Tag Archives: Prenatal

Should you have a baby over 40? Essentially Fit Radio Show

Essentially Fit RadioMarianne was recently interviewed by Wess Murray for his Essentially Fit radio show on the subject of “Should you have a baby over 40?”

During the 50 minute show they discussed a number of issues including:

 

  • Why you must take care of your joints during pregnancy.
  • Having a 2nd child later in life: what steps should you take?
  • Exercise after childbirth The pros and cons of having a baby after 40
  • How modern technology has made it possible to have children
  • How to have realistic expectations when losing weight after a baby

Click here to listen to the show

You can also download the show here from I Tunes

Painless Parenting the Radio Show

Move Forward Radio Marianne Ryan PT, OCS is interviewed by Move Forward Radio on the subject of Painless Parenting.

“Parenting provides challenges but it doesn’t have to be a pain. In this episode, Marianne Ryan PT, OCS discusses how to help parents avoid the minor aches and pains – and even significant injuries – that sometimes occur during pregnancy and after childbirth”.

Tell me what you think?

Click below to listen to the show:

Listen to Move Forward Radio’s segment about Painless Parenting or dowload the podcast on Itunes.

Common Pregnancy Pains. Did you know..?

shutterstock_82822033 Pregnant backMoms you are not alone!
Did you know “Fifty percent to 70% of pregnant women experience low back pain during pregnancy. In addition, 30% to 50% of pregnant women report low back pain severe enough to cause lost time from work. It’s more manageable, however, than most women (and their doctors) think”.

Did you know that physical therapy treatment is the best way to get rid of and to prevent back pain while pregnant?

Move Forward PT posted some great tips on how to avoid and treat pregnancy aches and pains:  Click Here

http://www.moveforwardpt.com/Resources/Detail.aspx?cid=8d523b23-9f02-4ac7-a107-c464ae6840b2

One Third of Childbirth Repair Surgery Fails?….Why?

shutterstock_55118254By Marianne Ryan PT, OCS
Clinical Director MRPT Physical Therapy

Did you know that “a common surgery often performed to repair damage caused by childbirth fails one-third of patients within seven years, a new study shows”?

Yup, it is the surgery women have done to cure incontinence and other problems caused by pelvic organ prolapse (POP), which often occurs as a result of childbirth.

An article written by Liz Szabo, for USA Today, goes on to explain:

1. “In nearly one-third of cases, surgical repair failed or women saw symptoms return”

2. “About 225,000 women undergo some kind of pelvic organ prolapse surgery each year”

3. “Some surgeries can be prevented; pelvic physical therapy can cure many milder cases”

Szabo also mentioned “about one in four women suffer either prolapse or incontinence at some point, and studies show that 11% to 19% of women undergo surgery for it.”

Let me repeat: 25% of all women develop incontinence or pelvic organ prolapse. That is one out of four of your female friends!

Cheryl Iglesia of the Georgetown University School of Medicine was quoted in Szabo’s article as saying, vaginal deliveries increase the risk of developing pelvic organ prolapse (POP), and in the future doctors will need to perform C-sections rather then vaginal deliveries for women at high risk for prolapse.

Yikes! Iglesia’s answer to the problem is more surgery and more C-sections?

What about more physical therapy?

The article does mention that studies show that “pelvic physical therapy, which includes Kegel exercises that strengthen pelvic floor muscles, can reverse many mild cases of prolapse”, but there is no mention on how pelvic physical therapy can prevent POP. There are also studies that show pelvic physical therapy can reduce the level of prolapse, for example reduce a grade 3 to a grade 2, etc.

If pelvic physical therapy can reverse pelvic organ prolapse, why aren’t women knocking down my door to get physical therapy treatment? 

Why? Because I don’t think we take postpartum recovery seriously in our country. Women traditionally receive excellent prenatal and obstetric care during delivery, but postpartum care is lacking. 6 Weeks after delivery, women are usually given a pat on the back and told “good job done” and that they can resume sexual activity. What about postpartum rehabilitation? In our country women are left to fend on their own after delivery.

In other countries, such as France, they take postnatal care seriously. Did you know all French women receive free physical therapy after they give birth. I have been told by some of my patients that postpartum physical therapy is “mandatory” in France and they go for about 20 visits focusing on rehabilitating the pelvic floor and abdominal muscles after every baby they deliver. 
In a light hearted article written by Claire Lundberg, “The French Government Wants to Tone My Vagina”, for Slate Magazine, Lundberg discusses the positive experience she had with the French postpartum rehabilitation program called la rééducation périnéale and how she was glad “a medical professional was paying attention to what happened down there.”

What about more physical therapy after one of these surgeries?

Did you know that after having surgery for pelvic organ prolapse most women do not receive pelvic physical therapy?

I recently asked a urogynocologist, who refers patients to my practice, why she did not refer her patients to physical therapy after preforming these types of surgeries. The answer was that she did not think it was necessary, and was not convinced that physical therapy would help the patient recover. 
It is common practice to go for physical therapy treatment after surgery on other body parts, like the shoulder or knee; why isn’t is considered part of the rehabilitation process with pelvic surgeries? 
If surgeons started sending their patients for physical therapy treatment after prolapse surgery; doesn’t it follow logic that it would help them reach better outcomes? Maybe physical therapy treatment could prevent surgical failures? 
(Just in case you didn’t know, you can go directly to a physical therapist without a doctor’s referral in most states.)

More surgery is not the answer. More physical therapy is the key to solving pelvic organ prolapse. 

References:

http://www.usatoday.com/story/news/nation/2013/05/22/common-pelvic-surgery/2325055/

http://www.slate.com/articles/life/family/2012/02/postnatal_care_in_france_vagina_exercises_and_video_games.html

 

Five Ways to Prepare Your Body for Pregnancy

By Mariannne Ryan PT, OCS
Clinical Director MRPT Physical Therapy

“Whether having children is in your 10-year plan or you’ve decided now is the time to start trying, it’s never too early to begin preparing your body for pregnancy. Ensure your body is ready to carry a baby by addressing before pregnancy any pain or problems associated with posture or weakness. Unfortunately, these issues can worsen during pregnancy and cause pain and dysfunction.”

Here are 5 tips to prepare your body for pregnancy:

1. Strengthen your pelvic muscles.
2. Prepare for “baby belly” by focusing on your core.
3. Take a breath!
4. Begin a regular fitness routine.
5. Practice good posture.

For more information http://momitforward.com/five-ways-to-prepare-your-body-for-pregnancy

On The Radio…Women’s Health

Marianne Radio 1By Marianne Ryan PT, OCS
Clinical Director MRPT Physical Therapy

Earlier this week both Lila Abbate and I were guests on Karen Litzy’s weekly radio show “Healthy, Wealthy and Smart” on the Talking Alternatives network.

We spent about 1 hour discussing our “niche specializations” within Women’s Health Physical Therapy.

You can listen to the interview here 
I discussed physical therapy treatment for Prenatal / Postpartum issues and Lila told us how she uses physical therapy to treat GI / Bowel dysfunctions.

We both had a blast and enjoyed spreading the word on how physical therapists are the “go-to” medical professionals for musculoskeletal problems.
A recording of the show is also available on the Talking Alternatives website and is also available as a Podcast on iTunes.
Click here to listen to the broadcast. Or click here to get the iTunes Podcast

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Older Mom’s Should be Induced Early. True or False?

Pregnant Woman Holding Stomach

Posted by: Marianne Ryan PT, OCS
Clinical Director of MRPT Physical Therapy

“Pregnant women aged over 40 should be given the option of being induced early to reduce the risks of stillbirths, says a Royal College of Obstetricians and Gynaecologists paper.”

To read more click here.