Women Hold Up Half The Sky

‚The Freedom in a country can be measured by the freedom of birth.‘Agnes Gereb

Last night I went to see the world wide premier of ‚Freedom Of Birth‘ – a movie that any woman and man supporting a woman in childbirth should watch. A movie that slaps it right into your face that childbirth is a human rights issue. And after it has slapped you in the face, it stabs you into your heart. At least this is what happened to me.

Meet Agnes Gereb - the subject of the documentary. She is a Hungarian obsetrician and midwife and international homebirth expert. She was taken into custody Oct 5, 2010 after a woman had gone into unexpected labor at Agnes' birth centre. As I understand it, Agnes had advised this woman to give birth in hospital but the woman rejected the idea and happened to go into labor during a class at Agnes' birth centre. There must have been some trouble because Agnes immediately and rightly decided to call an ambulance. With the ambulance that took the labouring woman to hospital, the police came to arrest Agnes. The reason? Reckless endangerment of life committed in the line of duty. The woman gave birth to a healthy baby and was soon discharged from hospital.

Three months after Agnes was jailed the European Court of Human Rights established under Article 8 (right to private and family life) of the European Convention that any woman has the right to choose where to give birth. (case of TERNOVSZKY v. HUNGARY) Agnes Gereb was freed but is still under house arrest!

This is Hungary! In the year 2012! A member country of the European Union since 2004! REALLY!!!

I deeply care about women's rights in childbirth. And it pains me that I don't see enough women really care about it. Or don't realize they should care. Or at least don't show that they care.

I'll quote Dr Nancy Salgueiro - the Ottawa woman who you might have seen give birth live on camera 11months ago. She is also a childbirth educator and women's advocate (and chiropractor). In her talks with women she finds that:

Women are given misleading information making them feel as if procedures are necessary when they are not. - Induction or Oxytocin anyone?

Women are being told they are incapable of birthing their own baby and must trust in a system that does not support normal birth. - Ever been told during check-ups that your baby is large, maybe too large for you to birth vaginally?  I hear stories like that ALL THE TIME.

Women are being forced to birth in institutions because of lack of access to birth attendants outside hospitals. -We are lucky in Gatineau to have the Maison de Naissance but I felt like I won the lottery when I landed a midwife there to give birth to Elise outside the hospital. Ottawa residents are lucky to have quite a few midwifes and many homebirths. But not enough! Ontario is going to get 2 birth centres though. So there is a shift happening. Slowly but surely.


Women are abused and assaulted by procedures done to their bodies without consent and even after consent is withdrawn - Too many nurses, doctors and student nurses check how dilated you are? You just accepted it and realized later how much you disliked that? I gave birth in a Ottawa hospital to Joshua. It was an easy birth without any intervention and I didn't have a single tear. My vagina felt pretty good actually. Yet, I remember having to turn my naked butt to at least two nurses (one was a student, I believe) who checked for hemorrhoids. I felt uncomfortable to say the least. And 5 years later I still think about it. So, yes, I feel kind of violated! My midwife who cared for me after Elise's birth in Gatineau never felt the need to look at my perineum because she knew from the birth that I didn’t have tearing and she knew I would tell her if I had some trouble down there. After all I know my body best. Not to mention the fact that most women are automatically supplied with oxytocin at Ottawa hospitals. I didn't believe it but an ex-hospital nurse at last night's talk said that she cannot think of a single case under her watch where oxytocin was not given - with or without consent. I still find it hard to believe actually.
 
Women are being told they have no choices and must comply with medical orders or be threatened that their child may be taken from them. - I don’t know about a case in Ottawa but looks like Nancy does.


So women here in Ottawa are being violated and discriminated against under the Article 8 of the European Convention of Human Rights. We just have to start owning this! This room last night was half-full. It should have been packed! Too many women do not know the facts about the effects of interventions on the outcomes of childbirth. Too many women do not know that a C-section is major surgery and does come with risks. We can't just wait for the system to change and hope that one day doctors will give us truly informed choice. I totally believe that change has to come from the top. But I believe just as much that change has to be iniated by you and me first. After all, Women Hold Up Half The Sky!

Check out the Informed Choice Coalition and come to the next screening on October 12.

If you had a traumatic birth experience and feel ready to work through it, there is the amazing Julie Keon with her Making Peace With Your Birth workshops.

Tough Workout or Whole Body Movement?

I have a love-hate relationship with facebook. I love it when I see a link to really cute minimal shoes like these ones. But I get rather turbulent flow in my blood vessels when I come across people saying stuff like:
'I had an awesome leg workout. I had to take the elevator down because my legs were so sore.'
or 'Great workout. I hobbled home'. Haha.

It stresses me out big time. Why on earth do people think this crazy pain is good? I'm not talking about a bit of muscle soreness that we get from using a muscle that we haven't really been using before. I mean the 'I can't walk anymore' kind of muscle soreness. This is just our body saying This-Is-Enough loud and clear. And the way I see it, it is just not natural behaviour to feel happy and proud when our body is saying NO. Or am I alone here?

Imagine you are a paleolithic person and you live fully in tune with your body because listening to your body's signals means the difference between life and death. Imagine one day you feel that all this natural living stuff stinks and you want to have a bit of fun and show everybody how cool/strong/able you are by doing something nobody has ever done:  You climb up and down 15 trees as fast as you can followed by lifting 5 big rocks and a 30minute chase after a mammut (or whatever). Imagine you made it and everybody is cheering. You feel the rush of adrenaline. It feels great. You also feel sore and have to lie down. Not so great. You actually feel too weak to embark on the 5mile trek to the next food source. Not great at all. You are left behind. The End.

Had the paleolithic people and the people after that been abusing their body like this, well, we wouldn't be here. Humans survived and evolved because they spent their days doing whole body movements like walking and carrying their children (or dead animals.) And then they rested. No CrossFit or treadmills or crazy leg workouts needed to live and thrive. Just walking and carrying stuff in their arms. And maybe the occasional climb up a tree or fight with an animal. And then a period of rest.

What happened to us? This big fitness boom. It's only been around for the last 40 or so years. Before that people just moved more throughout the day. They didn't need to work out. Now we sit on our butts for most of the day. Most of us don't even wash the floor on hands and knees anymore. (I do! I do!) And because we know we are so deconditioned, we take our completely underused body with its 600+ muscles (most of them way too tight) into a gym and give it a tough workout. Then it makes us feel great. But, really, for our body it's only stress. On every level. Muscles, tendons, ligaments, connective tissues, organs, blood vessels. Each and every cell really. And it shows. Foot, knee, hip, back, neck and shoulder pain anyone? Feeling tight? Not able to walk up or down the stairs? Needing to take the elevator after a workout???????? It just doesn't make sense to me!
...

Oh, and at the end a little help for all of you out there with tight calves from a tough workout, from wearing heels or from sitting too much: THE calf stretch. A rolled up towel will do too.

Sucking in your belly - Good or Bad?

BAD. Very bad. Very, very bad. And before you say 'hang on a minute, I was told to pull my belly in', let me explain:

Your deepest abdominal muscle (the TvA) contracts when you pull it towards your spine with the pelvis and rib cage in their neutral alignment. When you carry your pelvis and rib cage outside of where they should be, you don't work your core. But this is another blog post (If you can't wait, click here and here). Getting your TvA muscle closer to optimal functionning is absolutely crucial for the health of your spine, pelvic floor, cardiovascular, digestive and reproductive systems. Not to mention the good looks we are all after. 

Sucking in your belly has nothing to do with contracting your TvA. I have seen and talked to so many women who want to get their bellies in shape. And they all do it: They suck in their bellies. Even men suck in their bellies. And you suck in your belly propably right now. I know it. Because even I suck in my belly. Especially yesterday. And when I do it, you do it, too. (Very good reasoning on my part!)

When we suck in our bellies, the motion is up under the rib cage and not at all back towards the spine. Feel the pressure just under your ribs? This habit of sucking in our belly doesn't make the belly smaller because the abdominal muscles just aren't innervated. Instead we create unwanted pressure in our thoracic area - especially at the diaphragm. So much for healthy breathing! We need the diaphragm for expelling stuff (think vomiting or coughing). Not for pressing the contents of our abdomen against it. When we are so busy sucking it all in and up, then our bodies have a much harder time with all these very necessary downward motions like birthing babies or pooping or menstruating.

If you want to get your abdominals to work and if you want to breathe, oxygenate, digest, poop and birth freely and get a flatter belly as a bonus, you have to start with this: let your belly relax.

Let it hang. All of it. Breathe. And let it hang. The best position for releasing it is on hands and knees. (click here for pictures) Then you can start working on your TvA - with the ribs and pelvis in neutral!

We were just not made to suck in our bellies. Just think of how happy this pig must be. (Though it might be time for pig to learn some TvA contractions. He doesn't even have a lumbar curve. Oh well. Maybe not so happy after all...)

Fit Pregnancy Or What?

You know that exercising during pregnancy is good for you, the pregnancy and outcome of the birth. The Society of Obstetricians and Gynecologists of Canada (SOGC) even considers it a risk to not exercise during pregnancy.  But what does this exercise thing really mean?

If you are like most women in Ottawa, you have an office job and sit all day long. You know you need to start exercising. So you enroll in a prenatal aqua or yoga or fitness class once a week. Good! Maybe you start walking during your lunch breaks. Better!

So that makes 30-60min of walking every day and 1hour of structured exercise a week. What about the other 23+ hours in the day? Do we really think that 1 hour of exercise can outbalance 23 hours of sedentary behavior? Seems crazy, yet, it’s exactly what we do: Oh, I ate this extra slice of cake while reclining in my comfy chair. I really have to go to that class tomorrow and get fit again.

Fit. Fitness. Prenatal Fitness. There is something wrong with the way we use the word Fitness. According to my Oxford Dictionary it is ‚the state of being physically healthy and strong‘. Being fit for something means `the state of being suitable for something‘. So here it gets a little sketchy. Fit to swim 20 lanes? Or fit to have a pregnancy without back pain? Fit to give birth without intervention? Or fit to be pregnant without walking like a duck.

The achieve this we need to do a little more than this one exercise class once a week. And I don’t suggest you take an exercise class every day. How about just getting out of the chair for starters?

While the positive effects of exercise have been extensively studied and written about, more and more researchers are looking into the other sedentary 23 hours of our day.  What has come to light is that the health outcomes are just as bad – for the non-exercisers as well as the exercisers IF both sit on their butts for the biggest part of the day. It's the sitting that ails us. Thus, we need to be more active throughout the day to be healthy and, naturally, to have healthy pregnancies.

We don’t need fitness in the sense we use the word. We just need to move our bodies.  Throughout the day.  Every day.  And we need to move our body the way it was designed to be moved (excluding all those bad slouchy and thrusty habits).

Maybe you can do 15 push-ups on the edge of the pool during your prenatal aqua class but you know something is missing when you do the duck-walk on your way back to the change room only to notice that your back pain has come back.  Right?!

To Do List:
-get out of your chair every 30minutes and do the calf stretch
-consider signing up for Kangaroo Fitness‘ new prenatal exercise/education class? ( I know, it’s a little bit ironic…..)

Preventing Postpartum Back Pain – Proper Lifting Mechanics

I wrote this article with Jillian (who is a Restorative Exercise Specialist and just awesome) for the fall issue of From Belly To Baby which is a free pre/postnatal mag that comes out every 3 months. I have always loved reading it - ever since I got to Ottawa with my pregnant belly. You can pick it up at some locations in Ottawa or read it online.
And because I like German efficiency, I will just publish it as a blog post.
Here we go!

You say: “I’m starting to get pain in my lower back“. 
Your  doctor/friend/neighbour replies: “Well, you are pregnant. That’s normal. It’s part of the the common aches and pains you get“. 

Pain during pregnancy – and postpartum -  is so common that we mistake the word common with the word  normal.  It is NOT normal.  Our bodies were made to be able to accommodate a pregnancy without aches and pains. Our bodies were also made to be able to lift things (think baby, diaper bag and groceries) without getting a spinal or sacroiliac joint injury. We just have to use our bodies the way they were designed to be used.

Most back injuries happen when we lift things, and new moms tend to lift heavy loads every day. Let’s look at proper lifting mechanics then!  But really the best time to learn proper lifting technique is before you even get pregnant. Don’t worry though, a lot of back pain can be alleviated and prevented by starting to lift correctly right now.

Lift with your butt and legs and keep your lumbar curve. The curve in your lower back is there to absorb loads we place on our spine – our yown body weight from standing and additional loads from lifting.  What we  usually think of as excessive lumbar curve actually comes from what happens further up the spine: from thrusting the rib cage forward.  By maintaining the curve in your lower back and drawing the rib cage down, you get your spine where it needs to be. Bend your knees, but don’t let them drift over your toes: keep your knees over your heels and stick out your butt. Not easy, but the more you stabilise your spine and carry loads with your legs, the happier your back will be.

Lifting While Twisting places much more stress on your lumbar spine and SI joint than lifting with your shoulders and chest in line with your knees and feet. For example, we tend to get the car seat out by facing the car with one side of our body. This ultimately results in an excessive load being placed on the spine from a twisty lift. Square yourself in front of whatever you are lifting and then lift as decribed above, loading your legs and stabilising your spine.

Lifting after C-section, if you have diastasis recti or a weak pelvic floor calls for a lot of caution. Your body’s mechanisms aren’t really working the way they should and the additional load from lifting can place dangerous pressure on your pelvic floor, abdominal wall or even diaphragm. You can control the pressure by learning to check in with your body. Do I feel pressure on my pelvic floor? Do I feel/see a bulge where my abdominal muscles should be? Avoid the activity if you can. If you can’t avoid it, apply the above tips for lifting. Try to use your deep abdominal muscles while you lift. You can counteract the pressure when you exhale and draw belly button towards the spine before you lift. Or sneeze. Or have a bowel movement.

not like this

more like this:
knees over heel, curve in lower back and butt out, rib cage up

Tips: You can reduce some heavy lifting by keeping the car seat in the car and just carrying the baby in your arms. It’s better for your back, a great upper body workout and it allows for the optimal spinal, muscular, and vestibular development of your baby.  Not to mention it’s bonus snuggle time for you and the babe!
When you lift an older child, you can save your back by just reaching under your child’s arm pits and lifting with your arms and shoulders.

The end!

Post Long Weekend Stretching

We just got back from a weekend camping trip with the kids and the canoe. Despite the 4 of us sleeping on a rather uncomfortable air mattress my body feels great - no aches, no pains. Must be from all that bare foot walking in the woods, climbing on rocks, squatting to pee, splashing in the lake and just being relaxed!
Or, now that I'm thinking about it, maybe there is just a bit of a tense trace of that air mattress in my back ....
And just in case you have some aches and pains from the weekend or otherwise, here are two of my favorite stretches.

The first one must be the Calf Stretch the restorative exercise way:

I am using a piece of foam roller sliced in half but a tightly rolled up towel or a couple of books work too. Get the ball of one foot on the item on hand, keep the heel on the floor, place the other foot next to the one stretching. Or behind or in front. Depending on how tight your calfs are.
Make sure that your feet don't turn out and keep your hips square. Try to relax your quadriceps muscles so that your knee cap is released.  Hold it for 30second and work up to holding it for 1minute or longer.

This is just the BEST! And maybe you can feel it all the way into your lower back.





The other one that can even be done while lying in bed is the Crescent Stretch and it stretches the side of your torso (obliques) and you can even get some IT band action if you are lucky.

Lie on your back with your arms and legs extended. Check if your bra line is touching the floor: your rib cage should ideally have contact with the floor (unlike mine in the pic). You can put a pillow or two under your head to help. Make your shoulder blades nice and wide as well.

Then do this: 

Start forming a crescent or c-shape with your body and as you do it focus on getting your hip further away from your rib cage - to really lenghten the side of your torso. 











Then just plonk the outside foot over the inside foot and .... breathe.

Hold both of these stretches for at least 30 secs, ideally for a minute and by all means for longer. And I know it's unnecessary to add but ... stretch the other calf and the other side of your body, too.

Good night!

Why Sitting Is Bad For Our Health

It’s time to finally start writing my first blog post. I have all these ideas in my head. Should I write about lifting mechanics as it relates to mommyhood or universally answer one of the questions about diastasis recti that I find in my inbox every day or should I write about my journey so far as a student of the Restorative Exercise Institute or should I write about walking with my children or should I maybe write about the terrible effect sitting has on our health?

I was mulling this over on Monday while washing the kitchen floor for the 73rd time that day. In between 1001 times of hearing the word ‚mommy‘ I even had a minute to read one article in Saturday’s paper. It happened to be an article about the growing body of research that shows that sitting is killing us softly. I liked it because the author suggested that chairs should be made really, really uncomfortable so we spend less time sitting in them. I like extreme measures. I’m known to tell clients to stop hanging out in their LazyBoys (how is it spelled again?) or, better, to throw out their couches. One was able to convince her husband to not buy a second couch to keep more room for stretching and hanging out on the floor. These are the kind of client stories I like :)

Anyway, my decision was made. My first blog post would be about the first thing I tell anyone who wants to listen: what terrible things sitting on chairs does to our bodies. Just in more detail.

Our body has over 600 muscles. We are supposed to use all of these muscles by means of moving our bodies. We are alive because our heart is pumping oxygen-rich blood through our arteries. Imagine your arteries and venes like a highway that runs through your torso and limbs. But our body is much more interesting than that: there are side roads branching off the highway, and more streets branching off those roads and finally little alleys – the capillaries - at the end of those roads. The heart doesn’t pump the blood all the way there. This is where the muscles have to come in. They compress the blood vessels and thereby direct some blood away from the highway so that it can supply ALL cells in our body.

Basically, the more muscle is innervated (stimulated), the more blood cells can branch off into the side roads of our circulatory system and finally into the little capillaries. The blood cells carry waste products through the walls of the capillaries into the lanes of our lymph system. The lymph fluid carries the blood cells with the waste products straight to the lymph nodes via these lymph lanes. There, white blood cells are being formed and the fluid is treated for any bacteria and then taken back via the capillaries into our blood vessels.

Ok, so what does that have to do with sitting? Well, we don’t exactly use many muscles when we sit.
Our major lymph nodes are located behind the knee and deep in the groin, abdomen, chest, neck and arm pits. When we sit on our computers or in the car, our knees and hips are bent. That means these major muscles are kept in a shortened, non-innervated position. Our abdominal muscles are not exactly on overdrive either. Our breathing isn’t optimal in any case. We pull our necks forward like we are turkeys and there is no movement in our arms or shoulders either. And while we work and stress away and think of our next break which we’ll be spending on just another sitting device, the muscles and lymph nodes in all these body parts can’t do their job. Non-working  muscles, non-working lymph nodes, no clean blood, no defense for disease. Sitting is defenitely not healthy!

So, since I’m reaching my word count and promised myself to only write kind-of short posts, I get to the WHAT TO DO part.
-    When you must sit, sit straight and breathe freely.
-    Start to include some sitting on the floor, ideally on some pillows or a yoga block to get your spine more into its neutral curve and therefore into a better, healthier place

not like this

more like this

-    when sitting for long time is part of your work day, stand up every once in a while, e.g. when talking on the phone and find reasons to walk around the office.
-    Determine a place in your neighbourhood that is 1km away and where you frequently drive to and start walking there.
-    Stop watching TV in the LazyBoy and hang out on the floor instea
-   Do this sitting quiz to determine how much much time a day you really spend sitting