having a C-Section genuinely entails. 

-Kimberly O’Banion 4/27/2020

Categories
Keli Kirwin Mental Health Physical Health

Letter to my best friend: Postpartum series

By Keli Kirwin

Dear friend,

      Please believe that you deserve rest and care. Know that you are best able to care for others whenever your body and mind are rested 

       Allow your support team to help. Communicate your needs and expectations with your husband before the baby comes. Sit down together with pen and paper to decide who will be responsible for which tasks, consider every responsibility that will need to be covered. Agree on the length of this arrangement, remembering flexibility and the freedom to communicate and make adjustments that fit your family as the need arises. 

         Stay in touch with your care providers and communicate with them openly about your concerns. I mean it. 

         It is okay to let your husband parent while you rest or step away to take a breath. It is okay to call friends or family to ask for help (it doesn’t mean admitting incompetence). 

          You need to eat and you need to drink water. Keep water and snacks nearby. This is a good way your husband can support your recovery. 

           Please send me all the pictures you want. I promise to love them all and I promise not to get offended whenever you are too busy. I promise to love you and your family, to support you in whichever way best serves you; and to do so without judgment.

Much love, to my best friend.

P.S. Use sticky notes to remember things like- drink water!

Categories
Cassandra McCoy Jessica Wilkerson Keli Kirwin Melanie VanBeber Mental Health Physical Health

Interviews and Discussion of Women’s Health and Sex Postpartum

by Cassandra McCoy MAT, ATC, LAT, RYT with Guests Dr Corey Babb; OBGYM, Rachel Warner MAT, ATC, LAT; Jessica Wilkerson CPT, PN1; Keli Kirwin Postpartum Doula.


Sex postpartum is an area of concern for many women. With the process of labor, challenges postpartum such as injury or lack of sleep, and the added layer of the emotional/mental unknown, sex can be intimidating. Sex, among other women’s health concerns, is exactly what this interview with Dr Corey Babb OBGYN is about. Join in that conversation here:

After this interveiw, a few of the Be HEaRd Contributors discuss a variety of labor/postpartum experiences. Join us as we discuss our personal experiences, professional knowledge and just have a down to earth chat about the real things that help postpartum. Join us here:

If you would like to join in the conversation, we would love to have to join us over on Facebook in our private women’s groups:

Women’s Health: https://www.facebook.com/groups/514687002787259/

Postpartum Women’s Health: https://www.facebook.com/groups/514687002787259/

Our Facebook page: https://www.facebook.com/Positivelybalancedmmh/

Our Instagram: @Positivelybalancedllc

We can’t wait to get to know you and health you bridge the gap to our own health!

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Mental Health Physical Health Sara Herell

Unicorns, Mermaids, Good Babies, and Lucky Moms

by Sara Herrell

“Does he eat well?” 

“Is he sleeping through the night?”

“He’s a BIG baby.”

“Maybe you’re just drying up.” 

“Sleep when the baby sleeps.”

“Maybe he would sleep better if you would put cereal in his bottle.”

“Just let him cry it out.”

“Just give him the titty!” (hilarious courtesy of my precious dairy farmer grandmother, who nursed SEVEN children)

“When I had babies… *insert advice here*.”

I remember it so very well and tend to have almost had a fight or flight, gut reaction when the memories peek back through the doorway of my mind. The first 6 months or so of my oldest child’s life went a lot like this, on repeat.

None of this advice came from a place of malice, selfishness or anything other than the generations before me seeing young-mother me struggle and wanting to offer help. Possibly while regaining *just a moment* of the magic from when their now-adult babies were oh so very small, too. I cannot fault them for that. It’s nice to be needed. Amazing to feel helpful and sometimes awkward to find conversation starters when you want to be supportive and the new mom is beyond exhausted, holding it together with some intermittent sleep, a dash of mascara and soggy nipple pads, desperately ready to talk to other adults but still wanting time to hide away with her new babe (rightfully and biologically so).

After playing a rousing round of “pass the baby” then it would come, unassumingly, sweet and well-intentioned but like a MACK TRUCK out of nowhere, squishing the frog that would be your last shred of sanity clear across your self-esteem highway. It may have broken your brain a little, even.

 “Is he a GOOD BABY?”

Wait, what?! Hold on. BACK. UP. 

Is there such a thing as a “BAD Baby?” 

Do I have a BAD baby?

You think back and start comparing your baby to other babies, friends and sisters babies, the ever happy babies who do just fine in the nursery at church or daycare. The babies that aren’t SCREAMING adult-sized screams just for simply being AWAKE. The babies that don’t demand to eat every five minutes or that let you put them down to pee by yourself. 

Your baby isn’t like those babies. But, Is your baby really that BAD?

Come in really, really close and commit this to the deepest parts of your memory. Make it a mantra. Say it to other people, often. Sharpie it to your forehead. Rebuke your doctor when they ask this useless question. 

Repeat after me, “THERE IS NO SUCH THING AS A  BAD BABY”. 

Not a single one. Honestly, there is no such thing as a GOOD BABY, either. 

You can tell them that, too.

These innocent and well-meaning questions from experienced mothers and caregivers had me absolutely convinced that my firstborn was a BAD baby and of course, it was my own fault. 

My firstborn, Boy Wonder, had colic from DAY ONE. I loved him as any mother would, but I would be bold faced lying if I said I didn’t feel disconnected from my own child because I, his mother, could not adequately comfort him. Looking back, it wasn’t necessarily my *fault* but I can *see* now where a lot of our problems started and how being more informed even before birth would have eased some of the undue stress. 

Our first 4 months were simply surviving and trying to get him to STOP CRYING (please dear goodness, make it stop!) and be comfortable. He wasn’t a “typical happy baby” because his tummy hurt near-constantly. Misinformation on the adequacy of my milk supply,  how supply and demand hormones work, what constituted a “good” breast pump, dismissive physicians who weren’t tongue tie friendly, limited access to lactation consulting and the elimination of choice in labor and postpartum by hospital staff all contributed to switching between breastmilk and formula, ultimately causing excessive gas for him (which first-time mom me, didn’t understand could be an issue). From colic, we went straight to teething. We just couldn’t win. 

herrellhousephoto.com
copyright, Sara Herrell
submitted and licensed exclusively for coordinating article use by Positively Balanced, LLC.

© Sara Herrell, Herrell House Photo

I started to lose hope and became resigned to having a BAD baby when other moms had been blessed with GOOD ones. (Hold on, we’ll get to that, I know what you’re thinking).

By the grace of survival instincts, the miracle of science that brought us formula simply to keep him fed and alive, and the love language that is coffee, we survived babyhood with Boy Wonder (who is now 3 and introducing me to the 9th ring of hell that is 

potty training) and were surprised with our second boy, The Tiniest Giant, age two months at time of article. 

The Tiniest Giant has since solidified my theory that babies do NOT possess the capability of choice to be “bad” or “good”. He is already SO. MUCH. DIFFERENT. than his older brother.

 First-time-mom me would be jealous of how “GOOD” this baby could be considered. I didn’t know babies could smile, play or even show joy so early because Boy Wonder had such a hard time even existing in his first few months. All I had known until now was screaming, and pain, and constant bouncing, music and shushing, looking for some kind of light at the end of a mythical tunnel. That is not to say that my second is anything more than a normal baby, with normal baby needs and normal baby exhausted parents. 

 All of which made me realize that those same well-meaning ladies would undoubtedly have called my first, a fussy baby and my second, a good baby – ( as if my boys could make a choice on their infant behaviors?) but they would be WRONG.

The truth of the matter, the point, you ask? Babies do not know how to “behave”, they simply know how to express their immediate needs for survival. That’s it. Babies cannot manipulate with malice. Simple. They can learn and adapt to what brings care and comfort *faster* (fake cries anyone?) but true ill intentioned manipulation is not possible by infants. 

Why the heck were my two boys so different?

First and foremost, they’re different, individual people.

Second, ME. I was different. 

 My understanding and experience. My education. My advocates. My giving myself grace.

I had learned how to seek and discern information (and information will be ever evolving, know better, do better, forever and ever, amen). I became empowered to advocate for myself and my children (also known as being exceptionally stubborn). I understood what is normal for my babies and what isn’t or might not be. I’d  done most of the hard stuff before and can recall what *generally* works and what doesn’t while accepting each child has different needs. I was able to give myself a little grace in the gaps. I wasn’t accepting what was “common” when I knew it wasn’t “normal” ( a little phrase I borrowed from our founder, Cassandra)

Could my first still have had colic for other reasons even if I had known more? Absolutely. Hindsight is 20/20, but I could have been more mentally and emotionally equipped to deal with it and request the help I needed but was embarrassed to need. I could have possibly enjoyed motherhood more while he was small, and had a fighting chance with a loaded “mental toolbox”. I would have known that Informed consent, education, advocacy backed by responsive resources and overall support are crucial, and that everything else can come after. 

But what about my second? My GOOD baby?

Plot twist, the perpetuation of the “GOOD” baby also presents the false idol of the “LUCKY” mom and that isn’t fair, either.

As in, “You’re so lucky! She’s such a GOOD baby!”

What’s a lucky mom? Glad you asked, she is, of course, a mother with the “GOOD” baby. She has a baby as we profiled above. Sweet, happy, doesn’t cry, sleeps, is generally convenient. This mom doesn’t need help, is perfectly happy, gets enough sleep, cooks healthy meals by herself, doesn’t feel overwhelmed, is level headed, assumes her normal life immediately and needs zero help. Her baby is independent and shows no signs of the “Fourth Trimester”. She contributes to pinterest. She is the absolute envy of all the moms with “BAD” babies.

Here’s the reality though, just as the baby above doesn’t exist, neither does she. 

By deeming babies GOOD (with an understanding that can mean some are BAD), we dangerously simplify what is considered typical or normal for babies and place unnecessary blame on tiny humans just trying to survive.

herrellhousephoto.com
copyright, Sara Herrell
submitted and licensed exclusively for coordinating article use by Positively Balanced, LLC.

© Sara Herrell, Herrell House Photo

By allowing the “GOOD BABY” myth to continue, we assume that mothers don’t need adequate postpartum support, it makes support almost seem too much or an extra nicety. As if a newly postpartum mom is being dramatic or selfish needing help, patience, or understanding while finding her new normal. “Because she chose to bring a baby into the world, she’s lucky it’s a good baby, I had a BAD baby and didn’t get any support, why does she need our help, right?” Look, if that’s your train of thought, please don’t ask “when do I get to see the baby?”, you’re definitely not someone who needs to be around a new mom or baby. STAY. HOME. PLEASE.

 Postpartum Depression is not an accessory pack to BAD babies. GOOD babies don’t exclusively sleep through the night (and they shouldn’t necessarily as a safety reflex) nor do they eat perfectly.  LUCKY Mothers’ bodies do not “bounce back” from the physical feat of making a human for the better part of an entire year and expelling said human any faster when they have GOOD babies. Newly postpartum moms can especially struggle no matter what their baby’s temperament is, (it’s new, they’re recovering, baby comes first for them, duh.) and they’re afraid to admit it and have their child labeled “BAD” or even be labeled themselves, as a dreaded complainer. Because why do they have the right to “complain”? They have a GOOD baby, they’re a LUCKY mom.

This type of thinking can, in turn, overwhelm already emotionally maxed out parents who simply need extra support or resources to adapt into somehow thinking they themselves are inadequate caregivers. (Let’s stop that cycle, okay? Having a baby is already hard enough.) We tend to forget that ALL babies tap parental resources (physical and emotional) into a survival mode to some extent. Babies create demands that CHANGE their parents. Ever hear anyone say change is hard? They’re absolutely right. 

Instead of perpetuating the “GOOD BABY” myth, let’s support mothers, parents and caregivers with better vocabulary and chit-chat choices. No one needs the speech police, but this could certainly be more helpful than uncomfortable small talk. 

A few alternatives to try out:

“How are you feeling?” (Seriously important and underrated)

“Are you getting enough time to eat/sleep/take care of yourself?”

(especially if you’re willing to offer a goodies drop off or maybe to sit with baby while she showers or takes a quick rest – Keli Kirwin has a good piece on this subject’s specifics: find her article on Postpartum Care HERE

“How are you adjusting?”

 ( and then LISTEN. Nope. Hush. LISTEN. )

“Are your doctors listening to you/visits going well? Anything lacking?” (New parents tend to crumble under “authority” such as medical professionals, not realizing it’s okay to question if something doesn’t feel right)

“Do you have any worries or concerns? It’s SO normal to have those.” (because every mom wants to “have it all together” and may not realize how valuable just talking it out and with another experienced caregiver can be.)

“What a beautiful baby! Good job, momma!” (slam dunk, no more needs said)

Simply put, please be kind. There’s so much you’re not privy to that your words can have great influence and weight over in such a fragile time as being a new parent. 

(biological, adoptive, however that happens for them)

The point I’m attempting to express is THIS:  There is no such thing as a GOOD baby or a LUCKY mom (*yes, we’re all lucky to have our children, that’s not the point of this verbiage, I promise.*). They’re *beautiful* fairy tale concepts we would all love to live out. The sooner we let go of our white knuckle grip on them, we can start to help our mothers, fathers and caregivers be their best and raise healthy children without sacrificing their own mental, physical, or emotional health quite so readily. The world just might be a better place for it.

Do small things with great love, 

Sara

*****

Images subject to copyright, Sara Herrell, Herrell House Photo 

submitted and licensed exclusively for coordinating article use by Positively Balanced, LLC.

Categories
Jessica Wilkerson Mental Health Physical Health

Diary of a Fit Mom

By Jessica Wilkerson

I see you Mama… you have just received your new mama cape and have achieved a whole new level of “Wonder Woman “ status.

You’ve just carried a young one in your womb for 9 months, creating life, creating breath, and creating the precious little child you’ve been so meticulously chosen to care for. You’ve labored and breathed your way through contractions bringing you to bear down and bring your little one earthside. No matter if you were unmedicated, had assistance, or birthed your baby via C-section… your body has gone through a marathon.  Nine months of hormone fluctuations, bones and body parts rearranging themselves to make room for that precious baby have culminated on the joyous occasion of your baby’s birth day. 

Mama don’t rush this beautiful journey.

As new moms, we are put under a tremendous amount of stress to “get back to pre-baby weight” or to “get back to our pre-baby body.” Let me tell you, that body no longer exists. The minute you conceived, that “pre-baby body” started to fade away.

What you are left with, is a body that is capable of so much more than it was before. You grew a human, you birthed a human, and now your body is different.  Your “Mom bod” is beautiful, your “Mom bod” is strong and you need to care for it differently. 

When you think about that Mommy pooch you’re carrying around, don’t think of it as the last five pounds you need to lose. Think of it as the five pounds that are hanging on so that you can feed your baby and produce enough milk to help your baby grow big and strong.

Mama, don’t rush yourself to get back to that place you once were, you’ll have plenty of time to do that in the future. If you’re not done having kiddos, guess what?  You’re in for a whole new round of changes with baby number two. 

I’m not saying don’t take care of yourself.  You still have to eat right and exercise, so that you are at your best to take care of you and your family.  What I’m saying is don’t stress about this societal pressures that come from every direction.

Would you rather spend your time at the gym getting back to where you “once were?” Or would you rather spend that time with your precious new little one, getting to know his face, getting to know his cues, exploring each other and growing together? 

There are so many pressures to lose weight after your baby is born. Blogs, Facebook groups, postpartum posts all steer conversation to losing the baby weight. But I saw a post the other day on Facebook from Kindred Bravely that said, “Your rolls are their pillows” and it made me think… We are told not to rush the baby stage; to soak it all in. So why then do we worry so much about losing the weight?

Take it from someone who couldn’t wait to get back to working out once I had my son. I thought that the sooner I jumped right back in, the less chance there was that I would lose all the progress I had made before I got pregnant. But boy was I wrong…

I promised myself that I would wait a full 6 weeks before I started back. I promised myself that I would give my body the time it needed to heal. Fast forward to 2 weeks after I had my son, and due to circumstances as a business owner I was forced back into teaching group fitness.

At two  weeks postpartum I was teaching group fitness classes again. Not the place I wanted to be, not the position I thought I would be in as a postpartum Mama. I knew there was a chance I could injure myself and that I could potentially create bigger issues.

What I didn’t know was that starting back so soon; even if I was “taking it easy and not doing the whole class”, was causing me to delay the natural healing process my body should have been going through.

I had hemorrhoids (I know, the not so glamorous side of delivery) and slight pelvic prolapse. I found that these are not two things you want to take lightly. The pressure I was putting on these two areas of my body from the inside was tremendous, even if I did think I was taking it easy. My whole reproductive anatomy had gone through an earth shattering process just a couple of weeks before and I was asking my body to do things it was no longer capable of doing in my delicate postpartum state.

You may be thinking to yourself, what is a prolapsed pelvic floor and how do I know if I have a prolapsed pelvic floor? According to an article published by Crystal Run Healthcare, a minor prolapse may not cause symptoms. In fact, in many cases, a woman’s doctor may discover prolapse during a routine pelvic exam. If you do have symptoms, they may include:

  • A feeling of fullness, pressure, or bulging in your pelvis (many women describe this as a feeling of sitting on a small ball)
  • Feeling that something is falling out of your vagina
  • Difficulty with urination or defecation
  • Chronic constipation
  • Low back pain
  • Painful sexual intercourse and/or bleeding with intercourse
  • Discomfort while walking

Symptoms of pelvic organ prolapse often become worse when standing, jumping, or lifting heavy objects. There are also different stages of prolapse ranging from 0-4. A zero would represent a strong pelvic floor with no sign of prolapse, a four would indicate that the entire organ is outside of the vagina.

If you think you may have any level of prolapse, the first step is to get assessed by a professional, either by your doctor or a pelvic floor specialist. After you have been assessed and diagnosed, the next step would be treatment.

When seeking treatment, be sure you find a professional who knows a woman’s anatomy and can give you good direction on how to heal. If you suspect that you may have prolapse, contact someone in your area to assess you for an official diagnosis. If you are not sure of where to start or want to start on your journey to healing, book a consultation with Cassandra (our founder) here: https://square.site/book/RWSTPNNZR77YF/positively-balanced-llc-collinsville-ok

https://square.site/book/RWSTPNNZR77YF/positively-balanced-llc-Collinsville
Book now!

This a way that you can create your game plan and find out what you need to do in order to improve your health.

So Mama remember, there’s no hurry to get back to your pre-baby body. That version of you is a past version of you.  Now you have a chance to embrace the new you, the “Strong Mama” version of you.

Another great resource:

Founders Note:

As you read “organ falling out of the vagina” you might automatically visualize your bladder or rectum falling out . The actual prolapse is the organ pressing on the vagina which is what is seen upon diagnosis and what is felt when you might feel a bulge. Sometimes it freaks women out as they think their bladder is literally outside everything. It is not. More importantly to note, you can improve over the next 18+months post birth and see a major reduction in your prolapse. if you begin to rehab your body while giving yourself rest. – Cassandra

Categories
Cassandra McCoy Intellectual Health Keli Kirwin Mental Health Physical Health Social Health

What Families can do for Newly Postpartum Moms

by Keli Kirwin

“What should I add to my registry?”

“What gift should I buy for my best friend’s baby shower?”

“Top 10 baby shower gifts!”

“Most useless baby shower gifts”

Etc, ad nauseam. 

Let’s get straight to the point: the most powerful gift you can give to a new family is to care for them. Mow the grass to give that time back to the family. Bring meals to them. Drop off some coffee. Love on the family. Your gift of time and service is immeasurably valuable. This includes gifting a cleaning service or having food delivered. Give without judgement and without expectations. 
-unknown source

New parenthood is beautiful and poetic. It is also raw and really, really difficult. Even the “best” pregnancies, labors, and births are hard work. The smoothest birth is preceded by months of round the clock work, typically unacknowledged until well into the third trimester when others can finally see significant evidence of pregnancy with their own eyes. Before then, mom receives scrutiny for her exhaustion. Surely her body is not working that hard, she has only been pregnant for 9 weeks or 18 weeks or, or, or… 

Postpartum is also ‘invisible’ work. Mom changes thick pads and breathes through after-birth pains as her uterus shrinks. Her bottom hurts and she struggles to choose between sitting to rest and literally getting off her sore rear-end. Her nipples are sore and cannot see beyond the exhaustion. Her hormones are shifting dramatically. She attempts to stay level-headed and logical whenever she feels the changing tide. Can she tell anyone that she cannot sleep because of her irrational anxiety? 

Was she respected during birth? Does she feel that she was supported? Does she have access to appropriate care postpartum? In addition to the initial 6 weeks with her midwife or doctor, are chiropractors or physical therapists accessible? Are there other providers she could benefit from? Support can be given here; child care for older children, accompanying mom to appointments and watching the baby, perhaps monetary gifts to ensure these appointments are financially sustainable.

We care for others the best whenever our needs are met. Meet the needs of the parents so that they can better care for their home and their family.   

What can you do to enrich this time in their lives?