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Antenatal and Postpartum Pelvic Floor Physical Therapy as Standard of Care

In Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast3 Comments

  By Dr. Ann Croghan, PT, DPT, CLC, and CAPP-OB trained with introduction by Stephanie Prendergast, MPT   A few months ago I shared a link to an article I was interviewed for in Men’s Health Magazine about postpartum sex on our PHRC Facebook Page. I was disappointed there was not better coverage about postpartum pelvic floor physical therapy in …

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Childbirth Medical Interventions and Pelvic Floor Dysfunction

In Pregnancy and Postpartum Pelvic Health by Natalie Christopherson2 Comments

  By Natalie Christopherson   As a pregnant woman and pelvic floor physical therapist, I am surrounded by stories, advice, and opinions about the right way to give birth. Most of us know that pregnancy and childbirth often result in trauma to the pelvic floor and perineum, which can lead to incontinence, pelvic organ prolapse, and painful sex, among other …

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This is Us: a look inside PHRC

In Female Pelvic Pain, Male Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast2 Comments

  By Stephanie Prendergast   January is often the time to reflect on the past year and set goals for the future. So, in that spirit, we thought it would be fun to dedicate this post to a few top Pelvic Health and Rehabilitation Center events of 2017….and a peak forward to 2018. In no particular order, here’s what happened …

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C-section Scar Problems and Solutions from a Pelvic Floor Physical Therapist

In Pregnancy and Postpartum Pelvic Health by Shannon Pacella4 Comments

  By Shannon Pacella   If you’re reading this, you probably know what a Cesarean birth (C-section) is,* but what you may not know is what to do once you have had one. Most women post C-section are not given much information regarding their healing incision, except to “keep it clean in order to prevent infection.”   *A Cesarean birth …

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Pelvic Pain and Childbirth. Dr. Mark Conway tells us what we need to know.

In Pregnancy and Postpartum Pelvic Health by Elizabeth Akincilar-Rummer1 Comment

  By Elizabeth Akincilar-Rummer   As we learned in a recent previous post by Stephanie Prendergast, the vast majority of women are not well informed when it comes to their pelvic floor, pregnancy and childbirth. In fact, 93% of women felt like they were insufficiently informed about their pelvic health! Unlike the rest of the population, many of our patients …

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More Than The Baby Blues?

In Pregnancy and Postpartum Pelvic Health by Melinda FontaineLeave a Comment

  By Melinda Fontaine   The majority of women experience some emotional fluctuations known as the Baby Blues in the first three weeks after they give birth, and it is natural. A smaller, but still significant percentage of women will experience Perinatal Mood and/or Anxiety Disorders (PMADs) before or after giving birth. There is a pressure for moms to feel …

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Reducing perineal trauma during labor and delivery

In Female Pelvic Pain, Low-Tone Pelvic Floor Dysfunction, Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast2 Comments

  By Stephanie Prendergast   Who doesn’t love a crowning baby cake? If our image didn’t catch your eye the title of this post probably did if you are pregnant or thinking about becoming pregnant. Last week we presented a pelvic health quiz about the role of the pelvic floor muscles play in childbirth. This week we share the answers …

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What women do and don’t know about childbirth and their pelvic floor muscles

In Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast1 Comment

  By Stephanie Prendergast   Recently, a number of studies were published on what women do and don’t know about their pelvic floor muscles, childbirth, and longer-term pelvic health.   How much do you actually know? Take our quiz and find out! If you do not know the answers, don’t fret. You are amongst 93% of women who felt like …

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Beating the Odds: How one woman overcame a traumatic birth and had a successful second birth

In Pregnancy and Postpartum Pelvic Health by Malinda Wright2 Comments

  By Malinda Wright   Childbirth is no picnic: 85% of women who deliver vaginally experience perineal trauma and a third of those women in the USA and UK require stitches.2 The thought of having another baby after having gone through a traumatic birth can be daunting, to say the least. Returning to sex can also seem like a feat, …

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Yoga throughout Pregnancy and Beyond

In Pregnancy and Postpartum Pelvic Health by Shannon Pacella1 Comment

  By Shannon Pacella   This week Shannon Pacella of the Pelvic Health and Rehabilitation Center interviews a yoga instructor about the benefits of yoga before and delivery.   What is a typical Prenatal Yoga class like (length of the class, any specific areas of focus)?   Each prenatal yoga class can vary widely, depending on the teacher’s style, the …

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Fertility: The Other F Word

In Pregnancy and Postpartum Pelvic Health by Rachel Gelman1 Comment

  By Rachel Gelman   The older I get, the more I realize that there is another ‘F-word.’ For many people it is a harmless word, but for others it carries the same weight as any other profanity. I am talking about fertility. For a portion of people who are sexually active, fertility is a scary word. For some, fertility …

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Time to Man Up: The Future of Male Birth Control

In Male Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Elizabeth Akincilar-RummerLeave a Comment

  By Elizabeth Akincilar-Rummer   MEN!!! Are you ready?? Birth Control for men is here….almost.   Contraception. For some of us, that word has been a saving grace in preventing unwanted pregnancies and diseases. For others, it is fraught with moral and ethical dilemmas. But, those who are the most concerned with and often the most involved with contraception, are …

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Diastasis Recti: Closing The Gap Between Research and Function

In Female Pelvic Pain, Pregnancy and Postpartum Pelvic Health, Stress Urinary Incontinence by Jandra MuellerLeave a Comment

  By Jandra Mueller   During pregnancy and the postpartum period, many women suffer from both functional and cosmetic issues caused from the widening of the abdominal wall from stretch and pressure generated from the growing uterus. This stretching can result in a separation of the rectus abdominis muscle, known as a diastasis recti (DR).  Diastasis recti occur in approximately …

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Painfree childbirth, peaceful labor, comfortable delivery: the practice of hypnobirthing

In Pregnancy and Postpartum Pelvic Health by Melinda FontaineLeave a Comment

Photo: David J Laporte       By Melinda Fontaine   Peaceful labor? Comfortable delivery? Calm childbirth? Do these sound like oxymorons? It’s true!   Jane was a young woman who saw a segment on TV about HypnoBirthing.  She saw pregnant women who looked like they were concentrating really hard on an abdominal workout or a challenging algebra equation.  Then …

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Method to the Madness? Get to Know the Different Types of IUDs

In Female Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Jandra MuellerLeave a Comment

  By Jandra Mueller   In my last blog, One and Done: The IUD and the Future of Birth Control, I talked about how the American College of Obstetrics and Gynecology (ACOG) are recommending long acting reversible contraceptives (LARC) as their preferred contraceptive option. The two main forms discussed were the implant and the IUD. In part one I mentioned …

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One and Done: The IUD and the Future of Birth Control

In Female Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Jandra Mueller2 Comments

    By Jandra Mueller   Are you currently on birth control? Have you used birth control in the past? These are common questions I ask when doing an evaluation of a female patient who is experiencing painful intercourse, also known as dyspareunia. Most women I see are currently, or have been in the past, on some form of birth …

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Why All Postpartum Women Need Pelvic Floor Physical Therapy

In Female Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast4 Comments

Image permission via Cosmopolitan   By Stephanie Prendergast   The Facts 21% of women undergoing vaginal delivery had levator ani avulsion1 29% of women undergoing vaginal deliveries had pubic bone fractures2  60% of postpartum women reported Stress Urinary Incontinence (SUI)3 64.3% of women reported sexual dysfunction in the first year following childbirth4 77% of women had low back pain that …

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Pregnancy, Labor, and Delivery with Vulvovaginal Pain

In Female Pelvic Pain, Pregnancy and Postpartum Pelvic Health by Melinda Fontaine1 Comment

  By Melinda Fontaine   Julia called me yesterday to ask some questions about pelvic pain and pregnancy.  She was 38 weeks pregnant and getting ready to give birth. She had a history of some pain with intercourse prior to getting pregnant and was surprised to feel some vaginal pain at her last OB appointment as well. Julia wanted to …