• Nathan Riley, MD

Obgyno Wino Podcast Episode 35 - Hope for the Pelvic Floor - Interview w/ Julie Wiebe, PT

“Those who dwell among the beauties and mysteries of the earth are never alone or weary of life. Those who contemplate the beauty of the earth find reserves of strength that will endure as long as life lasts. The more clearly we can focus our attention on the wonders and realities of the universe, the less taste we shall have for destruction". - Rachael Carson

Six Pearls

  1. Low back pain, incontinence, and painful sex aren’t inevitable after pregnancy, we have new tools to help.

  2. Kegels are not the beginning and end of what we can offer patients. Our new tools include a growing understanding that the Pelvic Floor doesn’t act alone to maintain continence.

  3. The Pelvic Floor is part of the team of muscles that provide “core” stability”, that same system of muscles helps maintain continence.

  4. Intra-abdominal pressure management strategies are critical for preventing pelvic health considerations, and need to be addressed in pregnancy recovery and return to fitness programs.

  5. Returning to activity and fitness postpartum women need more parameters than “listen to your body”, they need to know what to listen for (pain or leaking are both signals that they need to modify a movement or allow for more recovery).

  6. A place to partner between doctors/midwives and rehab/fitness is to help us get baselines in order to help women have more realistic expectations of what recovery looks like (ex: get a diastasis measurement early in pregnancy or pre-pregnancy).


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