Can I Take Ibuprofen While Breastfeeding? Pharmacist Explains All

When you become pregnant, and then give birth, there are a lot of dos and don’ts as far as taking medication is concerned.

For instance, ibuprofen isn’t advised for those who are pregnant – unless prescribed by a doctor. This, says Jana Abelovska, superintendent pharmacist at Click Pharmacy, is “due to the negative effects ibuprofen can have on a baby’s kidneys and circulatory system”.

But after your baby has been born and is breastfeeding, what happens then? Should you still avoid it?

It’s no wonder then that ‘can I take ibuprofen while breastfeeding?’ is a commonly Googled query – alongside other popular asks like whether you can have Lemsip or Strepsils when breastfeeding.

We asked Abelovska to walk us through what pain relief medication parents can take, and should steer clear of, when breastfeeding little ones. Here’s her advice.

Is it safe to take ibuprofen when breastfeeding?

The good news is that for breastfeeding women, ibuprofen is “completely safe” to take – and is actually one of the recommended painkillers for women while breastfeeding, says the pharmacist.

You can take it as a tablet or use it on your skin.

“Ultimately, only minuscule amounts of the drug pass from the breast milk into the baby’s body, and therefore pose no real risk to babies,” Abelovska explains.

Well, that’s a relief.

Can I take Lemsip when breastfeeding?

With cold and flu season lurking around the corner as we head towards the cooler months (sorry), people are also understandably interested in whether it’s OK to take decongestants like Lemsip when breastfeeding.

Abelovska says: “Interestingly, while decongestants – like Lemsip – are unlikely to directly affect a breastfeeding baby, they can have a negative effect on the mother’s milk supply.

“Therefore, it is recommended that breastfeeding mothers avoid all types of medical decongestants and instead use safer alternatives, such as inhaling steam.”

Experts at NetDoctor agree, saying the production of breast milk can decrease “with just one or two doses,” so Lemsip is “best avoided by mothers who are breastfeeding”.

What about Strepsils?

Throat lozenges can help ease a sore throat if you’re struggling – but it’s always best to ask your pharmacist to recommend one that is safe for breastfeeding, according to the Health Service Executive (HSE).

In the case of Strepsils specifically, Abelovska says the Honey and Lemon varieties “seemingly pose no risk to breastfeeding women.”

But she warns other Strepsil products, such as Extra Triple Action Blackcurrant Lozenges, are not recommended.

“Strepsils’ package leaflet for the triple action throat sweets recommends avoiding the product if pregnant or breastfeeding,” she explains.

If you’re confused about what’s best to take, Abelovska recommends having an open discussion with your GP who can advise further.

What medicines should you avoid when breastfeeding?

There are a wealth of medications that aren’t recommended for women while breastfeeding, says the pharmacist. “This can be for various reasons such as affecting milk supply or the risk of the medication getting into the milk.”

Some of these medications include:

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This ‘Cute Baby Software Glitch’ Makes Babies Look Like They’re Dancing

A video of a baby “two-stepping” is melting hearts everywhere.

In the clip, a healthcare worker can be seen stroking down each side of a newborn’s spine, with its bottom instinctively wiggling in the same direction.

But is this wizardry? Or is there a reason why babies do this?

Dr Karan Raj, a medical doctor and author of This Book May Save Your Life, took to TikTok to explain the phenomenon, which is known as the Galant reflex.

The purpose of the reflex is to “encourage movement and develop a range of motion in the hips”, he said, which helps prepare babies for crawling and walking.

The reflex can also be tested in newborns so healthcare professionals can help rule out brain damage at birth, the doctor explained.

The doctor describes is as a “cute baby software glitch” because hypothetically, it should disappear by around nine months old.

Reflexes happen when our bodies are stimulated in some way and our muscles respond to that stimulation.

“The presence and strength of a reflex is an important sign of nervous system development and function,” say experts at Mount Sinai.

A lot of infant reflexes – like the Galant reflex – disappear as a child gets older. If it’s still present as they age, it can be a sign of brain or nervous system damage.

Another fascinating reflex babies are born with is the rooting reflex, which happens when a baby’s mouth is stroked or touched.

According to Stanford Medicine, in response to this touch, the baby should turn their head and open their mouth to follow and root in the direction of the stroking.

It basically helps them find the breast or bottle so they can fill up on milk.

They also have a suck reflex, whereby when the root of their mouth is touched, they’ll automatically start to suck.

And one many parents will be familiar with is the Moro reflex – otherwise known as the startle reflex. When there’s a loud noise or movement, a baby will throw back their head and extend their arms or legs out, like they’re falling.

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5 Powerful Photos Of Breastfeeding Mums – And The Stories Behind Them

What’s stopping new mums from breastfeeding? That’s the question photographer Ania Hrycyna set out to uncover when she gathered 15 mothers together for a candid festival-inspired photoshoot of them feeding their babies.

The UK has some of the lowest breastfeeding rates in the world with eight out of 10 women stopping before they want to.

Ahead of World Breastfeeding Week (1-7 August), the South London-based photographer and mother brought together a group of local women at a local airfield and asked them about the challenges they’d experienced in their breastfeeding journeys.

The photographer’s hope is that their stories – and gorgeous photos – will foster more empathy and understanding of the difficulties women face. And one theme that crops up time and time again is the lack of support new mothers face.

Here are some of their stories.

‘He struggled to latch and I received very little support from midwives at the hospital’

Gloria

Ania Hrycyna

Gloria

I started breastfeeding my firstborn in May 2017. He was tiny and very sleepy, really struggled to latch and I received very little support from the midwives at the hospital.

Once at home, he lost 13% of his birth weight. The home health visiting team were fabulous and helped me increase my milk supply and get onto an exclusively breastfeeding path which we followed for two-and-a-half years (until a couple of weeks before the birth of his little brother).

I thought after breastfeeding for two-and-a-half years it would be a doddle the second time around, but I guess I underestimated that my new little bundle had to find his way, too.

I managed to settle onto breastfeeding Hugo, who again I fed for two-and-a-half years. This time until I was about 30 weeks pregnant with my third baby, Max.

I have recently gone back to work after maternity leave so just learning to live in our new chaos and finding the right balance between expressing at work and co-sleeping so that he can get all his milk feeds.

I love the bond from breastfeeding my babies.

‘I never knew two breastfeeding journeys could be so different’

Clare

Ania Hrycyna

Clare

In 2020, I became a mother to our first child Lilah Ottalie. Breastfeeding was something I had set my heart on and it came so naturally to us both – born in water, she climbed up and latched on within moments, despite having a tongue tie.

She fed perfectly throughout my second pregnancy in 2022 and is still going strong today.

Our second child, Ottis Malachi, had a harder time learning to latch and feed. He was born very fast, he was tired and so was I – everything was a blur. He didn’t feed at all for the first 48 hours, he never got any of my golden colostrum. I felt very let down by the team at the hospital, I still do.

They wanted him to try formula as he couldn’t latch and he was losing energy. Lilah has a severe cow’s milk protein allergy that had her in and out of hospital for the first eight months of her life. I have been dairy-free for the last three-and-a-half years for this reason.

The hospital could only offer me cow’s milk formula for Ottis, which I had no choice but to accept. He reacted more or less straight away and I knew the symptoms so well that I declined the next feed. It was all on me.

Giving birth in lockdown meant my partner wasn’t allowed in to support me either, and it was the first time I had ever left Lilah, who was still breastfeeding and wasn’t allowed in to see us. I was heartbroken with a new baby that needed me.

We stayed in for four days until we were discharged with a feeding plan of me exclusively pumping to supply him with what he needed. Ottis had a lot of problems – we found out he also had a tongue tie and a high palate with a shallow latch.

At six days old he finally latched on his own for the first time. He really struggled to find his way to my nipple, so it was suggested at six weeks that we replicate being born and the newborn crawl to the boob. It helped and I was so emotional.

I had been told I wouldn’t be able to feed him and it was a long road but we got there in the end. He still wouldn’t latch every time and struggled a lot, he used to get very frustrated and chompy which had me in a lot of pain and tears. He also has low muscle tone making it hard for him to hold on when feeding.

I never knew two breastfeeding journeys could be so different. I have now been tandem feeding for a further year-and-a-half.

‘We need to be more open about the issues surrounding breastfeeding and where to go for support’

Kirsty

Ania Hrycyna

Kirsty

I knew I wanted to try breastfeeding, but also knew things might not work out and I didn’t want to feel too let down if I wasn’t able to. If anything I had almost convinced myself that I may not be able to because I was unable to harvest any colostrum before giving birth – despite my best efforts. I made sure to pack bottles of formula in my hospital bag.

With there being so much emphasis on ‘breast being best’ I did feel a bit guilty about being so comfortable with the idea of giving my baby formula straight away, like I had quit before starting – but now looking back I realise I had a lot of worries about breastfeeding in general with questions in my mind such as: Will I produce enough milk? Will it mean my body will never be my own again? Will my nipples be leaking milk all the time?

When I gave birth to my daughter, suddenly all of the feelings of anxiety and worry were quickly replaced with confidence as I watched her crawl up my stomach after birth, navigate her way to my boob and latch her little mouth – it was truly magical.

In this moment I fully understood and felt what my hypnobirthing teacher had meant when she said to trust your body and baby. Breastfeeding hasn’t come without the lows, though, and one of the things that surprised me was the pain – especially in those initial weeks when my daughter would cluster feed.

We’re told that breastfeeding should be a pain-free experience that will come naturally to us and our babies, which I don’t believe is true for the majority of women. I cried numerous times through the hard times in our journey, constantly thinking: why is this so tough when it’s supposed to be the most natural thing?

I think as a society we need to be more open about the issues surrounding breastfeeding and where to go for support, so that women can prepare themselves for the common issues and not struggle silently.

‘I felt like I was already failing as a mother, less than an hour after becoming one’

Ligia breastfeeding her baby.

Ania Hrycyna

Ligia breastfeeding her baby.

I always knew I wanted to breastfeed my children – my trouble was in having those children. After a good few years, I finally got pregnant thanks to the miracle of science, and then Covid-19 struck.

Serafina was born in September 2020. I tried to feed her in the minutes after birth, but she wouldn’t latch. I was devastated, especially as the breastfeeding nurses kept telling me it was because I have flat nipples. Hormones and tiredness didn’t help, but I felt that not only could I not conceive naturally, I couldn’t feed her naturally either. I felt like I was already failing as a mother, less than an hour after becoming one.

The following day, I was ‘allowed’ to express, so at least she was getting the good stuff… When I got home, I persevered with breastfeeding – my husband bought every contraption under the sun to try and help with my ‘flat nipples’ and the midwife who visited on day five tried to help me with positioning.

Serafina did start feeding, but I was in agony, kept getting blocked ducts, and had a baby or a pump attached to my boobs nearly 24/7. About six weeks after Serafina was born, I finally plucked up the courage to join a breastfeeding Zoom session. I was recommended a lactation consultant who arrived the next day and diagnosed a severe posterior tongue tie within two minutes of walking in the door and advised the stabbing, freezing pains I was feeling was vasospam.

A mere 10 seconds after the tongue tie was severed, Serafina latched onto my boob – and it felt amazing.

When we decided to try and have another baby, I was told I wouldn’t be able to start the hormone treatment until I’d stopped breastfeeding Serafina. After everything we’d been through to get to this point, how was I going to stop?! And why was I putting a potential future baby ahead of the real life baby girl I held in my arms?!

The guilt was crushing. But we eventually did it (with many tears!). Persephone was born in January this year and latched on and started feeding within minutes. It was a totally different experience. It still didn’t feel quite right, but it wasn’t painful. Tongue tie was discounted, so I just got on with it.

We were eventually referred to the tongue tie clinic because Persephone had green stools, and lo and behold, she had posterior tongue tie. To say I was annoyed is an understatement. But at six months old, she is now feeding much better. It has not been an easy journey, but I’m so proud of myself and my girls.

‘There is so much more to breastfeeding than just feeding a baby’

Helen breastfeeding her child.

Ania Hrycyna

Helen breastfeeding her child.

I always knew I wanted to breastfeed, so when my eldest daughter was born in 2013 I was delighted when it came quite easily to us both. When her younger brother was born 16 months later, it was a different story.

He had a tongue tie and feeding was really painful. I didn’t know how or where to access good support and believed the people who told me nothing could be done to make his feeding more comfortable.

I fed him for a year but it was a good three months before it felt comfortable. The same thing happened with his younger sister, born 18 months later and also with a tongue tie.

When my fourth baby was born and feeding was again painful, I knew a bit more about tongue tie and what to do. We found support, had her tie divided and feeding was so much easier from then on.

I decided to train as a breastfeeding counsellor, partly because I had always loved feeding my babies (despite the pain) and wanted to understand it more, and partly because I wanted to be able to offer others the support I had so desperately needed myself.

I spent two years completing a foundation degree and during that time my fifth and sixth babies came along, both with tongue tie. I recently gave birth to my seventh baby (again with tongue tie), who is in this photoshoot.

I find it so rewarding to be able to help people to work through difficulties and to be able to continue breastfeeding, where that is important to them. It has also been a huge help to my own breastfeeding journeys, which have not been without their difficulties, to understand how breastfeeding works and the impact that the various challenges can have.

I hear first-hand how valuable that support is for new parents and I am passionate about providing accessible support to anyone who needs it through drop-ins, free telephone helpline support and signposting to other services.

There is so much more to breastfeeding than just feeding a baby and I enjoy the constant learning that comes with working in breastfeeding support.

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If Your Baby Or Toddler Naps Little And Often, Researchers Want You To Do This

When it comes to babies and toddlers, it’s safe to say there’s no rulebook as far as sleep is concerned.

While there’s no shortage of books out there telling parents how much their children should be sleeping at various stages in their development, the reality is that no two babies are the same so they’ll have very different sleep needs.

And, when they reach toddlerhood, well… good luck to you as you spend hours each evening trying to get them down to sleep. (Sorry, I might be projecting.)

But does it actually mean something when an infant naps little and often?

Well, a new study suggests it might. Some children are more efficient at consolidating information during sleep, so they nap less frequently, the research found.

Conversely, University of East Anglia researchers found that it’s usually the case that frequent cat-nappers tend to have fewer words and poorer cognitive skills than their peers.

The takeaway? The research team said these children should be allowed to nap as frequently and for as long as they need.

For the study, researchers analysed 463 infants aged between eight months and three years during lockdown in 2020.

Parents were surveyed about their children’s sleep patterns, their ability to focus on a task, keep information in their memory, and the number of words that they understood and could say.

They also asked parents about their socio-economic status – including their postcode, income, and education – and about the amount of screen time and outdoors activities their child engaged in.

As the research took place during lockdown, it allowed researchers to study children’s intrinsic sleep needs because they weren’t at daycare, which is where they tend to sleep less.

They found the structure of daytime sleep is an indicator of cognitive development.

Lead researcher Dr Teodora Gliga said: “There is a lot of parental anxiety around sleep. Parents worry that their kids don’t nap as much as expected for their age – or nap too frequently and for too long.

“But our research shows that how frequently a child naps reflects their individual cognitive need. Some are more efficient at consolidating information during sleep, so they nap less frequently.

“Children with smaller vocabularies or a lower score in a measure of executive function, nap more frequently.

“Young children will naturally nap for as long as they need and they should be allowed to do just that.”

Parents of frequent cat-nappers needn’t worry though.

The findings suggest that “children have different sleep needs – some children may drop naps earlier because they don’t need them anymore,” said Dr Gliga, and that “others may still need to nap past three years of age” – and that’s OK.

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Next Time You Make A Negative Comment About Your Kid, Remember The 3-1 Ratio

Having good self-esteem is so important for our mental health – and with social media being exceptionally popular now, it can feel harder than ever to keep our kids feeling confident about themselves and their bodies.

Self-esteem is how a person feels about themselves. According to the charity Young Minds, most children will have dips in self-esteem as they go through different stages or challenges in life, such as bullying or sitting exams.

And as parents, it can be tough to know what to do to help them through these dips in how they feel about, and view, themselves.

Signs of low self-esteem in children

According to the mental health charity, children and young people with low self-esteem might regularly:

  • have a negative image of themselves
  • lack confidence
  • find it hard to make and keep friendships
  • feel lonely and isolated
  • tend to avoid new things and find change hard
  • can’t deal well with failure
  • tend to put themselves down
  • are not proud of what they achieve
  • always think they could have done better
  • are constantly comparing themselves to their peers in a negative way.

Thankfully there are some relatively easy ways we, as parents, can help boost our children’s self-esteem.

Apply the 3-1 ratio to everyday life

It’s pretty hard to never utter a negative comment to your child (especially when you’ve reached the end of your tether and they’ve been pushing your buttons all day).

According to Big Life Journal, a popular Instagram account offering parenting advice, for every negative comment you make about your child, you should then balance it out with three positive ones.

So, for example, if your child spilled a drink everywhere and you reacted with: “I can’t believe you did that. Why can’t you just hold your cup?”

The experts behind the account advise following up with at least three positive comments to your child that day. So things like: “I noticed you shared with your brother, thank you” or “thank you for putting your jumper away”.

“Scientists discovered that it takes three positive experiences to offset one negative experience,” they wrote in an Instagram post.

“Your child’s brain is wired to remember and focus on negative comments. So, to build your child’s self-esteem, apply this 3-1 ratio.”

Other ways to boost self-esteem, according to Young Minds, include:

  • Let them know you value effort rather than perfection
  • Encourage them to try new challenges
  • Encourage them to voice their opinions and ideas
  • Ask them about three good things that went well during their day
  • Acknowledge how they feel and help them to express this in words
  • Spend quality time together doing things they enjoy.
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Would You Know What To Do If Your Child Was Burned By A Hot Drink?

A mum and former nurse has shared the burns and scalds advice that she reckons plenty of parents don’t know, but definitely should.

Beki (@beki.guinta) recalled the mortifying moment her 18-month-old son pulled her hot tea – consisting of pure boiling water and no milk – down on top of him.

“I was standing right next to him, I did not think this would happen, I’m the most safe parent alive,” she said in a TikTok video which has been viewed more than 5.3 million times.

Beki explained how she used to be a registered nurse and worked in a children’s intensive care unit and therefore has “seen it all” and is “so safe” with her child. But noted these accidents still happen.

She then proceeded to tell other parents “exactly” what to do in the event that their child gets burnt.

“The lack of knowledge people have around what to do if a child gets burnt is astonishing,” she said.

So what’s the advice?

“The first thing you need to do is call an ambulance and then you need to take all your child’s clothing off, get them completely nude, and get them in a shower or under continuous cold running water for a minimum – a minimum – of 20 minutes,” she said.

“Not only does this aid in stopping the burn, this helps aid with the pain as well.”

The NHS shares similar advice for treating burns or scalds. Firstly, it advises to remove any clothing or jewellery from near the burnt area of skin, including babies’ nappies, unless – and this is important – the item of clothing is stuck to the burnt skin.

Then it says to “cool the burn with cool or lukewarm running water for 20 minutes as soon as possible after the injury”.

It warns parents to “never use ice, iced water, or any creams or greasy substances like butter”.

You’ll need to keep your child warm to help prevent hypothermia – “use a blanket or layers of clothing, but avoid putting them on the injured area,” reads the advice.

Beki said she used her body heat to keep her son warm while he was in the shower.

Next, cover the burn with cling film (laying the film flat over the burn rather than wrapping it around a limb) and treat any pain with paracetamol or ibuprofen, advises the NHS. It might also help to raise the affected area to reduce swelling.

Recalling the horrifying moment her son was burned, Beki continued: “My little boy was beside himself. I had to sing Twinkle Twinkle Little Star while I was sobbing, holding him in the shower just running icy cold water over his burn.

“His whole face, his neck, his torso, his stomach – everything was bright red. I’m talking like, a red that isn’t… you don’t normally see it. It was terrifying.

“I just thought instantly: he was going to be in the burns unit, he was going to be having skin grafts, he was going to have surgery and that would’ve 100% happened had I not done what I did that day.”

She said her son is now fine and “doesn’t even have a mark on him” – and she credits running cool water on him for 20 minutes as the reason why.

According to the NHS, you’ll need to go to A&E if your child is under 10, has a medical condition or weakened immune system and has a scald or burn.

You should also head to hospital if they have:

  • large burns bigger than the size of their hand,
  • deep burns of any size that cause white or charred skin,
  • burns on the face, neck, hands, feet, any joints, or genitals,
  • chemical and electrical burns,
  • any other injuries that need treating,
  • any signs of shock – symptoms include cold, clammy skin; sweating; rapid, shallow breathing; and weakness or dizziness.
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The One Health Care Provider Most People Should See After Giving Birth, But Don’t

After weekly medical check-ins at the end of pregnancy, most people won’t see a health care provider until six weeks postpartum. At that point, if it looks like healing is proceeding well, they are officially “cleared” to have sex and exercise again.

Following delivery, the focus tends to shift to the baby’s health (how much are they eating, sleeping or crying?) and away from the person who gave birth.

Common postpartum physical complaints such as incontinence or pain in the back, pelvis or genitals are often written off as par for the course, as though pregnancy and birth are expected to do some damage to the body.

While postpartum healing is a process, and most people need some time before they feel “back to normal,” there are things that you can do to support healing and lessen pain and discomfort.

One proactive step you can take is to make an appointment with a physical therapist, who can evaluate you for common postpartum issues and recommend exercises to prevent incontinence and pain.

Postpartum physical therapy isn’t the norm in the U.S., but in other countries, such as France, it’s standard care.

Pregnancy’s impact on the body

After weekly medical check-ins at the end of pregnancy, most people won’t see a health care provider until six weeks postpartum.

Cavan Images / Rebecca Tien via Getty Images

After weekly medical check-ins at the end of pregnancy, most people won’t see a health care provider until six weeks postpartum.

There are multiple ways that pregnancy can put a strain on your musculoskeletal system. The hormonal shifts of pregnancy don’t only affect your reproductive organs.

“What happens is the joints can become a little more loose and lax,” Jenni Limoges, a physical therapist in Nevada specialising in pelvic floor issues, told HuffPost. This loosening helps your pelvis expand to make room for the baby, but it can also trigger pain from a previous back or hip injury or result in new discomfort.

In addition, as your belly grows, your body has to adjust to a new centre of gravity. “It tends to pull people forward. It creates instability,” said Limoges.

Your pelvis tips forward, and the muscles in your back, pelvis and hips all shift, either lengthening or shortening. Your abdominal muscles separate to make space for the baby. Even your feet change, flattening out to support your pregnant body (many people find they go up a shoe size following pregnancy).

Your pelvic floor muscles provide a sort of shelf inside your hip bones that supports all of the internal organs, including the uterus. There are three layers and nine different muscles that work in concert, Limoges explained.

“These muscles help us stay dry,” she said, and play a key role in sexual functioning. The way these muscles have to stretch to accommodate pregnancy and allow for delivery can cause them to become too stiff or too loose, causing pain or incontinence (urinary and/or faecal).

“I often times hear of people saying that they want to opt for a C-section because they think this protects their pelvic floor,” said Ruba Raza, a North Carolina-based physical therapist who also specialises in pelvic floor, pregnancy and postpartum issues. However, Raza told HuffPost that you can still have pelvic floor issues following a C-section.

“Regardless of the mode of delivery, it is important to see a pelvic floor physical therapist if you are having symptoms during or after pregnancy,” Raza said.

“A lot of people do not seek out our services during pregnancy because they
assume that their symptoms will improve postpartum, but with most concerns, these can continue and even worsen if they are not addressed.”

Common postpartum issues

In addition to urinary and faecal incontinence, other common postpartum complaints that can be addressed with physical therapy, Raza said, include: “Sacroiliac joint pain [the sacroiliac joints link the pelvis to the bottom of the spine], constipation, low back pain, pelvic floor pain, C-section scar sensitivity, pain with intercourse and rectal pain.”

Many of the common postpartum complaints such as pelvic floor pain, C-section scar sensitivity and back pain can be addressed with physical therapy,

Rawlstock via Getty Images

Many of the common postpartum complaints such as pelvic floor pain, C-section scar sensitivity and back pain can be addressed with physical therapy,

Another issue you may have heard about is diastasis recti. A line of connective tissue called the linea alba runs down the middle of your stomach and fastens together on both sides of your abdominal muscles.

During pregnancy, this tissue stretches out and often separates to accommodate your growing uterus. After delivery, it generally closes back up again over the course of eight weeks or so. If it doesn’t close back up, you may notice that you continue to have a belly pouch, as though you were still pregnant. You may also have pain or incontinence.

Because movements like traditional abdominal crunches can worsen diastasis recti, it’s important to work with a knowledgeable provider who can prescribe exercises to help your diastasis recti heal.

What treatment looks like

Physical therapy for postpartum issues generally involves weekly visits.

“The typical model for the pelvic floor is one-on-one for an hour,” said Limoges, adding that you should feel the results as soon as a couple of weeks in.

“I definitely expect within four to six weeks you’re seeing some improvements,” she continued.

Raza said she typically sees patients once a week for six to eight weeks, but of course, this varies based on the nature and severity of the issue they’re dealing with.

“The plan is very individualised to the patient’s concerns or symptoms,” she said. There are a multitude of exercises your physical therapist may teach you and have you practice at home.

Limoges explained that the treatment for pelvic floor issues such as incontinence depends on whether the problem is that the muscles are too stiff or overstretched and lacking in tone.

With incontinence, it’s common to hear the blanket advice to do Kegel exercises (contracting the pelvic floor muscles — the ones you use to stop urination mid-stream), but these can be counterproductive if the issue is stiffness. For this reason, it’s a good idea to have an evaluation with a physical therapist before starting any exercise program to address your problem.

While a good portion of the evaluation involves the physical therapist learning what your symptoms are, and sometimes this can even be done via a remote telehealth visit, if you’re having a pelvic floor issue, an internal pelvic exam is usually necessary at some point.

“I like to tell people, ‘I’m not the gynaecologist’s office, so I don’t use stirrups,’” said Limoges.

“I typically do a scan of tissue first, just to make sure everything looks OK. And then for the internal assessment, I insert my finger vaginally, and I’m checking each layer of muscles.” This internal exam allows the physical therapist to assess the muscle’s flexibility and to see if there is organ prolapse.

Your therapist will likely want to see how long you can hold a contraction of your pelvic muscles (a Kegel). The standard goal is ten seconds. They will also want to see how quickly you can contract the muscles and whether you have any pain.

While a physical therapist may recommend Kegel exercises if they find a lack of tone in your pelvic floor muscles, there are many other types of exercises they may prescribe.

Each physical therapist stressed the importance of finding a way for a new parent to work these exercises into their day in a way that is feasible.

Twenty47studio via Getty Images

Each physical therapist stressed the importance of finding a way for a new parent to work these exercises into their day in a way that is feasible.

Raza and Limoges discussed using breathing exercises with postpartum pelvic floor patients. Other possibilities include stretches, squats, and what Limoges called “self-tissue mobilization,” in which you apply gentle, internal pressure to the layers of muscle.

Each physical therapist stressed the importance of finding a way for a new parent to work these exercises into their day in a way that is feasible.

“I love incorporating exercises into activities that the patient is already doing,
such as adding in a pelvic floor and core contraction every time the patient completes a transitional movement or working on diaphragmatic breathing and pelvic floor relaxation while they are breastfeeding their baby,” said Raza.

Limoges also mentioned feeding/pumping as an opportunity to do Kegels or breathing exercises, as your life during those first few months tends to revolve around these moments. She recalled working with one mom caring for her newborn while homeschooling her older children. She needed exercises that she could do while standing and wearing the baby, so Limoges prescribed some wall sets and lunges she could do.

Postpartum or not, Limoges said she limits treatment to a few daily exercises that a person can work into their routine without too much trouble and works with the patients to address their most urgent concerns within the context of their lives.

A mother of twins, Limoges recalled, was having issues with urgency to urinate. “But she was running into a problem because she couldn’t get the twins in a place that she could watch them and go to the bathroom at the same time.” She padded her bathtub so she could set them safely in it to pee without leaking or holding it too long.

While your body will never return exactly to what it was before pregnancy, Limoges believes that improvement is always possible with any of these physical issues.

“My goal is to get people to 90% at least,” Limoges said. “Can you get yourself to where you’re not hunting for the bathroom or worrying about wearing a pad everywhere you go or [not] leaving your house and those kinds of things? Absolutely.”

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If Your Child Wants To Change Pronouns, Here’s What You Can Do And Say

The topic of children changing pronouns has caused quite the stir of late, with one Tory MP suggesting pronouns should be removed from schools to “protect children” and another saying kids should be banned from changing their pronouns at school.

The reality is though that we need to talk about pronouns. So we might as well be sensible about it.

More and more young people are challenging the concept of gender binary, according to family psychotherapist Fiona Yassin. The therapist has seen “a big increase” in the number of young people pausing and assessing their identity.

In fact, the founder and clinical director of The Wave Clinic, tells HuffPost UK around 60% of children and young people who are treated at the clinic request their pronouns are changed from the ones they were assigned at birth.

And in some cases, these children are pre-teens, which can catch parents off-guard.

“At The Wave Clinic, we’re specifically noticing that gender identity and pronouns are being debated by younger children at the ages of around 10-11,” she says.

“Questions of identity: ‘who am I?’ and ‘who do I want to be?’ are very strongly linked to the developing sense of self.”

Pronouns are words we use in everyday language to refer to ourselves or others, according to Stonewall, and they can be an important way for people to express their gender identity. Some commonly used pronouns are she/her, he/him and they/them.

“Whilst conversations around pronouns and identity have become commonplace amongst children, tweens and teens, the topic is unfamiliar to many parents and carers and they may not necessarily feel equipped with an understanding of, or language to talk about, pronouns and gender identity,” Yassin says.

With that in mind, here’s her advice for parents and carers on how to approach a conversation with a young person who would like to change their pronouns.

1. Stay with the information you’re presented with and avoid jumping ahead

“When a young person tells a parent that they are thinking of – or would like to – change their pronouns, parents often become alarmed that there’s also going to be a change in sexuality,” says Yassin.

And although the two can (and do sometimes) go together, it’s important for parents – and indeed, everyone – to understand that gender identity and sexuality are two different things.

She describes instances where young people have started a conversation about pronouns and have then been pressed by parents on whether they’re gay.

“This often happens because parents feel fearful about the transition their young person is wanting to make. In reality, there are many stages to transitioning and all require gentle communication,” she explains.

So, her key advice is to stay with the information you’ve been given, avoid jumping to conclusions and steer away from questioning your child about their sexuality.

2. Respond in an age appropriate way

If you have an 11-year-old talking to you about changing their pronouns, “it would be inappropriate to dive into a more extreme conversation, for example about surgical or hormonal changes,” says Yassin.

“If the conversation does evolve into this then it’s okay to explore this further. But it’s important to meet them where they are at and not get ahead,” she adds.

3. Be curious and actively listen

The charity Mermaids, which supports trans and gender diverse children and their families, says one of the key things they encourage parents or carers to do is to really listen to their child.

This means hearing and respecting what they are saying, giving them time and space to explore these feelings and what they mean for them as individuals, and taking their young person’s lead, says a charity spokesperson.

One of the most important things parents can do is to be curious, agrees Yassin.

“Without being persecutory or pushy, use this as an opportunity to find out what they are considering around their identity and why, and what different pronouns mean to them,” she suggests.

“Exploring this with your young person can be a beautiful moment – it’s likely that you are both navigating this for the first time. As a parent, you are not there to assert judgement or to share your opinion – acknowledge that your child’s feelings, emotions, thoughts, experiences and viewpoints on the world are likely different to yours.”

4. Set time aside to have a conversation where you won’t be interrupted

If you’re not able to listen properly – for example, it’s during the morning school rush or late at night – you need to gently defer the conversation for a time when you can do so.

Yassin advises parents to “acknowledge you’ve heard your young person and set a time aside when you know you can explore this together”.

So, you could say something like: “Thank you for sharing this with me. I really would like to hear about what you’re experiencing and find out more about your views and opinions on this. Let’s sit down together as a family when we get home and explore this together.”

5. Only invite people into the conversation who you know are open and understanding

If there’s someone in your family who you think will react badly or simply won’t be emotionally available or open to the conversation, it’s worth letting them sit this one out.

“It is better to have the conversation and explore this with your young person without someone who is tricky and has less flexible attitudes,” says the therapist.

“If you need to tell friends or family members who have staunch or more traditional views about your child’s change of pronouns, look to have these conversations without your child’s involvement. This helps to protect your young person from volatile and unhelpful reactions.”

6. Be careful about your choice of words

In the heat of the moment, and without the appropriate warning, you might say something you regret – or that comes out wrong.

Yassin urges parents to tread carefully here, as you don’t want to use any words that could minimise their experience.

“Fluidity is everything in these conversations and defining your young person by using words such as ‘queer’, ‘bisexual’ and ‘heterosexual’, may make them feel boxed-in or marginalised,” she says.

“In addition, some parents can get stuck on the notion that ‘they/them’ pronouns do not sound right or fit snugly into the English language. Avoid using language and phrases that can feel shaming and marginalising, such as, ‘it’s not natural to use they/them’.”

Some parents might also assume their child is following a trend or is in a phase when they decide they want to change pronouns.

As Yassin says: “We hear many parents ask ‘who else in your class/school has changed their pronoun’ or ‘who amongst your friends has done this already’. This line of questioning can feel disempowering and minimising to a young person and could cause quite an angry backlash.”

Plus, research is showing that the majority of children over the last decade or so who have changed their gender pronouns do stick with their decision.

7. Steer clear of shame-inducing language

Don’t shame your child for wanting to change their pronouns. The therapist suggests doing so could “cause harm to a generation of children who, because their parents are not accepting or retaining curiosity, shut down or hide parts of themselves”.

“Young people in the early years of identity development are experimenting and trying things out for size and it’s important that as parents, we encourage our young people to be curious and experiment,” she adds.

8. It’s okay to say you don’t know

If your child is asking questions and you don’t know the answers, it’s OK to admit that.

“Ask your young person if you can join them on their journey of discovery and learn and research together,” suggests the therapist.

“Assume that if your child comes to you with the conversation, it’s likely they have already done a lot of research online and are talking to people who are in the same position as them. Exploring this together can also help to sieve out misinformation and find trusted resources for support.”

9. Accept that you might make mistakes

Chances are you’ll probably make some mistakes along the way, like using the wrong language or stumbling on their pronouns.

“The reality is, we are all human and despite having best-intentions, you may not get it right 100% of the time,” says Yassin.

“Mark this at the outset and talk to your young person about what will happen if you use the wrong name or pronoun. Being open and honest upfront can help to avoid the issue escalating if mistakes are made.”

Mermaid’s spokesperson says some families don’t use any pronouns for a while, to help make the switch, or they have a pronoun jar (a little bit like a swear jar) where they pay up if they make a mistake.

“Acknowledging that getting someone’s pronouns wrong was a mistake and may have caused upset to them, so apologising and correcting yourself is important too,” they add.

10. Consult a gender positive therapist

If a child is considering changing their pronouns, you might also want to seek outside help to ensure they feel supported during this period of change. Mermaids’ helpline, for instance, provides support to parents and carers during this period.

“For some, the change can bring hefty conflict into the family and for some cultures this shift will be very difficult to accept,” says Yassin.

“Parents should happily consult a therapist, particularly a gender affirming and gender positive therapist, who can help to facilitate a conversation with the family about what’s happening and why it might be happening.

“Having professional support can help to avoid fragments and tension appearing within the family.”

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‘My Body Is Craving A Break’: This Is What It Feels Like To Be ‘Touched Out’

As a breastfeeding mother of three, Krystal Duhaney is no stranger to the sensation of being “touched out”. She describes it as “reaching the point where you just want a little breathing room from constant physical contact”.

“Don’t get me wrong, I love cuddling and snuggling with my little ones, but there are moments when I feel like I’ve had enough,” Duhaney, a registered nurse, lactation consultant and founder of MilkyMama, told HuffPost.

“Imagine having tiny hands tugging at your clothes, clinging to your legs, lifting up your shirt, and constantly wanting to be held. It can be overwhelming, especially when you add breastfeeding into the mix. Sometimes, all you want is a moment of personal space to recharge and gather your thoughts.”

This phenomenon is most often reported by mothers, but any parent or caregiver can experience it. Some have described it as a skin-crawling or claustrophobic feeling. For Duhaney, being touched out can make her feel “a bit irritable and impatient”.

“It’s like my body is craving a break from the never-ending physical demands,” she said. “It doesn’t mean I love my children any less. It’s just a natural reaction to the constant touch and sensory stimulation.”

Parents may feel touched out for any number of reasons. The near-constant physical contact when taking care of young children, especially, is a big contributor – think nursing, rocking, holding, cuddling, baby-wearing, co-sleeping, etc. Personal space and alone time are in short supply when you have a baby or a toddler.

“Breastfeeding demands, especially when coupled with frequent nursing sessions, can add to the feeling of being touched out,” Duhaney said.

“Sometimes, all you want is a moment of personal space to recharge and gather your thoughts.”

– Krystal Duhaney, mother and lactation consultant

Plus, there’s the “sensory overload from the combination of physical touch, noise and other stimuli,” which can be overstimulating to moms, she added. This may be especially pronounced for mothers with ADHD or other neurodivergent parents.

The heavy mental and emotional burdens of modern parenthood – like the pursuit of trying to “do it all” – likely play a role in feeling touched out, too, experts say.

“There isn’t much space left to think about yourself when you are worrying and thinking about your child, spouse, and all the other tasks you are responsible for,” marriage and family therapist Gayane Aramyan told HuffPost.

Naturally, all of this can take a toll on your relationship with your partner, too. Aramyan said her clients who are mothers often tell her they “literally don’t want to be touched anymore at the end of the day” and “just want their own space”.

“It’s really hard to make space for the family members who are not infants to have close intimate touching when you have an infant hanging off of you all day,” psychologist Louise Packard told Motherly.

If you’re feeling touched out, here’s how to cope

“Whether it’s enjoying a cup of coffee alone, taking a quick walk, or simply locking yourself in the bathroom for a few minutes of peace, those moments of solitude can work wonders," Duhaney said.

urbazon via Getty Images

“Whether it’s enjoying a cup of coffee alone, taking a quick walk, or simply locking yourself in the bathroom for a few minutes of peace, those moments of solitude can work wonders,” Duhaney said.

First, know that as unpleasant as this sensation can be, it is a very common experience and is in no way a reflection of your parenting abilities or the love you have for your family.

Mums often feel guilty for being touched out, but they shouldn’t: Bodily autonomy is a “normal human need,” psychologist Jessica Combs Rohr wrote in a blog post for Psychology Today.

“A fun thing about motherhood is you almost always feel like you are being a bad mother if you have a normal human reaction to difficult experiences,” she wrote in the story.

When you’ve reached your touch limit, communicate that to your family. Explain that you love them, but you need some time or space for yourself right now.

When you’re not so overwhelmed, have an honest conversation with your partner about what you’re feeling. That will help them understand what you’re dealing with and realise it isn’t personal.

“Set some boundaries and ask for support,” Duhaney said. “Your partner, family or friends can help share the load and give you some breathing room.”

Try to schedule some “me” time every day — even if a few minutes is all you can manage.

“It can be as small as 10 minutes before everybody else waking up,” Aramyan said. “Or taking 10 minutes during your child’s nap to not do anything but sit and read, or meditate. It’s important to fill our cup not just with girls’ nights or date nights or exercise, but to have something that happens daily for us to get something done for ourselves.”

Duhaney said it’s also important to give yourself permission to take breaks without feeling guilty about it.

“It’s OK to step away and recharge. Find moments throughout the day to steal some personal space,” she said. “Whether it’s enjoying a cup of coffee alone, taking a quick walk, or simply locking yourself in the bathroom for a few minutes of peace, those moments of solitude can work wonders.”

Connecting with other parents who understand firsthand what you’re going through can also help.

“Find online communities or local mom groups where you can share your experiences, vent, and get advice from moms who’ve been there,” Duhaney said. “Sometimes just knowing you’re not alone in feeling touched out can bring a sense of relief and validation.”

If your partner is the one feeling touched out, here’s how you can help

If you’re the partner of a touched-out mum, be supportive and understanding. Respect her boundaries, which may mean putting your desire for physical affection on the back burner temporarily.

“Show empathy and understanding by acknowledging her feelings and validating her experiences,” Duhaney said. “Let her know that you’re there for her and ready to help in any way you can.”

Make sure you’re pulling your weight when it comes to caregiving and other household responsibilities. See where you can do more to lighten her load.

“Offer to take over some tasks, such as feeding, diaper changes or bedtime routines, to give her a break,” Duhaney said. “By sharing the load, you’ll provide her with the opportunity to recharge and have some much-needed personal space.”

“Pay attention to signs of her feeling overwhelmed and step in to assist before she reaches her breaking point.”

– Duhaney

Be proactive about stepping up without always needing prompting or reminders from your partner.

“Anticipate her needs and offer help without waiting to be asked. Pay attention to signs of her feeling overwhelmed and step in to assist before she reaches her breaking point,” Duhaney said. “Proactively taking care of household chores or offering a listening ear can go a long way in easing her burden and making her feel supported.”

For the time being, sex may feel like yet another thing she has to do for someone else — but there are many other ways to foster intimacy. Maybe that’s getting a date night on the calendar once a month, setting aside 15 minutes at night to talk about stuff other than kids or household logistics, holding hands while watching TV or giving her a foot rub after a long day.

Encourage your partner to prioritize time for herself and help her make it happen.

“Support her in taking time for herself, whether it’s a relaxing bath, a solo outing, or pursuing a hobby she enjoys,” Duhaney said. “Offer to take care of the kids during those times, so she can fully focus on rejuvenating herself.”

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This Mum Potty Trained Her Two-Year-Old In 72 Hours Using The ‘3P Method’

Potty training is not for the fainthearted. It requires oodles of patience, a lot of wipes and an ability to be increasingly chilled when a poo turns up on your nice cream carpet.

But once your child is out of nappies and proudly doing wees and poos in their potty (or on the toilet) it’s a very rewarding feeling for all involved.

One mum-of-two recently took to TikTok to share how she managed to potty train her two-year-old in 72 hours (aka three days) – and we have nothing but respect for this toileting champion.

Courtney Ryrie-Novack, who is known as @scottishcourt on the app, said she used something called the ‘3P method’.

Those Ps stand for: persistence, patience and praise. Sounds interesting. So what does it all involve?

For starters, Courtney shared that she and her toddler didn’t leave the house for three days while they embarked on the potty training mission. And for that entire time, her son was naked.

Discussing the ‘persistence’ part of the 3Ps, Courtney said this is “most important” in the first day or however long it takes for your child to grasp that the potty is where they need to do poos or wees.

“Personally for us it was one day to know where the pee or whatever goes. So every 10 minutes you’re going to put your child on the toilet and say: you need to go pee, or poo, or whatever word you want to use,” she explained.

“You’re going to fill them up with juice … and you fill [them] all day long, and every single 10 minutes: [put them on the] toilet, toilet, toilet. And you do that until it’s bedtime, and that’s when we put a nappy on.”

She added that when her son first started using the potty, they’d use a distraction like an iPad to keep him sitting there, because otherwise he would try and run away.

There were some downsides to this technique, however. “He kind of tried tricking us sometimes by sitting on it for like 20 minutes so he could watch 20 minutes of his iPad, but we kind of let it pass the first day because – like I said – it was his first day,” she said.

By the end of the first day, Courtney said her son knew where he needed to pee and would know to get his parents, so they could take him to the toilet. And by the end of day two, he was going to the toilet by himself.

The mum added that ‘patience’ is also crucial during this time – and especially on the first day – because there will be a lot of accidents.

On the second day, she said her son was no longer having any accidents in the wee department, but did a couple of rogue poos. But that’s to be expected.

Moving on to the third P – ‘praise’ – Courtney said this is definitely the most important part of the process.

“We’re never going to scold our kid for missing the toilet, not making [it to] the toilet, or just not doing it in the toilet,” she said. “Because it’s not their fault. All they’ve known their whole life is ‘do it wherever I am in my diaper’.”

So, when children end up weeing or pooing on the potty, she encouraged parents to check what’s in the potty and then cheer and celebrate with them. She suggested you could give them a sticker, sweet or a toy – “whatever you think will motivate them”.

In her case it was chocolate, and it worked like a dream.

Fellow parents were keen to try the process, while others shared their own success. “I was a toddler teacher and this is exactly how I ended up potty training my two boys and how I recommended my friends potty train theirs,” said one mum.

There is no set age to start potty training as every child is different, however the NHS does recommend that around the age of 18 months to two years old parents can introduce sitting on the potty as part of the normal daily routine.

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