Diastasis Recti and Constipation | Two Common Postpartum Body Challenges

Kim and her partner holding their baby

Guest Blog By Kim Vopni, The Vagina Coach

There are two things that I will never forget about the early hours after giving birth to my first son – Diastasis Recti and Constipation.

I remember how disconnected my upper body felt from my lower body when I got up to go to the bathroom for the first time after my baby entered the world.  I felt like I had to hold myself together.  What was a fairly tight compact part of my body, was now a vacant space with very little tone.  The muscles in my abdominal wall had stretched well beyond their normal, optimal length and the rectus muscles (think 6 pack) had also moved away from their midline position – a condition known as diastasis recti.  

Two images of abdominal muscles, one showing diastasis recti

As I sat down to pee, I had a sudden panic attack knowing that at some point I was also going to have to poop!  

The thought of that first bowel movement after giving birth is almost scarier than the birth itself! This fear coupled with other influences I will elaborate on below, can contribute to postpartum constipation.  

Diastasis Recti and constipation are very common and with the right information, can be very well managed and don’t have to be a big deal in the early postpartum period or beyond.  Let’s look first at constipation.

Pushing on the toilet

POSTPARTUM CONSTIPATION

Once the baby is born, we as parents start to diligently record every feed and every poop our baby makes.  What no one really thinks about is that the new mom would benefit from having someone do the same for her.  Nutrition is a key element of postpartum healing and can play a huge role in healing and nourishing the body as well as managing bowel movements therefore reducing the likelihood of constipation.

Labour typically slows down the digestive system, especially if you had an epidural and it can take a few days to get back on track.  Other things that can influence the digestive system in the early weeks postpartum are pain medications, iron supplementation and fear of pooping!  A lot happens in the pelvis and to the vagina, perineum and anus – things like tearing, stitches, tenderness and hemorrhoids.  The thought of anything else passing through can be a bit stressful to say the least.  Stress activates the ‘fight of flight’ response which reduces blood flow to the digestive system and can contribute to constipation.

From a Chinese medicine perspective the first system that needs to be addressed in postpartum healing is the digestive system.  The digestive system is responsible for transforming food into blood and energy and if digestion is off, then the body will not benefit from the food consumed and therefore not build the blood and energy needed for healing.  

Digestive System Diagram

MOTHER ROASTING

It is also believed in Chinese Medicine that the body has ‘opened’ during pregnancy and birth and is therefore susceptible to ‘wind’ or ‘cold’.  New mothers have a 30 day period of “sitting in” where the mother does not go out and is instead served warm soups, stews, and broths that are easy to digest.

Korea has a 100 day period where the mother and child do not leave the home. In Japan, the mother and baby stay at the mother’s parent’s home for some pampering and one-on-one time with the baby. India and African nations include traditions of 10-40 day isolations where additional support is provided including massage, childcare and food preparation. 

Other practices from places like Malaysia include belly binding and hot stones on the abdomen to help cleanse it, close it and heal it. 

These practices not only allow the body time to recover from the trauma of giving birth but provide a period of mental rest that I firmly believe creates a solid foundation for mom and baby from day one.

BELLY BINDING

The belief of the need to ‘close’ the body is justified.  Diastasis Recti has been shown to happen to 100% of women in the third trimester and the gap between the muscles doesn’t always return to its pre-pregnancy state, nor does the connective tissue naturally regain its supportive tensioning role in the core. The muscles in the pelvic floor have also stretched and in some cases have been cut or torn which can contribute to challenges with core control and continence.

Belly wrapping or belly binding aims to provide temporary compression and support to the pelvis and abdominal wall in the early weeks postpartum when the muscles are temporarily hindered in their ability to contribute to core control.   

Belly Wrapping

The muscles and connective tissue in the abdominal wall and pelvis are key with regards to stability and control in our inner core but so are the bones and joints. In the pelvis, the shape of the bones provides what is called ‘form closure’ while the muscles, ligaments and connective tissue contribute to what is called ‘force closure’. During pregnancy biomechanical changes occur in the body which can reduce the effectiveness of both form and force closure such as;

  • Altered posture and load bearing;
  • Altered muscle length in the pelvic floor and abdomen (both longer and shorter) which results in reduced ability for muscle force production;
  • The role of relaxin and progesterone contribute to joint laxity and when the ligaments are lax it affects the force closure.
  • The abdominal muscles are stretched to allow space for the enlarging uterus, which can lead to loss of muscle tone and strength in the abdominal region and a compromised ability to produce tension in the thoracolumbar fascia, resulting in reduced force closure in the pelvis;
  • Diastasis recti is a distortion in the abdominal wall and can impair the function of the muscles including their role in posture and pelvic stability;
  • The transversus abdominis, multifidus, diaphragm and the pelvic floor are all anticipatory muscles of the core and are required for force closure in the pelvis – all are affected by posture and alignment changes in pregnancy
  • Intra-abdominal pressure – altered mechanics and alignment mean management of intra-abdominal pressure will change

INTRA-ABDOMINAL PRESSURE

We can’t talk about postpartum recovery and wrapping without talking about intra-abdominal pressure.

Intra-abdominal pressure is defined as the pressure within the abdominal cavity.  It is part of our core stability system.  We need some, but not too much and we need an ability to manage the varying pressures throughout the day. When we take a breath in, the diaphragm descends and there is a compression action on the abdominal contents which acts to stabilize the pelvis and spine.  We can have too much pressure such as a Valsalva maneuverer which is an inhale, then breath hold while bearing down.  This often results in a distended abdomen and can place pressure on the pelvic organs as well.  

The reverse can also be seen in a technique called hypopressives which decreases intra-abdominal pressure and results in a hollowing or concavity of the abdomen.  A reliance on one may result in a compromised ability to manage changes in intra-abdominal pressure such as during lifting or exercise.  

Crunches were given a bad rap because they cause an increase in intra-abdominal pressure but a study found that activities like standing up from a chair or downward dog pose in yoga actually created equal or greater increases in intra-abdominal pressure which suggests that managing intra-abdominal pressure is more about HOW a person performs a movement or exercise rather than the exercise itself.

Wrapping is often considered to be a practice that increases intra-abdominal pressure and it can when done incorrectly.  Wrapping is ideally done to temporarily contribute to force closure in the pelvis with some gentle hugging of the abdominal wall.  Many mistakenly wrap only the waist and wrap very tightly in hopes that it will help heal the gap between the abdominals (diastasis recti).  Instead it increases intra-abdominal pressure, it interferes with digestion and it restricts optimal breathing patterns which can prevent healing of the abdominal wall and pelvic floor and can also contribute to constipation.

My recommendations for postpartum recovery include principles that support rest and belly wrapping in the early weeks postpartum, core retraining with pelvic floor initiated movements, a balance between hyper and hypopressive exercise and nutrition that is based on the traditional practices of mother roasting to support optimal digestion.

Why Is My Poop Green?

Picture this: the Grinch lands in your toilet bowl, totally ruining your Christmas festivities! It causes a *gasp* and a “wtf”?!  Not everything that is red and green this time of year is a good thing!

So what gives? These monstrosities in the toilet bowl that you inspect shouldn’t be smiling back at you like the green goblin, an eerily foreboding sign of the dangers that are lurking in your Christmas menu. You think to yourself, what have I eaten? Green food coloring wasn’t on the menu? Could it be the green smoothie I had the other morning? Is it my intake of greens causing my poo to be green? 

 It can be scary seeing green monsters in the throne, but the reality is it happens every day, all around the world and especially around the 24th of December! The thing is, the color you see in the toilet bowl is a sign of what is going on with the #1 thing that your body produces, your poo! It got a bad wrap being called #2, but it really deserves the throne!

Read more to get in tune with the signs your body is delivering from the divine! Right in time for the new decade, where you can make a massive positive change in your life.

Is Green Poo Normal?

 Green poo isn’t normal, FYI, it’s actually a sign that something may be wrong in the manufacturing plant, A.K.A. your digestive tract.

There may be 50 Shades of Poo (if you haven’t downloaded your copy, do so now here!)… but in general, if you’re healthy and well balanced, your poo should always be brown. Anything along the spectrum of the color of dirt is acceptable.

Outside of this realm, and we don’t have happy campers.

How the Digestive Factory Works to Color Your Poo

Poo gets its color from bile, which is a combination of substances that are to be eliminated out of the body. A part of it is bilirubin (produced from the breakdown of red blood cells). Bilirubin gives it its brown color, in general. 

Problems with color are typically caused by problems with the gall bladder, swelling, stones blocking the opening of the duct into the intestine, and sometimes ominous masses in the intestine. 

What Does it Mean When Your Poop is Green?

 There is another mechanism of action that is especially important when it comes to those green poops. That is stomach acid

Stomach acid wilts green vegetables. Think of it like this, if you leave a salad sitting on the counter and it is emerged in vinegar (that is the same physiological pH as our stomach acid) you will see it wilt and turn brown. This could be a chemical transformation of chlorophyll, or simply just the acidic pH transforming the components of the green vegetable. 

Either way, green poops after drinking a green smoothie is a sign of low stomach acid. Sometimes it also indicates a lack of protein in the smoothie, because protein is the signal for stomach acid to be produced. 

Low stomach acid can also be caused by many factors; too much stress, low protein in your diet (thus not simulating stomach acid), lack of important nutrients such as vitamin B12 and zinc, or autoimmune reactions that affect the stomach acid-producing cells,  to simply name a few.

What To Do About It

To find out how to test and what to do about it, please download my 50 Shades of Poo. It’s the blueprint for the color of your poo, teaching you how to become body conscious about what is going on as well as diagnostics, inspection techniques and how to fix. 

There really is an entire science behind your poo. In your poo, you have the power to understand and be conscious of what is going on inside your body. It’s like having your own personal doctor on dial. It’s time for you to get dialed in my friends. Download 50 Shades of Poo now.


Grateful Gracias | Gratitude Before Meals

Thank you!

“Gracias a Dios!” My mother would say this incessantly… So would every other Latino-American woman I know.

We are grateful for everything from God. Whether because we were indoctrinated when the Catholics came to South America, or we came from Spain which was mainly catholic.

This phrase was simply in us, part of our culture. In Canada, I learned ‘thank you’ for the first time. 

Thank you is a requirement, it isn’t just good manners. It is thanking our fellow human beings for an act of kindness. If we want more goodness, then we have to praise it more! 

For me, my ‘gracias a Dios’, ‘thank you, God’, takes on many faces. 

P.S. I realize this can be a controversial topic. Please understand we are each entitled to our own opinion. I am inclusive. I believe in possibility. I am cool with what you think, and I hope you would honor what I think too. 

For me, it is God, the universe, Mother Nature, spirit, Buddha. The vis, soul, consciousness, etc.

Many names, the same meaning.

To tell you the truth, I’m super grateful for my childhood. I was exposed to all. In my adulthood, I was exposed to Jehovah’s witnesses and to Christianity.

My one issue is when we are called sinners. I feel that it puts us into a category that doesn’t allow us to be better than that. So I choose not to believe that, but I love everything else that the church stands for. 

Gracias a Dios!

The most important factor in having a grateful God practice (or whatever you call it) is that you repeat it. So practice is absolutely necessary, and you need to feel that your energy is one with it. Otherwise, you can never relax into the practice. 

So gratefulness is key. It is spoken about in the bible as a staple of a good life. 

The question is this: When good comes to you, how do you respond? Do you credit yourself or do you give it to God? Do you feel grateful and completely enveloped in grace?

I encourage you to give it over. If you wish to receive it, you must first deliver it. If you do not… Well, then how can you expect it to get better?

As it says in the bible:

Ask and it will be given to you; 
Seek and you will find; 
Knock and the door will be opened to you.

Matthew 7:7 NIV

Easy-Peezy!

So let’s start with the Grateful Way for 7 Days Challenge. For the next seven days, 2-3 times a day (depending on your eating pattern) hold onto your Grateful Dung™ Bracelet and name 3 things you are grateful for before eating. Make sure you don’t repeat the same thing twice during the week.

If you pray before you eat, this is the perfect complement to your practice! If you don’t pray before you eat, give this a try! Get your whole family involved, spread the love!

This simple act of pausing and taking the time to acknowledge the blessings in your life actually has an important physiological effect on your body. It helps us get into the parasympathetic state, A.K.A. the ‘rest and digest’ state.

We can do this! It will change life and your mindset. Here’s the tool to help:

Get your Grateful Dung™ Bracelet for only $7.77 (until December 10th only)! CLICK HERE

Or get the Queen Kit! This includes everything you need to get set up for your incredible gratitude journey! Plus you’ll get free shipping, too! CLICK HERE