Navigating Self-Care as a NICU Mom

I met Lauren Chiarello of Chi Chi Life several years ago through Dreamers & Doers, a collective for female entrepreneurs. Lauren’s story is incredible, she battled cancer twice and came out the other side with a shining, resilient personality and a deep passion for advocating for the healing powers of fitness (scroll down to get a code to workout with her for free!). Seven months ago, Lauren gave birth to twin boys, both of whom spent time in the NICU. Watching her go through these challenges was heart wrenching - splitting time between two newborn sons, so many tests, doctors, and uncertainties, and a surgery, all amidst the early days of a global pandemic. All of that being said, Lauren was able to find moments of gratitude and joy throughout theses difficult first months (and her sons are thriving now!). I want to share Lauren’s story in hopes that it offers mothers with children in the NICU support, hope, and sisterhood.

Here is the interview with Lauren Chiarello on navigating self-care as a NICU mom:

can you tell us about the birth of your sons and your experience in the nicu? 

Twin A, Vincent, was breech so we were set to have a scheduled cesarean on Friday, January 17. At my OB appointment on Thursday, January 9 – it was time. Twin B, Jacob, was not growing since we last measured two weeks prior. When the boys were born, Jacob was diagnosed as IUGR (intrauterine growth restriction) – he was 3 lb 13 oz and Vincent was 5 lb 3 oz.

The NICU was scary at first. I quickly realized the doctors and nurses were so deeply compassionate – I knew our babies were in the best hands. They were kind, caring and happy to answer any questions. The nurses helped me learn how to breastfeed – which is difficult for preemies (and mama!). The boys were on a pretty set feeding schedule from the start – so right away, we learned the importance of schedule. The whole feeding process was frequent and long, especially with two babies. I was also pumping seven times per day for 20-30 minutes. The deep dive into motherhood was tremendous. Having the support, guidance and expertise from the NICU team was invaluable and deeply appreciated.

The NICU was also very lonely – I longed for the day we could bring our babies home. I felt sad that we couldn’t stay with them overnight. But one amazing feature at our hospital – they allow NICU parents to “board” at the hospital at no charge with food included. A true gift, as our hospital was 30 minutes from our home. We were deeply grateful!

how long were your sons in the nicu and special care?

Vincent was in the NICU for 11 days. Jacob was in the NICU for 25 days – which included one week at a Level IV NICU one hour away when he was one week old. Jacob came home for one week before we headed to a liver specialist appointment. Little did we know, we would never leave the hospital. This hospital experience was totally different then the NICU – we did not feel comfortable leaving the room as he was all by himself. 

He was in four different hospitals for nine of the first ten weeks of his life, including surgery. He struggled with low blood sugars, slow motility/poor feeding (which caused extreme belly distension) and elevated liver functions. He was suspected to have a pediatric liver disease called Biliary Atresia – which requires a surgery between 7 to 12 weeks of life to be most effective. 

We had to move fast; Jacob had two liver biopsies and many different tests/scans. We wanted him to be in the best hands possible, so we reached out to our networks. We found a connection to the Chief of Pediatric Surgery at New York Presbyterian which has one of the best liver teams in the country. We had to get him transferred there which took several days. Jacob had a surgery to perform a test called a Cholangiogram to confirm the diagnosis and the surgery was a success – which meant he did NOT have Biliary Atresia. 

While this was positive news, Jacob’s myriad of health issues was still a mystery. He spent 10 days in the PICU (pediatric intensive care unit) after his surgery with various setbacks but ultimately, we were able to go home on March 19th – just as the pandemic was exploding. Jacob was on a feeding tube and pump at home, so we learned to manage all of that, while caring for Vincent. 

what it was like healing from giving birth while being focused on your sons' health? 

It was extremely difficult and traumatic. One week after my cesarean, I was on a bumpy ride in the back of an ambulance with my husband, bringing Jacob to a Level IV NICU for care. We had to leave Vincent behind at the other NICU. To be honest, it felt like an out-of-body experience. I couldn’t properly heal or process their birth until after we all came home. 

what were a few things/practices that helped you get through this challenging time? 

100% asking for help. My aunt flew up to help care for Vincent. My mother-in-law moved in with us for a month. I tried to surrender and accept the challenging landscape. My heart truly broke in two – Vincent at home, Jacob in the hospital. My husband and I going back and forth, back and forth. 

I found gratitude and moments of joy in each day, no matter what. Often times it was a simple as the warm cup of tea in my hand while sitting next to Jacob. 

Friends offered to bring food and send gift cards – and we accepted it all graciously. 

what were some ways that you were able to practice self-care during this time?

I had to take one minute, one hour, one day at a time. Mindfulness and staying in the present moment was the only practice that carried me through. I am a huge advocate for self-care – but this truly took the back burner during the first three months postpartum. I was literally trying to stay afloat without drowning – Vincent at home, Jacob in the hospital.

Those first few months felt like a swirling nightmare and looking back were quite traumatic. There was so much going on; caring for Vincent and advocating for Jacob. As soon as we brought Jacob home, I began exercising right away. Gentle and simple. Movement helps me physically and emotionally. It was crucial in recovering postpartum.

were there some joyful moments throughout? 

During Jacob’s hospital stay, we focused on the tiny wins. Friends from all walks of life showed up for us. Family supported us and helped us care for Vincent at home. We were so grateful to be lifted up when we could barely make it through each day. The joy was in the power of community and compassion. 

what advice would you give a mama who is going through a similar situation?

Please know you are not alone. Ask for help. Lean on your friends and family. Take one day at a time and focus on the tiny steps. Try to keep a positive mindset. Feel all your feelings. 

Learn more about Lauren at @chichilifenyc and book a free virtual Pilates Fusion class with her at www.chichilifenyc.com  with code FRIENDSOFCHICHI

Is Intermittent Fasting Right for Moms? An Interview with Lucette Talamas, MS, RD, LDN

I’ve experienced a lot of women who believe that pelvic floor issues are simply a fact of life post-baby, but it doesn’t have to be that way. Working to understand the power of your pelvic floor during pregnancy or postpartum can truly increase your quality of life. You deserve it.

After I finished breastfeeding, I began to engage in what I consider to be 16:8 intermittent fasting (IF) - I eat for an 8 hour window and fast for the other 16 hours. I mostly use IF as a tool to avoid unnecessary calorie intake (I personally tend to eat because of boredom or emotions in the evenings) and to give my digestive system a rest every day.

It turns out there is a lot more to IF, especially for women.

I know a lot of people who rave about the benefits of intermittent fasting that go beyond calorie control, so I decided to do some more research on the topic. I did find many evidence-based benefits of intermittent fasting such as:

  • Weight loss

  • Insulin resistance

  • Inflammation

  • Heart health

  • Cancer prevention

  • Brain health

  • Anti-aging

However, many of these studies have been conducted on animals and some studies show that intermittent fasting might affect women differently, and more adversely, than men.

Not knowing what to think of this, I checked in with Miami-based dietitian Lucette Talamas, MS, RD, LDN to help me navigate whether intermittent fasting is a good idea for women.

What is intermittent fasting?

Jacqui: What is intermittent fasting? Is there anything to it beyond restricting eating for a number of hours a day? 

Lucette: Intermittent fasting (IF) is based on periodic restriction of food, shifting between periods of reduced/no energy intake and periods of unrestricted feeding.

While diets usually dictate what to eat, Intermittent Fasting (IF) is an eating regimen focusing on when to eat. The most common IF regimens are: 

  • Daily time-restricted: restricting food (i.e. fasting) for 12-16 hours.  Someone may refer to their time restriction as “16:8” which is a 16 hour fasting window and a 8 hour eating window. 

    • The 16:8 method is a popular regimen where there is 16 hours of fasting, and 8 hours of feasting. Some recommend to start with a 12 hour window, and slowly increase to the 16 hours. 

  • Alternate Day Modified Fasting: alternating days of usual eating with restricted eating (of about 500 calories per day). 

    • The 5:2 intermittent fasting regimen is a popular method where one follows their notmral eating pattern 5 days a week, and then restricts eating to about 500 calories for 2 days. 

The theory behind intermittent fasting is understanding that when the body enters fasting mode, there is a physiologic response that seems to positively effect on many areas. A metabolic ‘switch’ occurs 12-36 hours from the last ingestion of calories. During this metabolic ‘switch’, the body uses ketones instead of glucose for energy while also triggering a cascade of other metabolic cellular changes that may impact mental and physical performance as well as prevent certain chronic diseases. This switch can promote improved glucose metabolism, decreased inflammation, decreased blood pressure, improved heart health, and increased resistance of cells to stress and disease in humans. Some new studies in males have found potential benefits of IF on body composition when paired with resistance training. However, it is important to note that most research is done in animals (mice), compared to human studies. The concerns of animal studies is that they are not generalizable to humans. The studies we have on humans mostly focused on Ramadan fasting practices or use small sample sizes with specific populations (so not generalizable to all populations). 

Source:  

Anton SD, Moehl K, Donahoo WT, et al. Flipping the Metabolic Switch: Understanding and Applying the Health Benefits of Fasting. Obesity (Silver Spring). 2018;26(2):254-268. doi:10.1002/oby.22065

Cabo, Rafael De, and Mark P. Mattson. “Effects of Intermittent Fasting on Health, Aging, and Disease.” New England Journal of Medicine 381, no. 26 (2019): 2541–51. doi.org/10.1056/nejmra1905136. 

Health Benefits of Intermittent Fasting

Jacqui: I usually use intermittent fasting (16:8) for calorie restriction, but I’ve read that there are a lot of other health benefits. What do you think?

Lucette: These are 2 separate topics/interventions – intermittent fasting 16:8 regimen and calorie restriction. When two interventions are done at the same time, it is not possible to distinguish if the results are attributed to the IF metabolic ‘switch’ or caloric restriction. This is actually one of the caveats of current research of intermittent fasting with calorie restriction. Furthermore, if someone is losing weight while trying IF, we don’t really know if the health benefits seen could be due to the fasting or the actual weight loss. More research is needed in this area. 

Interestingly, the idea of intermittent fasting is not as a means to restrict calories, as research does look into the metabolic effects and health benefits of IF without calorie restriction. Therefore, during the ‘feeding’ window, one can be eating their normally allotted daily calorie needs and theoretically still experience the presumed health benefits due to the fasting periods.

Intermittent Fasting for Women

Jacqui: I’ve also read that the research on these health benefits hasn’t really been done on women. What do you think of intermittent fasting for women specifically?

Lucette: As mentioned, since there is limited research in humans (compared to animals), more so less specific to populations like women of certain ages. 

First of all, women who are pregnant or breastfeeding should not try intermittent fasting. In addition, it would not be recommended for women (or men) with medical conditions related to blood sugars, such as diabetes or hypoglycemia, to try this. It would also not be advisable for women with a history of an eating disorder to follow IF. 

(see more below in #4)

Intermittent fasting while breastfeeding

Jacqui: Is it dangerous (or okay?) to partake in intermittent fasting while breastfeeding? What about while menstruating?

Lucette: It can be particularly concerning for women who are breastfeeding to follow IF. The woman’s body undergoes so many unique change postpartum while at the same time, faces an increased calorie demand to produce breastmilk (about 400-500 calories extra per day!). We don’t really know at this time what can happen to a woman’s milk supply during extended fasting such as in IF (~16 hour fasts). In addition, such regimented routines like IF can be stressful to follow, which there is no need to increase a new mom’s stress. Stress, fatigue, and calorie restriction can decrease milk production. In theory, breastfeeding alone should aid in postpartum weight loss, but there are other factors that also impact weight loss efforts including diet, physical activity, and amount of weight gained during pregnancy. 

For women of childbearing age, any diet that promotes restriction can be concerning for certain women, especially those with a history of an eating disorder, disordered eating, or orthorexia.  In order to have a menstrual cycle, the body needs to have a certain amount of calories to function properly. Calories are food energy that fuel our health systems- our respiratory, neurological, cardiac, reproductive, digestive systems to name a few. Food calories are found in macronutrients (carbs, fats, protein), along with micronutrients (vitamin and minerals) to keep our body healthy and functioning. Therefore, during IF, women should be eating enough calories and nutrient-rich foods during their ‘feeding’ windows to support a healthy body. Restricting calories too much over a period of time can negatively affect menstruation and even cause it to stop. In addition, there can also be a psychological impact from the extended food restriction time to enter fasting mode. Ultimately, it is not worth sacrificing a women’s health and her healthy relationship with food to try a new diet regimen. 

Is intermittent fasting safe for moms

Jacqui: Do you think intermittent fasting is a safe tool for post-baby weight loss after a mother has finished breastfeeding?

Lucette: It could be, but I want to remind women that IF is not for everyone. Extended fasting is not easy for everyone to follow due to each person having a unique ‘metabolic switch’. IF can also have psychological impacts as the diet consists of periods of fasting (restriction) and feeding. We do need more robust research in the area specifically to women’s lifecycle stages. 

Concerns about intermittent fasting

Jacqui: Do you have any concerns about intermittent fasting?

Lucette: There is no one-size-fits all approach to eating. While IF seems to have promising benefits in animal studies, it is not yet generalizable for all to follow. My concerns are for those who are not following IF correctly or following it on and off (‘yo-yo’ dieting). Instead, I’d recommend to focus on finding a healthy eating pattern that lasts a lifetime is key. This looks different for each person, depending on their life stage, activity level, medical history, and food preferences vary. A healthy eating pattern is also flexible, and most importantly, includes mindful eating. Any diet, even IF, can impact your relationship with food. A healthy eating plan is flexible and does not cause guilt. If any ‘diet’ causes you to feel guilty, has you overly preoccupied, or has led to unhealthy eating habits such as overeating during times of ‘feeding’, it is best not to follow it. 

Lucette’s Recommendation

Jacqui: If you think intermittent fasting is an okay practice, is there a specific outline that you prefer?

Lucette: Bringing the science to real-world practice, I do not think there will be a single diet regimen that will work for everyone, or all women. In regards to IF, there are many factors we reviewed as to why IF should be approached cautiously if someone is thinking of trying it. Instead, I think it’s all about finding a healthy eating pattern that is flexible lifelong. 

To keep things practical, I like to advice with these takeaways. Before becoming this new ‘fad’, fasting has been around historically for religious reasons and more commonly with overnight fasting (i.e. sleeping!), which has its benefits. My common sense advice starts by encouraging to get the recommended amounts of sleep each night (7-9 hours for most adults) to support regular overnight fasting, avoiding to eat prior to bedtime (GERD recommendations are 3 hours), and avoiding late night eating which has been associated with increased risk of chronic diseases. Combining these recommendations, people can be “intermittently fasting” for ~12 hours without even knowing it by just following general lifestyle principles. 

Kegels That Work with Lindsey Vestal

Working on your pelvic floor is an empowering experience. I lead pelvic floor work in every one of my sessions and honestly recommend that all women visit a pelvic floor specialist.

Most women don’t learn about their pelvic floor until they have a baby, but the pelvic floor is an essential tool for basic function.  According to pelvic floor specialist Lindsey Vestal, your pelvic floor is a crucial component of many of your basic functions, such as:

  1. Elimination. Of both the bowel and bladder. This includes both full elimination and also holding waste in.

  2. Intimacy. The pelvic floor should support comfortable, pleasurable sex.

  3. Support. The pelvic floor supports the bladder, rectum and uterus.

Here is an illustration of your pelvic floor muscles (illustrator unknown - please email me if you know!)

You’ve probably heard a lot about doing kegels for pelvic floor strength. As an expert who has dedicated her life to empowering women through pelvic floor work, Lindsey stresses that kegels are not for everyone and that there is not a one size fits all approach to pelvic floor health.

How do you know if are kegels really right for you? Do you know if your pelvic floor is overactive or underactive? Do you know how to properly release a kegel? Do kegels support your everyday functions like sitting and standing?

Lindsey used to host sold out workshops on pelvic floor function in New York City and is now bringing that knowledge (and more) to your living room with her new online workshop Kegels That Work.

Lindsey offered me access to this course for free so that I could review it for you.

I want to start by saying that the more I work with perinatal women, the more I am convinced that every woman, whether pregnant, postpartum, aging, considering a child, or otherwise, would benefit from learning more about their pelvic floor from a qualified pelvic floor therapist. This is especially true if you are pregnant, on your postpartum journey, or are experiencing issues such as: pelvic pain, back pain, problems holding in urine or bowel movements, problems fully eliminating urine or bowel movements, urge to empty your bladder more than once every 2-4 hours, discomfort around C-section or perineum scar, gas control issues, or pelvic organ prolapse.

Here are just a few things you will learn in Lindsey’s online workshop Kegels That Work:

  • What is the pelvic floor and why is it important?

  • What are kegels? Are they right for you?

  • 4 options for a pelvic floor self-assessment to determine if your pelvic floor is overactive or underactive.

  • How to translate and use this information.

  • Determine if kegels are right for you.

  • How everyday life presents opportunities to improve your pelvic floor symptoms.

  • How to optimally sit, lift and carry.

  • The importance of breath.

  • Lindsey’s favorite lubricants.

  • Questions to ask your pelvic floor therapist.

The Energetics of Food with Whitney Aronoff of Starseed Kitchen

One thing that has really defined my own wellness journey has been developing a positive relationship to food. It took some patience and a whole lot of self-love, but the moment I started to view food as energy for my body and mind a lot of things shifted.

I am excited to have gotten an opportunity to chat with Whitney Aronoff of Starseed Kitchen about the energetics of food. Whitney is a personal chef, healer and food writer, with a focus on healthy, whole foods cooking who I met many years ago at the Natural Gourmet Institute in New York City. Her food philosophy is based on the concept that wellness is multi-dimensional. According to Whitney, healthy food preparation and eating is just one part of the puzzle, real health pertains holistically to the mental, emotional, physical and spiritual body. She recommends that we all work with experts to release trapped emotions, create a positive mindset, and practice self-care and self-love.  Whitney started Starseed Kitchen to pass on what she knows about cooking and wellness to help people claim their personal power, feel their best and thrive. 

I learned so much from this chat with Whitney about how food can affect energy, I hope you do too.

Tell me about the energetics of food, how can food affect our energy?

We are energy and eating is simply a transfer of energy. We can fill ourselves with energy in many ways, like through yoga, a nature walk, breath work, meditation and eating whole foods. 

Ever notice how you aren’t as hungry when you spend a day at the beach or at a park? But when you are in front of a computer all day, you’re starving. Two things are happening here. When you are at the beach, barefoot, surrounded by nature, soaking up vitamin D, you are absorbing prana, life force energy. Your personal cup of joy is being filled up. Therefore, you need less energy from food. 

When you are in front of a computer for 5+ hours, you are working, giving away your energy. Additionally, technology tends to absorb our energy. You are being depleted multiple ways so your body, consciously or not, is thirsty, hungry, and wants to be re-filled with prana. 

With that in mind, we can control the type of energy we refill it with. We can set the intention of what we absorb when we eat. We can influence the energy, positively and negatively with our emotions, thoughts and the energy in our hands. 

How might a meal full of greens and sprouts, make us feel? What about a meal full of root vegetables?

Great question. When understanding the transfer of energy from food, take a look at how it grew. If you want to feel light, bright, with a spring in your step, you will reach for plants that grow up towards then sun. Leafy greens, sprouts, asparagus. Light vegetables and green juice physically help you feel lighter, eases the digestive track, and helps our energetic bodies lighten. Vegan and raw diets have been referred to as yogi diets because it allows your body to be more aware, more sensitive to energies, spirits, dimensions and spirituality. 

Now think about the vegetables that grow into the earth, like carrots, parsnips, beets. These ‘root’ vegetables share energy the way they grow. They root us, help us ground, be steady, calm and connected to earth. 

If you are feeling lightheaded, tired, dizzy, exhausted, root vegetables are great to enjoy. They help us get back into our body and ground to Earth. Root vegetables help us be present, here and now. 

Can what we need to eat to support our health change from day to day, season to season?

Absolutely. When you study cultures from all over the world, you always find that men and women traditionally have changed their diets for the seasons of life. What you needed when you were 20 is different then 30. Pregnancy, post-pregnancy, emotional and environmental changes, and the seasons all affect what our body needs. It’s a flow. 

So much goes into what we need to feel nourished in the here and now. Many women are affected by moon cycles (I sure am) and are hungry around new moons and feel full with just a few bites of food around full moons. Planetary alignments can also change our health and eating habits from day to day, season to season. It’s not one dimensional as we are multi-dimensional beings. 

What does a meal full of processed foods or foods full of sugar do to our energy?

Each body reacts differently to processed foods and sugar. It depends on how full, or damaged, one’s filtration system is (such as the liver, intestines, lymphatic system, etc.). 

For me, I can develop the following symptoms after just a bite of processed grains or refined sugar: sore throat, flushed face, red cheeks, puffy face, puffy fingers, allergy attack, itchy skin, bloating, gas, overall upset stomach, arthritic conditions in my body, night sweats, brain fog and the feeling of being hung over. 

None of these feelings are OK. Nobody should feel this way and think that this is just a symptom of getting older. 

Do you teach people to feel for the energy of the food that will support them? What is a good way to begin to understand the energetics of food?

The balance test is my favorite way of teaching people if a food or product is right for them. If I pick up a product, read the ingredients, and don’t have an immediate knowing that this is the item for me, then I do this test. It is great to do when buying vitamins, olive oil, vinegars, sauces, etc. I even use it for skincare. Don’t be embarrassed about taking a moment to stand and listen if it is right for you. I’ve been doing this practice in grocery stores and shops for many years. 

How to test the energetics of food to see if it is right for you:

  • Hold the item you are thinking about purchasing in your hands (such as a bottle of olive oil). Place your feet hip with apart, standing tall and balanced. 

  • Close your eyes and ask yourself if this is the right ‘olive oil’ for you. 

  • If you rock forward, that is a yes

  • If you rock backward, that is a no

  • If you don’t move it is ok, you can take it, put it back or look for something better

You call your food high vibrational food, what does that mean?

High vibrational food is food full of life force energy. It is when whole foods, whether vegetables, fruit, grains or quality sourced meats, are prepared with intention. 

We have the power to shift our food to a higher vibration so we can absorb the maximum cellular benefits and reenergize. I refer to all my recipes on Starseed Kitchen as high vibrational food because it is all made with thoughtful ingredients and with intention. 

My recipes fall in the categories of vegan, vegetarian, paleo, gluten-free and lectin-free. I avoid refined sugars, refined grains, and any additives and instead reach for whole foods, grass finished meats and well sourced ingredients that meet my high standards. That way when I cook, I am already starting with a foundation of high vibrational food. My attitude in the kitchen, my joy while cooking, will elevate the flavor and health benefits to another level. 

Is there anything we can do to increase the vibration of our food, other than selecting high vibe ingredients?

Yes. I want to empower people to change the vibration of any meal they eat. Sometimes we get stuck in situations and we only have access to food we normally wouldn’t choose to eat (like when we travel). 

By simply placing your hands around your plate, you can set the intention that the food will nourish you, make you feel energized, digest easily, and that after eating you will feel satisfied. Imagine white light from your hands, moving around the plate, into the food, and sending a glow way up to the ethers. 

Hold that and give gratitude to the meal. Now sit and enjoy with no stress, guilt or fear about what you are eating. 

You can find some of Whitney’s delectable recipes here or on  Instagram.

If you are interested in working with Whitney, she offers personal chef and kitchen detox services, private cooking classes, and medical medium intuitive wellness scans.

Exercise and Fertility with Mahri Relin of Body Conceptions

Mahri Relin, a former NYC dancer, FlyBarre Creative Director, and Tracy Anderson instructor, has been training pregnant and postpartum women through her company Body Conceptions for a long time. When she told me about her work with exercise and fertility, I was blown away. There is little information available on the connection between fitness and fertility, but it makes total sense - a healthy body, makes a healthy home for a baby. I am excited to have been able to connect with Mahri to share more about her work in this relatively uncharted field as well as the science behind her philosophy.

If a woman is experiencing infertility, can exercise help?

Mahri: Yes, exercise can absolutely help. However, it’s important to say here that exercise needs to be done carefully and with a knowledge of current guidelines. And it should be discussed in the context of what a doctor recommends. If someone has a body fat percentage that is too low, for example, any exercise should be avoided that further decreases body fat. Even people who fall within a recommended body fat percentage range should avoid doing too much cardio or exercising too many hours per day or week. Having said this, exercise can provide a wonderful opportunity to reduce stress, help balance hormone levels, and support the body’s overall function and fertility. Consult with your doctor, and also consider using an exercise specialist who understands fertility.

How does exercise affect a woman's fertility? Tell me about the research.

Mahri: There are several different ways exercise can affect fertility that have been fairly well-researched. One of the most significant starting points relates to your BMI (or calculated relationship between your height and weight). An ideal BMI pre-pregnancy is between 20 and 25.  Having a BMI greater than 30 can reduce your fertility by 50%, so incorporating a gradual weight loss program of diet and exercise can be extremely helpful. Women with a BMI below 18.5 also experience increased infertility and should avoid exercise that causes an energy deficiency and incorporate a diet that helps them gain weight properly.  

BMI is not always the best indicator since it cannot distinguish between weight cause by fat or muscle mass, body fat percentage has been studied as an alternate indicator. Research suggests that ovulation can decline if body fat percentage falls below 12% or rises above 30-35%, even if you get your period every month.  Again, exercise can be a great way to help regulate these factors, and they should be combined with nutritional support as well.

Although a bit less understood, factors like the type of exercise you do and how much you exercise per week seem to affect fertility as well. High levels of cardio are correlated with greater risk for adverse perinatal outcomes, and excessive exercise has been correlated with greater menstrual irregularities, although there may be other factors at play as well (like stress, diet, etc). From a larger review of research, it appears that exercising between 30 and 60 minutes per day but not more than 4 hours per week produces the best outcomes for ovulatory-factor fertility levels and successful live birth rates. It’s also beneficial for your fertility to have a history of regular exercise, even if you need to tone down the amount and intensity of this exercise during the time you are trying to conceive.

Is this topic well researched? What can we do if we don't have all of the information?

Mahri: Unfortunately - beyond some basic principles - there is very limited research on the effects of exercise on fertility, and it can also be contradictory and complex. There also appears to be pretty big individual differences in what we can tolerate and what we are used to doing, which means that something like running for one person can feel great and relaxing while it could feel extremely difficult and stressful for another person. In the absence of strong consistent research, it’s best to check with your fertility doctor first to find out what you might need as an individual. Do you need to gain or lose body fat? Is there a hormone imbalance that might be caused by your current exercise habits (e.g. too much cardio)? How does exercise make you feel? On average, following basic exercise guidelines regarding cardio levels and exercise length per day/week should be a good starting point. I personally recommend as well that you choose exercise you love. Find a teacher or trainer who makes you feel great, choose movement your body craves, and look at exercise as a great way to relieve the natural stress caused by the fertility journey.

I’ve heard you speak about using exercise to feel good, what do you mean by this? 

Mahri: One of my favorite benefits of exercise is the way it makes you feel! Stress is a big contributor to infertility, and abnormal cortisol levels can suppress ovulation and also affect the balance of estrogen, progesterone, and sex hormone ratios. Staying in chronic “fight or flight” mode can also lead to the disruption of proper digestion and can contribute to sleep disruption, food allergies, and chronic fatigue.  

Done correctly (without too much intensity), exercise can lower cortisol levels and also release endorphins that produce a feeling of euphoria and act as natural painkillers. Exercise can also contribute to the release of feel-good brain neurotransmitters like serotonin and dopamine.  Personally, I can’t say enough about how well it has regulated my own moods.

There are so many other subtle factors in exercise that I love. Breathing correctly into all sides of your rib cage (rather than up into your shoulders) can stimulate the vagus nerve and the parasympathetic nervous system.  This system is responsible for rest and relaxation, and it also slows you heart rate and regulates digestion and sexual arousal, among other functions. Spinal twists can also have the same effect.

All of these factors together help explain why people feel so great after they exercise.  And to me as a dancer, moving your body is so much more than just a fitness experience. It’s all about connecting with music, expressing your feelings, connecting with others, letting off steam, owning time for yourself, and feeling stronger and more capable than before.

Should every woman engage in the same exercise program while trying to conceive?

Mahri: As I mentioned previously, there are large individual differences between women and their responses to different kinds of exercise. While one kind of activity could stress one person’s body, it might feel great to another person who has done that kind of exercise for a long time. People also have wide range of tastes in terms of what they like to do and how their body wants to move. Since one of the primary reasons to exercise is to reduce stress, it’s important to get in touch with what feels best to you. Doing what you love will encourage you to stay committed and will more likely reduce cortisol levels (as long as it’s not too intense). In general, an exercise program that combines a balance of cardio and body strength will likely have the most benefit hormonally.  And doing what is most recommended for you based on your initial body fat percentage and BMI is crucial, but the specific exercise you choose that falls within these guidelines can vary. Some of my personal favorite options include barre or Pilates with some cardio and dance fitness like Body Conception’s programs that combine both cardio and body sculpting.

How could a woman listen to her body while exercising and trying to conceive?

Mahri: Being able to listen to your body is one of the most important and also most difficult things to do.  In an age of “more is more,” we often don’t train ourselves to pay attention to pain or exhaustion because we are always pushing to do more. When it comes to fertility, it’s especially important to notice the signals in your body telling you that you are doing too much. Do you feel depleted at the end of a workout? Is it hard for you to sleep that night because your muscles don’t relax, even if the workout exhausted you? It’s likely that depletion, exhaustion, and sleep disruption are signals that your exercise might be too intense right now.  Consider looking for exercise that leaves you feeling positive and energized and helps you sleep more soundly. And seek cardio that still allows you to be able to hold a conversation with someone — between a 5 and 8 on a 1-10 exertion scale.  Anything above 8 is probably a little too intense right now. Everything is relative, so don’t look to others to decide what works for you.  Start tuning in to your own body signals. They will tell you everything!

Are there other lifestyle choices that are important for fertility alongside exercise?

Mahri: Absolutely! Since stress is a major contributor to infertility, making lifestyle choices that decrease stress levels in other ways can be so helpful - like meditating, connecting more with friends, practicing gratitude, etc. Drinking and smoking (which are also connected with stress levels) can also affect fertility. Getting enough sleep is crucial, and choosing foods with dense nutrients that help control insulin and other hormones can also be so beneficial.  

It’s so important for women struggling with fertility to explore all of these factors with their doctor and other holistic specialists. It’s also important for us as a culture to keep in mind that women have been historically blamed for their fertility problems, and they can feel very scrutinized for issues that may be beyond their control. It’s important to become as educated as possible on the controllable factors that affect fertility and also allow for the possibility that you haven’t done anything wrong. There may be other factors at play, including male infertility.

Have you experienced anything interesting with women trying to get pregnant for the second time in terms of exercise habits?

Mahri: That’s a really fascinating question. I find that many women tend to be less stressed the second time around, and they feel a little more confident and informed as they go through the process. On the flip side, it might be extra confusing the second time if their experience does not match their first pregnancy. They may also have stress about their body changes and want to exercise a little too intensely before their second pregnancy to “prep” their body — without realizing that too much exercise may not be helpful. Having a child already can also affect their ability to find time to exercise.  Many of our clients choose in-home (or in this case virtual in-home) training because they need someone to come to them at a time that’s most convenient (e.g., during naps or school). 

Clearly there are so many factors at play! For moms who want a second child, I encourage them to do what they can without stressing too much. Be kind to yourself and above all find ways to feel as good as possible in your body without letting anyone judge you. You can do it!

For more information, you can find Mahri atwww.bodyconceptions.com,@bodyconceptions or workout with here atwww.bodyconceptions.intelivideo.com(the first week is free!).

Divorce with Small Children - How to Make an Epic Comeback

I have friends who have gone through a divorce with very small children and it was difficult - emotionally, logistically, physically. The process also transformed them. I was excited to meet Nikki Bruno, the founder of The Epic Comeback™, an organization that helps people stage “epic comebacks” from life-shattering experiences such as high-conflict divorce, illness, and loss, and speak with her about her experiences.

Nikki has gone through a high conflict divorce with small children and came through the other side as a vibrant woman inspired to help other women find their inner radiance. The Epic Comeback™ was founded on the premise that “trauma, while extraordinarily stressful and painful, can also be the source of immense growth, wisdom, success, and joy.” I want to share some of her expertise for moms who might be going through a divorce with small children, or are thinking of doing so, but also to simply remind all of you that you have the capacity to find happiness within no matter what your circumstances.

I would imagine that it might feel really scary to go through a divorce with young children, can you tell me a little bit about your experience?

Yes, it’s scary for sure. I went through a three-year-long, high-conflict divorce. The process began when our children were 9 months old and 3 years old. It’s hard even to describe the loss, grief, and trauma. I lost my marriage, the narrative I thought my life would follow, half my time with my children, the support of a dual income, several friends. But there is treasure in trauma. Every now and then, even in the darkest moments, light shone through the cracks. Liberation. Freedom. Independence. A chance to start again.

What you would want a woman considering getting a divorce during this time to know?

To a woman who has young children and is considering divorce, I want you to know so many things. I could write a whole article about this. One, children are resilient, and they want YOU, their mom, to be happy. Your thriving and feeling joy is a HUGE part of their thriving and feeling joy. Two, divorce may be traumatic, but so are years of living in domestic tension or abuse. Three, you can do this—many of your friends and ancestors have endured hardship too—and there is relief and beauty and joy on the other side. Divorce is not a permanent state. Four, it’s okay to ask for help. In fact, I’d say that when you have young children, it’s your responsibility to get good support. 

View this post on Instagram

If you've been through a high-conflict divorce, you've been in a lot of pain. The process has impacted every aspect of your life, from health to finances to close relationships. But hear me: CRISIS IS AN OPPORTUNITY. There's another side waiting for you. On the other side, joy and freedom wait to embrace you. Joseph Campbell said, “Find a place where there is joy, and the joy will burn out the pain.” You'll get there when you open yourself to it. You'll get there when you least expect it. You'll get there when you actively seek it. You'll get there in time. And with the right kind of support, you'll get there faster. That's what I do. I help women find joy faster after divorce. Book a call with me to find out more. ‪#divorce #highconflictdivorce #conflict #theepiccomeback #makeitepic #postdivorce #divorcecoach #divorcecoaching #postdivorcecoach #findingjoy #joy #personalgrowth #dharma #findyourpath‬

A post shared by Nikki Bruno (@theepiccomeback) on Dec 16, 2019 at 4:35pm PST

Can you tell me a little about the 3 pillars of Epic Comeback and what it means to reclaim your self, body and community? 

When you go through divorce, especially a high-conflict divorce, the tension and shifts in power can really mess you up. We women are vulnerable to losing ourselves. We feel self-doubt. We’re questioning the fundamentals of our identity: Does this divorce mean I’m not a good wife, a good mother… or a good person? If our soon-to-be-former spouse is on the attack in court, it’s a million times worse. That’s why the Epic Comeback is about reclaiming your power and your identity—regaining (or building from scratch) your sacred relationship with yourself, your relationship with your body and your sexuality (after perhaps years of no sex or bad sex), and your relationships with the people in your life, which often become fractured by the divorce process.

I feel like reconnecting with your self and body, and to some extent your community, are challenging as it is after having children. Have you found there to be additional layers to your pillars for people with small children?

View this post on Instagram

To the women in my life and the women of the world: I love you. I honor you. I see you. I cheer you on. I work hard to help you find and celebrate your power. I believe in you. I use my voice for you. I laugh with you. I cry with you. I feel your heartbreak, anger, joy, and triumph. I stand with you. I respect you and our differences. I fight for you. I fight alongside you. I keep secrets with you. I mother with you. I mourn with you. I scream with you. I am utterly blown away every day by your strength, kindness, compassion, warrior energy, intelligence, versatility, power, vulnerability, beauty, grace, elegance, grit, courage, humor, love for peace, sisterhood, uncategorizableness, fierceness, sacrifice, intuition, multifacetedness, practicality, creativity, earthiness, integrity... Happy International Women's Day. #InternationalWomensDay #IWD2020 #womanlove #odetowomen #werisetogether #womxn #women #womanpower

A post shared by Nikki Bruno (@theepiccomeback) on Mar 8, 2020 at 9:40pm PDT

I’d say women with small children are in a unique position of vulnerability and power. There’s a reason we all want to protect and defend mothers with small children, as it takes a TON of love, care, time, and energy to be a new mom. It’s sacred work. When you add divorce into the mix, for most women, it either brings them down or almost does. On the other hand, young moms are keenly, fully connected to a mama bear energy, and that stuff is stronger than any energy I’ve ever experienced. Don’t you even THINK of getting between a mama bear and her cubs. In some ways, new moms find it easier to drop a toxic or abusive spouse because they know it’s best to get out and move on. Women who have been married for longer, and whose domestic habits are more cemented, are weighed down a bit by inertia.

I’ve heard you speak to fitness as a tool for making an Epic Comeback, as a fitness professional this obviously interests me, tell me more :)

Fitness is the world's fastest short cut to staging an Epic Comeback. Regular workouts combat depression and anxiety, get happy chemicals going in your brain, help you feel sexy again, give you a kinetic outlet for strong divorce-related emotions like anger and sadness, and jack up your energy level. There’s nothing like a kickass workout to get your mojo flowing. When I decided to leave the grieving and victimhood behind and stage my comeback, I got into the best shape of my life through fitness and nutrition programs. Within a few weeks of starting those routines, I felt unstoppable. I was BACK.

I've also heard you talk about radical self-kindness - what are 3 things we could all do to cultivate this right now? Why is this important during/ after a divorce?

Self-compassion, also called self-kindness, is the highest form of self-care. It’s important during a divorce because the end of a marriage tends to bring up a lot of self-doubt and self-hatred. You’re a human being going through something very hard, and you deserve a break—and other people might not be giving you that break. Here are 3 ways to cultivate radical self-kindness:

1. Pretend your best friend is going through a divorce. How would you treat her? What advice would you give her? How would you recommend she spend her time? What kind of support would you give her? Now, turn all of that kindness, compassion, and loving advice onto yourself.

2. Meditate. Give yourself time to reflect. You could do this at home, in a place of worship, in nature—anywhere that promotes love and reflection.

3. Make a list of all the things that make you wonderful. Look at it every single day as a reminder that you are worthy of love and compassion.

Can you tell me a little bit about how someone might feel before going through a divorce, during and after, and also after they’ve completed your program?

Before going through a divorce, people often feel confused, conflicted, desperate, terrified, disappointed, sad, and indecisive. During a divorce, people often feel scared, enraged, lonely, heartbroken, self-doubting, extremely defensive or aggressive, overwhelmed, stressed, shocked, unstable, depressed, and anxious—OR, hopeful, relieved, optimistic, and liberated. After a divorce, people often feel relieved, lonely, overwhelmed, deflated, traumatized, dazed, beaten down—OR, hopeful, relieved, optimistic, and liberated. After completing my program, people often feel free, liberated, empowered, focused, purposeful, confident, filled with mojo, and like they’ve staged an epic comeback.

What could someone expect from taking part in your program? 

View this post on Instagram

The Epic Comeback™ Podcast has LAUNCHED! Link in bio. Listen to 8 epic-but-relatable stories of tragedy and triumph! Let me know what you think! Comments and dialogue are welcome! #theepiccomebackpodcast #theepiccomeback #newpodcastalert #newpodcast #podcastlaunch

A post shared by Nikki Bruno (@theepiccomeback) on Oct 3, 2019 at 9:10am PDT

Our methodology, the 10-step Epic Comeback™ Journey, is based on my personal research of hundreds of real-life comeback case studies. Intellectually, our philosophy is guided by the concept of post-traumatic growth—the idea that trauma, while extraordinarily stressful and painful, can also be the source of immense growth, wisdom, success, and joy. I conduct the coaching via videoconference or phone and we continually work toward an agreed-upon overarching goal for the entire coaching engagement—usually about 6 months. I also offer group programs and have a podcast that features almost 100 guests who are living proof that it’s possible to come back in an EPIC way from unspeakably difficult situations.

Thank you so much, Nikki! Your expertise is invaluable for women going through divorce with small children, I really appreciate you taking the time to share this knowledge, and hope, with the community.

Exercise for Diastasis Recti with Corrective Exercise Specialist Missy Sullivan

After I gave birth to my daughter, I realized that I had mild-to-bad Diastasis Recti (DR). A few months later, my doctor told me that I also have a hernia. What does this mean? Thankfully, my DR doesn’t affect my day-to-day life too much, other than a small bulge in my belly. It does, however, greatly affect my ab workouts. There are certain exercises that I can’t do or have to be very, very cautious with because of a risk of pain or of making my hernia worse.

I have been able to improve my DR quite a bit through thoughtful core work, but I was over the moon with excitement to be connected to diastasis recti and corrective exercise specialist Missy Sullivan to learn more about DR, how it can affect new moms and what else can be done to improve the condition.

How did you get into training moms in this way?

During my pregnancies I stayed very active participating in various styles of fitness. I thought I was doing all the right things until I learned I had severe diastasis recti (DR); separation of the rectus abdominus after my third pregnancy, which was coupled with incontinence. I went to my doctor to find out that surgery was my only option for DR and I sought out a women’s health physical therapist (PT) for my incontinence. After researching DR and looking for a local PT that could help me, it was then I realized that there is NOT enough support for postpartum moms! Why wasn’t I checked for DR during my check ups and why did it take all the way to a PT to find out that my DR was severe at 4+ fingers through my entire midline? That’s when I decided that there needs to be resources for all moms to feel empowered before, during and after pregnancy. I went on a mission to help provide women the necessary tools to connect and/or reconnect to their minds and bodies by providing exercises that are effective and safe to help every woman feel stronger and more confident. The knowledge portion is just as important as the exercises. Despite what you may hear, you are not stuck with pregnancy ailments including DR, incontinence, back aches, pains, etc.

How do you know if you have diastasis recti?

View this post on Instagram

Many of you have asked how to measure #diastasisrecti ... here is a simple method to test the finger width(s) in your abdomen region along your midline ... 1-2 fingers is “normal” BUT you still have to work on repairing the region to help reduce the gap. I have 4 fingers in each of my regions (with the lower region slowly repairing from when I first started my recovery process) It’s starts with strengthening and breathing - then you need to focus on repairing and pulling them back together. I feel strong, yet weak - but am optimistic with the new PT process! I’m now focusing in on drawing this area together - more to come on exercises within this journey 💕

A post shared by Core Redefined LLC (@fit_fierce_missy) on Apr 10, 2018 at 11:17am PDT

Diastasis Recti Self-Check:

  1. Lie on your back with your knees bent.

  2. Place two fingers above your belly button (about 2”) and the other hand behind your head for support.

  3. With fingers in place, slowly lift your shoulders blades off the ground.

  4. You may feel a gap or you may feel you’re the connection of your muscles.

  5. If there is a gap, you can measure the width by adding or taking away fingers, one should also note the integrity of your skin and depth of the separation.

  6. You can then continue measure the same way at your belly button and two inches below it.

Typically, a small gap (1-2 fingers), may be considered “normal” but you could still exhibit all or many side effects of DR. 

What are some complications that women who have diastasis recti experience? For exercise? For every day life?

DR can initially cause little or no pain with no other complications. Some women may never experience anything outside of this, but others could experience other consequences outside of the “mummy tummy,” including: 

  • Incontinence, low back/pelvic/hip pain.

  • inability to wrap (activate, engage, contract) the core (weakened core).

  • Pelvic floor issues.

  • Intestinal issues (such as constipation).

  • Bad posture and slow to little progress in your fitness training.

  • Some may even suggest, to a degree, that DR could cause a hernia.

Image via Missy’s site coreredefined.com

Not every woman will experience the same symptoms, as everyone’s body is different.

What exercises should you not do if you have diastasis?

I like to approach this with, not what exercises you shouldn’t do, but what exercises cause your body to be imbalanced or those that create a doming, coning or bulging in the core. If this cause and effect happens, this tells me the external force load of the exercise(s) is too much for your current situation. Typically, the exercises that place a load like this are: traditional crunches, sit ups, full frontal planks, bicycle crunches, hanging knee raises, back extensions, lifting heavy objects, oblique twists, and more.

These types of exercises can cause your abdominal wall to bulge out upon exertion if you lack core support and control. To help support your body with a load or force, you must learn how to properly breathe to recruit the right muscles during your movements to help control the added pressures being placed on the pelvic floor and transverse abdominal muscles (TA). Like anything, the goal is to not only strengthen your core, but to get your body to function optimally, so you can do what you always love to do, whether its certain exercises, fitness classes or simple daily activities. 

Is it possible to completely “cure” diastasis recti with exercise?

Diastasis recti is not a disease so there is not “cure” for it, but with an appropriate exercise program that is designed specifically for you, you can greatly reduce or heal the gap. The key is to get your body to function properly again. By making improvements to your core strength, stability and function, you can help improve or reduce any other pregnancy related aches and pains as well. By learning how to manage force and loads placed on the abdominal wall, connective tissue and pelvic floor during activities and exercises, you can make improvements to your core strength, stability and the way your core looks. 

Are there any circumstances where a woman should see a doctor?

Absolutely! I truly believe that the right fitness program with a certified fitness coach, trainer or specialist can help repair DR through breathing, strengthening and stability exercises that are proven to help connect or reconnect a  woman to her body while pregnant and postpartum, but there are some abdominal separations that require surgery. If you know how to load correctly against the forces placed against the core, but are not progressing in a fitness program, you haven’t regained pain free function or continence, or your tissues have extensive damage, then you should talk to you doctor about surgery (I like to consider this as a last option).

Are there exercises that women can do pre-pregnancy / pregnancy to avoid diastasis?

There is no fail proof way to prevent DR from happening prior or during pregnancy, but there are exercises you can do to greatly reduce your chances. Understanding and getting to know your changing body is crucial. Breathing will play a very important role, not just in everyday life, during pregnancy, but in labor and postpartum recovery as well. Your breathing helps control your movements. You’ll also need to understand your core and the other muscles that are connected to it- your glutes, pelvic floor, back, etc. To help prevent DR or a widening of an existing gap, you need to learn how to work your inner core as a unit, making no room for doming, coning or bulging in that area. This is where you protect your connective tissue. If you continue with exercises or everyday moves that continually place force on your core, that continuing outward motion will continue to damage your tissue to the point that it can’t repair itself naturally after birth.

To decrease your chances of DR, you need to understand what fitness classes, exercises, movements, etc. place that extra pressure for you – and its then that you need to correctly engage, activate, contract, lift and wrap to secure your core integrity. You need to continue to strengthen your TA, which can prevent or lessen the severity of DR. Every woman should perform basic TA exercises throughout pregnancy to help prevent not only DR, but incontinence, prolapse and low back pain as well. Not only will strengthening your inner core help in prevention, it will help aid you during your labor phase of pushing.

Some basic TA exercises include: core activations through breathing, heel slides, glute bridges, modified side planks and squats.

What are some DR exercises that the readers can do at home?

Exercises and programs will vary as there is never a one-size-fits all approach. The key is having the right tools and strategies to adjust and adapt to demands. If you can fire up the right muscles and your body is correctly functioning through your movements, you can do a variety of different exercises, as long as you are not experiencing any pain or aches. I like to help moms mimic what they do or will be doing daily- bending to pick up toys, getting up and down from chairs, picking up the baby, etc. So, exercises like squats, lunges, bent over rows, deadlifts, chest presses, glute bridges, etc. are all great exercises to help strengthen your body. These exercises will help support you through pregnancy and postpartum, as well as the physical demands of motherhood.

View this post on Instagram

I’m sure you’ve heard numerous times in a fitness class, belly button to spine... many in the fitness industry understand the importance of TVA but how do you truly activate & engage it? It’s NOT as simple as pulling your core in... You need to understand your breath and how it helps you activate the correct working muscles! 🌬 Each of these videos will showcase the importance of breathes and wrapping your inner unit to create the movements! 💫 So grab yourself a band and follow along! Always engage & activate, then use your belly pump to create your movement! 1. Glute kick backs 🍑 great glute & core activation with core stability - remove the band if you are just starting a program - slowly kick back 8-10x on both legs) 2. Static Lunges with OH band pulls- add a core stability challenge as you focus on activating your glutes. Try 8-12 each leg 3. OH extension with marches - alternating legs for 10 reps each side. 4.❗️This shows belly doming/coning/bulging❗️if you see your tummy cone up 🍦 during movement - it’s a sign that you are placing too much pressure & load on your abdominals! You must regress this movement and continue to rehab your abs before adding a more challenging movement 🗻 Your breathe is so important in your rehab program!

A post shared by Core Redefined LLC (@fit_fierce_missy) on Oct 24, 2018 at 11:00am PDT


How can people learn more about you / work with you?

I work one-on-one with all clients. Each program/session is especially designed for you, your strengths and your limitations. Every client starts with an initial assessment allowing me to create a program specifically designed for you and your body. The program will include daily exercises with progressions & regressions, and an online component of your weekly homework with exercise videos.

If you are in the Boston area, or if you are not local but are interested in a program, you can email core.redefined@gmail.com to set up an appointment. I offer virtual training via, Zoom or Facetime, for those outside of Boston.

 You can also find Missy on social media, she posts great DR related videos on her Instagram!

Website: www.coreredefined.com

Facebook: www.facebook.com/coreredefined

Instagram: @fit_fierce_missy

5 Yoga Stretches for Your Hips with #YogaMamaFlow 

Did you stretch your hips today? Tight muscles around the pelvis and upper legs are very common and can lead to a number of issues such as back pain, injury, and the build up of emotional tension. Cat Gieser, Yogi and founder of Yoga Mama Flow kindly shared 5 of her favorite yoga poses for lengthening the muscles around your hips. Hold each pose for 30 seconds to 3 minutes and breathe deeply. Get your babes involved, like Cat does, to make it a mama and me stretch session.

Butterfly Pose

This pose can help you stretch hard to reach inner thigh muscles. How to do the pose: Start sitting on the ground. Place the soles of your feet together and let your knees drop outward. Hold your feet and lean forward with a straight spine. Once you cannot go any further, release your neck, and head to relax into the pose.

Upward Facing Dog

This pose can help stretch your hip flexors and the muscles they connect to through your upper legs and mid-section. How to do the pose: start lying on your stomach with your hands next to your chest. Your toes will be lying flat. Slowly press up until your hips are lifted off of the floor.

Downward Facing Dog

This pose stretches your lower back and hamstrings, helping to relieve tension throughout your entire pelvic region! How to do the pose: start on all fours and slowly lift your hips to the sky. Try to flatten your lower back, engage your arms and reach your heels towards the floor.

Wide Leg Forward Fold

This is a lovely pose for stretching the inner hips and thighs. How to do the pose: Start sitting on the ground and open your legs into a straddle as far as you can. Slowly walk your hands forward keeping your spine straight until you can go no further. Then relax your neck and hold the pose.

Malasana

This pose provides a deep stretch for your upper inner thighs. How to do the pose: Squat down as low as you can. Place your hands in prayer position and use your elbows to press against your knees to provide a deeper stretch.

Postnatal Yoga - An Interview with Cat Gieser

I am not a yoga teacher, but yoga was an important part of my prenatal and postnatal journey. Yoga cultivates breathwork, flexibility, calmness, strength and more and I would recommend a postnatal yoga practice to almost all new moms. I met yoga teacher Cat Gieser through a mom group that I belong to and immediately fell in love with her short, simple to follow yoga flows designed for moms. She also just launched Yoga Mama Flow - an 8 week program with three 25 minute sessions of yoga each week.  I was excited to catch up with her and learn more about her philosophies and programs.

How did you discover yoga? I took my first yoga class in college because I heard about all the benefits of doing yoga and thought I'd give it a try. To be honest, after that one class I left feeling like it wasn't for me and like I needed to go on a run or lift some weights. It was so slow paced and I didn't know any of the posture names. The teacher led us through quite a bit of chanting as well, so I felt really awkward and disconnected for the entire hour not knowing what what the heck was going on. At the time, I had no idea of the different styles of yoga and assuming that all classes would be the same, I never went back. It took me a few years to test the waters with yoga again.

After graduating, my then boyfriend (and now husband) and I moved to Half Moon Bay, CA. Half Moon Bay is an incredibly beautiful coastal town in Northern California where my husband grew up and it felt like a dream to have the opportunity to live there. But after a while, I started to feel really secluded and depressed in the small town with the constant dreary weather and not having many friends in the area. I was also going through a big career change and was mostly working from home by myself. A hot yoga studio opened up down the street and I figured it would be a great way to build community, relieve some anxiety and stay warm during the colder days in Half Moon Bay . I signed up for the new student special for a week and was instantly hooked. I couldn't believe how challenging the class was on a holistic level - mentally, physically and emotionally. I felt every muscle in my body working and I had the sweat stains to prove it too. I had never tested my focus and belief in myself in this way before and I left each class feeling accomplished, rejuvenated and ready to tackle whatever challenges came my way. Yoga became a huge part of my life and continued throughout all the cities we've moved to since - San Francisco, San Jose, and now San Mateo - it's been the gift that keeps on giving and an ever evolving journey to deeper self discovery!

Why do you think yoga is so important for moms? We all know that motherhood is both beautiful and incredibly challenging. Between the pressures society puts on us as mothers and those we put on ourself, it can be so overwhelming to keep up, let alone take care of yourself and your needs. It takes incredible awareness to be able to prioritize yourself as a mother and acknowledge that in order to be the best mom to your child(ren), you need to nourish yourself first. What I love about yoga is that it is a holistic practice that not only nourishes the body on a physical level, but also mentally and emotionally. It helps cultivate and strengthen this awareness of loving yourself and actualizing the power that you have within you.

What are some things new moms should take into consideration when practicing yoga? Especially early on in their postpartum journey?

  1. Check on your intentions for starting yoga or any other fitness practice. So many mamas feel the pressure of needing to get their pre-baby body back as soon as they can, which is why they want to start yoga or physical activity - I know that's how I felt! But the reality is, your body will NEVER be the same. I'm not saying you'll never be able to lose weight and build muscle tone, but it's important to remember that your body housed LIFE and a lot has transformed/shifted/stretched in order for that miracle to happen. After going through my own body issues postpartum, I'm a firm believer in embracing the power and beauty of your new body and focusing your mindset on making the best version of your new body (whatever that means to you) instead of dwelling on what you had in the past. The moment I shifted my mindset from getting my pre-baby body back to nourishing my new body, so much resistance and pressure lifted and I was able to enjoy my practice again instead of it feeling like a chore.

  2. Slow down mama. Even with the best of intentions, mamas tend to be in such a rush to jump back into working out or doing yoga. I hear ya, I was the same way! Bringing a newborn into this world is a huge change for everyone, baby included and it can take a few months to get to a place where you start to feel comfortable with schedules, routines, and the idea of taking care of another life. Your body also needs time for rest and recovery, so do yourself a favor and take some time to relax. Yoga and/or your fitness routine will be there whenever you're ready - no need to rush! I recommend taking it easy for the first 3 months postpartum and focusing on nurturing yourself with lots of sleep, high quality food and walks with your little one(s). One thing I did wish I incorporated earlier postpartum was deep breathing. Yoga isn't just about physical postures, it's about your connection to your breath and your movement. Even just sitting for a few minutes, matching the lengths of your inhales to your exhales is hugely beneficial to your body and mind!

  3. Listen to your body. When doing yoga or any physical activity postpartum, it's so important to tap into your mind and body awareness. The same movements for one postpartum mama may not work well for another postpartum mama. Take things slow and if you feel any pain, back out of the movement and try to modify. If the modification is still painful, it's a good sign to skip the move entirely and do something different.

  4. General postures to be careful of early on postpartum:

Core exercises: It's no surprise that our core muscles weaken during pregnancy. Some mamas experience diastasis recti, which is separation of the abdominal muscles due to the connective tissue stretching out as the belly expands. There are moms who are fortunate to have the tissue heal quickly on its own, while other moms continue to have a gap months later postpartum. It's important for all moms, regardless of diastasis recti to mindfully incorporate core exercises and to avoid any movement that causes pain or major discomfort. I highly recommend all moms doing a self check for diastasis recti - this article from Wellness Mama provides a great summary on what it is and how to check for it. Generally speaking, diastasis recti mamas should avoid static planks, crunches/sit ups, and deep twists which can make DR worse. This doesn't mean you can't perform core exercises at all with DR - here are some DR friendly core drills on my Instagram page.

Belly down poses: For breastfeeding mamas or women with larger breasts, poses when you're laying on your belly can be really uncomfortable, especially if you're engorged! Try placing a blanket or towel underneath your chest for some extra padding. If you're really uncomfortable, you can always ask your instructor for some alternative poses on your back!

Poses/transitions that strain/push down on pelvic floor: Especially for new mamas - our pelvic floors have lots of healing and strengthening to do after pregnancy and labor. Poses/movements like deep lunges, wide squats, jumping etc put a lot of pressure on the pelvic floor. A sign of pelvic floor weakness are urine leaks! Any mama who is experiencing prolonged leakage should reach out to a pelvic floor specialist to avoid longterm issues!

What advice would you give a mom who has never tried yoga before?

Keep an open mind and find the right style and teacher(s) that inspire you. There are so many styles of yoga, so don't give up if you try one class and don't connect with it. Do your research, ask questions, and be proactive about finding the right class for you! Also, don't let time or availability stop you from trying yoga. Online yoga classes are such a great way to learn yoga when studio classes aren't an option! There are so many resources out there - from streaming services to youtube. I'll be launching my 8 week beginner yoga program for mamas soon!

Last thing - so many people tell me that they don't do yoga because they're not flexible. Yoga is for everyone - every shape, every size, every level of flexibility and strength. Yoga is about the journey, so don't hesitate to get started wherever you are!

I too am a proponent of short and sweet workouts for moms. Tell me a little bit about your 5 minute yoga series.

Ever since having my daughter, I don't have time to go the gym or studio as often. I've learned over time that squeezing in short flows or quick workouts consistently is much more effective than inconsistently practicing for longer periods of time. I started sharing short tutorials for mamas to make it easier to get started with yoga and to squeeze it in throughout the day! You'll find things like posture breakdowns, example yoga flows and yoga poses for specific purposes on my instagram.

What are some common concerns that keep new moms from taking on yoga and what can they do to overcome them (e.g. I’m not flexible enough or I don’t have time or it's too hard to juggle with the baby)?

Time and motivation are big ones. It's no surprise that moms are pressed for time and have a never ending to do list. It can be really challenging to find the time and discipline to prioritize your health. I'm a big proponent of consistent short, but sweet yoga sessions at home. That's why I created Yoga Mama Flow, to help make yoga accessible to busy moms who need support to build strength, reset, and show themselves some love!

If you think you're not flexible or strong enough to do yoga, it's the perfect time to start! You build flexibility and strength as you continue to practice, so don't let these things hinder you from getting started!

It looks like you have a new course coming out? Tell me a bit about your new 8 WEEK BEGINNER YOGA PROGRAM.

I'm so excited to launch Yoga Mama Flow Beginner Program - an 8 week online yoga course for mamas. This course is for mamas looking to build a consistent yoga practice to help them feel powerful, energized, calm, and confident! I've specifically designed the classes and weekly schedule for busy mamas. Each class targets a specific part of the body that needs some extra attention and classes are 25 minutes long + can be done at home! After the 8 weeks, my hope is that you're able to build a consistent yoga practice and self-love/self-care habits that you can continue to put into practice to live out your best mamahood journey!

Where can we find you online?

Instagram: @catgieser Website: catgieser.com

Do I need Pelvic Floor Therapy? An interview with Pelvic Floor Therapist Lindsey Vestal

When I had my baby, I was absolutely shocked by how little I had known about my inner core. Yes, I had been a ballet dancer and I had worked on my inner core, but I didn’t have a real understanding of the muscles. Like many women, I never gave my pelvic floor much thought until after I had my baby. This is a main reason that I became certified in postnatal fitness.

In my work as a postnatal personal trainer, I have experienced quite a few women who were experiencing issues, like incontinence, gas, hernias and more that needed more attention than a workout was able to give them. In these circumstances, I suggest that my clients see a Pelvic Floor Therapist. I was excited to get to pick the brain of Pelvic Floor Therapist Lindsey Vestal. Lindsey has dedicated her career to empowering women to find relief from conditions such as bowel and urinary incontinence, constipation, dyspareunia, pelvic pain, prolapse and pre and postnatal complications. Lindsey earned a Master’s of Science in Occupational Therapy from NYU and is the founder of The Functional Pelvis, a private practice specializing in pelvic floor therapy for pre and postnatal women.

View this post on Instagram

In this episode of "Yoga | Birth | Babies," I speak with owner and founder of the The Functional Pelvis @functionalpelvis occupational therapist, Lindsey Vestal. This is Lindsey’s second time on the podcast and it is always such a joy to geek out with her as we discuss women’s health issues with the pelvic floor. Today we focus on belly binding. What is it? Why do it? And what are the harms that can come from it? This episode is important for new and expectant mothers and birth workers. Hope you enjoy! Listen to the podcast on iTunes, Stitcher, or prenatalyogacenter.com * * * Review the podcast on iTunes or stitcher and you could win a $100 gift certificate from our friends at @matronsaint - just email us a screenshot of your review! * Or use code PYC20 for 20% off your order! #pelvicfloor #pelvichealth #pelvicflooryoga #postnatalyoga #yogabirthbabies #yogabirthbabiespodcast #functionalpelvis #postpartumbody #bellybinding #waisttrainer

A post shared by The Functional Pelvis (@functionalpelvis) on Aug 25, 2017 at 3:31pm PDT

As Lindsey and I discussed her practice, we both agreed that women deserve more education about the pelvic floor regardless of whether or not they just had a baby. Lindsey is incredibly knowledgeable and I am delighted to share our conversation with you.

What exactly does the pelvic floor do?

The pelvic floor is a crucial component of the inner core, which is comprised of the transverse abdominus, diaphragm, pelvic floor and multifidus. These muscles are the focus of most postpartum rehab work. Lindsey calls these muscles the ‘Core 4’.

The Pelvic Floor has 3 main functions:

  1. Elimination. Of both the bowel and bladder. This includes both full elimination and also holding waste in.

  2. Intimacy. The pelvic floor should support comfortable, pleasurable sex.

  3. Support. The pelvic floor supports the bladder, rectum and uterus.

Why might I need pelvic floor therapy?

Lindsey argues that any woman who has had a baby should go in for at least one visit. When you are pregnant the curvature of your spine changes, your blood volume increases by 40%, your organs move and your vagina muscle stretches to 250 times its normal length. These changes under any other circumstances would no doubt warrant a visit to a physical therapist.

View this post on Instagram

Thank you @mamaandtata for the spotlight on #womenshealth! We discuss the role of #pelvicfloor health, specifically for the #prenatal and #postnatal woman, how #coldlaser therapy can help with c-section and perineum scars and why I started house calls!! Check out www.mamaandtata.com to read the full article! #housecalls #empoweringwomen #motherhood #momprenuer #wellness #mamamoments #mamaandtata

A post shared by The Functional Pelvis (@functionalpelvis) on Sep 20, 2017 at 6:33am PDT

What is pelvic floor therapy?

Pelvic floor therapy is physical therapy focused on bringing understanding to, coordination and control over the inner core muscles.

What are some larger conditions that could be improved with Pelvic Floor Therapy?

Women often seek out pelvic floor therapy if they are experiencing:

  • Pelvic pain

  • Back pain

  • Problems holding in urine or bowel movements

  • Problems fully eliminating urine or bowel movements

  • Urge to empty your bladder more than once every 2-4 hours

  • Discomfort around C-section or perineum scar

  • Gas control issues

  • Pelvic organ prolapse

Can you do preventative pelvic floor therapy?

Yes! Lindsey tells me that there is a strong argument for doing pelvic floor work before having a baby. Women often wait until there is a big problem to visit a pelvic floor therapist, at which point the work may become more difficult. Not only does Lindsey help pregnant women connect to their pelvic floor to help support the growing baby and fluids, she also helps women prepare for childbirth. In a birth prep session, Lindsey will place pregnant mamas in common or desired birthing positions and assess whether the body is relaxed or clenched (relaxed is ideal for birth) through biofeedback.  

What can we do on a broader level to educate women about the pelvic floor?

Lindsey and I agreed that women deserve a deeper understanding of their pelvic floor regardless of whether or not they have just given birth. Lindsey tells me that it is important to remember that pelvic floor therapy is much more complex than mindlessly doing kegels. She points to the importance of working the entire inner core apparatus as a whole, as well as mindfully performing exercises within a full range of movement and visiting a specialist to understand your specific needs.

What can you expect from a pelvic floor therapy session?

If you work with Lindsey, your first appointment will be a detailed pelvic floor evaluation.  This includes a review of your medical history, discussion of your current issues and a physical examination. When examining the pelvic floor muscles, Lindsey is looking for coordination, ability to contract and relax the muscles as well as examining c-section or perineum scars. After, Lindsey is able to give each woman an individualized report of what is happening in her body and what this means for day-to-day activities and also for exercise.

Lindsey may see a woman once or will possibly work with her for 5- 10 more sessions, depending on the woman. Future individually tailored sessions may include: biofeedback (an instrument that gives you visible feedback to help you understand how well your pelvic muscles are working), exercises to restore and strengthen your pelvic floor, abdominal and other supporting muscle systems, behavior and activity modifications, assessing your dietary habits -- all culminating with a strong understanding of how you have the ability to take control over your most basic of human functions.

How to work with Lindsey? If you are in New York City, you can set up an appointment by emailing info@functionalpelvis.com. Lindsey also offers digital sessions where she will meet you via Zoom, Facetime or Skype. Just like with in-person sessions, you will fill out extensive paperwork ahead of time and most of her questions during the initial meeting revolve around what she discovered in the forms. You will receive tangible homework (including exercises via an app featuring Lindsey’s specific protocols). She will be in touch between sessions and then usually meet again in 1-2 weeks to touch base on what has been happening since the last meeting. We’ll review the exercises via video and make adjustments as needed. Lindsey’s sessions qualify for tax-free Flexible Spending Accounts.

01

A Conversation with Emily Magee of Rooted in Love Nutrition & Birth

I was so excited to get to chat with Emily Magee about her business, Rooted in Love Nutrition & Birth. Emily and I used to work together in New York City and it has been wonderful to watch her nutrition career blossom. We share a lot of the same values when it comes to exploring the health of new mothers, so I couldn’t wait to share her perspective on integrative nutrition with you.

There is so much valuable information about postpartum ailments that can be addressed through integrative nutrition, breastfeeding hunger, postpartum weight loss and more in this interview. Plus, she shares a delicious recipe for healthier lactation cookies. Enjoy!

Tell me a little about Rooted in Love.

I have been a practicing nutritionist, most recently Nutrition Response Testing, for about 2 years. It wasn't until I went through the pregnancy and birth process (I had my son in the summer of 2018) that I really found my niche. I realized that the health of our children isn't just about feeding them well, but also the health of the mother before and during pregnancy, the birth process and seemingly little things we can do during the beginning of our babies lives. This is a very critical time for both mom and baby. After having a successful home birth, I went on to get certified to teach childbirth education to add to my repertoire because I felt so passionate about the topic. Rooted in Love is the platform where my two passions and career paths, nutrition and birth, meet. I share all things nutrition and wellness for women, specifically those who are pregnant and postpartum, and their families.

How can integrative nutrition support a new mom's healing process? What are some common ailments that new mamas experience that may be addressed through integrative nutrition?

This is huge! Integrative nutrition involves taking the whole person into consideration,  not just their symptoms. When helping a person heal, in addition to looking at their diet, it is important to look at their environment, family and social life, spiritual practices, exercise routine, stress levels and sleep. When a woman becomes a mom, her entire life changes, not just her body. All of these holistic pieces of her life must be addressed. Some common postpartum ailments that can be addressed through integrative nutrition include postpartum depression and anxiety, thyroid and other hormone imbalances and breastfeeding difficulties (such as low supply, mastitis and thrush).

How does nutrition response testing work? What could someone expect from their testing visit? What are some underlying issues that nutrition response testing might bring to light?

Nutrition Response Testing is a noninvasive system of communicating with the body to determine underlying cause of health issues. This is done through muscle testing. Once organ weaknesses are found and the root cause is determined, I use nutrition (mainly whole food supplements and diet changes) to help the body heal. 

The first visit is mainly about data gathering and getting to know the patient. I will go over their health history and do various tests, such as body composition, heart rate variability and a Nutrition Response Testing initial exam. Then I will have the patient return for a Report of Findings visit, at which I will give them a comprehensive report of my findings and recommendations for how they should proceed. Once the patient starts a program, they come in regularly for monitoring, consulting and reevaluation. 

I help people with a wide range of issues in my practice: autoimmune, digestive issues, anxiety and depression, joint pain, eczema, acne, high blood pressure, immune challenges, hormone imbalances, to name a few. Because I am addressing the root cause rather than treating symptoms, no two people are on the same protocol, even if they have the same exact symptoms and medical diagnosis. For example, two people could have severe migraines, but for one person it could be due to a wheat intolerance and for another it could be a heavy metal toxicity. It's important to remember that every body is different and should be treated individually!

I loved reading about your struggles with breastfeeding hunger (omg, me too!), what are some tips for managing this?

Breastfeeding hunger is so real and so hard! First and foremost, I've learned now more than ever to be grateful for my body and the amazing things it can do. I mean, it fed a human exclusively for over 6 months - that's crazy! Prolactin, which is a hormone that produces milk, also causes the body to store a little extra fat to support breastfeeding. This is why it's so hard to lose the last 5 or so pounds after pregnancy. 

I found that the best thing I can do to manage this extreme breastfeeding hunger is to make sure my meals are as nutrient dense and filling as possible. I always make sure to be eating clean protein and healthy fats at every meal (to balance my blood sugar and to actually feel full) and avoiding processed carbs and sugar (to prevent the crash and burn that can lead to excess snacking). I also prep vegetables, protein and snacks in the beginning of the week so I always have ingredients on hand to throw together a healthy meal or grab a snack when I'm short on time.

I have to admit that I am still hanging on to an extra few pounds, so for now I am just eating as healthily as I can, but also forgiving myself, loving my body and trusting that I will lose the weight in good time. 

I saw that your recently held a weight loss workshop for new moms at Whole Foods in Lake Grove. Why might a new mom not be losing weight?

There are so many potential reasons why a new mom can't lose weight. I find that a lot of new moms initially lose their sense of self while getting the hang of taking care of another person. This can lead to lack of mindfulness, stress and lack of sleep, all of which may lead to weight gain. In addition, there is less time for new moms to focus on making healthy meals for themselves, so this can lead to grabbing less healthy convenience foods and snacks or skipping meals and then bingeing later on. A lot of it has to do with behaviors and emotional eating rather than knowing the difference between healthy and unhealthy foods.


I saw that your recently completed a month of The Whole 30. How did it go? Do you recommend this programs for new moms?

I absolutely loved doing the Whole30. I can't say enough good things about it. Before starting, I had been feeling a little out of control. Due to the aforementioned breastfeeding hunger, I had felt like I was in a spiral of constant snacking and overeating. Doing the Whole30 really helped me to gain control of my eating and put a stop to sugar cravings. 

I do recommend the Whole30 for new moms, but at the same time I also think she really needs to want to do it to feel good, not just to lose weight. I had been feeling very badly and uncomfortable in my skin and desperately needed a change. I didn't lose much weight, maybe about 3 pounds. But the way I felt during and afterward made it worth it.


How can people find you / work with you?

Email: ecmnutrition@gmail.com

Website: www.emilycmagee.com

To book a Nutrition Response Testing appointment (Long Island, NY): 631-676-3911

Yield: About 24 CookiesAuthor: Emily MageePrint Recipe

ROOTED IN LOVE LACTATION COOKIES

PREP TIME: 5 MINSCOOK TIME: 10 MINSTOTAL TIME: 15 MINS

These are a great gift for a new mama! They are full of healthy fats and milk boosting ingredients, such as oats, flax and brewers yeast.

INGREDIENTS:

  • 2 cups rolled oats

  • 1 cup flour of choice (I've used almond and cassava)

  • 2 Tbsp brewer's yeast

  • 2 Tbsp chia seeds

  • 2 Tbsp hemp seeds

  • 2 Tbsp flax seeds

  • 1/2 tsp baking powder

  • 1/4 tsp baking soda

  • 1 tsp cinnamon

  • Pinch of sea salt

  • 6 Tbsp grass fed unsalted butter or coconut oil, melted

  • 1/2 cup maple syrup or honey

  • 1 egg

  • 1/2 tsp vanilla extract

  • 1/2 cup chocolate chips or other add-ins (nuts and dried fruit would be great in this)

INSTRUCTIONS:

  1. Preheat the oven to 350F and line two cookie sheets with parchment paper. In a large bowl, combine all dry ingredients. In a medium size bowl, whisk the wet ingredients. Add the wet to the dry ingredients and stir until combined. Fold in the chocolate chips or other add ins. Using a spoon, scoop about a tablespoon of dough and pat into a cookie shape on the sheet. Bake for about 10 minutes.

Created using The Recipes Generator

How Vibroacoustic Sound Therapy Can Help New Mothers Heal

Carey Davidson is the founder of New York City based, Tournesol Wellness, a groundbreaking integrative medical and healing arts center on Madison Avenue. Carey is a Reiki Master, an Intuitive Energy Specialist and the creator of The Success Alchemy, a program designed to provide strategic and achievable tools for optimal wellbeing using Ayurvedic Holistic Lifestyle Guidance, Vibroacoustic Sound Therapy and Five Elements Psycho-Spiritual Development. Carey is also the Executive Director of Tournesol Kids, a 501c3 non-profit organization dedicated to the physical, emotional and spiritual health of every child. Carey is a mother of three.

Several years ago, Carey and I did a project together. As part of our work, I got the chance to try a Vibroacoustic Sound Therapy session. The session was phenomenal. The room was set up similarly to where you would go to get a massage, but with a custom table. Carey and I chatted about a few things going on in my life, then she selected a frequency and left me to relax on a vibrating water-filled table in the dark, cozy room. I left the session not totally understanding what had happened, but feeling rejuvenated.

I was excited to reconnect with Carey to learn more about the science of the incredible therapy I experienced and how it can be used as a powerful tool for healing mothers.

1. What is Vibroacoustic Sound Therapy?

Vibroacoustic Sound Therapy (VAT) is a science-based treatment that uses mild vibrations and soothing music to align the body and mind with healthy cellular behavior.  National Institutes of Health has been reporting on the efficacy of using Vibroacoustics for physical and emotional challenges for over 30 years. Research-backed benefits of VAT include: symptom reduction, pain management, stress alleviation, removal of cellular waste, increased circulation, enhanced metabolism, release of muscle tension, deep relaxation and more. Read the research.

Vibration is a fascinating way to address health concerns.  Human cells are vibrating all the time and they brilliantly copy any vibration that is introduced to your system.  When your cells are vibrating within what is considered to be the healthy range (about 30 – 120 Hz),  you will feel well and resilient to emotional and physical triggers. When your cells are vibrating outside of the healthy range, you can experience negative symptoms - anything from mild hunger to chronic pain.  

At Tournesol Wellness we offer over 100 customized frequencies. Each individual session warrants a personalized frequency as the root causes of physical and emotional issues vary vastly from individual to individual. We house the only liquid sound table in the tri-state area.

2. What is a Vibroacoustics Sound Therapy session like?

During your session you will lay on this luxurious treatment table topped with a water mattress for a deeply immersive session.  Vibrations and music are transduced through the table for the duration of the treatment. Each session lasts either 30 or 60-minutes. and the lasting effects of VAT can be felt from between two to seven days after the first session.  Most people report a significant shift in symptoms after three sessions and cellular behavior change is noted after between 10 – 15 sessions.

While in theory, VAT seems similar to sound bathing, it differs in that it is a much more personalized and physiological experience.

3. What are some reasons that new moms will come to see you for VAT?

New moms struggle with various physical and emotional challenges after giving birth.  It takes a while to feel like yourself again and VAT is a terrific way to de-stress and begin to heal.  VAT is a non-invasive method of settling emotional imbalances, improving sleep and soothing aches and pains.

Some of the key reasons new moms seek us out for VAT are:

- Sleep Deprivation

- Physical Aches

- Weight Loss / Body Image

- Rekindling Relationship with Spouse

- Loneliness

- Hormonal Imbalance

- Career and Work Decisions

4. How can VAT help new moms heal?

New moms can feel like they’re being hit from every angle.  You may not be getting enough sleep each night to properly recover, you may not be eating or drinking enough, your hormones are probably all out of whack and often it feels as though your life has been turned upside down. This is not a recipe for success and ease of healing. 

VAT can be a wonderful way to destress and quickly restore balance. Unlike disciplines like meditation and yoga, you don’t have to do anything for VAT to work.  The vibrations will do the work for you.

Physiologically, VAT speeds up circulation, slows heart rate, lowers blood pressure and puts you in a parasympathetic nervous state within minutes.

5. How are different frequencies used to treat different individuals?

Everyone who comes for VAT completes our online assessment.  The results help us map out a road to success for each person.  The assessment information allows us to predict emotional and relationship-based roadblocks and then help prevent them by running the appropriate frequencies and teaching skills for self-awareness and self-regulation.

We have frequencies to support almost any physical, emotional, or spiritual imbalance including the entire endocrine system, each organ, the Chinese Meridians, chakras, sections of the spine, hips, knees and feet.  We also have frequencies for migraines, CBD, MS, fibromyalgia, arthritis and even one especially for pain in the hands experienced by guitar players! Once we understand your symptoms, your goals, your nature and your tendencies under stress, we can easily customize a VAT playlist.

6. I took “Five Elements” archetype test, how do the archetypes help you to determine the frequencies used in VAT?

The Five Elements refer to the Chinese Medicine model of how people grow and transform.  The five elements are referred to as fire, earth, metal, water and wood.  In my work I use the five elements psycho-spiritual-emotional development correlations to help people better understand themselves and their button-pushers and help them self-regulate.  Once I know your primary nature among the five elements, I know exactly what VAT frequencies you need and what supportive advice you will need to feel better.

For example, a VAT session for someone whose primary nature is Fire will likely include frequencies for the heart meridian as well as lung and kidney meridians.  These frequencies will help balance the person with fire nature. Fire natured people who have trouble sleeping may also receive support for their adrenal gland and third eye.  These frequencies will help support better sleep. Additionally, Fire people are notoriously shallow breathers.  When they feel unsafe, Fire types tend to hold their breath and experience panic and anxiety more than other types. When a Fire person begins to feel stress, it can be helpful to focus on a nice slow exhale.  Also, to become more resilient to stress triggers for the long run, we might suggest that Fire people be sure to drink enough water and focus on getting good sleep – even more so than other types.

If you’d like to try a Vibroacoustic Sound Therapy session, you can contact Tournesol Wellness at (646) 395-1114. You’ll receive $20 off your first 60 minute session when you mention this post.

Carey is very passionate about her 501c3 Tournesol Kids, which develops programs that provide children with simple yet profound ways to achieve healthy cognitive, emotional and physical development. Tournesol Kids has trained many coaches in these philosophies. The coaches are now using the programs in their own schools, community centers, yoga classes, homeopathy practices, psychotherapy practices, coaching practices, acupuncture practices and more. Please consider supporting their program by donating to the Tournesol Kids Kickstarter campaign. For your donation you will receive a set of activity cards for home or school that will teach your kids the three skills science has shown to be predictors of better health and greater success:

  • Healthy physical self image

  • Empathy for others

  • Self regulation / problem solving

" Fostering mindfulness in our children is absolutely essential," says Carey. "Research has shown that 1 in 4 kids is anxious, aggression and poor mental health are becoming more commonplace and obesity rates are rising. Children who engage in the Tournesol Kids programs see a rise in their feelings of self-worth, empathy for the needs of others and improved self-regulation / problem solving skills that together build a foundation for good health, greater success and an overall better society."

Your donation will provide the activity cards for families and educational institution that are in need of support.

What is an Ayurdoula? You'll Know— and Want One —After You Read This. 

When we travel I like to seek out people who are doing extraordinary work in postpartum healing in that area. After a recent trip to Denver, I discovered Sarah and Max Blackwell of Inner Sun and Moon, a treatment space + apothecary in Denver, Colorado offering natural therapeutic recommendations, bodywork and Ayurdoula services. Their postpartum packages, which also include care packages for mamas who don’t live in Denver, sound absolutely dreamy.

I was so excited to get the opportunity to interview Sarah, just weeks before she gave birth to her daughter Vina Irie (you can peep photos of the adorable little one on their Instagram feed @innersunandmoon). I learned so, so much about postpartum healing from this interview. I hope you do too.

What is an Ayurdoula? How did you come to serve new mamas?

An Ayurdoula is an Ayurvedic Postpartum Doula - someone trained in traditional Ayurvedic postpartum practices to help a new mother heal after childbirth. As an Ayurdoula, I go to a new mama’s home during the 6-8 weeks after childbirth, and I take care of her so that she is free to focus on caring for, falling in love with, and bonding with her new baby while also getting the rest she needs to heal from the arduous task of pregnancy and birth.

I was a preschool teacher and nanny for about 10 years first, and I always gravitated toward caring for the youngest babies and children. It is in my spirit to be a nurturer, especially to those who are most fragile. In 2012 I found my way to the New Mexico School of Natural Therapeutics, seeing clearly it was my divine calling to be there; though I didn’t yet know why. While there, I learned how to care for myself and others through a beautiful array of natural therapies such as massage therapy, herbal medicine, flower essences, Nature Cure, Traditional Chinese Medicine, living foods nutrition, and the like. It became clear to me that I wanted to further specialize and utilize this education toward natural care and therapies for babies and mothers.

It turns out that the best way to care for the babies of the world is to give them the best start to life possible by caring for their mothers! If the mother is well, the baby most likely will be too. I'm sure you've heard the saying, “Peace on Earth begins at birth.” I am helping bring peace to Earth by caring for the new mamas. 😊

Your Mom spa services sound dreamy, I so wish I had something like this after I had my baby. Why is it so important to pamper a new mama?

Yes, I wish for every mama to have something like this after birth!

A new mother is actually just as fragile as her new baby; and in fact, she needs to be mothered, protected, and cared for herself so that she is free to enter into her new role as mother in the strongest and most peaceful way possible. In Ayurveda, the 42 days after birth are considered a sacred window in a woman’s life. There are only two other sacred windows in her life - one at marriage and one at menopause. It is said that birth is an initiation, and the 42 day sacred window after birth is a time when the woman is experiencing a whole new level of unconditional love and devotion toward serving another being. What happens during those 42 days sets the woman up for her experience of life - in sickness or in health - for the next 42 years. It is like a fork in the road and she can go two opposite ways. One way takes her into deep depletion, exhaustion, anxiety, depression, potentially seeds relationship issues, and the like. This route sets her up for future health problems and occurs when she is not supported properly, nourished properly, allowed to rest and heal during those crucial 42 days postpartum. The other direction takes her into deep healing, rejuvenation, revitalization, confidence in her role as a mother, bonding with her child, feelings of peace and security, and the like. This route sets her up for a long healthy life and actually allows her to heal issues that were present even before she became pregnant because there is so much restructuring that needs to take place in the body after birth any way. This second route happens when she is allowed lots and lots of rest, is properly nourished, and is supported during her postpartum sacred window. That’s why it is so important to pamper a new mama! It isn’t luxury, it is necessity. All moms deserve to take the route of deep healing, and it saddens me that the knowledge of how to do this has nearly been lost to us in the United States.

What are some real benefits that you’ve seen in mamas who have used your services while healing from childbirth?

Watching the mamas I care for feel stronger and stronger, grounded, and literally begin to glow brighter and brighter than they ever were before is one of my favorite parts of doing this work. I have watched mamas become free of both anxiety and depression that had been there for years, seen milk supply issues effortlessly solved, and c-section scars heal seamlessly. We have resolved colic and acid reflux in babies through simple diet changes in the mama, prevented mastitis, and released all those emotions from the journey into motherhood that can become completely overwhelming. My favorite of all is watching a new mother bond and fall in love with her new baby in the way where she feels confident, comfortable, and happy stepping fully into her new role.

What culture does the Ayurdoula come from and what is different about the healing process there compared to in America?

The system of Ayurveda is a 5,000 year old health system stemming out of India that has been actively in use for the entire 5,000 years - so there is incredible depth of wisdom and time tested knowledge there. Numerous other cultures around the world follow the same principles as the Ayurvedic/Indian tradition of postnatal care, in their own unique ways, but the guiding principles are the same.

The Ayurvedic tradition of care has three main pillars - 42 days of rest, daily massage, and nourishment through proper diet and herbs. All three pillars are considered equally important - you can’t just omit one! The new mother should be nesting, resting, and off her feet as much as possible for the full 42 days after birth. She shouldn’t leave the house beyond her backyard, and she especially shouldn’t drive anywhere. There should be others around her doing the cooking, cleaning, and laundry. Her only job is resting and caring for her baby. Massage for the mother is done daily with special herbal oils that are warmed. Afterward her belly is wrapped with a cloth, heat is applied to her belly and back, and she takes a nap. When she wakes up, she gives her baby a warm oil massage and the two of them soak in an herbal bath together. Her digestion is very fragile after giving birth so her diet needs to be very easy to digest, warm, oily, soupy, and soft. Everything should be made fresh - no leftovers or frozen reheated meals are allowed! This prevents all kinds of digestion problems in the baby, including colic. And then there are a variety of beautiful herbal food and snack preparations that help with all aspects of post birth healing and rejuvenation that come into play at certain times post birth.

Tell me about the ayurveda postnatal menu. How does it help a new mama heal? What are a few items you may see on the menu? Do you tailor it by dosha?

The Ayurveda postnatal menu is the most warming, delicious, nourishing, easy to digest food you can imagine! It’s the kind of food that gives you a feeling of pure coziness and of being totally cared for. All the menu items need to be freshly prepared and have the qualities of being warm, soupy, oily, soft, and often sweet. Two or three tablespoons of ghee can be added to everything. Chai type spices (which are digestive spices) can be used amply - cinnamon, cardamom, clove, ginger, black pepper, fennel, fenugreek, and saffron, to name a few. We avoid anything hard, heavy, cold, frozen, dry, and old.

Eating this way helps a new mama to heal by first healing her digestive system which gets almost totally shut down at birth. The qualities of the food help her feel grounded, safe, and secure while providing a rich, deep, and easily accessible source of nourishment. This results in a high quality breast milk and her baby is then free of so many common ailments like colic, reflux, etc; and her baby feels secure, grounded, and nourished as well.

All women have aggravated Vata after birth, regardless of their original dosha type. After birth we have to address Vata. The two main reasons for this are - 1. Vata is the quality of air and space. The moment the baby is born there is a big empty space in the mother’s womb where the baby used to be. This immediately causes an imbalance in Vata and a need to reduce Vata.  2. A huge amount of change has just taken place by bringing a baby into the world. It’s one of the most life changing things that could happen. Big change like that aggravates Vata. The majority of postpartum ailments, such as anxiety and postpartum depression to name two big ones, stem from Vata being out of balance. So, the postpartum diet is a Vata reducing diet - the most Vata reducing diet possible - and therefore reduces these common postpartum ailments in a big way. When we eat foods that are old, cold, frozen, hard, or dry, we are simply aggravating Vata - and the ailments that come with it - more.

On occasion it will be necessary to tailor the diet beyond simply a Vata reducing diet; and this happens when a mother is already Pitta or Kapha to an extreme - then small alterations are needed. For example, a mother who is extremely Pitta may be struggling to slow down enough to rest and let others help her so she needs a combination of Pitta reduction + Vata reduction in her diet. This can be achieved with only minor alterations to the original postnatal diet. With you being Vata-Pitta, it is pretty certain you’d be most in need of the standard Vata reducing diet recommended for the postpartum time. I’d make you beautiful stewed fruits like apples and pears cooked soft with lots of ghee, cinnamon, cardamom, and ginger plus sweet rice pudding for breakfast; soft kitchari (mung dal + rice) with roasted root veggies (beets, carrots, and yams that are just falling apart they've been roasted so long) plus homemade herbed chapati flat breads that are served warm covered in ghee for lunch; and a vitality enhancing milk tonic (which is like a medicinal herbal chai without the black tea) alongside warm gooey molasses cookies for dessert.

What is Abhyanga and why is it so great for new mamas?

Abhyanga is Ayurvedic warm oil massage. I use about 8 oz of organic herbalized sesame oil to give one Abhyanga massage! As you can imagine, the new mama gets completely covered in oil from head to toe. Even her scalp, hair and ears are oiled. The oil is applied to her body in layers and massaged in via specific patterns that follow energetic pathways of the body. Sesame oil is used because it is the only oil capable of penetrating through all 7 tissue layers of the body down to the bones. As the oils are applied and massaged in, they go deeper and deeper into the body carrying the herbs with them. This delivers healing nourishment directly to the tissues without having to go through the digestive system first. In Sanskrit - the language Ayurveda was originally written in - the word for “oil” and the word for “love” are synonymous. Drenching the body in oil is akin to feeling drenched in love. The mothers come out of the Abhyanga glowing and feeling very loved and feeling all kinds of self love.

Abhyanga is extremely calming and nourishing to the nervous system, moving a new mama to a place of "rest and digest" where all healing and regeneration take place. It makes her feel grounded, comfortable, and secure in her body which spills over into filling comfortable and confident in her new role as a mother.  Most mothers fall asleep during their Abhyanga which is certainly needed after so many sleepless nights, and the Abhyanga helps her to be able to access deeper sleep cycles later during the night.


The other huge reason for Abhyanga in the postpartum time is that the body is doing a lot of detoxing after birth. There is inherently more toxic load during pregnancy that the body needs to let go of and expel, and the body is acting to expel everything left in the womb that is no longer needed. Abhyanga is very detoxifying to support the body in doing its best version of this, but it is detoxifying in a way that is simultaneously rebuilding which is the kind of detox a new mother needs. I’m also amazed at how the skin on a woman’s belly rejuvenates and returns to a pre-pregnancy state quite effortlessly when she receives or gives herself daily warm oil massages.

Can you tell me about some of the herbs that you use for the massages? How do they help a new mama heal?

I make each new mama I work with a custom blend of herbs for their oil; but most of them will contain a combination of Brahmi, Ashwagandha, Bala, and/or Rose. Brahmi, Ashwagandha, and Bala are all nervines meaning they are deeply soothing and calming. Brahmi also helps calm the mind and brings mental/emotional clarity, soothes anxiety, and is great for the skin and healing stretch marks. In addition to soothing the nervous system, Ashwagandha is wonderful for balancing the hormones after birth, brings vitality, and has an affinity for nourishing and restoring the reproductive tissue. Bala is known to bring strength, not only physical strength but an incredible emotional and spiritual strength as well. Rose heals and uplifts the skin, is uplifting to the mood, brings protection to the new mother, nurtures her heart, and helps her bloom joyfully into her new life.

You’re located in Denver. Do you offer services to mamas in other cities?

Yes! I’m so excited to now be able to do so! I offer packages of all Ayurvedic postpartum medicines and supplies recommended for optimal post birth recovery delivered to your door with a guide booklet full of how to use everything in the package, the principles of postpartum rejuvenation, and recipes. I also offer a series of support sessions via phone or Skype where we can troubleshoot anything going on with you or baby. And finally, I’m in the process of creating a series of online mini workshops where you can learn the art of Ayurvedic postpartum care to implement for yourself or utilize to care for a friend or loved one. Those workshops will be available one by one in the coming months!

Can You Be a Sexy Mother? HELL YES, says The Mommy Mojo Makeover Author, Dana B. Myers

One of the things that was most challenging for me after having our baby was reconnecting with my husband, my dog (I know, but really it was a challenge) and myself. All of the focus became about the new little person and my relationships and identity suffered. I met Dana B. Myers, Author and founder of Booty Parlor a few months ago, read her book The Mommy Mojo Makeover: 28 Tools to Reclaim Yourself & Reignite Your Relationship and was so excited to get to chat with her more about what so many moms seem to experience: a post-baby drop in libido and a disconnection from their lovers. 

The book is her personal manifesto for sexy, modern motherhood and marriage/partnership. "It's the pathway I discovered to come back to myself to reinvent the woman I am behind the mother, and to boldly grow in a marriage that continues to thrill and turn me on," she says.

When I read the book, I was amazed by how relatable it was. I found comfort in knowing that other moms were going through the same things as I and also appreciated the simple exercises provided by the book to help mamas get back in touch with their Mojo. 

Below is an in-depth chat with sexy motherhood expert Dana B. Myers that includes the most common Mommy Mojo Blocks, an exercise that you can do for 5 minutes a day to rekindle your mojo, Dana's favorite sex toys and more.

1. You've spoken to and taught classes for Mommys all over the country, how common is it for mamas to experience a decrease in sexual desire post-babe? I’d say it’s a pretty ubiquitous experience! Almost every mother I meet wonders where her libido has disappeared to, and questions whether or not the passion -- and I mean real, authentic passion - will ever return to her relationship. I think that motherhood is part bliss, part chaos; equally rewarding as it is stifling. And parenting with a partner is such a beautiful bonding experience, but it can also be a breeding ground for resentment, boredom, and unsatisfying sex. And so, while I’d say that 99.9% of mothers experience some kind of a decline in sexual desire and drive, I can also say that with a bit of intention, attention, communication and consistent effort… it’s totally possible to relight the fire and reclaim a sense of sexual entitlement as a woman and mother.

2. What are some of the most common complaints?

Through my constant sex chatter with moms at my workshops -- and of course, at playdates, too -- I began to notice eight common complaints, which I call Mommy Mojo Blocks. These are the obstacles or blocks that drain you of desire, lower your self-esteem and challenge the health of your sexual connection. Here are a handful of the eight I detail in my book:  The Mom Zone: This is when you get stuck with ‘mom blinders’ on! You feel as though you’re “all mother, all the time,” with no time or energy to nurture the sensual woman you are behind the mother. Low Libido: Does this one need an explanation? From hormonal shifts to sleep deprivation, chronic stress and physical exhaustion, your sexual appetite has waned. Body Confidence: While some moms feel just as amazing as they did pre-baby, many more moms view their body in a very different way. Some  may even feel depressed about their appearance and less inclined to share themselves with their partners in a sensual way. Resentment: This is a big one! Nothing kills the desire for intimate, connected sex like simmering resentment; and when it goes unchecked, it can lead to intense hurt and anger, which can result in (surprise!) less sex.

3. Is it possible to be a great mom and also a sexy, desirable woman?

OH, HELL YES IT IS! I fully believe that every woman deserves to live with passion, love with passion and mother with passion. I believe that as mothers, we actually have an amplified sensual power. We’ve created life. We’ve tapped into a primal feminine source, and because of it, we’re smarter, we feel more, we love more, we’re more tuned into our intuition and we can experience MORE pleasure. But, we have to wake up to this realization. We have to embrace the idea that a consistent practice of sensuality can be the ROCKET FUEL that powers us through the physically-grueling and mentally-exhausting experience of motherhood. So, yes - motherhood gives us more Mojo. We just have to fire it up.

4. I love that The Mommy Mojo Makeover is action-oriented and stresses practices that will help you get in touch with your body, your husband and your sexuality. Why, in your opinion, is Mojo a practice rather than a destination?

Great question, and the most simple answer is that our experience of motherhood & parenthood continues to evolve, day by day, month by month, and year by year. And so then should our practice of Mojo along with it…
A very helpful mindset I have adopted within motherhood, at large, is that “everything is a phase.” So, when something feels REALLY hard, like a period of sleep regression with one child, or a tough emotional transition at school for another child, I am grounded in the knowledge that EVERYTHING IS A PHASE. Things will keep changing and evolving, nothing is permanent, that everything will pass.

And so it goes with the practice of cultivating our mojo, our sensual confidence, our sex drive and intimate connection with our partner. Yes, there will continue to be ups and downs in our relationship, our libido will ebb and flow throughout our life based on a number of circumstances. Those moments will come and go. But as long as you return to the tools and practices that keep you in touch with your body, your pleasure, and your partner, you’ll always find your way through and to the other side… back to your body, back to pleasure, back to your partner.

5. Sometimes feel like I just don't have time to do anything. If mamas could do just one thing each day for 5 minutes to bring back their mojo what would it be? Even the most time-strapped mama can cultivate her mojo on the daily by feeding her MIND with sensual stimulation -- and she doesn’t have to change her routine a single bit.

All she needs to do is give herself the permission to notice the sexy inspiration that already exists in her everyday routine -- from household chores to running errands, to dropping off the kids at school, taking the train to work and cooking dinner. This is more simple than it seems. For example, what do those gorgeous, thick, shiny carrots in the produce section remind you of? How does the frothy, sweet milk on your latte feel against your tongue? How would it feel to writhe around naked on those fresh bath towels that just came out of the dryer? What about that adorable UPS guy wiping sweat from his brow - what he might look like doing that in his… underwear? It’s just about opening your eyes to the turn-ons that surround you in your daily life. Your sensuality is right there, all around you, begging you to pay attention to it. All you have to do is just open your eyes and your imagination and allow yourself to get excited and aroused. And the beauty is that this practice can be really SILLY, and you can have so much fun with it. It’s just a shift in thinking -- and so, it’s perfect for a mama who doesn’t have a lot of time or space to practice the more involved exercises in the book.

6. Favorite sex toy for getting your mommy mojo back? For beginners? For the more adventurous? Oh, one of my favorite subjects - toys!! I suggest any kind of a multi-speed wand for solo play. It’ll deliver great external sensations and pretty much, a guaranteed orgasm. A good one is the SmartWand by Lelo in Medium. For a couples’ toy, I recommend any of the WeVibes that are currently on the market. And for something a little “woo” and mind-blowingly pleasurable, try a crystal wand by Chakrubs.

7. Where can we buy the book? You can buy the book on Amazon!

After I had Grace, I felt the need to get back into things as quickly as possible. It didn’t feel right, but that’s what I had been conditioned to believe. “Got to get back to normal,” the cultural messages seem to say. Feeling off about the whole thing, I started to look into how other cultures view maternal healing after childbirth and discovered some really beautiful practices that allow mothers to heal and bond with her baby — and do nothing else— for about a month to 42 days. Luckily, these healing concepts and services are becoming more and more available in America.

How to Get More Sleep: An Interview with Certified Pediatric Sleep Consultant Liza Rohn

Sometimes I feel like every wellness article I read says "if you want to be healthy you must get more sleep. You must get lots and lots of sleep."

Reading these articles makes me want to cry.

After becoming a mother, it has felt impossible to get lots and lots of sleep. It felt especially so in the early months. My daughter slept through the night early on, but then went through a sleep regression that lasted 6 months (!!!). From month 4 to month 10, she was waking at 3am, 5am and 7am.

Needless to say, I did not feel rested. I also did not feel well. 

Studies have shown that sleep deprivation can decrease cognitive performance, change mood, cause depressionincrease symptoms of seizures, high blood pressure and migraines, compromise immunity, affect metabolism and more.

None of these things lend themselves to a mother's health and happiness. 

My friend Liza, on the other hand, was able to get her daughter to start sleeping through the night consistently by 11-12 weeks. That means Liza had 7 more months of restful nights than I 😳. Liza is also a certified pediatric sleep consultant and the founder of In Your Dreams Sleep Consulting. She was kind enough to answer some of my questions about getting your child to sleep through the night — she has an incredible wealth of information on the topic. I hope the below helps you as much as it helped me!

At what age is it possible for babies to sleep through the night? This depends on the weight of the baby, but most babies have the ability to sleep through the night when they reach about 13 lbs. This is often about 12 weeks or anytime soon after that. (Please be sure your pediatrician is comfortable with your baby’s weight gain).

Why is sleeping through the night important for mom’s well-being? Sleep is not only important for growing babies, it is important for mom's well-being. If you have a poor night’s sleep, you will feel it the next day- often being unable to focus on tasks. If this pattern continues for weeks and months, this turns into serious sleep deprivation. This can impact memory and attention, mood, blood pressure, and immunity, just to name a few. Sleep is imperative for our body’s physical and mental health. A bonus for the breastfeeding moms- our bodies make the most milk while we rest, so you will see a decline of milk if you are not getting enough solid sleep.

Liza's beautiful, sleepy baby

When would you recommend moving the baby to their own crib? Ideally, I say immediately!  However, I know it is difficult to be separate from a newborn in those early days so one month is a good goal. In the first month, be sure the baby is sleeping safely in a flat crib or bassinet. Naps are a good time to use the crib in their own room from day one. Aim for at least one nap to be taken in their crib so they get comfortable with their room and learn to sleep without being held or rocked.  

Will moving the baby to their own crib help mom sleep better? Why?Yes!  Moving a baby to their own room will help you both sleep better. The baby can smell and sense you are close and when they wake between sleep cycles (about 40-50 minutes), they will sometimes fuss or cry out. If they sense you are close, they will often escalate until you respond. However, if they are in their own room and you give them 1-5 minutes of fussing, you will start to see them go back to sleep and connect the sleep cycles into a longer consolidated sleep period.   Also, babies are very loud sleepers. They make noise all night long and even if they are asleep, it will wake you as a mom who is likely sleeping lightly- waiting and checking on the baby. Trust me, if the baby is hungry and needs you, you will know it and they will not go back to sleep. That is when you respond and feed the baby.

When can you start giving up night time feedings? Why is this important?
If a baby is gaining weight well and the pediatrician is comfortable with weight gain, you can anticipate giving up night feedings between 3-4 months. Prior to that, babies really do need to eat at night. They have small tummies and simply can’t take in enough food at a time to get the calories they need. However, by 3-4 months, they can begin to take larger meals during the day. This is important because babies need a long consolidated stretch of sleep for growth and development. Sleep is when babies brain functions mature, developing abilities like language, attention and impulse control. Sleep can have a direct impact on a child’s ability to learn and grow.  Studies have also shown it can impact mood and developmental disorders.  These brain connections are made with long stretches of consolidated sleep, rather than short sleep cycles.

A note on crying:  Since people always ask me about whether my program involves “crying it out,” I think it’s something that deserves to be addressed here. Crying is your child’s way of protesting change, and you can expect that making changes to their sleep habits will result in some protest. That’s why I’m always sure to tell parents that my program will most likely involve at least some amount of protest on the child’s part. Please understand that I will never ask you to leave your child to cry alone, nor will I ask you to ignore their cries. The reason that The Sleep Sense™ Program is so effective is that is allows you develop a plan that you feel comfortable with, based on what you know about your child.

What about naps? Are consistent naps important for night time sleeping? Can you sleep train naps? Naps are important for a few reasons. Babies need naps to rest and recuperate, they simply do not have the stamina to be awake for long periods like children and adults. Naps are important for sleep training because an overtired baby will have a very difficult time going to sleep. Have you have had your baby skip a nap and then you end up rocking them to sleep for the next nap since they are so fussy? That is because they are overtired! A well-rested baby will go down for naps and bedtime much more smoothly than an overtired baby. So good naps will lead to good night sleep!  You can sleep train naps as well as bedtime. Often, bedtime comes together before naps but with consistency, your baby will soon take predictable, long naps. Imagine being able to anticipate time to yourself to get work done, workout, or take a nap yourself! 

What are some common mistakes that parents make when sleep training their children? Often, parents do not realize the importance of good sleep. They think babies will sleep when they are tired or can sleep on the go. Newborns (0-3 months) can often take restful naps on the go, however as they get past 3 months, naps on the go are not as restful. They turn into cat naps and you will find your baby taking 20 minute naps throughout the day. This leads to a fussy and unpredictable baby. Sleep needs to be a priority for babies to learn and grow! Another mistake parents make is the use of sleep props. Nursing/feeding to sleep and the use of pacifiers for babies past 3 months are common mistakes. A baby will want to be put back to sleep (even between sleep cycles) the same way they initially went to sleep. So, if you nursed your baby to sleep, when she wakes she will need you to come in and nurse her to sleep again. This is what leads to many feedings in a nighttime. A third mistake I often see is inconsistency. A parent may skip naps or nurse to sleep but change the routine the next day. A baby needs consistent routine for every nap and bedtime. It can be a short routine, but needs to be predictable for them to learn that it is time to sleep.  
 

Can you sleep train toddlers? Absolutely! I would say half of my clients have been toddlers. Toddlers need consistent sleep as much as babies do to. The changes I often make with toddlers have to do with routine and consistency. Toddlers (and babies) thrive on routine and toddlers will push every boundary they can to test where the limits are. If you have a strict routine and structure to bedtime and naptime, they will begin to anticipate it and enjoy the routine.

What do sleep consultants do? When I work with clients, I create personalized sleep plans based on their childrens' health, sleep habits, routines as well as the parents' preferences. I will then support them through the execution of the plan. 

How long does it take to sleep train a child? If you are consistent and follow the plan, you can expect changes in 3-4 days and solid sleep by the end of 2 weeks. (toddlers sometimes take 3 weeks before naps really click into place but expect night time to improve within a few days).

Book a free 15 minute sleep training consultation with Liza

Postpartum Healing: Acupuncture. An Interview with Aimee Ruiz LAc of East Bay Acupuncture

I discovered acupuncture a few years ago and after regular sessions helped significantly improve a long term hip situation that had developed from years as a ballet dancer, I was totally hooked.  I also saw an acupuncturist more recently while I was pregnant with the hopes of flipping my breech baby.  The babe did not turn, but the procedure was incredibly effective at relieving the severe swelling I was experiencing in my ankles (by this point my husband was calling me 'The Hulk'). Anyway, I have seen a lot of personal success with acupuncture and have a strong belief in its efficacy (I am not a doctor, make sure to see a medical professional before starting any kind of treatment).

What is acupuncture? Acupuncture is a practice in traditional Chinese medicine that dates back to at least 100 BCE (source). According to the philosophy, there are 20 energy meridians in the body and strategically placed tiny needles can help remove qi (or energy) blockages along these meridians.

How can acupuncture help you heal post-babe? I am really excited to have gotten the opportunity to chat with Aimee Ruiz LAc of East Bay Acupuncture about how acupuncture can help new mamas. Aimee is a nationally certified and California-licensed acupuncturist and herbalist who also holds a Master’s of Science in Traditional Chinese Medicine from the American College of Traditional Chinese Medicine and was trained as a doula.  Aimee works with women through their conception, pregnancy, birth, and postpartum. 

Aimee Ruiz LAc

How did you find yourself passionate about working with women?

Well, I’ve always been a girl’s girl. I feel at home in the company of women and that has informed most of my life. While studying Chinese medicine in New York, I was fortunate to participate in an acupuncture program at a teaching hospital in Brooklyn. The moment I stepped foot on the labor and delivery floor, I was completely captivated and it changed the course of my life forever. That first time I saw a woman give birth, I knew that I needed to know everything I could about pregnancy, birth and motherhood. This led me down the path to becoming a doula, learning birth acupuncture and then later diving into the worlds of fertility and postpartum care. 

According to Chinese Medicine what is happening with a woman's body and energy after childbirth?

In Chinese medicine, we believe that women lose blood, qi, yin, yang and essence in the birth process. Depending on her pregnancy and birth, other imbalances may also occur. Add lack of sleep, stress, pain, anxiety all the while tending to a new babe and it’s no wonder that women are quite depleted. Pregnancy and birth take a huge amount of energy to sustain. We experience trauma to our bodies and are pushed to (and through) our physical and emotional limits. So it is essential for the postpartum period to be a time of restoration and nourishment.

Why is it important for women to nurture themselves after they have the baby?

When we consider the postpartum experience, we aren’t just thinking of how women feel in the present. We know that taking good care of ourselves postpartum will benefit our overall long-term health and even the health of future pregnancies. This is a time of real recovery from a beautiful, amazing and gigantic job. While our bodies and brains get used to not being pregnant and our hormones shift, we benefit from a space that is extra loving and gentle. Rest allows us to be still long enough to tune into what we need and give ourselves a lot of room to just be. 

New moms definitely want to nurture themselves but more importantly we want moms to gather support around them so they can feel nurtured by others. Zuo yuezi, translated as “sitting the month” is a practice where the new mom spends most of her time in bed and her support system tends to her. This isn’t realistic for many women these days but pulling some of the key principles from it can be incredibly nurturing. Planning ahead by asking for help, stocking food, finding care providers and enlisting friends and family can make such a huge difference in a new mom’s ability to really rest and receive.  

These acupuncture points help with lactation :) source: @eastbayacupuncture

What are some of the symptoms that women experience after childbirth that would lead them into an acupuncture session?

Acupuncture and Chinese medicine can treat so many things postpartum. Many of my clients seek help because they are exhausted, experiencing depression/anxiety, digestive upset and/or sleep quality issues. Women seek help when they are struggling with breastfeeding, specifically with insufficient lactation, clogged ducts or mastitis. We can also help to heal scars and break up scar tissue after cesarean birth or tears from vaginal birth. If she had any conditions arise during her pregnancy like preeclampsia, we can help. We can even be on their support team while women process emotional trauma. Acupuncture can help a new mom to heal faster in general than she would without treatment. We offer home visits so that new moms can conserve their energy and be pampered in the comfort of their own home. 

Acupuncture points Source

Does it makes sense for a woman to get acupuncture treatment even if they are not experiencing major postpartum symptoms?

100 and 8 times yes! Chinese medicine shines best as preventative medicine. Even if a new mom doesn’t have any symptoms, childbirth takes an immense energetic toll on our bodies. Every woman would benefit from the power of Chinese medicine to help restore her energy, smooth out her hormones, nourish her and improve her healing process. 

What are some other ways that women can nurture themselves after having a baby, according to Chinese Medicine?

Stay warm by keeping your feet, pelvis, bellies and backs covered. Warm internally by drinking herbal teas, nourishing soups and broths. Herbal sitz baths can be used to soothe and heal tissues that have been torn. She can learn about moxibustion and mother roasting practices that can be done at home. Allow every feeling that comes up to be given gentle attention and care and let it move through you. And of course, rest. 

Learn more about Aimee and her work at: eastbayacupuncture.com or @eastbayacupuncture

Alissa Sears, Amazing Human

I sit down to have dinner with Alissa one night during a work trip (full disclosure Alissa is both a friend and colleague) and ask her if she’s ever run a half-marathon. “Once I accidentally ran an ultra-marathon,” she tells me,” I was meant to pace a friend for a few miles, but he was struggling, so I just kept going.”  She tells stories of being trapped in a tent atop a mountain for 50 hours with giggles. She is dedicated to alleviating the suffering of others all over the planet and has more enthusiasm for life than anyone I’ve ever met.

Personal Life. Alissa is relentlessly caring and radiates intense positivity. She has friends all over the world who she cares for deeply. She adopted an old dog with behavior issues who had been returned to the shelter 5 times before she met him and has loved him into his senior years. She has an adventurous spirit that is so fierce and immense that it made me do a double take. She has summited Mt. Shasta twice, Mt. Whitney five times, and nearly reached the top of Mt. Cotopaxi (she was forced to turn back when the volcano started to erupt while on the mountain) and Mt. Rainier (they encountered high winds once they approached the summit and their ladder fell down into a crevice).

“I have always seen adventure as the embodiment of the human spirit - so often peeling away layer upon layer of who we consider ourselves to be, often laden with misconceptions, labels, opinions, constraints, perceived limitations. We go to the wild to experience and realize all that truly matters…for it is never in spite of the rough edges but because of them that we dig deeper and transcend perceived limitations, making the impossible possible and realizing our potentials. It is because of the rough edges that we reach higher. Do more. Achieve more than we ever thought possible.” – Alissa Sears, Reflections on Rainier

Professionally. Alissa is the co-founder of adVentures Academy, an incredible experiential program that harnesses the spirit of the outdoors to redefine due diligence and revolutionize how truly great, resilient companies are grown. Alissa is also VP of Strategy & Navigation at Christie & Co a full-service branding, marketing and PR agency that focuses on growing conscious businesses. She is the Vice President of The California Coast Venture Forum/Clean Business Investment Summit, Founding Partner of KIWA Investment Summit: Latin America, and serves on the Board of Directors of Channel Islands Outfitters and serves as an advisor to New Hope’s NEXT Accelerator, CircleUp, the Karma Project Nepal, Safe Water International, Antioch University’s MBA Program on Social Enterprise, Cal State Lutheran University’s MBA in Sustainability, Yellow Leaf Hammocks, and more. She was recognized as Forbes 25 Most Influential Kingmakers in Consumer and Retail and Pacific Coast Business Times 40 under 40.

Giving Back. While in college, Alissa traveled to Northern Sri Lanka to help develop Sri Lankan-run educational and leadership/sustainable development programs in the war-torn North East. She worked with schools, universities and orphanages to improve education standards and increase communication and engagement. She has also helped to create social enterprises and sustainable development programs in communities in Sudan, Rwanda, Cambodia, Malawi, Chad, Bolivia, Mexico, in the US, and beyond.  Alissa first began working in Northern Sri Lanka helping to develop Sri Lankan-run educational and leadership/sustainable development programs in the war-torn North East.

How does she do it? “In the midst of a war zone [during her time in Sri Lanka], I found the essence of optimism – the silver lining, as my grandma used to say,” she says, “at the center of one of the most protracted and brutal civil wars in history, it couldn’t be more obvious that there are always barriers in life. But what I found matters most is the realization that all barriers are perceived. In my experience, it is all about perspective - how you perceive barriers (as problems or as challenges providing the opportunity for creative solutions), your dedication to overcoming them, the perseverance to stick to it through even the most unforeseeable challenges, and the wisdom to learn from those challenges and modify course accordingly. At the most fundamental level, the ability to overcome barriers lies within each of us. As I mentioned, I've lived and worked in war zones, disaster areas, and regions filled with seemingly "insurmountable" barriers. Yet time and again, I have seen challenges turned into triumphs through very creative solutions and a hell of a lot of perseverance. Keep your eyes, mind, and heart open - learn, give, grow and you find the solutions you need. Sometimes in the places you least expect them.”