The Six Week Postpartum Check-up: We Need To Talk

this post was written by Jessica Abele, PT, DPT, NCS, owner of Therapy Roo

Dear New Mom,

Like many women, you may have waited a full six weeks before seeing your OB after giving birth. You struggled and pushed and stayed up all hours, and maybe had major abdominal surgery (hi, c-section), and then a few days later you were waved out the door with an infant and no instruction manual. Six weeks of a whole new life: crying, rocking, pain, joy, struggle, love, and drama. Then, you get to your six week postpartum visit, sleep deprived and overwhelmed, and your OB says that you’re “healed” and “good to go” back to exercise, sex, and work. And you were probably thinking, “What?!?!


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I want you to know that no woman has ever told me they felt back to normal at six weeks postpartum. You are not alone. The six week visit can be traumatic because of the vast chasm between how you feel now and what you knew as normal before. You may look at your OB and wonder if they really recognize you, do they really see you?

Though your OB means well, you may feel behind the curve or ashamed of your current body and how different it is. You may worry your OB is saying this is your “new normal”, and that this is all the recovery you can hope to achieve. This shame or worry may stop you from sharing how you really feel with others. You look around at other postpartum women and wonder, “Is this just me?” No, it’s not just you, and we need to talk about this together!

I want you to know that we’re here to help. Your body took nine months to prepare for this and will need time to recover. Fun fact: just the uterus shrinking back down to normal size takes about 12 weeks! There will be so many changes and you need knowledgeable, caring providers supporting you through this process. In some other countries (bonjour, France!), this is standard care. Every postpartum woman gets pelvic floor PT. We need this support here in the United States AND we need to talk openly about our bodies and how we really feel. 

You do not have to get used to incontinence, painful sex, feeling weak in your core, or pelvic pain. Please reach out to pelvic floor PTs, postpartum doulas, support groups, and of course, The Lotus Method, to help you on this journey.

Best,

Jess, Therapy Roo PT

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    Sarah Matias

    Why did you become a pre/ postnatal exercise specialist?

    After working in a physical therapy clinic I very quickly became aware of how underserved the pre/
    postnatal community was. Women who were trying to conceive, pregnant, and postpartum were
    seeking out help and guidance in navigating their motherhood journey. The healthcare professionals
    did not have the time or resources to be able to provide them the one-on-one attention they needed.
    Being able to empower women and help support them through their journey is something that I could
    only have dreamed of. The Lotus Method has allowed me to help women not feel alone through this
    challenging time in their lives, and I love being able to continue supporting them!

    What inspires you the most about our clientele of
    badass women?

    Their priority to take care of themselves! Our clients run the world, from stay at home moms to CEO’s
    these women’s schedules are packed! Yet they still prioritize taking the time to invest in themselves.
    Literally running from a meeting straight into an exercise circuit is not uncommon for our mom’s. They
    carve out an hour to focus on their strength, their mental health, and their happiness!

    If you had to listen to one song on repeat for the
    rest of your days – what would it be?

    How can I just choose one! River by Leon Bridges or Ritual Union by Little Dragon.