Mamapalooza:: sex, pregnancy, labor, delivery, & girly topics we are too afraid to talk about with Dr. Emily Tran, PT, DPT

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. Kelsy: I am so happy to have

my pelvic health soul sister

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with us today on the pod.

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I've been told she's just

like me, only tinier.

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She's a doctor of physical

therapy, a pelvic floor and

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performance physical therapist.

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She's a trained birth doula with

her doctorate in physical therapy

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from UT Southwestern in Dallas.

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Dr.

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Emily, welcome to Wellness Exists the Pod.

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Happy to be here.

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So as a little disclaimer,

we've just chatted for like.

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An hour and a half before this, but

we wanted to make sure we made this

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disclaimer before we started this

episode, but we will be talking

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about topics like sex, pregnancy,

postpartum labor, birth delivery.

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So if there's any of that that you are

just not in the right head space for, then

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I recommend not listening to this episode.

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We are also gonna add chapters to the.

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Episode.

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So if you're like, oh, I don't wanna

listen to that, but I do wanna listen

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to the pregnancy section, you can kind

of flip through the episode that way.

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So with that, we're gonna open this

conversation with a topic that many

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people are afraid to talk about.

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A lot of people have questions on it.

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A lot of people don't

necessarily like to bring it up.

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And so I feel like with two pelvic

health specialists, one being an expert

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in both male and female pelvic health.

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It was the perfect time to bring it up.

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So we'll have a little bit

of a girl chat about sex.

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A little powerhouse right here.

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I'm so excited.

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And a little chat just about pain with sex

and just different challenges with sex.

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So when we're talking about, let's view

it through the lens of the pelvic floor.

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What is normal when it comes to the female

pelvic floor and the male pelvic floor in

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Emily: regards to sex?

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So in regards to sex, let's

just honestly bring it back to

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what is a normal pelvic floor?

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What should that look like?

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Um, and if you're booty

clenching, we should talk.

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Um, what I tell people is your diaphragm

or your breathing muscle, it sits right

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under where that rib cage area is, right?

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Like for the girlies, the

girly pops or whoever, right?

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That sports bra line is kind

of right around where it sits.

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We wanna be able to breathe

360 degrees around it, right?

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Um, and if you don't, we might not

get, be getting full lengthening and

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excursion of the pelvic floor because

these guys kinda work in tune together.

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They work very dependently of each other.

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So if we're breathing well in

our diaphragm that sits here.

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The pelvic floor is going

to lengthen and drop down.

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I kind of imagine it like either

a trampoline or for me, I kind

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of imagine it like a jellyfish.

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Yeah.

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I tell people I love the

jelly like a jellyfish.

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I

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Kelsy: haven't heard

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Emily: this.

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Yes.

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Okay.

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And I, I think about that and it has

really helped people other ways is

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like, okay, when I'm able to get a full

inhale, I can feel like pelvic floor is

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like a flower blooming in slow motion.

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Mm-hmm.

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That's another thing that I tell people,

um, some of my clients that I work with.

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But in terms of that right,

if you have a pelvis.

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Then you have this, then you have, you

should have that healthy relationship.

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Right?

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In terms of sex.

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In terms of sex health

with the pelvic floor.

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We shouldn't be having like pain with sex.

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Doesn't matter about any of

the sizes of all the things.

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It shouldn't hurt.

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For me, that's the first part.

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We should also be able to

achieve climax or an orgasm.

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That shouldn't be uncomfortable

and it shouldn't be painful.

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Um, another thing is like.

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Are we able to like feel

comfortable during sex after sex?

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Some people tell me, okay, well

sex isn't painful, but it's

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after I feel really sore after.

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Mm-hmm.

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It's painful after, and I'm just aching.

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Yeah.

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Those are things that, like, for

me, that is not normal, right?

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Mm-hmm.

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Normal is I'm able to have

an orgasm comfortably.

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I'm able to be in different

positions without pain.

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There's no like.

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Tenderness or discomfort at initial

insertion or deep, those are like

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big components of what I think of a

healthy pelvic floor with sex health.

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Yeah,

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Kelsy: I love it and I feel like

it's also important to note that.

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Males also have a pelvic floor,

so it's no different, right?

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Yes, yes.

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Like

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Emily: you have two holes.

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I have three.

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Mm-hmm.

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Um, and I have worked with a lot

of men and oftentimes it's a bunch.

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There, there's a, it's very multifaceted

pelvic floor in itself is that we know

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that, um, and sometimes it might be like.

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Maybe we're watching like pornography.

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Maybe there's things that we're like

watching too much that because of

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the brain body connection, those

things kind of don't fire as well.

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That could be one for a man, but for what

I will say is like, it is no different.

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The muscles are all the same.

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It's a sling like muscle, right?

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These, these muscles are like a sling.

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It's what I tell people is it's

like I'm laying down on my back.

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There's a whole sling.

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Just like this.

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Kelsy: Hammock.

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Yeah, hammock.

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And so it's like hammock, sling.

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Yeah.

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If it's,

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Emily: if it's, if we are in a good pelvic

floor lengthening and then going back

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to resting place, no kegels necessary.

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A man or a woman or anybody in general,

any person with a pelvis, you are going

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to be able to have good sex health.

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Like that's just, that's just it.

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It doesn't matter if you're

have a female or male anatomy.

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It's just.

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Everyone has a pelvic floor that has the

same type of functions that play with

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sex, health, swing tear, like bladder

bowel movements, and then just overall

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stability for the rest of your body above.

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So yeah.

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Kelsy: When we talk about the pelvic floor

too, I feel like a lot of the times we're

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talking about it in regards, especially

as women to things like incontinence.

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Mm-hmm.

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And bowel and bladder health specifically.

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But sex is a function of the pelvic floor.

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Yes.

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And it's like if we can, like Emily said.

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Actually relax and lengthen

and then allow it to come back

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up to that resting position.

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Yeah.

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Again, you know, minus Kegel

minus like this super gut liny.

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Contraction of the pelvic floor,

then we will have just like a healthy

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sexual function as well because that is

also a function of our pelvic floors.

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Yes.

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So how does a healthy pelvic

floor actually improve how we

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experience like sexual function

in sexual health in general?

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Emily: So a healthy pelvic floor

is gonna allow you to lengthen

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and let those tissues like relax.

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And not stay in that booty clenched

position because oftentimes because of

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stress, because of like how we in our

body hold onto like emotions and just like

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where our resting tone might sit, like

maybe you work a really stressful job.

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A lot of us have different

stressors going on.

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Maybe the kids are running around and

you're like literally losing your mind.

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Like all of that stuff.

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Affects your sex life, um, and

how you process all that in

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your body and in your mind.

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That plays such a big

portion to the pelvic floor.

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We won't even get into it yet, but

for me, a healthy pelvic floor is

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gonna allow you to have a good orgasm.

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A good, like even experience, but for

me it's, you're not gonna have pain.

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It's gonna be an enjoyable experience

and like that's the important part.

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That's why it's a function

of the pelvic floor.

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You're going to be able to

get blood flow to the area.

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So for example, if a nerve doesn't get

good blood flow, then the muscles might

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get tense around this piece of yarn.

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Right?

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I tell my clients is like.

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A nerve is like a piece

of yarn in my brain.

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Mm-hmm.

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And when the muscles get really

tight, those are like two boulders

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between the piece of yarn.

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Mm-hmm.

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And so I tell people.

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It's like the yarn is fringing.

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That's not happening to your nerve.

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Yes, yes.

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That's just a symptom of irritation.

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Like something's happening where it's

either uncomfortable, you can't achieve

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that, and so we need to work on that.

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So usually the muscles are tense

around the nerve that allows you to

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orgasm so you're not getting good blood

flow and then you're not having an

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orgasm or it's really uncomfortable.

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Mm-hmm.

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So for me, a healthy pelvic floor is

gonna allow you to have the best sex life.

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I love it.

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Which is also

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Kelsy: why I feel like you, I'm so

glad you brought this up too, about.

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The mindset surrounding it, which is why

I'm trying to be careful about asking

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questions pertaining to the physical,

because the mindset too, like it affects

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the physical so, so, so much where we

are the experts in the musculoskeletal

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system and the mindset, like I love

being a physical therapist because I

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feel like we ride that line between.

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Eastern and western thought patterns.

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Mm-hmm.

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Where I am not opposed to saying

that someone's stress life is

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affecting their pelvic floor

function because it's so true.

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It does affect it.

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Yeah.

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Even though it might not be that.

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Tactile or that tangible, it does

affect it and it will therefore affect

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your sexual function as well too.

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So there's a huge mindset shift.

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And this is also regardless of

trauma on top of things too.

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Like there's so many multifaceted

layers of mindset when it

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comes to sexual function too.

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Mm-hmm.

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So we're, we're talking about the

physical part, but there is a huge

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mindset component when it comes to it too.

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So I'm so glad you brought that up.

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I also think we've touched on it

a few times, but talking about the

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relaxation of the pelvic floor,

that is a super important, I guess,

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shift that needs to happen within

the pelvic health field as a whole.

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And I feel like a lot of pelvic floor

PTs are on board with this now a little

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bit, but I still think it's something

that we should focus on when it comes

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to the pelvic floor functioning for

anything, everyone always thinks Kegels

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are the answer to like everything, and so.

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Yeah, the ability to actually be able to

relax, have it come up to a normal resting

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rhythm, the ability to contract it.

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That's good too.

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We need all of it.

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But your pelvic floor for things

like sexual function, tampon

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insertion, bowel and bladder,

like ability, normal breathing.

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Yes, normal breathing, all of it.

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We need to be able to relax that

pelvic floor and I feel like I

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wanna highlight that so that.

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We can just share that education.

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Yeah.

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Because I feel like so many people, the

first thing they think about when it comes

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to helping their pelvic floor is Kegels.

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Emily: Yeah.

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And I, and I think like for me too, as

I've learned and continue to learn as

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we stay up to date with the research

and like pushing the boundaries of

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like pelvic health in general and like

women's sex, health, all of that mm-hmm.

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Is like, in the beginning I feel like

it was like, okay, kegels, that's

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the only way to help a pelvic floor.

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Great.

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Well, that's not very functional.

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Mm-hmm.

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Emily: Can you ask me the last time I did

a Kegel the entire time I was running,

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that sounds really disgusting and painful.

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It sounds

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Kelsy: awful.

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Um,

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Emily: I tried it once, um,

for a joke, uh, in one of

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our labs of my continuing ed.

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Terrible experience.

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Will highly not recommend.

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Um, but what I will also say is like.

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You might also need to teach someone to do

a Kegel, a k, a pelvic floor contraction.

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You might be like, Hey, we might need

to pre cue this a little bit because

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you're stuck in what I call the basement

or that like most lengthened position.

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Maybe you're like trying to

pr, we don't wanna be in the

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basement when we're trying to pr.

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Yeah.

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That's when you see all the.

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Reels and tiktoks of people

leaking while they're like lifting.

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Right, right, right.

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So for me it's like, okay, we

don't wanna be in the full Kegel.

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We might not wanna be in the no Kegels

either, but we need to find, and that's

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why every person is different, the ability

to relax and the ability to contract.

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Because every time I assess those

things with people, most often,

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they either look the same or

they look at me and they're like.

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Am I?

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Am I doing it?

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Yes.

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That's the connection.

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Yes.

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And I think that's like the most

important thing of pelvic floor

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therapy, especially when it comes

to just like that internal portion.

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Mm-hmm.

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I think something I tell people

is there's so much more than being

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on the table because my goal is to

get you off of it as fast as I can.

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Oh

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yeah.

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And the

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Emily: biggest way to do that is

that brain body connection, which

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is why, like you said, we play

and scale this line of Yes, we.

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Have this mix of Western eastern medicine

where we are that musculoskeletal

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driver and leader in this world.

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But also as a public health therapist,

you have to be really in tune with your

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body because if you can't connect what's

going on down there, like sis, let's talk.

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Yeah.

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Right.

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Totally.

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Kelsy: Totally.

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So that was just

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Emily: what I was thinking.

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I was like, you know, like.

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There's so much around both ends

of like Kegel versus No Kegel.

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Just, I think for me it's, I tell

people you might need both or you

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might need one or none, but we

need to make sure you can do both

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a lengthening of your pelvic floor.

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Mm-hmm.

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Or letting her go down to

the basement, as I say.

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Mm-hmm.

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And maybe you're about to pr.

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Maybe you should be a little

bit more in the attic, right?

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Mm-hmm.

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Mm-hmm.

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So, like, those are different things I

like to distinguish between my people.

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Um, like maybe you're in basement, okay.

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When we're breathing before and going

to bed, let that booty go, girl.

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Yes.

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Yes.

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Or like, okay, maybe we're like

picking up something from the floor.

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It's not that heavy.

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Maybe we're in level one.

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Mm-hmm.

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Right?

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Mm-hmm.

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Attic is something a little bit more

intense, like what we're saying.

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Yeah.

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But I just, I get so

passionate about those things.

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'cause it's all necessary.

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Kelsy: It is.

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Yeah.

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And I think we'll talk about this,

we'll cover this later too when

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we talk about pregnancy, but.

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Our ability to sense that too.

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It's a lot easier when there's not

something pressing down to Yeah.

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Where if we can get that mind

muscle connection and know,

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okay, are we in the basement?

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Are we level one, level

two, are we in the attic?

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Like.

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Where we are, that mind muscle connection,

that proprioceptive kinesthetic

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feedback can help, especially during

pregnancy and postpartum, like really

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getting some of those pathways down.

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So we'll talk about that later too.

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But when it comes to pain with sex

and just challenges with sex, are

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there things that you recommend to

your clients and patients to help them

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when it comes to like exercises or

mobility work or mindfulness exercises?

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Before sex in order to help their

bodies like feel that much more

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confident and comfortable with it.

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Yeah.

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Emily: So a lot of it for me in the

beginning is like breath work and like

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you said, the reason to see a public

floor therapist for pain with sex.

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Right?

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Because it's not normal.

333

: 00:12:30

No matter how common it is.

334

: 00:12:32

Common and normal are not the same.

335

: 00:12:34

Right?

336

: 00:12:34

We know that a lot of people struggle

with disciplinary pain with sex.

337

: 00:12:38

Mm-hmm.

338

: 00:12:38

Um, but for me it's like

things that we can do maybe,

339

: 00:12:41

okay, let's think about like.

340

: 00:12:43

Child's pose, right?

341

: 00:12:44

Your knees are out, um, and your

feet are in touching together.

342

: 00:12:48

Sometimes for some people that closes

out the pelvic outlet or what I

343

: 00:12:52

call the back door, um, I actually

have a pelvis underneath my neath.

344

: 00:12:56

My, um, oh, my Told you

so, like I'm thinking, yes.

345

: 00:13:00

I love, love this.

346

: 00:13:01

Okay.

347

: 00:13:01

We're thinking about her.

348

: 00:13:02

Okay.

349

: 00:13:02

This is the front of your pelvis.

350

: 00:13:03

This is the back.

351

: 00:13:05

This is, she's cute.

352

: 00:13:06

Top and the bottom.

353

: 00:13:08

Okay.

354

: 00:13:08

If we're thinking about child's pose.

355

: 00:13:10

It kind of puts you in like this position.

356

: 00:13:12

So I call this with my clients.

357

: 00:13:13

We're closing the back door a little bit.

358

: 00:13:15

Mm-hmm.

359

: 00:13:15

Okay.

360

: 00:13:16

Um, sometimes people say stay in

this like booty compressed space.

361

: 00:13:20

So what I sometimes have people

do is I actually will have them

362

: 00:13:23

do the opposite of child's pose.

363

: 00:13:24

So I'll have their knees come in mm-hmm.

364

: 00:13:27

And their feet come out

maybe a little wider.

365

: 00:13:29

I can't go super wider else since I just

can't get all the way back with my hip.

366

: 00:13:32

Me neither.

367

: 00:13:32

Me neither.

368

: 00:13:32

But like, we're opening the back door.

369

: 00:13:34

Mm-hmm.

370

: 00:13:34

And I'm forcing people.

371

: 00:13:35

Okay.

372

: 00:13:36

Go at home if you feel like you

don't wanna do this in front of

373

: 00:13:39

someone 'cause you're afraid to toot.

374

: 00:13:41

But I literally want you, I tell

this whether you're my pelvic

375

: 00:13:44

floor focused client or not.

376

: 00:13:46

Or not, yeah.

377

: 00:13:47

Is I tell people, okay, we're maybe

we're doing something that's similar

378

: 00:13:49

to this, but I'm like, I want you

to breathe into your butt hole.

379

: 00:13:53

Like you butt hole's yawning and it is

the most visual thing and everyone's like.

380

: 00:13:58

Oh my God, I relax my butt.

381

: 00:14:01

Yes.

382

: 00:14:02

And I, I do this like every day.

383

: 00:14:03

I've literally heard one of my, um,

colleagues say this to their client.

384

: 00:14:06

They're like, yeah, Emily

says this all the time, but

385

: 00:14:09

like, we gotta get those butt

386

: 00:14:10

Kelsy: holes yawning.

387

: 00:14:10

Emily: We gotta get

the butt holes yawning.

388

: 00:14:11

But like, part of that is like,

we need to relax your holes.

389

: 00:14:16

Mm-hmm.

390

: 00:14:16

Your pelvic floor.

391

: 00:14:17

Mm-hmm.

392

: 00:14:17

Those muscles need to go.

393

: 00:14:18

And so what I tell people

is, can you breathe down into

394

: 00:14:20

your booty like it's yawning?

395

: 00:14:21

Mm-hmm.

396

: 00:14:21

Can you do that because.

397

: 00:14:23

That is pelvic floor excursion.

398

: 00:14:25

If you can tap in there,

you're so good at the visuals.

399

: 00:14:27

I'm loving this jellyfish the video.

400

: 00:14:29

Ya, like I'm taking these, I'm I'm a poet.

401

: 00:14:32

Yes.

402

: 00:14:32

I love, I love I did creative

writing in the second grade guys.

403

: 00:14:37

I love this.

404

: 00:14:38

But yeah, like, so for me, there's

something as easy as breathing.

405

: 00:14:41

Mm-hmm.

406

: 00:14:42

Getting that whole 360 breath.

407

: 00:14:45

Right.

408

: 00:14:45

Not just breathing from the front.

409

: 00:14:46

'cause oftentimes I'll see

people, they're like, well, I

410

: 00:14:48

belly breathe and I was like.

411

: 00:14:50

But is your diaphragm?

412

: 00:14:51

Yes.

413

: 00:14:51

Is your rib cage expanding?

414

: 00:14:53

That's what helps your

pelvic floor lengthen.

415

: 00:14:55

Yes.

416

: 00:14:56

Right.

417

: 00:14:56

So the breath work in itself.

418

: 00:14:57

Right?

419

: 00:14:58

So you could even practice sitting

on a couch and putting a little

420

: 00:15:00

like dish towel underneath something

that's comfortable not hurting you.

421

: 00:15:04

Mm-hmm.

422

: 00:15:05

Right?

423

: 00:15:05

But thinking about, okay, can I sit here?

424

: 00:15:06

Can I breathe my 360

degrees around my diaphragm?

425

: 00:15:10

And can I feel the slight word,

like downward push into the towel.

426

: 00:15:14

We're not pushing, but you should

feel some slight pressure, right?

427

: 00:15:17

Things as simple as breath work.

428

: 00:15:19

Other things that I might recommend

if they're seeing a pelvic floor

429

: 00:15:22

therapist or you're seeing me

430

: 00:15:24

or you, um,

431

: 00:15:25

Emily: is I would say what I like

to do is focus on soft tissue

432

: 00:15:29

mobilization of the pelvic floor.

433

: 00:15:30

Love it.

434

: 00:15:31

Mm-hmm.

435

: 00:15:31

Um, and so that might be external

where it might look like one finger,

436

: 00:15:34

maybe like your thumb is internal.

437

: 00:15:36

Wash your hands please before you do this.

438

: 00:15:38

But like, one finger's internal,

the other might be like.

439

: 00:15:41

Around the tissue, like the labia.

440

: 00:15:42

Mm-hmm.

441

: 00:15:42

'cause there's muscles

around there, right?

442

: 00:15:44

Mm-hmm.

443

: 00:15:44

And so we might be either holding

pressure, breathing, I know it

444

: 00:15:47

sounds crazy, breathing into that

tissue, getting that pelvic floor to

445

: 00:15:51

relax and, or if that's been really

easy, I might teach people, Hey, do

446

: 00:15:54

you feel that little like pinball

marble feeling between your fingers?

447

: 00:15:59

That might be a little spot that we might

need to work through a little bit more.

448

: 00:16:01

So I'll teach them to like give a

little bit of compression and then

449

: 00:16:04

like kind of go back and forth

between that spot, breathing into it.

450

: 00:16:08

But sometimes you're pregnant or

sometimes you're like, I don't

451

: 00:16:11

really wanna use my fingers.

452

: 00:16:12

Mm-hmm.

453

: 00:16:12

I might recommend a pelvic wand.

454

: 00:16:14

Mm-hmm.

455

: 00:16:14

Um, so it's basically just

an extension of your finger.

456

: 00:16:16

Um, but I'll tell people, maybe you like,

preface your sex with this and a lot

457

: 00:16:21

of times your partners, or if you don't

have partner, just get the vibration one.

458

: 00:16:25

Um, but like, if you have a

partner, usually these partners

459

: 00:16:29

really wanna help you with this.

460

: 00:16:30

They wanna be a part of that.

461

: 00:16:32

Make it like phys, like sexual

intimacy does not have to just be like.

462

: 00:16:36

Physically things entering another hole.

463

: 00:16:38

Mm-hmm.

464

: 00:16:39

It could literally be, it

could literally be Fort Plain.

465

: 00:16:42

So many ways.

466

: 00:16:42

Yeah.

467

: 00:16:43

Whether that's verbal, whether

that's other directions.

468

: 00:16:46

And that's why I say use your

pelvic wand to your advantage.

469

: 00:16:49

I'm all about a good

orgasm and good sex health.

470

: 00:16:51

Yeah.

471

: 00:16:51

Okay.

472

: 00:16:51

Like I use no pain

473

: 00:16:52

Kelsy: with it.

474

: 00:16:53

And no pain with it too.

475

: 00:16:54

Yes.

476

: 00:16:54

Emily: But we're getting your body

to be able to understand that like.

477

: 00:16:57

It is safe.

478

: 00:16:58

Mm-hmm.

479

: 00:16:59

Nothing bad's gonna happen and we

wanna create positive experiences

480

: 00:17:03

for your brain and your body to

connect that this activity is a safe

481

: 00:17:06

thing to let it relax and let it go.

482

: 00:17:08

Totally.

483

: 00:17:09

So for

484

: 00:17:09

Emily: me it's like working with, however

we might, maybe your partner does a

485

: 00:17:12

little foreplay or foreplay with the wand.

486

: 00:17:16

I love that they're doing their

homework like I asked them to.

487

: 00:17:19

I've asked it so many times and every

time the partners later on are like.

488

: 00:17:22

Dr.

489

: 00:17:23

Emily, I'm so thankful to you.

490

: 00:17:24

I'm like, you're welcome.

491

: 00:17:25

You're welcome.

492

: 00:17:25

You're

493

: 00:17:25

welcome.

494

: 00:17:27

Emily: Yes.

495

: 00:17:27

So these are things that I'll tell some of

my clients and you know, people are like,

496

: 00:17:32

oh, this is kind of scary to talk about.

497

: 00:17:34

And I'm like, look, there's no TMI.

498

: 00:17:37

We want to go to orgasm.

499

: 00:17:38

Kelsy: That's why we're

bringing it up here.

500

: 00:17:39

Bringing it.

501

: 00:17:40

We're bringing here to the surface.

502

: 00:17:41

Okay.

503

: 00:17:43

I mean, but if you really think

about it too, like okay, exercise.

504

: 00:17:46

You wouldn't just like go

out and sprint some hills.

505

: 00:17:49

I mean, I mean, yes, some people

do, I guess, but in general, like.

506

: 00:17:52

It makes sense.

507

: 00:17:53

Usually people can think about it in

this way where it's like, okay, if

508

: 00:17:55

you're gonna go sprint up a hill, like

you're gonna wanna warm up a little bit.

509

: 00:17:59

Like your muscles are gonna feel so

much better After a little bit of a

510

: 00:18:02

dynamic warmup, a little bit of high

knees, a little bit of butt kicks,

511

: 00:18:04

like little bit of swoops, something

like that to get those legs warmed up.

512

: 00:18:07

The same thing happens

with our pelvic floors.

513

: 00:18:10

Yes.

514

: 00:18:10

So this is just, it's the same

concept applied to an area that a

515

: 00:18:14

lot of people don't wanna talk about.

516

: 00:18:15

So, and you

517

: 00:18:16

Emily: don't forget, and I don't

care how wet they might be, use lube.

518

: 00:18:21

Kelsy: Yeah,

519

: 00:18:21

Emily: use another good another.

520

: 00:18:23

This is called physics.

521

: 00:18:24

Yes.

522

: 00:18:24

This is called physics.

523

: 00:18:25

Guys, look it up.

524

: 00:18:27

But I want you to lose use lube.

525

: 00:18:29

You're welcome.

526

: 00:18:29

Who knew we were such physicists?

527

: 00:18:30

That's crazy.

528

: 00:18:31

Who knew?

529

: 00:18:31

Yeah.

530

: 00:18:32

Physics one professor

would be really happy.

531

: 00:18:36

Kelsy: We'll send this to them.

532

: 00:18:36

We'll send.

533

: 00:18:37

Okay.

534

: 00:18:39

So lastly, when it comes to

sex, and this will kind of lead

535

: 00:18:41

us into our next topic, but.

536

: 00:18:43

Sex during pregnancy?

537

: 00:18:44

Yeah.

538

: 00:18:45

What are some of the things

that you educate clients

539

: 00:18:46

Emily: on?

540

: 00:18:47

There's a lot of things during pregnancy

that people are like, is this unsafe?

541

: 00:18:50

Is this like, can I do this?

542

: 00:18:52

You can have sex while you're pregnant.

543

: 00:18:53

You could even have sex while

you are like going into labor.

544

: 00:18:57

It's really good for it, actually.

545

: 00:18:59

Mm-hmm.

546

: 00:18:59

Um, but like for me, whatever's

comfortable for you guys during

547

: 00:19:03

your pregnancy, go for it.

548

: 00:19:05

I tell people there's

nothing that you can't do.

549

: 00:19:09

I tell this with, even on my like.

550

: 00:19:11

Performance or sports side of the

athletes that I see if I tell a

551

: 00:19:14

runner who runs marathons, yes.

552

: 00:19:15

Stop running, they're not gonna do it.

553

: 00:19:17

Mm-hmm.

554

: 00:19:18

And so it goes the same way, like if

you wanna have sex or you don't, right.

555

: 00:19:21

Like whatever.

556

: 00:19:22

Right.

557

: 00:19:22

But if you wanna have sex, like

maybe we just find modifications,

558

: 00:19:26

maybe like, oh, my back's hurting

when I'm in this position.

559

: 00:19:28

Or hey, like I feel

some heaviness in this.

560

: 00:19:31

Maybe you lay down instead.

561

: 00:19:32

There's just different modifications we

might talk about so that your sex is more

562

: 00:19:35

comfortable and more enjoyable for you.

563

: 00:19:38

And your partner, not just your partner.

564

: 00:19:40

Kelsy: And it's something too, I'm

bringing it up here because it's also

565

: 00:19:44

something that you can ask someone like

a pelvic health physical therapist.

566

: 00:19:48

Like these are all questions

that people have and that people

567

: 00:19:50

should not be afraid to ask.

568

: 00:19:52

Yes.

569

: 00:19:52

Because if, like we know the human body,

you know your body, and so working with

570

: 00:19:57

a pelvic health specialist, we're able

to sort of like figure out what issues

571

: 00:20:02

you're experiencing within your own body

when it comes to anything we're, we're.

572

: 00:20:05

Narrowing in on sexual function,

but, and sexual health and just like.

573

: 00:20:09

How to feel the most confident in our

bodies during sex, especially while

574

: 00:20:12

pregnant, but it can be anything.

575

: 00:20:14

But working with a musculoskeletal expert

who knows like how the pelvic floor

576

: 00:20:19

functions, how your body functions,

how pregnancy affects, how your body

577

: 00:20:22

functions, and then working with

you as the expert in your own body.

578

: 00:20:26

We can help sort of problem solve

those things, and it's not weird

579

: 00:20:29

Emily: or awkward to bring up at all.

580

: 00:20:30

There is no TMI in my room.

581

: 00:20:32

I say this every time and it always

comes up, but there's no TMI in my room.

582

: 00:20:36

In my office.

583

: 00:20:37

And I think another thing I wanted to

say about, we talked about it a little

584

: 00:20:40

bit of how sex is so much more than

just the physical and how it's mental.

585

: 00:20:44

Like I, the way I think is

I approach the pelvic floor

586

: 00:20:49

nervous system focused totally.

587

: 00:20:50

Like, totally.

588

: 00:20:51

We're not gonna do any of this work

if we're not in the right head space.

589

: 00:20:54

And so like going into this like talking

about like how are we preparing for sex?

590

: 00:20:58

Which, why maybe foreplay before is gonna

help you like relax a little bit, maybe.

591

: 00:21:03

Let's get someone to watch the kids,

Hey, maybe let's put the kids down

592

: 00:21:06

and like have some time for ourselves.

593

: 00:21:08

Right?

594

: 00:21:09

These all are such important

parts of sex, health and enjoyable

595

: 00:21:13

sex during pregnancy, before

596

: 00:21:15

Kelsy: or

597

: 00:21:15

Emily: after?

598

: 00:21:16

Kelsy: Yeah, so all of it, and I think

we are narrowing it in on the pelvic

599

: 00:21:19

floor, but it is so much larger than that.

600

: 00:21:21

So much larger, right?

601

: 00:21:21

There's not.

602

: 00:21:23

Not saying that, oh, I have pain with sex.

603

: 00:21:24

It must be in my pelvic floor.

604

: 00:21:25

Like there could be other circumstances

for sure that go into that.

605

: 00:21:28

And I know both Emily and I are

like, okay, we, we, we can look

606

: 00:21:31

at the broader picture even if

we are pelvic health specialists.

607

: 00:21:34

And that is like where

we, where we focus on.

608

: 00:21:37

But I mean we, we know that

there's so many other contributors.

609

: 00:21:40

So switching gears a little bit to the

perinatal period, pregnancy, and we'll

610

: 00:21:45

get to postpartum for sure too, but

for those looking to become pregnant.

611

: 00:21:49

What recommendations do you

have when it comes to, let's

612

: 00:21:51

just start like physically Yeah.

613

: 00:21:53

With their bodies for those

looking to become pregnant.

614

: 00:21:56

Emily: And so I think, like for me, the

way I look about it is, you know, in

615

: 00:21:59

my clinic I treat a lot of people that

are runners, cyclists, people that are

616

: 00:22:03

active in this Austin community here,

which is a good, a bunch of people.

617

: 00:22:06

Mm-hmm.

618

: 00:22:06

Or just like normal people that like,

Hey, I don't have a lot of time for that.

619

: 00:22:09

That's okay.

620

: 00:22:09

You help me out.

621

: 00:22:11

But the way I tell people is,

come in, let's chat about just

622

: 00:22:16

your pelvic floor in general.

623

: 00:22:18

Let's educate.

624

: 00:22:19

And then let's see if we need

to check out the pelvic floor.

625

: 00:22:22

What I tell people, and like what research

has shown is you could teach people

626

: 00:22:27

like workshops about their pelvic health

and help people, one, understand, hey,

627

: 00:22:32

I might have pelvic floor dysfunction.

628

: 00:22:34

Two, how to nip it in the bud without

having to go through like looking for the

629

: 00:22:39

right therapist for the right treatment.

630

: 00:22:41

And three, like.

631

: 00:22:43

You know, let's just see where you're at.

632

: 00:22:44

Yeah.

633

: 00:22:44

So for me it's like I want to educate you.

634

: 00:22:47

I want to see if an internal exam is

necessary and then like get your baseline.

635

: 00:22:53

Um, so some of my clients that I

see, like they've been running,

636

: 00:22:56

they've had some foot ankle stuff,

they've had like hip things.

637

: 00:22:59

I wanna make sure those things

get, like, nipped in the bud.

638

: 00:23:02

Those things kind of dwell away because as

we get pregnant, I wanna make sure you're

639

: 00:23:05

feeling good throughout your pregnancy.

640

: 00:23:07

So, you know, prenatally when

you're trying to conceive one, like.

641

: 00:23:11

Let's get a baseline.

642

: 00:23:12

Let's check out like what

your body's looking like.

643

: 00:23:14

Let's check, like maybe assess pelvic

floor tension as it's necessary.

644

: 00:23:17

Mm-hmm.

645

: 00:23:18

Which there is a good

chance sometimes that it is.

646

: 00:23:20

Yeah.

647

: 00:23:20

Um, but I think just like letting

people know and understand and

648

: 00:23:23

coordinate, like, oh, I didn't know

that when I, I wasn't supposed to push

649

: 00:23:27

my pee, or I didn't know that like,

this low back pain is not normal.

650

: 00:23:31

Or, oh, I didn't know that.

651

: 00:23:32

I've been booty clenching all this time.

652

: 00:23:34

Right, right.

653

: 00:23:34

And I haven't been able

to relax my pelvic floor.

654

: 00:23:36

Like that's what I.

655

: 00:23:37

See and tell people and, um, kind

of look at, when I'm looking at

656

: 00:23:41

someone that's trying to conceive,

I'm like, let's just get a baseline.

657

: 00:23:44

Let's check out how your body's doing.

658

: 00:23:45

Kelsy: Yeah, yeah.

659

: 00:23:46

Especially knowing how much

things are gonna change.

660

: 00:23:49

Yes.

661

: 00:23:49

When someone does become pregnant Yeah.

662

: 00:23:51

And goes throughout the entire, like

first trimester, second trimester,

663

: 00:23:55

third trimester postpartum.

664

: 00:23:56

It's always nice to get that baseline

and then also to work with someone who

665

: 00:23:59

knows your body so that it's not like.

666

: 00:24:01

You're not hearing all of these

things 'cause pregnancy, postpartum,

667

: 00:24:04

parenthood, like all of these things

so many people have opinions on.

668

: 00:24:07

Yeah.

669

: 00:24:07

And so it's nice to come to

an expert and have an expert

670

: 00:24:10

who's like, I know your body.

671

: 00:24:12

If they tell you you can't run,

like, and you are a runner and

672

: 00:24:15

we've checked everything out, like

I can actually guide you to help

673

: 00:24:18

you still do the same things mm-hmm.

674

: 00:24:20

That you wanna do.

675

: 00:24:20

Emily: And like, you know, I.

676

: 00:24:23

See this in like the pregnancy, like

just in this world in general with

677

: 00:24:27

like everything, but specifically like

pregnancy and like trying to conceive,

678

: 00:24:31

like there's so much information like,

ooh, drink this, do that, whatever.

679

: 00:24:35

We got our doctorates.

680

: 00:24:36

Mm-hmm.

681

: 00:24:37

And we did, we still are doing

so much continuing ed, like

682

: 00:24:42

you're talking to a specialist.

683

: 00:24:43

Let the dog do our job.

684

: 00:24:44

Yes, yes.

685

: 00:24:45

Or his job.

686

: 00:24:45

Or their job, but like, let us do our

job and help you so that all of this

687

: 00:24:49

information isn't so overwhelming.

688

: 00:24:51

Like, I, I always tell people I wanna

like, make the vision seem a little

689

: 00:24:56

clearer and not so overwhelming.

690

: 00:24:57

Kelsy: Totally.

691

: 00:24:58

So much haze within all of this.

692

: 00:25:00

And so I'm so grateful for you to like,

come on too, because I feel like a lot

693

: 00:25:04

of these, I, I think I've mentioned

it on the podcast, but I've had like

694

: 00:25:07

six friends get pregnant and like.

695

: 00:25:10

Uh, close to delivering.

696

: 00:25:12

Like, it's been wild how many of my

friends right now are going through

697

: 00:25:15

pregnancy and so a lot of the

questions that I get are a lot of these

698

: 00:25:18

questions that we're talking about.

699

: 00:25:19

So I'm glad.

700

: 00:25:20

And she also brought up another point

earlier about courses and education that

701

: 00:25:24

she's been given through her, her practice

too, where if you are in an area and

702

: 00:25:30

you're like, I am pregnant, I am looking

to learn more about my pelvic floor so

703

: 00:25:35

that I can nip whatever symptoms I have.

704

: 00:25:38

Yep.

705

: 00:25:38

Like in the bud.

706

: 00:25:39

Look at local pelvic

floor health practices.

707

: 00:25:44

'cause a lot of the times they

will be doing free consults or

708

: 00:25:48

free education sessions throughout

fitness studios or businesses or

709

: 00:25:53

birthing centers throughout the area.

710

: 00:25:54

Mm-hmm.

711

: 00:25:55

And it might be a great way to learn about

your pelvic floor in this super like low

712

: 00:25:59

key setting before you jump into a full.

713

: 00:26:04

Sort of like, oh, I have to go see a

pelvic health specialist kind of thing.

714

: 00:26:06

Yeah,

715

: 00:26:06

Emily: or like if they have a social

media, like look at them, see their

716

: 00:26:09

vibe, like just like a mental health

therapist or counselor, I tell people

717

: 00:26:13

like, I might not be your best fit, or

somebody else might not be your best fit.

718

: 00:26:16

That doesn't mean that they're bad at

their job, but like feel them out and see

719

: 00:26:19

if that's someone who you could jive with.

720

: 00:26:20

And like, I think that's

a really big portion.

721

: 00:26:22

Like in my office, I tell

people, I want you to feel.

722

: 00:26:25

Safe.

723

: 00:26:25

Seen, heard and validated.

724

: 00:26:27

Mm-hmm.

725

: 00:26:28

Those are such important things.

726

: 00:26:29

And so like you said, in a low

key way, maybe go somewhere local,

727

: 00:26:33

maybe go on their Instagram.

728

: 00:26:35

Yeah.

729

: 00:26:35

Like that might not be their true

persona or their full persona, but I

730

: 00:26:38

can tell you for a lot of good public,

the public floor therapist friends that

731

: 00:26:41

we've got across the, the world, yes.

732

: 00:26:44

You know, the vibes are like.

733

: 00:26:46

Pretty good.

734

: 00:26:46

Pretty accurate.

735

: 00:26:47

They're pretty accurate.

736

: 00:26:47

Yeah, they're pretty good.

737

: 00:26:48

Yeah.

738

: 00:26:49

On camera.

739

: 00:26:49

They're pretty good at like, they're what?

740

: 00:26:51

They're what you're gonna

741

: 00:26:52

Kelsy: get.

742

: 00:26:52

Like you give I was like, I do.

743

: 00:26:53

She totally does.

744

: 00:26:54

Yes.

745

: 00:26:54

I'm gonna leave all of her information

below too, but, and also you'll get,

746

: 00:26:58

you know, the free education that,

that we're all putting out too.

747

: 00:27:00

For sure.

748

: 00:27:01

So it's great.

749

: 00:27:01

Um, so once someone gets pregnant,

what are some of the top things to

750

: 00:27:04

keep in mind for each trimester?

751

: 00:27:06

And you can keep it to like two or

three pillars that you're like, yes.

752

: 00:27:09

Yeah, this and the first,

this and the second.

753

: 00:27:11

This and the third.

754

: 00:27:11

Emily: First try.

755

: 00:27:12

If you're a new parent.

756

: 00:27:14

You're probably just trying

to figure it out, right?

757

: 00:27:16

Your body's going through changes,

there's different things going on.

758

: 00:27:19

Hormonally, physically,

all that stuff, right?

759

: 00:27:22

Um, I tell people in your first

try, if you're feeling good,

760

: 00:27:25

go get a baseline assessment.

761

: 00:27:26

Either way.

762

: 00:27:27

I think a lot of times

people are like, I'm fine.

763

: 00:27:30

But then what happens is they've also

been like, well, I thought everyone

764

: 00:27:33

at this age has low back pain.

765

: 00:27:35

Or like, I thought everyone at

this age just has that pain.

766

: 00:27:36

It's normal.

767

: 00:27:36

Yeah.

768

: 00:27:37

Or it's common.

769

: 00:27:38

Yeah.

770

: 00:27:38

I was like, well, I thought everyone

just told me how to deal with it.

771

: 00:27:40

And that's not true.

772

: 00:27:41

Mm-hmm.

773

: 00:27:41

It's so, so far from the truth.

774

: 00:27:43

And um, so in my first try peeps, I'm

like, if you're having some issues and

775

: 00:27:48

you wanna talk about it to someone with a

specialist that is a specialist, and not

776

: 00:27:52

just someone that's like, oh, I had a kid.

777

: 00:27:54

Mm-hmm.

778

: 00:27:55

Emily: Talk to me about it.

779

: 00:27:56

Like that is the time to go

see a pelvic floor therapist.

780

: 00:27:58

A hundred percent.

781

: 00:27:59

Right.

782

: 00:28:00

Um, that's the thing

to keep in mind there.

783

: 00:28:02

I think also, like we said a

bunch of times over is like.

784

: 00:28:05

Things that you've had before might

only get louder as you get pregnant.

785

: 00:28:10

So for me, that's why I'm gonna look

at your body from the top down or

786

: 00:28:14

the bottom up, depending, like maybe

you're not shock absorbing well through

787

: 00:28:17

your ankle and it's causing you to

leak when you're pregnant, right?

788

: 00:28:19

Like, or maybe you didn't even notice

this, but you were leaking and you

789

: 00:28:23

weren't just sweaty down there, right?

790

: 00:28:24

Mm-hmm.

791

: 00:28:25

So for me, in first try,

that's what I'm focusing on.

792

: 00:28:27

Like, can we get out of the way of things?

793

: 00:28:28

How can I help you?

794

: 00:28:29

Symptom manage, are you

throwing up a bunch?

795

: 00:28:31

Can I help you?

796

: 00:28:32

Like.

797

: 00:28:33

Co contract your pelvic floor and

your abs better so you're not leaking

798

: 00:28:36

while you're throwing up, right?

799

: 00:28:37

Mm-hmm.

800

: 00:28:37

Like these are things I work on with

people and things to keep in mind.

801

: 00:28:40

Second try this is when I tell

people, actually anytime in second

802

: 00:28:45

try and after, you should definitely

go see a pelvic floor therapist.

803

: 00:28:48

'cause if you haven't gone

a baseline, you should.

804

: 00:28:50

The second thing is, maybe

there's something occurring,

805

: 00:28:52

but then I really wanna see.

806

: 00:28:54

What pelvic floor is like.

807

: 00:28:55

I wanna make sure we're in

optimal position length.

808

: 00:28:58

All the tissues looking great.

809

: 00:29:00

Um, and maybe you're not, you know,

wanna make sure you're doing good.

810

: 00:29:03

Second try.

811

: 00:29:04

I also tell people, as someone that

loves to talk about birth prep, um,

812

: 00:29:07

this is when I would love to talk

about like birth prep, getting things

813

: 00:29:10

ready, um, like your birth bag.

814

: 00:29:12

What is your plan?

815

: 00:29:13

What do you want?

816

: 00:29:14

Do you not know?

817

: 00:29:15

Let's talk about it.

818

: 00:29:16

Mm-hmm.

819

: 00:29:16

Um, but this is when I help people

kind of birth prep and we'll talk about

820

: 00:29:20

it later, but those are big things.

821

: 00:29:22

In second try, it's the perfect

time so you don't feel rushed.

822

: 00:29:25

Maybe you had like a hospital class

or there was a class that like

823

: 00:29:28

walked you through it, but it was

probably a bunch of information.

824

: 00:29:31

And you probably didn't soak it

up all up two hour mini session.

825

: 00:29:34

Yeah.

826

: 00:29:34

And you're not expected to,

like, that's a fire hose, right?

827

: 00:29:37

Yeah.

828

: 00:29:37

Like the point is to see someone ongoing

so you can go refer back to things

829

: 00:29:41

and someone can help you with that.

830

: 00:29:42

Mm-hmm.

831

: 00:29:42

But second try is like the perfect time

where I'm like, Hey, like let's get you

832

: 00:29:46

and your partner, whoever, whoever's gonna

support you and your birthing process.

833

: 00:29:50

To like talk through the birth prep.

834

: 00:29:52

Mm-hmm.

835

: 00:29:52

Like we need to prep for this.

836

: 00:29:53

Just like a marathon, right?

837

: 00:29:54

Mm-hmm.

838

: 00:29:55

And these are the things that I say in

second try, like what are we addressing?

839

: 00:29:58

Are we addressing the heaviness

that's starting to occur?

840

: 00:30:00

'cause pelvic floor muscles are

getting a little tired, right?

841

: 00:30:02

I'm just looking at the

things that's going on.

842

: 00:30:05

Tailbone pain, tailbone pain, all of it.

843

: 00:30:06

Yeah.

844

: 00:30:07

And then third try.

845

: 00:30:09

We're getting ready.

846

: 00:30:10

We're getting ready.

847

: 00:30:11

And you know what my favorite thing is

when some people in third try are like.

848

: 00:30:15

Either I have felt so strong this

pregnancy and I'm so glad that I am going

849

: 00:30:20

to pelvic floor therapy the best, the

best because I didn't do it my first and

850

: 00:30:22

I can't believe it 'cause I feel amazing.

851

: 00:30:24

Mm-hmm.

852

: 00:30:24

Or it's like, oh my gosh, we've gotten

through so many symptoms and conditions

853

: 00:30:30

we've worked together with and I feel

really confident about my pelvic floor.

854

: 00:30:32

Like in third try, we're gonna continue

to like, okay, let's look at push prep.

855

: 00:30:37

Like how are we pushing?

856

: 00:30:38

Can we pelvic floor lengthen while we're

getting some abdominal contraction?

857

: 00:30:44

Okay.

858

: 00:30:44

Strain.

859

: 00:30:45

Um, or can we, Val Salva and also still

get that downward excursion, right?

860

: 00:30:49

Um, but third try again is like making

sure you're comfortable working through

861

: 00:30:53

any aches or pains you might be having.

862

: 00:30:55

And then again, just continuing

to prepare for birth.

863

: 00:30:57

And again, like in all of this,

I want people to be working out.

864

: 00:31:00

You shouldn't have to modify

anything because it's not safe.

865

: 00:31:03

There is this No.

866

: 00:31:05

Not like unsafe thing in pregnancy.

867

: 00:31:06

Mm-hmm.

868

: 00:31:06

We might just need to modify some things,

but that's what we should be doing

869

: 00:31:10

as a public floor therapist for you.

870

: 00:31:12

'cause everybody's body is different.

871

: 00:31:14

I might have to modify it for you, but

maybe you don't and maybe you're still

872

: 00:31:16

doing kis like Right, right, right.

873

: 00:31:19

Everyone's different.

874

: 00:31:19

Kelsy: Everyone's different.

875

: 00:31:20

Highlight, double underline.

876

: 00:31:22

Like there's no bad thing.

877

: 00:31:24

Yes.

878

: 00:31:25

For during pregnancy?

879

: 00:31:26

No.

880

: 00:31:27

No.

881

: 00:31:27

And it just, it helps to have someone

to guide you through your body

882

: 00:31:30

and understand like, what's right.

883

: 00:31:31

What should I be looking for when I am

doing a kit pull up or whatever it is.

884

: 00:31:35

Or inversions.

885

: 00:31:37

Yes.

886

: 00:31:37

Or running or like I wanna

call your fears, right?

887

: 00:31:39

Yes, yes.

888

: 00:31:40

Like I wanna

889

: 00:31:41

Emily: dial them down 'cause

there's already so much going on.

890

: 00:31:44

That's my job.

891

: 00:31:44

Let, let me help you.

892

: 00:31:46

Let me help you.

893

: 00:31:46

Kelsy: So what about postpartum?

894

: 00:31:48

And I know we could talk

on this for hours, so let.

895

: 00:31:50

Narrow it down a little bit

from like, okay, in the, from a

896

: 00:31:54

pelvic, let's do it from more of

a pelvic health standpoint first.

897

: 00:31:56

'cause we'll get to the

doula side of things too.

898

: 00:31:58

Got it.

899

: 00:31:58

But let's talk about from birth to

like when someone might first see you.

900

: 00:32:03

Like what are some of the things that.

901

: 00:32:06

They should be checking on

their own if they're like, okay,

902

: 00:32:08

yep, I just delivered my baby.

903

: 00:32:10

Mm-hmm.

904

: 00:32:11

Now how do I actually help my body?

905

: 00:32:13

What do I need to know before I

see my pelvic health specialist?

906

: 00:32:17

Emily: So normally what I do with my

clients is I will schedule like two weeks

907

: 00:32:20

or so after their delivery date, which

usually that's the give or take, right?

908

: 00:32:24

Um, but we have that preemptively on

the schedule because what I wanna do

909

: 00:32:27

in that first session, even if that's

two or three weeks postpartum, is.

910

: 00:32:31

I wanna like help you reconnect brain

and body, see how the birth went, process

911

: 00:32:35

that a little bit with you maybe, right?

912

: 00:32:37

Because mental and physical health is

equipment in the pelvic health world.

913

: 00:32:41

Yes.

914

: 00:32:42

Um, but I wanna give you

some gentle exercises.

915

: 00:32:44

Help you modify maybe how you're

feeding baby, how to keep your body

916

: 00:32:48

feeling good while you're maybe

breastfeeding or just like doing

917

: 00:32:51

all the things a parent does, right?

918

: 00:32:54

But I tell people, as soon as

you give birth, you need to rest.

919

: 00:32:58

Don't try and push it.

920

: 00:32:59

Like there's, I'm, I don't want you

to feel like you have to bounce back.

921

: 00:33:04

No one bounces back.

922

: 00:33:05

Yes.

923

: 00:33:05

And I feel like this is a common theme and

you might like, tell me what you think,

924

: 00:33:09

but I feel like most people takes them

about like 18 months or so to feel, feel

925

: 00:33:12

like they're like back to their like.

926

: 00:33:14

Old or maybe like newer, old

version of like them fully there.

927

: 00:33:18

Yes.

928

: 00:33:18

Physically, mentally, all the things.

929

: 00:33:20

And that's okay.

930

: 00:33:20

And that's more than Okay.

931

: 00:33:21

Why rush?

932

: 00:33:21

Why rush?

933

: 00:33:22

I tell people this, like, you carried

a child for nine months in your body.

934

: 00:33:27

How amazing are you?

935

: 00:33:28

And how amazing are you that you continue

to strengthen or do all the things

936

: 00:33:32

that you're expected to do in your

roles of life and then come back to it.

937

: 00:33:36

Don't expect that lead this after part

is going to be, oh, it's been six weeks

938

: 00:33:42

and I'm ready to go and I'm amazing.

939

: 00:33:43

If you are, yes, amazing.

940

: 00:33:45

Great, great.

941

: 00:33:45

Yeah.

942

: 00:33:45

But if you're not like, also

great, that's also great.

943

: 00:33:48

Yeah.

944

: 00:33:48

Also great.

945

: 00:33:49

Let's, let's reframe this like.

946

: 00:33:50

Bounce back thing.

947

: 00:33:52

Oh yes.

948

: 00:33:52

You know, I hate the

bounce back, but Yeah.

949

: 00:33:54

So like for me it's like,

let's, let's assess, right?

950

: 00:33:57

Mm-hmm.

951

: 00:33:57

Those first couple weeks out, right?

952

: 00:33:59

Like, so two, three weeks, let's get you

in, let's get brain and body connected.

953

: 00:34:02

Because as beautiful as birth can be,

it also is just something that is a

954

: 00:34:05

little bit traumatic to your body.

955

: 00:34:07

Yeah.

956

: 00:34:07

Yeah.

957

: 00:34:07

And we gotta just reconnect the

brain and the body a little bit.

958

: 00:34:09

Yeah.

959

: 00:34:10

In those first couple things,

we're not doing any internal Right.

960

: 00:34:12

'cause tissue healing, whether it was.

961

: 00:34:14

This cut because I ran into the door

or my vagina after birth, or csection

962

: 00:34:20

scar or anything, or c-section scar,

you need a certain amount of period

963

: 00:34:23

of time to let these tissues heal.

964

: 00:34:24

Mm-hmm.

965

: 00:34:25

So really, like for me, normally

I won't do an internal exam until

966

: 00:34:28

about like six, eight-ish weeks.

967

: 00:34:31

Right?

968

: 00:34:31

Yeah.

969

: 00:34:31

Um, so again, like in those first coming

weeks, we wanna give you gentle exercise.

970

: 00:34:35

I wanna make sure I'm looking

out for any red flags, like

971

: 00:34:38

preeclampsia, all of those things.

972

: 00:34:40

Right?

973

: 00:34:40

Um, but in the beginning it's just like.

974

: 00:34:42

Getting used to being a parent.

975

: 00:34:44

Being a parent.

976

: 00:34:44

And I also tell people like, let's

schedule this two to three weeks

977

: 00:34:47

out because you might need a break.

978

: 00:34:49

Kelsy: Yeah,

979

: 00:34:49

Emily: you might need a break

and you might just want silence.

980

: 00:34:51

It's a little date.

981

: 00:34:52

It's a little, it's little date with your

982

: 00:34:53

Kelsy: pelvic health specialty.

983

: 00:34:54

Little date with your pelvic

floor therapist, girly to focus on

984

: 00:34:57

Emily: you and yes, I love it.

985

: 00:34:58

I love it.

986

: 00:34:59

So that's what it looks like.

987

: 00:35:00

Postpartum, I will say like, you know,

some people come in, they're doing great.

988

: 00:35:03

I'll see them maybe at six,

eight weeks also doing great.

989

: 00:35:06

At that point I might do an internal

exam, but I also in that timeframe

990

: 00:35:09

might also be looking at okay, like.

991

: 00:35:11

Like in all of that timeframe,

what's the scar look like?

992

: 00:35:14

Like vaginally or C-section.

993

: 00:35:17

Right.

994

: 00:35:17

Um, and or this is might be a

time of like, okay, let's do

995

: 00:35:20

like gentle body weight exercise.

996

: 00:35:22

Getting you up, getting you moving.

997

: 00:35:24

Like I don't want you to feel like

you have to lay down and do nothing

998

: 00:35:27

maybe in the very beginning, like,

don't take your rest, get rest, please.

999

: 00:35:30

Yes, yes.

: 1000

00:35:30,829 --> 00:35:34,369

And be a enjoy that time period

that you are with your baby.

: 1001

00:35:34,399 --> 00:35:34,729

Yes.

: 1002

00:35:34,789 --> 00:35:37,459

Um, but after, like, if you were

like, I'm feeling really good.

: 1003

00:35:38,060 --> 00:35:38,960

I've been going on walks.

: 1004

00:35:38,960 --> 00:35:39,620

I feel really good.

: 1005

00:35:39,620 --> 00:35:42,049

I'm not having like bleeding or

all these symptoms that might

: 1006

00:35:42,049 --> 00:35:43,520

show you that you're overdoing it.

: 1007

00:35:43,609 --> 00:35:44,419

One, let me guide you.

: 1008

00:35:44,509 --> 00:35:44,810

Yes.

: 1009

00:35:44,839 --> 00:35:47,810

Two, if you're ready, you're like,

I literally wanna run so bad.

: 1010

00:35:48,140 --> 00:35:52,430

Let's do some like pre-impact

screening to see if like your body's

: 1011

00:35:52,430 --> 00:35:53,689

ready to like go through this.

: 1012

00:35:53,689 --> 00:35:57,080

Or how can we prepare with

exercise to get your body ready

: 1013

00:35:57,080 --> 00:35:58,424

for, its like functional capacity.

: 1014

00:35:58,424 --> 00:35:58,625

Mm-hmm.

: 1015

00:35:58,705 --> 00:36:03,980

I tell people, um, before pregnancy maybe

this is your circle and if you work out,

: 1016

00:36:04,160 --> 00:36:07,160

your circle's gonna continue to grow

because you're able to handle more load.

: 1017

00:36:07,189 --> 00:36:07,279

Hmm.

: 1018

00:36:07,909 --> 00:36:09,950

Shout out the baby making your

pelvic floor muscles work.

: 1019

00:36:09,950 --> 00:36:10,159

Yeah.

: 1020

00:36:10,159 --> 00:36:12,769

And your body globally being

able to handle this load.

: 1021

00:36:12,769 --> 00:36:12,859

Yes.

: 1022

00:36:12,859 --> 00:36:16,549

So your circle grows versus if you

didn't lift a sack of potatoes.

: 1023

00:36:16,549 --> 00:36:17,809

'cause they're like, no, honey, I got it.

: 1024

00:36:17,839 --> 00:36:17,959

Yeah.

: 1025

00:36:17,959 --> 00:36:18,829

Or like, no, no, no.

: 1026

00:36:18,829 --> 00:36:19,879

Let me get that door for you.

: 1027

00:36:19,934 --> 00:36:21,529

You can, you can open

your door if you want to.

: 1028

00:36:21,950 --> 00:36:24,979

Um, but like, we don't want that

capacity or that circle of your

: 1029

00:36:24,979 --> 00:36:27,859

body of like what it's able to

handle functionally to shrink.

: 1030

00:36:27,889 --> 00:36:28,039

Mm-hmm.

: 1031

00:36:28,339 --> 00:36:31,970

So in that time, postpartum, whatever

that looks like, you are, your, your

: 1032

00:36:31,970 --> 00:36:33,229

circle's gonna shrink a little bit.

: 1033

00:36:33,289 --> 00:36:33,619

Right.

: 1034

00:36:33,769 --> 00:36:36,349

So postpartum, I wanna

see where we at right now.

: 1035

00:36:36,634 --> 00:36:37,535

Let's move forward.

: 1036

00:36:37,565 --> 00:36:42,725

How can we like continue to get this

functional capacity of your body larger?

: 1037

00:36:42,785 --> 00:36:44,765

So we're decreasing

injury risk going forward.

: 1038

00:36:44,884 --> 00:36:45,215

Kelsy: Yeah.

: 1039

00:36:45,455 --> 00:36:48,455

And letting you get back to all the

things that you wanna do in a safe way.

: 1040

00:36:48,485 --> 00:36:48,815

Yes.

: 1041

00:36:48,815 --> 00:36:51,245

Even if it's not this

bounce back that Yes.

: 1042

00:36:51,245 --> 00:36:51,545

Yeah.

: 1043

00:36:51,550 --> 00:36:51,640

Ugh.

: 1044

00:36:51,759 --> 00:36:52,280

Emily: I need that.

: 1045

00:36:52,280 --> 00:36:54,065

You just, you don't need

to like doctor Google it.

: 1046

00:36:54,065 --> 00:36:55,595

Just come in and see us.

: 1047

00:36:55,655 --> 00:36:55,715

Yeah.

: 1048

00:36:55,715 --> 00:36:59,795

Like, you know, I, this is our

passion for a reason and it's my

: 1049

00:36:59,795 --> 00:37:04,055

favorite thing to watch a new mama

or like just parent in general.

: 1050

00:37:04,055 --> 00:37:05,765

Get back to the things that they love.

: 1051

00:37:06,319 --> 00:37:08,330

That is like physical

activity focused or not?

: 1052

00:37:08,330 --> 00:37:10,939

Or maybe it's like, I don't know,

like something, another goal.

: 1053

00:37:10,970 --> 00:37:11,660

Yeah, another goal.

: 1054

00:37:11,810 --> 00:37:13,490

Like whatever it is, I

wanna help you chase it.

: 1055

00:37:13,520 --> 00:37:13,790

Yeah.

: 1056

00:37:14,240 --> 00:37:18,290

Kelsy: I love, we had a registered

dietician on a few weeks back and

: 1057

00:37:18,290 --> 00:37:21,770

she works a lot with pregnancy and

postpartum mom's return to fitness

: 1058

00:37:21,770 --> 00:37:24,740

and she is actually pregnant right

now and she is due any day now.

: 1059

00:37:24,740 --> 00:37:29,870

But I am following her on Instagram

and she talks about how prepping

: 1060

00:37:29,870 --> 00:37:32,689

for labor is like a marathon, right?

: 1061

00:37:32,689 --> 00:37:33,020

Where it's.

: 1062

00:37:33,330 --> 00:37:38,790

She's literally de training right now to

give her body the time to like rest and

: 1063

00:37:39,209 --> 00:37:44,115

deload a little bit before the process

of birth and, and labor and delivery.

: 1064

00:37:44,115 --> 00:37:44,435

Mm-hmm.

: 1065

00:37:44,515 --> 00:37:45,870

And all of that, because that is.

: 1066

00:37:46,279 --> 00:37:48,649

An insane physical task.

: 1067

00:37:48,770 --> 00:37:50,720

We think of the marathon,

we think of Ironman's.

: 1068

00:37:50,990 --> 00:37:53,120

Birth is an insane physical task.

: 1069

00:37:53,120 --> 00:37:57,410

Emily: Whenever in your life did

someone tell you to rest for something

: 1070

00:37:57,620 --> 00:37:59,390

that is physically challenging?

: 1071

00:37:59,419 --> 00:37:59,750

Right?

: 1072

00:37:59,750 --> 00:38:03,230

When Right in a marathon, will I ever

tell someone to just go run a marathon?

: 1073

00:38:03,259 --> 00:38:04,040

'cause they feel like it.

: 1074

00:38:04,160 --> 00:38:04,730

No.

: 1075

00:38:05,089 --> 00:38:05,955

And if it's my friends.

: 1076

00:38:06,845 --> 00:38:10,204

You know, I hate when you do

that, but like, you're never

: 1077

00:38:10,204 --> 00:38:11,164

gonna tell somebody that.

: 1078

00:38:11,169 --> 00:38:11,254

No, no.

: 1079

00:38:11,254 --> 00:38:12,994

So why in pregnancy would

it be any different?

: 1080

00:38:12,994 --> 00:38:13,234

Yeah.

: 1081

00:38:13,535 --> 00:38:17,014

Kelsy: And I love the thought of

like, okay, treating it like, 'cause

: 1082

00:38:17,014 --> 00:38:18,724

in my head I like a fitness task.

: 1083

00:38:18,724 --> 00:38:20,434

I like a goal of some sort.

: 1084

00:38:20,434 --> 00:38:24,874

And so treating it like this insane form

of exercise that you're about to have to

: 1085

00:38:24,904 --> 00:38:29,044

do and treating it like that, where you're

exercising, you're building up to that.

: 1086

00:38:29,164 --> 00:38:29,224

Yeah.

: 1087

00:38:29,254 --> 00:38:32,884

And then before you do have to de train a

little bit because your body is resting.

: 1088

00:38:32,884 --> 00:38:32,944

Yeah.

: 1089

00:38:32,974 --> 00:38:34,444

You know, it's, it's going to.

: 1090

00:38:34,939 --> 00:38:35,600

Intensify.

: 1091

00:38:35,600 --> 00:38:39,830

There's no need to be doing the

super like heavy things that your

: 1092

00:38:39,830 --> 00:38:41,899

body was used to like way back when.

: 1093

00:38:41,899 --> 00:38:42,140

You know?

: 1094

00:38:42,140 --> 00:38:42,560

Well, even in

: 1095

00:38:42,560 --> 00:38:44,660

Emily: the marathon, like I

see a lot of runners, right.

: 1096

00:38:44,660 --> 00:38:47,839

Or I see a lot of cyclists

after their races.

: 1097

00:38:48,290 --> 00:38:50,419

I tell them, you need to rest.

: 1098

00:38:50,419 --> 00:38:50,600

Yeah.

: 1099

00:38:50,629 --> 00:38:52,669

For like maybe like a week.

: 1100

00:38:52,819 --> 00:38:52,939

Yeah.

: 1101

00:38:52,944 --> 00:38:54,529

Or like sometimes 14 days.

: 1102

00:38:54,529 --> 00:38:55,970

Like some people are like,

I'm feeling pain still.

: 1103

00:38:55,970 --> 00:38:57,830

I'm like, let your body rest.

: 1104

00:38:57,830 --> 00:38:58,069

Yeah.

: 1105

00:38:58,129 --> 00:38:58,399

Kelsy: Yeah.

: 1106

00:38:58,430 --> 00:38:59,419

Emily: Let it do its thing.

: 1107

00:38:59,629 --> 00:39:00,680

Do what feels good.

: 1108

00:39:00,680 --> 00:39:02,180

Like I tell people

there's a pain stoplight.

: 1109

00:39:02,240 --> 00:39:03,649

We can talk about that at another date.

: 1110

00:39:03,680 --> 00:39:03,830

Yeah.

: 1111

00:39:03,859 --> 00:39:04,310

But like.

: 1112

00:39:04,669 --> 00:39:07,129

We need to let our body rest,

and that's like really important.

: 1113

00:39:07,249 --> 00:39:10,184

Um, so yeah, I just love that we

are just on the same page thing.

: 1114

00:39:10,184 --> 00:39:10,220

I know.

: 1115

00:39:10,370 --> 00:39:11,104

Kelsy: Totally, totally.

: 1116

00:39:11,390 --> 00:39:16,729

So something that you like, Emily is

such a unicorn because she not only is

: 1117

00:39:16,729 --> 00:39:20,809

a male pelvic health specialist and a

female pelvic health specialist, again

: 1118

00:39:20,809 --> 00:39:22,399

female, like women's health typically.

: 1119

00:39:22,399 --> 00:39:24,259

That's like, that's what I'm certified in.

: 1120

00:39:24,439 --> 00:39:26,240

But she also does male pelvic health.

: 1121

00:39:26,390 --> 00:39:28,549

She's also a trained birth doula.

: 1122

00:39:28,549 --> 00:39:31,100

So let's switch to that gear a little bit.

: 1123

00:39:31,100 --> 00:39:32,930

Let's put that, the doula hat on.

: 1124

00:39:32,930 --> 00:39:33,709

So, okay.

: 1125

00:39:34,370 --> 00:39:36,830

What, gimme just kind of a

general, for those who don't know

: 1126

00:39:36,830 --> 00:39:37,370

Emily: what a doula

: 1127

00:39:37,370 --> 00:39:37,700

Kelsy: is.

: 1128

00:39:37,729 --> 00:39:37,790

Emily: Yeah.

: 1129

00:39:37,790 --> 00:39:38,720

What is a doula's role?

: 1130

00:39:38,870 --> 00:39:41,749

So a doula is not a like

medical professional.

: 1131

00:39:41,839 --> 00:39:42,169

Okay.

: 1132

00:39:42,169 --> 00:39:42,950

A doula.

: 1133

00:39:43,040 --> 00:39:47,299

And people have different trainings

all across the board, but they all

: 1134

00:39:47,299 --> 00:39:48,830

get trained through different places.

: 1135

00:39:48,830 --> 00:39:48,979

Right.

: 1136

00:39:48,979 --> 00:39:49,910

So it might be slightly different.

: 1137

00:39:49,910 --> 00:39:51,290

Their backgrounds might

be slightly different.

: 1138

00:39:51,290 --> 00:39:54,049

I think all of them can help

the people that they support.

: 1139

00:39:54,365 --> 00:39:54,995

Amazingly.

: 1140

00:39:55,384 --> 00:39:59,765

Um, but a doula is going to be

a like emotional support system.

: 1141

00:39:59,765 --> 00:40:02,105

They're going to physically

maybe help you labor.

: 1142

00:40:02,315 --> 00:40:06,815

They're going to give you the resources,

um, maybe evidence-based, whatever it is

: 1143

00:40:06,815 --> 00:40:09,694

that they've seen in their time in work.

: 1144

00:40:09,754 --> 00:40:10,685

They're gonna help you in all that.

: 1145

00:40:10,685 --> 00:40:15,520

They're gonna help you navigate

this really confusing, overwhelming

: 1146

00:40:15,725 --> 00:40:17,585

period when you're pregnant.

: 1147

00:40:18,095 --> 00:40:19,595

After postpartum.

: 1148

00:40:19,834 --> 00:40:24,095

Um, they're going to help you through

a very scary time for some people.

: 1149

00:40:24,124 --> 00:40:27,964

And I think, um, something I will say

is like doulas are there to support you.

: 1150

00:40:27,995 --> 00:40:29,075

That's their biggest thing.

: 1151

00:40:29,345 --> 00:40:32,464

They're not gonna help, you know,

deliver your baby like that is

: 1152

00:40:32,464 --> 00:40:34,174

a medical professional's job.

: 1153

00:40:34,204 --> 00:40:34,294

Mm-hmm.

: 1154

00:40:34,535 --> 00:40:37,474

They're going to give you the.

: 1155

00:40:38,060 --> 00:40:40,430

Basically understanding

of what's going on.

: 1156

00:40:40,435 --> 00:40:42,140

Confidence and, yeah, and

confidence and like what is

: 1157

00:40:42,140 --> 00:40:43,970

medically necessary, what is not.

: 1158

00:40:44,000 --> 00:40:48,049

And like also help you form your

plan, um, for birth so that you

: 1159

00:40:48,049 --> 00:40:51,080

don't feel so overwhelmed and have

so many questions, maybe at the

: 1160

00:40:51,080 --> 00:40:52,970

birth or during whatever it is.

: 1161

00:40:52,970 --> 00:40:55,549

They want you to feel as

prepared as you can possibly be.

: 1162

00:40:55,790 --> 00:41:00,740

Kelsy: They give options too, where I feel

like a lot of the moms that I work with,

: 1163

00:41:01,130 --> 00:41:06,799

they are always shocked at how OBGYNs,

like how their OBGYN visits go, where.

: 1164

00:41:07,370 --> 00:41:12,680

An OBGYN is a super necessary, super

lovely love medical professional.

: 1165

00:41:12,680 --> 00:41:19,549

We love OBGYNs, but from a medical field

perspective, the OBGYN is concerned

: 1166

00:41:19,549 --> 00:41:23,060

about the delivery of the baby and the

health of the baby during delivery.

: 1167

00:41:23,060 --> 00:41:26,540

Like their, their goal is to deliver

the baby in the healthiest way

: 1168

00:41:26,540 --> 00:41:28,100

possible lot and keep you alive.

: 1169

00:41:28,160 --> 00:41:29,270

And keep you alive too.

: 1170

00:41:29,299 --> 00:41:29,779

Yes.

: 1171

00:41:29,930 --> 00:41:33,799

A lot of the moms that I work

with are always shocked at how.

: 1172

00:41:34,340 --> 00:41:35,240

Confusing.

: 1173

00:41:35,420 --> 00:41:40,400

Some of the visits go with their OBGYN

because they have questions on what they

: 1174

00:41:40,400 --> 00:41:43,670

are about to go through or what they are

currently going through, and the OBGYN

: 1175

00:41:43,670 --> 00:41:46,970

is unable to answer them in that way

because again, that's not necessarily,

: 1176

00:41:46,970 --> 00:41:49,940

they might not have time for that given

our medical system, and that might not be

: 1177

00:41:49,940 --> 00:41:51,319

something that they feel confident with.

: 1178

00:41:51,319 --> 00:41:55,490

Yeah, which is where the doula comes

in and your public health physical

: 1179

00:41:55,490 --> 00:41:57,049

therapist comes in to help you.

: 1180

00:41:57,740 --> 00:42:01,250

With your body and with your

labor delivery, birth prep

: 1181

00:42:01,250 --> 00:42:03,049

process too, and your partner.

: 1182

00:42:03,049 --> 00:42:05,750

I feel like that's something that

Yes, a doula always does is like,

: 1183

00:42:06,049 --> 00:42:09,230

I've heard from patients too that

they are so grateful to have a doula.

: 1184

00:42:09,379 --> 00:42:10,580

Not for them necessarily.

: 1185

00:42:10,580 --> 00:42:10,670

Mm-hmm.

: 1186

00:42:10,910 --> 00:42:12,950

They love it for them, but

they're like, oh my gosh, she

: 1187

00:42:12,950 --> 00:42:14,390

helped my partner not pass out.

: 1188

00:42:14,390 --> 00:42:14,629

Right.

: 1189

00:42:14,629 --> 00:42:15,170

Yes.

: 1190

00:42:15,170 --> 00:42:16,310

I have that chair ready.

: 1191

00:42:16,370 --> 00:42:16,700

Yes.

: 1192

00:42:16,700 --> 00:42:16,850

Yes.

: 1193

00:42:16,970 --> 00:42:17,390

Yeah.

: 1194

00:42:17,395 --> 00:42:17,705

No, amazing.

: 1195

00:42:17,705 --> 00:42:21,080

It's not just an emotional

support for the person who is

: 1196

00:42:21,080 --> 00:42:22,040

actually delivering the baby.

: 1197

00:42:22,040 --> 00:42:22,129

Yes.

: 1198

00:42:22,160 --> 00:42:23,660

But it's also for the partner too.

: 1199

00:42:23,660 --> 00:42:23,750

Yes.

: 1200

00:42:23,750 --> 00:42:23,990

There

: 1201

00:42:23,990 --> 00:42:25,279

Emily: is so much, I think like.

: 1202

00:42:25,610 --> 00:42:29,960

Partners of the person that's giving

birth, they're always like either

: 1203

00:42:30,049 --> 00:42:33,020

very involved, not involved, or like

wanna be involved but don't know how.

: 1204

00:42:33,049 --> 00:42:36,740

Yes, that's also a doula's rule to

help somebody be like, okay, like

: 1205

00:42:36,799 --> 00:42:40,970

maybe Kelsey does not want her partner

to be like HEA involved in the birth,

: 1206

00:42:41,210 --> 00:42:44,390

but like helping maybe like not

coaching you through it or whatever,

: 1207

00:42:44,390 --> 00:42:45,799

but maybe it's the physical touch.

: 1208

00:42:45,860 --> 00:42:48,259

Yeah, maybe it's like, Hey honey,

I'm gonna go dim the lights.

: 1209

00:42:48,270 --> 00:42:50,280

I'm gonna go get the peanut ball.

: 1210

00:42:50,280 --> 00:42:51,210

I'm gonna go do those things.

: 1211

00:42:51,210 --> 00:42:51,330

Water.

: 1212

00:42:51,330 --> 00:42:51,630

Turn on that

: 1213

00:42:51,810 --> 00:42:52,860

Kelsy: Spotify playlist.

: 1214

00:42:52,860 --> 00:42:54,090

Have the ice chips free.

: 1215

00:42:54,090 --> 00:42:55,080

Yes, yes.

: 1216

00:42:55,259 --> 00:42:56,490

Emily: I'm there to help that.

: 1217

00:42:56,490 --> 00:42:57,210

And then also like.

: 1218

00:42:57,680 --> 00:43:00,770

The birthing partner might just be

really concerned and be on guard for the

: 1219

00:43:00,770 --> 00:43:02,029

person that they love and care about.

: 1220

00:43:02,029 --> 00:43:04,310

And then seeing 'em go through

this pregnancy like, I'm

: 1221

00:43:04,310 --> 00:43:05,540

here to answer any questions.

: 1222

00:43:05,540 --> 00:43:08,569

Or maybe like they're like, I see her

doing this and she wants, she's not

: 1223

00:43:08,569 --> 00:43:10,819

gonna wanna ask you that question,

but can you ask her that question?

: 1224

00:43:10,819 --> 00:43:10,939

Yeah.

: 1225

00:43:11,180 --> 00:43:14,029

I'm here to help facilitate this

process and make sure you guys are

: 1226

00:43:14,029 --> 00:43:15,560

both as involved as you wanna be.

: 1227

00:43:15,859 --> 00:43:16,850

'cause it's a special moment.

: 1228

00:43:16,910 --> 00:43:17,270

Right.

: 1229

00:43:17,330 --> 00:43:19,399

And I think, um, as a doula.

: 1230

00:43:19,834 --> 00:43:23,075

My job is to help facilitate and

support not only, like you said, the

: 1231

00:43:23,075 --> 00:43:25,954

birthing person, but also the partner

or the support system that they have.

: 1232

00:43:26,224 --> 00:43:29,555

Kelsy: So with the partner, and I

know, we'll, we'll have this as a

: 1233

00:43:29,555 --> 00:43:32,674

visual on YouTube as well, so she

might be demonstrating the pelvis.

: 1234

00:43:32,674 --> 00:43:33,964

We'll have that on YouTube too.

: 1235

00:43:33,994 --> 00:43:34,024

Okay.

: 1236

00:43:34,024 --> 00:43:34,204

Yeah.

: 1237

00:43:34,204 --> 00:43:35,015

But um.

: 1238

00:43:35,299 --> 00:43:40,310

What are some things that a partner can

do during labor and delivery specifically?

: 1239

00:43:40,310 --> 00:43:40,370

Yeah.

: 1240

00:43:40,400 --> 00:43:41,540

To help, yeah.

: 1241

00:43:41,630 --> 00:43:43,880

The person who's actually giving birth.

: 1242

00:43:44,150 --> 00:43:45,020

So I party

: 1243

00:43:45,020 --> 00:43:45,620

Emily: to human.

: 1244

00:43:45,680 --> 00:43:45,890

Yes.

: 1245

00:43:46,160 --> 00:43:48,020

So there are phases of labor.

: 1246

00:43:48,080 --> 00:43:50,090

Um, we won't go down to the

day 'cause it'll take forever.

: 1247

00:43:50,090 --> 00:43:52,220

I teach people this all the time.

: 1248

00:43:52,220 --> 00:43:54,920

I'll probably teach some classes,

give or take soon where I work.

: 1249

00:43:54,920 --> 00:43:54,980

Yeah.

: 1250

00:43:54,980 --> 00:43:55,670

Get excited.

: 1251

00:43:55,940 --> 00:43:59,420

Um, but there are things such

as called comfort measures.

: 1252

00:43:59,660 --> 00:44:01,040

Um, so for example.

: 1253

00:44:01,370 --> 00:44:03,200

We find our little hip bones, right?

: 1254

00:44:03,319 --> 00:44:07,700

I go right underneath what I call like

the like rim around the hips, right?

: 1255

00:44:07,759 --> 00:44:11,539

So maybe you find the front of your hip

bones and you trace behind that, right?

: 1256

00:44:11,720 --> 00:44:15,140

I might show someone, Hey, let's

show someone how to hip squeeze,

: 1257

00:44:15,499 --> 00:44:16,819

but then also do that sustainably.

: 1258

00:44:16,850 --> 00:44:18,859

'cause I have some guys,

I love them big muscles.

: 1259

00:44:18,859 --> 00:44:20,809

They, they got big muscles, we love them.

: 1260

00:44:20,839 --> 00:44:23,330

Okay, you're gonna hold this hip

and they're just gonna be like.

: 1261

00:44:24,080 --> 00:44:26,569

And like you are gonna hold that

throughout the entire contraction.

: 1262

00:44:28,040 --> 00:44:30,470

You're gonna hold that

for like five hours.

: 1263

00:44:30,740 --> 00:44:31,190

No.

: 1264

00:44:31,490 --> 00:44:32,480

So guess what?

: 1265

00:44:32,480 --> 00:44:35,420

I'm also teaching you how to be

functionally prepped and ready.

: 1266

00:44:35,420 --> 00:44:36,560

Start with this.

: 1267

00:44:36,589 --> 00:44:37,250

Yes.

: 1268

00:44:37,580 --> 00:44:41,359

For the pregnancy, as the birthing

partner, you're gonna support your partner

: 1269

00:44:41,390 --> 00:44:45,620

if they would like and if you would

like to work through birthing positions,

: 1270

00:44:45,620 --> 00:44:47,180

whether you have an epidural or not.

: 1271

00:44:47,180 --> 00:44:47,270

Mm-hmm.

: 1272

00:44:47,569 --> 00:44:47,960

Right?

: 1273

00:44:47,990 --> 00:44:50,060

Um, and so for me it's

teaching the partners.

: 1274

00:44:50,060 --> 00:44:50,330

Hey.

: 1275

00:44:50,404 --> 00:44:53,404

What are ways I can help my person feel

more comfortable during this process?

: 1276

00:44:53,404 --> 00:44:53,495

Mm-hmm.

: 1277

00:44:53,884 --> 00:44:56,644

What are ways that I can coach my

person, whether that's physically

: 1278

00:44:56,765 --> 00:44:58,624

or mentally, ways to kind of help.

: 1279

00:44:58,745 --> 00:45:00,874

Um, so one is like the hip squeeze, right?

: 1280

00:45:01,024 --> 00:45:04,654

Sometimes it's also, Hey, let's

do like the knees pushing.

: 1281

00:45:04,654 --> 00:45:06,185

So put your legs down here.

: 1282

00:45:06,245 --> 00:45:10,174

Hopefully the can, but we're

pushing the knees back, right?

: 1283

00:45:10,325 --> 00:45:12,904

So what I'm doing is I'm also

giving a little bit of like,

: 1284

00:45:12,904 --> 00:45:15,274

compression back towards the sacrum.

: 1285

00:45:15,274 --> 00:45:15,365

Mm-hmm.

: 1286

00:45:15,634 --> 00:45:17,495

And so it's like basically,

oh no, I moved the camera.

: 1287

00:45:17,495 --> 00:45:17,970

You're good, you're good.

: 1288

00:45:17,970 --> 00:45:19,415

It's basically one of these guys.

: 1289

00:45:19,759 --> 00:45:22,910

But I might have to show

somebody how to hold that for

: 1290

00:45:22,910 --> 00:45:24,770

a really long amount of time.

: 1291

00:45:24,830 --> 00:45:28,549

So again, I love this doula side.

: 1292

00:45:28,549 --> 00:45:30,799

I'm just, I love birth.

: 1293

00:45:31,190 --> 00:45:33,140

I know you look at me and you're

like, she looks like she's 10.

: 1294

00:45:33,710 --> 00:45:33,980

Guess what?

: 1295

00:45:33,980 --> 00:45:35,420

I already teach a little

how to give birth.

: 1296

00:45:35,420 --> 00:45:38,660

So it doesn't really matter if you have

really good pelvic floor coordination,

: 1297

00:45:39,020 --> 00:45:40,759

um, and one that loves kids.

: 1298

00:45:40,790 --> 00:45:41,214

So Yeah.

: 1299

00:45:41,214 --> 00:45:41,455

Yeah.

: 1300

00:45:41,460 --> 00:45:41,720

Yeah.

: 1301

00:45:41,720 --> 00:45:42,140

I love it.

: 1302

00:45:42,140 --> 00:45:42,440

I love it.

: 1303

00:45:42,815 --> 00:45:45,830

Kelsy: And I feel like some, I mean,

people don't talk about the partner's

: 1304

00:45:45,830 --> 00:45:50,029

role a lot and Yeah, they don't, and it's

like there's things that can do to help,

: 1305

00:45:50,029 --> 00:45:53,180

Emily: like as a doula, it is

such a special piece to be able to

: 1306

00:45:53,180 --> 00:45:55,400

be a part of a family's journey.

: 1307

00:45:55,400 --> 00:45:55,490

Yes.

: 1308

00:45:55,520 --> 00:45:59,810

Of like having their first

child and I think being a safe.

: 1309

00:46:00,185 --> 00:46:04,175

Resource for them to emotionally help

out to like whether they're wanting

: 1310

00:46:04,175 --> 00:46:07,565

research, whether they're wanting help,

how to physically prepare for this labor.

: 1311

00:46:07,565 --> 00:46:09,545

Like you get to be that for someone.

: 1312

00:46:09,605 --> 00:46:10,865

And how special is that?

: 1313

00:46:11,015 --> 00:46:14,135

And like being able to like meet

somebody where they're at, like

: 1314

00:46:14,135 --> 00:46:17,315

maybe they don't want this part of me

that's like, yeah, you got this girl.

: 1315

00:46:17,885 --> 00:46:18,515

Go babe.

: 1316

00:46:19,085 --> 00:46:21,785

Maybe you want, Hey, we're

gonna do this position.

: 1317

00:46:21,815 --> 00:46:22,115

Yeah.

: 1318

00:46:22,505 --> 00:46:23,525

I'm gonna meet you where you're at.

: 1319

00:46:23,585 --> 00:46:24,365

Your doula should.

: 1320

00:46:24,395 --> 00:46:24,485

Mm-hmm.

: 1321

00:46:24,725 --> 00:46:24,875

Right.

: 1322

00:46:25,175 --> 00:46:27,695

Um, and your doula should most definitely.

: 1323

00:46:28,040 --> 00:46:32,089

Do whatever is according of what

you want, regardless of what they

: 1324

00:46:32,089 --> 00:46:33,950

believe or want in their brain.

: 1325

00:46:33,950 --> 00:46:34,310

Right?

: 1326

00:46:34,729 --> 00:46:37,279

You know, maybe they're like, oh, I

just want you to have a vaginal birth.

: 1327

00:46:37,279 --> 00:46:38,240

I want you to have a natural birth.

: 1328

00:46:38,884 --> 00:46:40,204

What if you want a C-section?

: 1329

00:46:40,264 --> 00:46:40,504

Yeah.

: 1330

00:46:40,535 --> 00:46:40,865

Great.

: 1331

00:46:40,924 --> 00:46:41,794

They should meet you there.

: 1332

00:46:41,854 --> 00:46:42,754

That's something natural.

: 1333

00:46:42,845 --> 00:46:43,084

That's really

: 1334

00:46:43,084 --> 00:46:43,474

Kelsy: important.

: 1335

00:46:43,504 --> 00:46:45,035

Also, also a good way to mm-hmm.

: 1336

00:46:45,035 --> 00:46:45,484

Really important.

: 1337

00:46:45,484 --> 00:46:45,754

Yes, totally.

: 1338

00:46:45,785 --> 00:46:46,714

Um, so I love

: 1339

00:46:46,714 --> 00:46:47,494

Emily: being a doula.

: 1340

00:46:47,555 --> 00:46:49,984

I am so excited to bring this

on as part of my practice

: 1341

00:46:49,984 --> 00:46:51,095

as a pelvic floor therapist.

: 1342

00:46:51,095 --> 00:46:51,365

I love it.

: 1343

00:46:51,484 --> 00:46:52,865

I've been dreaming about it for so long.

: 1344

00:46:52,865 --> 00:46:53,854

I had a great mentor.

: 1345

00:46:53,854 --> 00:46:54,544

She's in Dallas.

: 1346

00:46:54,544 --> 00:46:56,374

She was Ally Genesis.

: 1347

00:46:56,584 --> 00:47:00,244

Um, they gave me so much fire

and passion to continue this on

: 1348

00:47:00,244 --> 00:47:03,964

here in Austin, and I'm just so

excited to officially be doula.

: 1349

00:47:04,024 --> 00:47:05,884

I am so, so, so excited

: 1350

00:47:05,884 --> 00:47:06,154

Kelsy: for you.

: 1351

00:47:06,244 --> 00:47:07,535

And I, I truly tell you like.

: 1352

00:47:08,375 --> 00:47:12,545

I know it's hard to even be in

the medical field and understand

: 1353

00:47:12,545 --> 00:47:15,245

different certifications and

different things and what they mean.

: 1354

00:47:15,245 --> 00:47:15,305

Yeah.

: 1355

00:47:15,335 --> 00:47:19,205

But Emily truly is like a unicorn in

this field where it's, she has this

: 1356

00:47:19,205 --> 00:47:23,464

ability to look at things from such a

broad range, not only holistically, like

: 1357

00:47:23,464 --> 00:47:27,545

within your own body, but also through

the lens of a doula, through the lens

: 1358

00:47:27,545 --> 00:47:30,484

of like male pelvic health, because

it's, it's all like encompassing too.

: 1359

00:47:30,484 --> 00:47:32,375

So I, yeah, truly it's.

: 1360

00:47:32,959 --> 00:47:37,639

Super, super fantastic that you were like

willing to go this route and to help women

: 1361

00:47:37,639 --> 00:47:39,379

in this way and just to help like, yeah.

: 1362

00:47:39,379 --> 00:47:43,339

People in this way because it is beautiful

to even be a physical therapist for.

: 1363

00:47:43,970 --> 00:47:47,029

A husband and wife like going

through the birthing process.

: 1364

00:47:47,029 --> 00:47:50,359

Like even me being that it's so fun.

: 1365

00:47:50,359 --> 00:47:50,419

Yeah.

: 1366

00:47:50,419 --> 00:47:53,450

And I can only imagine like all of

the stories you'll have as a doula.

: 1367

00:47:53,450 --> 00:47:53,539

Yes.

: 1368

00:47:53,539 --> 00:47:55,789

Like with patients that are both yours.

: 1369

00:47:55,789 --> 00:47:56,209

Possibly.

: 1370

00:47:56,209 --> 00:47:56,390

Yes.

: 1371

00:47:56,539 --> 00:47:58,099

And ugh, I have a be current

: 1372

00:47:58,099 --> 00:48:00,859

Emily: client and um, you know,

her doula and I are friends.

: 1373

00:48:00,859 --> 00:48:02,269

We're on like the same wavelength.

: 1374

00:48:02,539 --> 00:48:04,430

She goes, I want you to

be there for my birth.

: 1375

00:48:04,700 --> 00:48:05,059

Oh.

: 1376

00:48:05,059 --> 00:48:05,779

And I was like.

: 1377

00:48:06,725 --> 00:48:07,745

Why am am I crying?

: 1378

00:48:09,240 --> 00:48:12,785

I, I even during my training, I am

getting like really emotional just

: 1379

00:48:12,785 --> 00:48:15,305

thinking about this, but like, I cry too.

: 1380

00:48:16,085 --> 00:48:20,975

Um, but it's like I feel so

lucky to like have this love and

: 1381

00:48:20,975 --> 00:48:22,504

like passion for it and like.

: 1382

00:48:23,285 --> 00:48:26,165

I can only imagine, like we were literally

watching like birth videos and all this

: 1383

00:48:26,165 --> 00:48:29,015

stuff and like talking about this with

people and like, I literally was brought

: 1384

00:48:29,015 --> 00:48:32,255

to tears and like I was talking to some of

my colleagues and they were like, this is

: 1385

00:48:32,255 --> 00:48:36,305

how you know you wanna be a doula because

you're crying watching someone give birth.

: 1386

00:48:36,305 --> 00:48:39,214

And I was like, yeah,

it doesn't freak me out.

: 1387

00:48:39,220 --> 00:48:39,870

It doesn't freak me.

: 1388

00:48:40,115 --> 00:48:40,625

It's beautiful.

: 1389

00:48:40,625 --> 00:48:44,615

And again, it might not feel that way

completely fine, but I'm just lucky.

: 1390

00:48:44,615 --> 00:48:49,085

And so I just feel so lucky to be

able to like love this and like want

: 1391

00:48:49,085 --> 00:48:51,095

to help families in that process.

: 1392

00:48:51,095 --> 00:48:51,815

Yeah, like it's just.

: 1393

00:48:52,144 --> 00:48:54,394

It like brings me so much joy.

: 1394

00:48:54,484 --> 00:48:55,564

Kelsy: So I'm crying.

: 1395

00:48:55,894 --> 00:48:57,304

We're gonna end this episode crying.

: 1396

00:48:59,345 --> 00:48:59,524

I love it.

: 1397

00:48:59,524 --> 00:49:00,034

Well, Dr.

: 1398

00:49:00,034 --> 00:49:00,904

Emily, thank you.

: 1399

00:49:00,904 --> 00:49:01,234

Thank you.

: 1400

00:49:01,234 --> 00:49:04,325

Thank you for the work you're doing within

the field for being just such a light and

: 1401

00:49:04,325 --> 00:49:06,154

like a safe space because you really are.

: 1402

00:49:06,154 --> 00:49:08,584

I knew you were the perfect person

to talk about some of these hard

: 1403

00:49:08,584 --> 00:49:12,034

and like difficult topics and topics

that people don't want to like.

: 1404

00:49:12,435 --> 00:49:15,105

Openly bring up with their

friends, let alone strangers.

: 1405

00:49:15,105 --> 00:49:17,295

And I feel like it's such

important conversations to have.

: 1406

00:49:17,325 --> 00:49:17,565

Yeah.

: 1407

00:49:17,625 --> 00:49:20,565

And you're just a joy and a light, and

I'm so glad to have you as a friend

: 1408

00:49:20,955 --> 00:49:23,145

in Austin and the pelvic health space.

: 1409

00:49:23,175 --> 00:49:23,295

Yes.

: 1410

00:49:23,295 --> 00:49:26,205

And just like as a

girlfriend, so I love it.

: 1411

00:49:26,205 --> 00:49:26,207

Okay, girl.

: 1412

00:49:26,207 --> 00:49:26,220

I love it.

: 1413

00:49:27,255 --> 00:49:29,415

So thank you guys for listening.

: 1414

00:49:29,415 --> 00:49:31,970

I'll leave Emily's links below.

: 1415

00:49:32,115 --> 00:49:34,154

So she's super active on Instagram.

: 1416

00:49:34,154 --> 00:49:37,425

If you guys have any questions,

she provides awesome education.

: 1417

00:49:37,575 --> 00:49:40,634

She's also, if you're in Austin, she's

at East Side Movement Company in Austin.

: 1418

00:49:40,634 --> 00:49:41,625

So I'll leave her.

: 1419

00:49:42,020 --> 00:49:43,700

Like booking link below as well.

: 1420

00:49:43,700 --> 00:49:46,339

And then she mentioned a

few resources like Genesis.

: 1421

00:49:46,339 --> 00:49:49,399

I'll leave there stuff below

because again, if we can just

: 1422

00:49:49,399 --> 00:49:52,700

like flood the description with

resources, that's what I want to do.

: 1423

00:49:52,700 --> 00:49:53,000

That's my goal.

: 1424

00:49:53,000 --> 00:49:53,779

So yes.

: 1425

00:49:54,020 --> 00:49:58,399

Anything that you want to

mention before we, we sign off?

: 1426

00:49:58,819 --> 00:49:59,450

Emily: I mean.

: 1427

00:49:59,974 --> 00:50:03,484

I hope that you come out of this

feeling a little bit more confident or

: 1428

00:50:03,484 --> 00:50:06,365

you've got a couple answers, or maybe

you've got a couple questions because

: 1429

00:50:06,365 --> 00:50:07,924

you're like, this resonated with me.

: 1430

00:50:08,104 --> 00:50:08,615

Great.

: 1431

00:50:08,615 --> 00:50:09,095

Amazing.

: 1432

00:50:09,095 --> 00:50:10,564

I wanna spark conversation.

: 1433

00:50:10,834 --> 00:50:13,354

I think the biggest thing I want

to bring from this podcast is like

: 1434

00:50:13,354 --> 00:50:14,914

empowering people to talk about it.

: 1435

00:50:14,914 --> 00:50:16,174

And that is not TMI.

: 1436

00:50:16,264 --> 00:50:16,444

Yeah.

: 1437

00:50:16,504 --> 00:50:18,754

And that some things aren't normal.

: 1438

00:50:18,874 --> 00:50:19,894

It might just be common.

: 1439

00:50:19,954 --> 00:50:20,164

Yeah.

: 1440

00:50:20,254 --> 00:50:23,884

Emily: Um, and I just hope you find a

therapist, whether that's me, Kelsey,

: 1441

00:50:24,064 --> 00:50:27,874

whoever that makes you feel like

validated and seen and heard, and like.

: 1442

00:50:28,245 --> 00:50:30,794

What I tell people is like in

a pelvic floor exam, if you

: 1443

00:50:30,794 --> 00:50:32,564

don't want to do the exam.

: 1444

00:50:33,095 --> 00:50:33,515

Fine.

: 1445

00:50:33,545 --> 00:50:36,545

I, I can figure out as an

orthopedic sports performance

: 1446

00:50:36,545 --> 00:50:39,634

therapist or just a good, like we

all graduate generalist, right.

: 1447

00:50:39,634 --> 00:50:40,415

Orthopedic therapist.

: 1448

00:50:40,415 --> 00:50:40,505

Yes.

: 1449

00:50:40,865 --> 00:50:43,475

There are other ways to figure

out things about your pelvic floor

: 1450

00:50:43,475 --> 00:50:44,770

without having to do internal

: 1451

00:50:44,770 --> 00:50:44,930

Kelsy: work.

: 1452

00:50:44,935 --> 00:50:45,335

Internal.

: 1453

00:50:45,335 --> 00:50:45,755

Emily: Totally.

: 1454

00:50:45,755 --> 00:50:46,835

Kelsy: That is such a good point too.

: 1455

00:50:46,865 --> 00:50:48,725

'cause I feel like so many people

are scared of it and I'm like,

: 1456

00:50:48,965 --> 00:50:52,745

listen, go in and let your pelvic

floor PT know that you're scared.

: 1457

00:50:52,745 --> 00:50:52,805

Yeah.

: 1458

00:50:52,835 --> 00:50:54,845

Because it doesn't have to Yeah.

: 1459

00:50:54,875 --> 00:50:55,985

Come at it from that perspective.

: 1460

00:50:55,985 --> 00:50:56,465

Exactly.

: 1461

00:50:56,525 --> 00:50:59,915

We can get to that point eventually, if

that's where you would like to get to.

: 1462

00:50:59,920 --> 00:50:59,970

Mm-hmm.

: 1463

00:51:00,339 --> 00:51:01,329

Doesn't have to be that way.

: 1464

00:51:01,359 --> 00:51:01,509

Yeah.

: 1465

00:51:01,509 --> 00:51:03,970

So decreasing some of the

fear surrounding that.

: 1466

00:51:03,970 --> 00:51:04,359

For sure.

: 1467

00:51:04,359 --> 00:51:04,361

Emily: Yeah.

: 1468

00:51:04,365 --> 00:51:04,720

No, yeah.

: 1469

00:51:04,720 --> 00:51:08,079

Whatever you guys need, like we're

here for that and I just love it.

: 1470

00:51:08,140 --> 00:51:08,589

Little big.

: 1471

00:51:08,769 --> 00:51:09,160

I love it.

: 1472

00:51:09,160 --> 00:51:09,549

Big Sis podcast.

: 1473

00:51:09,549 --> 00:51:09,700

Yes.

: 1474

00:51:09,789 --> 00:51:10,479

And it's okay to

: 1475

00:51:10,720 --> 00:51:12,789

Kelsy: like switch too and

find someone who, yeah.

: 1476

00:51:12,819 --> 00:51:13,990

Who you align with as percent.

: 1477

00:51:13,990 --> 00:51:15,579

So thank you guys for listening.

: 1478

00:51:15,579 --> 00:51:19,059

I hope again, like Emily said, you

guys got so much outta today's episode.

: 1479

00:51:19,359 --> 00:51:20,529

If you.

: 1480

00:51:21,124 --> 00:51:24,544

Think that this would help one

of your friends or family members

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00:51:24,544 --> 00:51:27,874

or anyone, please share the

episode, like, comment, subscribe.

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It really, really helps.

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Thank you guys for listening, and

we'll see you guys again on the

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next episode of Wellness Picks Po.

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Yay.