Pelvic Organ Prolapse, Support Thread - Page 2 - Mothering Forums
1  2 3  4  12  ... Last
Healing Birth Trauma > Pelvic Organ Prolapse, Support Thread
runes's Avatar runes 04:57 PM 07-27-2007


it was a no go on the diva cup.

i was able to insert it, and it was fine for a few minutes.

then i bent down to attend to dd, and when i stood up, it PINCHED me internally.

YEEEEOWWWCH!!

it's possible that i just couldn't get it up high enough, i'm still a bit sensitive due to episiotomy so i'm not as comfortable as i once was with getting the diva in the right place.

perhaps the keeper might be a better choice? it's a bit softer, right? i think the stiffness of the diva is too much now that things are, ahem, rearranged.

anyone do a comparison of diva vs. keeper with prolapse issues?

in the meantime, it's back to the sea sponges for me. i just went swimming with dd for over an hour without a leak and i wasn't aware of the sponge at all. as you can see, i'm a big fan!! i was really hoping that the diva would work as i loved it pre-baby...

~*max*~'s Avatar ~*max*~ 07:25 PM 07-27-2007
kidsperation, when you used the sea sponges as a pessary, how often do you change them? Did you sew a string onto them for easier removal? I just bought some & am trying to figure out how to use them. The one tried I tried, it was comfortable, but hard to reach to remove. Any words of wisdom would be appreciated!
debsdancer's Avatar debsdancer 01:13 AM 07-28-2007
I have both a diva and a keeper but only bought the diva when i was pregnant with #2 so haven't used it yet- they don't seem too different in stiffness... I wasn't able to use the keeper after #1. Had used it for years before any pregnancy, then only had one period between pregnancies so didn't try many things, just figured out that the keeper AND the tampons would hang halfway out of me... sigh... I will have to try sea sponges, though, I have NO experience with those but anything's better than pads (IMHO)!!!
fruitful womb's Avatar fruitful womb 02:25 AM 07-28-2007
Quote:
Originally Posted by kidspiration View Post
i'm still a bit sensitive due to episiotomy so i'm not as comfortable as i once was
How bad was your episiotomy?
Have you ever applied aloe vera on it? I didn't have an ep this time but I used the aloe any ways to see if it would help. I really like it. I can't explain what it does for me... It feels fresher I guess. This was right after I did the placenta experiment. Aloe is great for recovery of any injury. I used the plant. I think getting the liquid from a health food store be fine too. If you use the plant I would break a piece off, sick it in the fridge and apply it.

I'm so sorry your still in pain from the ep. That sucks. I had one with ds1's birth. 4th degree. Suffered that for a year! OB that diagnosed my POP at 8wks pp (child #4) said my pop is a result from the ep. and the forceps OB used for ds1. :

I hope you feel better
wombatclay's Avatar wombatclay 01:03 PM 07-28-2007
I second the aloe for the epi/tear recovery... I got the gel at the health food store (actually, it was with the beverages since the purest gel I could find was the drinkable one!). I'd take a sitz bath, then gloop on the gel and relax for 10 minutes or so...then take a shower. I sometimes put a little gel on during the day, but make sure it dries before getting dressed since it can get messy.
runes's Avatar runes 06:10 PM 07-29-2007
Quote:
Originally Posted by ~*max*~ View Post
kidsperation, when you used the sea sponges as a pessary, how often do you change them? Did you sew a string onto them for easier removal? I just bought some & am trying to figure out how to use them. The one tried I tried, it was comfortable, but hard to reach to remove. Any words of wisdom would be appreciated!
i only used it during physical activity (yoga class, pilates class, power walking) to see if it made a difference in the way that i felt, so it was in maybe 2 hours max. i didn't have a problem retrieving it but i know that other mamas do sew a string or some dental floss through the sponge to make it easier to get out.

i don't have the draggy feeling much anymore (thank goodness), only for a day or so when i ovulate and then a little bit during my period, so i only feel like i might need a pessary for support one day a month. but i've also realized that part of my self care is to take it easy when i feel that way, so if i feel like exercise at that time, i'll opt to swim instead, which is invigorating and relaxing at the same time, and no need for a pessary with that.

Quote:
Originally Posted by fruitful womb View Post
How bad was your episiotomy?
Have you ever applied aloe vera on it? I didn't have an ep this time but I used the aloe any ways to see if it would help. I really like it. I can't explain what it does for me... It feels fresher I guess. This was right after I did the placenta experiment. Aloe is great for recovery of any injury. I used the plant. I think getting the liquid from a health food store be fine too. If you use the plant I would break a piece off, sick it in the fridge and apply it.

I'm so sorry your still in pain from the ep. That sucks. I had one with ds1's birth. 4th degree. Suffered that for a year! OB that diagnosed my POP at 8wks pp (child #4) said my pop is a result from the ep. and the forceps OB used for ds1. :

I hope you feel better
thanks so much for your well wishes and suggestions about aloe vera...i think the epis was a grade 3 (haven't yet reviewed birth records with midwife). i did apply some lavender essential oils when it was still healing, along with doing herbal sitzbaths. my physical therapist also did a lot of scar tissue release techniques that did make the area a lot less sensitive. the scar tissue is still forming up to 1 year postpartum, so her gentle hands-on technique was really helpful so that overall, i think i'm doing quite well with the epis scar area. it's healed really well...it's probably more psychological for me than physical...i'm just a bit tentative about that area now.

to everyone that had to endure the pain and recovery from an episiotomy. :
querico's Avatar querico 12:55 AM 07-31-2007
Pigpokey, how do you feel after the surgery?
Are you happy with the outcome? Are you symptoms improved?
It must be hard to have to undergo multiple surgeries for this.

I'm just editing this post now, I see you already responded.

I was feeling better and then I feel like I had a flare up of my cystocele. I'm 10 wks PP and starting to get quite frustrated and depressed at times. I was really hoping this would be better by now..
So I have been thinking I may need surgery, but I know that this is premature of me. The sensation of my cystocele, esp at the end of the day really brings me down.

I did find that swimming this weekend was wonderful for me, so I'll just have to set up regular access to a pool. It feels like a great exercise for this condition.
~*max*~'s Avatar ~*max*~ 09:41 AM 07-31-2007
Quote:
Originally Posted by querico View Post
I'm just editing this post now, I see you already responded.

I was feeling better and then I feel like I had a flare up of my cystocele. I'm 10 wks PP and starting to get quite frustrated and depressed at times. I was really hoping this would be better by now..
So I have been thinking I may need surgery, but I know that this is premature of me. The sensation of my cystocele, esp at the end of the day really brings me down.

I did find that swimming this weekend was wonderful for me, so I'll just have to set up regular access to a pool. It feels like a great exercise for this condition.
Querico, I feel this way about surgery too when I get really frustrated w/my symptoms. Try to remember that even though you are 10 weeks pp, that is still early for your body to fully heal from the birth. Keep doing all the great things you are doing to facilitate healing, rest when you need it, and try to stay positive.
wombatclay's Avatar wombatclay 11:06 AM 07-31-2007
I keep remembering (from the old thread I think?) that it takes at least a year for the body to "settle" after birth...so organs and tissue and muscles and tendons and all the "gooey bits" aren't in their final forms for at least that long. So I'm trying not to think of anything that is going on now as "permanent". It's depressing, but I also think it helps me to think that I've got another 10 months of healing before we'll be able to say which path is going to be the best choice.

hugs...
fruitful womb's Avatar fruitful womb 02:54 AM 08-01-2007
Quote:
Originally Posted by wombatclay View Post
I keep remembering (from the old thread I think?) that it takes at least a year for the body to "settle" after birth...so organs and tissue and muscles and tendons and all the "gooey bits" aren't in their final forms for at least that long. So I'm trying not to think of anything that is going on now as "permanent". It's depressing, but I also think it helps me to think that I've got another 10 months of healing before we'll be able to say which path is going to be the best choice.

hugs...

I keep telling myself that too. And I've heard that in Chinese Medicine the pp period in TWO YEARS! England stated the one year ppp. They consider the vagina to be in trauma until that time. No Sh!t

I went to a PT yesterday, sorry I didn't post this sooner. She taught me a lot about the proper way to do Kegels. I have to lift my bum and prop them on two pillows so my organs fall to my middle. Then I'm instructed to hold for seven, release for seven. Your not suppose to do more than your body can handle or you'll weaken the muscles. Got to give them time to build. Your training for a marathon. It takes at least a yr to get into shape. About my grade 4 cycstocele, she said I may need surgery for that. But now is definitely not the time. Ppl who have surgeries tend to visit the knife every 10 yrs. That was discouraging. She sounded so confident on the phone. Told me that the worse she has ever seen was an 80y woman who was terrified of surgery. Her entire uterus was out of her body. PT got it in its place and it stayed. How am I worse than that? My cervix is up in my body! Maybe I'm just sensitive and any mention of surgery sets me off completely.
~*max*~'s Avatar ~*max*~ 08:50 AM 08-01-2007
Fruitful Womb, sounds like you found a good PT. I'm glad. And that makes a lot of sense about the position to do kegals in. Gotta try that.

I go back to urologist today for the remainder of my work up. You cannot imagine how much I am dreading this!!!!!! I already put it off once, so I've got to go. Wish me luck!
fruitful womb's Avatar fruitful womb 02:07 PM 08-01-2007
Good Luck! I hope everything goes okay. Let us know how it went.
querico's Avatar querico 11:52 PM 08-01-2007
Hi everybody. Feeling better today, physically and mentally.
I saw a new OB/GYN today who was very reassuring.
He said to not even think of the future or surgery right now. His feeling was that until I stop breastfeeding and menstruate again, there is no way to say what will happen. He said he has seen women with severe prolapses completely resolve after a year or so- mentioned "not even being able to find them". Again, he explained that nursing blocks the circulation of estrogen, which is vital to vaginal healing and restoration. He said that this was not a reason to stop nursing, but important to keep in mind when I feel frustrated.
He also said that if a very thorough exam is done on all women after delivering vaginally, you could find some type of pelvic prolapse in 75% of women in the first 6 months post partum! this makes the condition seem so much more "normal". He did add that they are usually grade 1-2, and mine is a 3, but I still felt reassured.
He doesn't want to see me back until I have stopped breastfeeding for 3 months, and then would like to take a look.
(I am 10 wks PP now.)

thanks for the support!
fruitful womb's Avatar fruitful womb 01:31 AM 08-02-2007
WOW!!! Thats really good news! I wish I had a doctor like him. How far are you pp? I forget. Do you have the other prolapses too? What grade are they at? This "normalizing" you gyn spoke of is really encouraging. I have(or had) a grade 3 uterine prolapse but the other prolapses are worse. I'm glad you had a better experience than most of us normally do at the doc's office.
Zoo Loo Naturals's Avatar Zoo Loo Naturals 05:36 AM 08-02-2007
Hi.

I have 5 kiddos. My first was a c-sec my last two were 10lbs. 14oz. and 10lbs. 12oz. I am 5 months postpartum. I have a mild rectocele. Noticed it after my first big baby. Didn't seem to get worse after my other big baby. But I do notice things being much looser PP for a while. I swim alot and am a firm believer that it tones this region very well.

In my experience you are not fully strong and yourself until 4 years PP. Sort of a gradual transition back. So, if you are having kiddos a year, 18 months (I did) or even 3 years apart you are still in that rebuilding phase.

For me a strong back, strong stomach, strong legs, good nutrition, low stress and much love for this body that birthed these amazing kiddos is my health plan. I do all of my healing myself. I honestly think nursing and carrying my babe on my back help me very much to connect with what is real and get my bod strong.

Working in the birth field I am sad to say that this is a subject not given it's due. My midwives never mentioned it and I will say some of their practices may have actually led to my issue (and I push really fast, 5-10 minutes to birth those big babies). I am dissappointed with the lack of care in this area in midwifery. My sign to change that!

But what I always come back to is my experience with animals and the natural world and I let all ideas of perfect or "how things should be" go and focus on what is and seeing the glory in living. My self-image needs to be strong as well. Just like grey hair and wrinkles and stretchmarks. Life changes us. Birthing changes us.

Cheers to happy pelvic health Mamas!!






Oh, I wanted to ask how your sex lives are affected? How your partners might feel about your changed vagina? Anyone think sex as exercise might be beneficial?
~*max*~'s Avatar ~*max*~ 09:09 AM 08-02-2007
Well, I had my "urodynamic" work up yesterday, and it was quite awful. I won't go into details, but suffice it to say it was embarassing and painful. I am still recovering today. But the good news is that it is nothing too serious or "life threatening". They found that I have stress urinaray incontinence, due to the uterine prolapse and overactive bladder. He offered me meds for the overactive bladder, which I refused, and surgery for the bladder, also refused. The doctor was very nice & supportive and said it is all a matter of what I am comfortable with. My next step will be to meet w/my GYN again to discuss all the results and make a plan for continued monitoring. I am going to ask her about the possibility of a pessary.

Thanks everyone for the support around this. I am really glad we have this thread going.
wombatclay's Avatar wombatclay 10:07 AM 08-02-2007
hugs max...I'm sorry the news wasn't better and that the options weren't very helpful, but I'm glad there was nothing more serious found.

And thanks everyone for the reminders that this takes time...with a toddler and newborn (and soon to be back at work with no idea of what sort of child care I'll be able to afford) it's hard for me to feel like my body hasn't "failed" me in some way. Like, if only my body were okay then everything else would be easier? I know that isn't true, but it's hard to remember when my little babe is crying, my toddler is running for the road, and I have no idea what I'm going to find when I open the fridge....it's easier to just "blame" my body I think.

Bleh...I guess there's a big chunk of emotional healing that I need to focus on as well as the physical. And this thread is a huge help there!
nicoley73's Avatar nicoley73 11:45 AM 08-02-2007
I haven't posted in a while - I recently moved and my life has been very hectic. I guess I'll give a quick review of my situation - 2 weeks postpartum with my 2nd child, I called my OB in a panic because my cervix was coming out. I started PT at 5 weeks pp, now at 3.5 mos pp I feel pretty much okay. I really credit the physical therapy with helping - as well as taking it easy, not lifting (not even my toddler) and getting enough sleep.

I am noticing that if I get run down I feel the prolapse more. And I totally relate to feeling like my body has failed me - I have so much going on that I really need to be well physically. I try to just push through - if I stop moving I could get really depressed.

I also take homeopathic sepia when I feel worse - it also seems to help - and I loved my fembrace - it helped me get through those first few months when I felt like my insides were coming out.
fruitful womb's Avatar fruitful womb 07:39 PM 08-02-2007
Quote:
Originally Posted by nicoley73 View Post
I haven't posted in a while - I recently moved and my life has been very hectic. I guess I'll give a quick review of my situation - 2 weeks postpartum with my 2nd child, I called my OB in a panic because my cervix was coming out. I started PT at 5 weeks pp, now at 3.5 mos pp I feel pretty much okay. I really credit the physical therapy with helping - as well as taking it easy, not lifting (not even my toddler) and getting enough sleep.

I am noticing that if I get run down I feel the prolapse more. And I totally relate to feeling like my body has failed me - I have so much going on that I really need to be well physically. I try to just push through - if I stop moving I could get really depressed.

I also take homeopathic sepia when I feel worse - it also seems to help - and I loved my fembrace - it helped me get through those first few months when I felt like my insides were coming out.
Moves can be draining yet fun and exciting. I wish we could move back to Colorado! About the sepia... My Midwife Manual, "Hearts and Hands" suggested it. I meant to post that information but it slipped my mind. I need to get more of that stuff. It really relaxes me and helps the prolapse too.

Quote:
Originally Posted by Zoo Loo Naturals View Post
Oh, I wanted to ask how your sex lives are affected? How your partners might feel about your changed vagina? Anyone think sex as exercise might be beneficial?
Zoo Loo, Welcome!! Thank you for your encouragement. We want to have another child in 4 yrs so this was especially helpful. You had big babies! You asked about our sex lives. Sex is suppose to be therapy, so I'm told. It helps push things back up. Before my diagnosis my dh says he liked it better (for some odd reason). After the diagnosis and hearing that the OB/gyn and Midwife said I look like a 60 yr old!!!!!!!!!!! He hasn't touched me since. Its been a month and a half, I believe. I'm 29 and no Grey hairs and my cervix is up most of the time. I think they were rudely harsh and have NO bedside manners. It was a marketing ploy. "If they cry, they buy". Just a doctor who was itching to do an unnecessary
hysterectomy. I won't see him or that Midwife again!

~max~ I'm sorry things didn't go well at the docs. Were they rough with you?
wombatclay's Avatar wombatclay 08:15 PM 08-02-2007
Sex- my OB recommends it for muscle tone but suggested that I avoid all penetration (sexual or otherwise) for at least 6 months to allow my tear to heal "all the way". She pointed out that this still leaves plenty of options... But dh and I just haven't had a chance and my tear is still pretty painful.
~*max*~'s Avatar ~*max*~ 08:00 AM 08-03-2007
Fruitful Womb, do tell about the sepia!! Is it homeopathic? My trouble w/homeopathic treatments is that I am so addicted to coffee they usually don't work for me. : (Having a nice big cup right now!)

Re: the docor's appointment, they were very nice, but yes, the nurse was none to gentle inserting the cathetars. I am almost recovered today thankfully.

Welcome Zoo Loo! In response to your sex question, I am over a year pp, so I am fully healed there. The prolapse does not seem to cause me any problems sex-wise. (One good thing at least!)

nicoley, I definately share the "feeling the prolapse more when run down" thing. The end of the day is always my worst time. I often need to sit w/an ice pack on and sometimes take ibuprofin if I am really in pain. (My prolapse causes my PSD & VV to hurt.)

And wombatclay, I too often feel like "everything would be ok if my body were ok." It's so hard not being able to be as active, strong & energetic as I would like to be. The other thing I worry about w/this is that I will gain weight if I cannot be as active. I am still not quite at my pre-pregnancy weight (about 8 pounds to go) and I certainly don't want to start gaining.
nicoley73's Avatar nicoley73 11:43 AM 08-03-2007
fruitful womb - that is just terrible what your OB said to you! both of my doctors said that prolapse was not unusual in young women and that they see it all the time.

I did see a surgeon who spent a long time talking to me. In his opinion, surgery is a big deal and should only be considered when your quality of life is really being affected by the prolapses. It was really nice to meet a surgeon who was not pushing surgery! Luckily I feel pretty good right now, but I will not be surprised if I need surgery somewhere down the road. I'm hoping that techniques improve more as time goes on so that the surgeries will be less invasive and more successful.
~*max*~'s Avatar ~*max*~ 04:59 PM 08-03-2007
Quote:
Originally Posted by nicoley73 View Post
fruitful womb - that is just terrible what your OB said to you! both of my doctors said that prolapse was not unusual in young women and that they see it all the time.
I agree Fruitful Womb, very unprofessional of the doctor. Maybe your dh is worried that he will hurt you? I know mine had some concerns about that. Have you been able to talk to him about it?
fruitful womb's Avatar fruitful womb 06:38 PM 08-03-2007
Quote:
Originally Posted by ~*max*~ View Post
Fruitful Womb, do tell about the sepia!! Is it homeopathic? My trouble w/homeopathic treatments is that I am so addicted to coffee they usually don't work for me. : (Having a nice big cup right now!)
Yes, its homeopathic. I'd quote exactly what the book says but I'm not at my house right now. When I get home tonight I'll share that with you
Does coffee surpress the effectiveness of homeopathic remedies. (The spell check is disabled on this computer. aaahhh!)

Quote:
Originally Posted by ~*max*~ View Post
Maybe your dh is worried that he will hurt you?
Thats what he said. He is afraid he'll hurt me. I believe him. Its just hard not to think he is rejecting me because of this statement the dr. made. Sex doesn't hurt. It will get dry sometimes and thats not fun. But as far as my prolapse, it doesn't hurt. I don't feel any sensation down there during intercourse. I know, TMI, sorry. Maybe its apart of the prolapse or stress or the nerves are shot. The friction is less since he has beed restoring foreskin and that helps. TMI
wombatclay's Avatar wombatclay 07:13 PM 08-03-2007
Quote:
Does coffee surpress the effectiveness of homeopathic remedies.
Coffee and mint both "counteract" homeopathic treatments. I'd usually remember to wait on the coffee but I'd always forget and brush my teeth too soon!

Arnica is a good treatment for healing tissue, but it was tough to be caffiene and mint free!

I hope you and your dh find a good balance soon...maybe he would be more comfortable with something other than penetration for a while? Especially if your dh knows you aren't getting a lot out of it (and he's worried about hurting you)?
ASC's Avatar ASC 09:34 PM 08-03-2007
Very interesting post - thank you! I glanced at The Whole Woman website and it looks like it has a lot of good info, so thanks for that too.

I'm not sure if I have POP or am just experiencing normal post-birth changes. When pregnant with DS #1, I was religious aobut my Kegels and thought I was safe from this sort of thing, but ever since his birth I've felt that things just aren't right "down there". Eventhough I didn't tear, it took me a long time to recover. Eventhough he's now 2, I still feel like my vagina is bulging out and things are way too relaxed. I've tried to tell myself that I just need to get back to doing Kegels on a regular basis, but I can't help but worry that there's more to it than that. I'm now pregnant with baby #2 and have lots of problems, including a lovely labial vericose vein, and the feeling that my vagina is going to just fall off and take my insides with it. Thankfully my NP recommended a V2 supporter and that has made a world of difference in combatting the pressue. But, all of that also makes me worry that there is something more to what I'm feeling than just normal untoned muscle.

My real question is, how are you diagnosed with POP? Is it something that would have automatically been found in my post partum/pregnancy checks, or is it something I need to be more pro-active about?

I'd been planning on taking up pilates as soon as I could after this baby comes, since my stomach muscles stayed prety far separated after having my son, but now I'll make sure to get this POP stuff figured out before proceeding with that!
debsdancer's Avatar debsdancer 12:06 PM 08-04-2007
ASC, I have felt the exact same way (vagina bulging, just gonna fall right out) - my last baby is now a year old and it's much worse than after the first. As for Pilates, that was going to be my 'savior' too, because I also have abdominal separation, and everything I've been reading says to avoid Pilates mat routines, BOTH for POP and abdominal separation. So I'm floundering, feeling like there's nothing I can DO (I want to be active SO BADLY), and hoping that I can things somewhat back in shape eventually...

has anyone here used the book or video from Whole Woman? Or the device? I'm thinking about ordering it but don't know quite what I'll be getting. How might Physical Therapy differ from the stuff on her video? I'm thinking about trying to get referred for PT but don't have an OB here and don't know where to start. I also don't have anyone to care for the kiddos while doing PT, so if the Whole Woman stuff is similar it would be more convenient to be able to do it at home.

thanks...
~*max*~'s Avatar ~*max*~ 12:22 PM 08-04-2007
debsdancer, I like the video a lot. I try to do it daily. It only takes about 15 minutes and really focuses on all the muscles & ligaments associated w/prolapse. The video itself also has a lot of info in it, generally a summary of the book. The exercises in the book are ballet based, take about 45 minutes I believe, and IMO are a bit trickier to follow using the book as a guide - although the book does give good descriptions & pictures. I am not sure what device you are referring to? She recommends a wooden batton for the video exercises, but I don't think it is really necessary. The other thing I am going to look into is the "Lose Your Mummy Tummy" exercise video. The author of the book is a PT and seems to really focus on healing abdominal separation and stregthening the pelvic floor. It seems like it would be a good resourse for us prolapse mamas.

ASC, I was dx. w/POP by my GYN one year pp. I went to her bc I was having stress incontinence. It was not dx. or even mentioned at my 6 pp week check up. I don't know if I had it then, or if I was just healing from the birth. I knew throughout my pregnancy though that something was wrong w/my body and worried if I would be able to fully heal after the birth.

HTH.
fruitful womb's Avatar fruitful womb 01:00 PM 08-04-2007
Quote:
Originally Posted by ASC View Post
My real question is, how are you diagnosed with POP? Is it something that would have automatically been found in my post partum/pregnancy checks, or is it something I need to be more pro-active about?
Different doctors have their preferences for dxing their patients. It depends on who you go to. I went two different docs. One had me bare down. This same doctor (warning graphic details ahead) inserted his finger into the rectum and forced tissue out of my vagina. That really hurt!!! He said, "yep, a grade 3 rectocele!). I didn't have any problems with a rectocele until after he hurt me:

The 2nd doctor inserted a q tip in my urethra. He had me cough. The q tip is suppose to swing at a certain angle. 40 degrees is normal. Mine was 90 degrees! Then he would palpate my organs. Nothing painful. And no bearing down.

I hope I answered your question.
wombatclay's Avatar wombatclay 04:32 PM 08-04-2007
I have both of Tulper's books..."lose the mummy tummy" and "maternal fitness" and I love them. The mummy tummy book focuses on healing/repairing diastasis. The maternal fitness one has many of the same exercises but also has stuff specifically for use during pregnancy/birth. Both books are on amazon, and there is a "cheat sheet" of her basic ideas at http://www.maternalfitness.com/baks_basics.pdf

I was dx when I had my 4th degree tear after shoulder dystocia...my OB checked everything as she was putting me back together!
1  2 3  4  12  ... Last

Up