I Thought I’d Conquered My Disordered Eating — Then I Got Pregnant

“And what does it say about me that being told I can’t have sugar makes me feel like this, like I’m losing my mind — why am I so OBSESSED with sugar? What’s WRONG WITH ME?”

Tears were creeping down my cheeks, inhales coming in broken and sniffly as I typed in the chat my husband and I used to communicate during work hours, dumping out all the intense feelings that had been pummelling me since my midwife sent the email diagnosing me with gestational diabetes.

After undergoing gastric bypass at 17 and losing 100 pounds — enough to get me into a J. Crew dress but never their pants; enough to get me attention from certain boys but never cross the societal line from “fat friend” to “cute girl” — I’d decided that, while it hadn’t made me thin, the surgery had “levelled the playing field,” meaning I could diet like a normal woman and exert some control over my previously unruly body.

I spent the next 15-plus years swinging between crash diets and hands-off-the-wheel reactive eating, punishing myself at the gym and then spending my lunch hour texting my long-distance boyfriend about what I’d eaten that day and how many calories I had left.

By the time I turned 30, though, I’d mostly accepted that my body just didn’t want to be smaller than a size 16. Dieting made me insufferably boring, so I tried to avoid it, and I’d recently discovered that yoga made me feel great, even when it didn’t make me smaller. But I was also already the smallest I’d ever been, as the result of nine months of deep depression following the end of my engagement to the aforementioned boyfriend.

When I started regaining some of that weight after meeting a new man (now my husband), my issues with food began to resurface. I scared the crap out of him with the level of my obsession, my inability to just make a change and behave normally. When I tried to be paleo for three days, making batch after batch of “cloud bread” and “cheese crisps,” he and my therapist both put their feet down. I was banned from dieting, at least without talking to my therapist first.

Things got better again. Between therapy, investing more time and energy in fat-positive spaces, and beginning to work with a nutritional counselor who specializes in intuitive eating, I was able to fight my obsession with smallness and control. Even when the pandemic weight I knew I’d gained, but hadn’t kept track of, was recorded against my will at an urgent care center and plastered in huge numbers across the top of my aftercare paperwork, I didn’t diet.

I cried, and raged, and panicked, but I didn’t diet.

Then, at 36, I got pregnant.

The first trimester was mostly OK. Yes, finding a provider who wouldn’t obsess about my BMI was a struggle, and morning (or, for me, all-day) sickness was no joke, but with the help of my nutritional counsellor I was able to let go of preconceived notions about what and how much I should be eating and focus on nourishing my body with whatever it could tolerate — pretty much just salty carbs.

But as my pregnancy advanced and the nausea eased, things only got harder. Since my gastric bypass, I’ve had to avoid particularly fatty or sweet foods; a few years later, I was diagnosed with oral allergy syndrome, which drastically limited the number of fresh fruits and vegetables I can eat without cooking or pickling. I’d gotten pretty used to those restrictions, but then came pregnancy.

No raw seafood. No tuna, even if it’s fully cooked. No pink meat. No fresh/soft cheeses. No pineapple. No Caesar salads. No more than 200mg of caffeine. No Googling “Can I eat xyz during pregnancy?” unless you want to be told that thing you were about to put in your mouth might kill your unborn child.

Years of work to dismantle the binary of good versus bad foods and here was an easy loophole! I could assign moral value to foods if it pertained to my condition.

A pregnancy selfie.

Photo Courtesy of Anne H. Putnam

A pregnancy selfie.

The noose only tightened when we got to the blood glucose testing stage of the pregnancy and found that, counter to the reactive hypoglycemia I’ve lived with since the gastric bypass, I was in fact teetering on the edge of gestational diabetes.

At first I was only supposed to be tracking my blood glucose and not changing my diet — I was in an “observational period” — but I knew better than to trust that. I began examining everything that went into my mouth, secretly Googling whether foods were “allowed” with gestational diabetes, and avoiding but also obsessing over carbs.

I fixated on them, at once desperate to eat nothing but bread and pastries and candy and repulsed by my own desperation, my weakness. I hunted down recipes that were diabetes-friendly but not full of fake sugar — I actually found one good one — and bought hundreds of dollars’ worth of keto substitutions for snacks I missed (word to the wise: Kodiak waffles are no Eggos).

My last defenses had failed. After years of nutritional counseling and pushing back against diet talk at work/with my family/among friends/online, I was back to my ’90s California roots: Carbs were the enemy. And this time I couldn’t argue, because it was my baby’s health at risk, not mine.

My husband kept reminding me that this burning hot medical spotlight on my diet was temporary, but I knew something much older and more enduring had been kicked loose in my brain.

And now here I was, being explicitly told to diet, the last scraps of my sanity obliterated by an informational PDF full of condescending, shaming language around food and weight. All the time and energy (and money) I’d spent working toward a release from diet culture felt worthless in the face of this fairly common but intensely triggering diagnosis.

When I emailed my nutritional counsellor about the diagnosis, she ordered me not to look at the pamphlet again and recommended that I work with a certified diabetes educator (CDE) with experience working with people in recovery from eating disorders and diet culture trauma.

And she was right. I can’t overstate the benefit of working with someone who understands the complexities of diabetes, who can view my glucose readings holistically, and who can contextualise my questions and concerns against my history and other restrictions. Every time I leave a virtual appointment with my CDE, I feel infinitely better.

But it doesn’t last. The minute it’s time to eat again, I’m thrown into turmoil. It’s actually worse than my past experiences with dieting, because the rules are less rigid: I’m supposed to eat carbs, but they have to be the right kind of carbs, in the right amounts, alongside the right balance of protein and fat and fibre. It’s enough to make me long for my fat camp days, when some skinny adult would portion everything out for me and I could just eat mindlessly (if miserably).

The constant calculations and carb-tracking and food prep are good reminders of why dieting made me so unhappy for so long. It’s exhausting and all-consuming. But I have to do it, and unfortunately my damaged brain is a little too good at it; I hate to admit that I’m settling into this joyless eating pattern, fighting the diet less every day.

Between my limited food choices and the baby squishing my stomach, I don’t feel much like eating anyway — I have to remind myself to do it, to keep us both alive. This has also caused me to steadily lose weight during the second half of my pregnancy, which my midwife seems a little too happy about for my liking (despite the dark, ancient pride that sometimes oozes up from the deepest parts of me when she mentions it).

The good news is that most of these issues should go away within a day or two after the birth — thinking about the deli turkey sandwich I’m going to make my husband bring me in the hospital is the only thing that makes me actually look forward to labor.

I say “should” because don’t google the statistics about type 2 diabetes after gestational diabetes. But as my CDE points out, it’s just another risk factor like any other. And thank goodness, because the last thing I need is to be obsessing over carbs and glucose readings and how much fruit I can eat when I’m trying to keep this little human alive outside my body.

What’s less certain is whether I’ll be so quick to get back to thinking of food choices as neutral or joyful, instead of as a test of my morality. I can only hope, and prepare — in case my mental health doesn’t “snap back” — to get back to the work of dismantling the lessons of diet culture that were so easy to slip back into.

If you’re struggling with an eating disorder, call the National Eating Disorder Association hotline at 1-800-931-2237.

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Stop Telling Women Not To Share About Their Early Pregnancy

I stared at the pregnancy test with relief, sadness, fear, longing and regret. “Pregnant,” it said.

I tried to breathe. I guess I couldn’t have that glass of wine I had been planning after all. In fact, the reason I bought the test was that I wanted to drink. I hadn’t for the past several days because I started to become alarmed that my period was so late. Holy buckets. Pregnant! How did this happen?

Oh yeah, that one time I had unprotected sex. I didn’t bother taking the morning after pill because I figured I was too ancient for something to happen.

I honestly didn’t think I could get pregnant. I spent my 20s doing everything in my power to prevent such an occurrence, including taking the morning after pill numerous times.

Then in my 30s, I came around to the idea that I actually did want to have a kid and tried to conceive with my partner at the time. I went off birth control for years with no result. I looked into going to a fertility clinic, but the cost was prohibitive.

In my late 30s, my inability to get pregnant caused acute pain and an ongoing feeling of loss. When I turned 40, I was finally able to come to peace with what I assumed was my own infertility. When I turned 42, I figured that window had closed.

Then I found myself about to turn 43 and pregnant by someone I’d met on Hinge and with whom I had four dates.

I paced and paced, my mind spinning. This thing I wanted for so long finally came to fruition. A baby! I never considered getting an abortion, despite the less-than-ideal situation of being without a partner. Yes, I was scared of all the risks of having a kid as an older mom, but there was no way I’d let this chance pass me by.

I started to think of baby names right away, and before I even told anyone, plotted scenarios of how on earth I would make it work. I’d need to get a two-bedroom apartment, I thought. Maybe my parents could help with child care. Or I could ask my nieces and nephews to help babysit. I plotted and schemed how I’d make it work.

I didn’t tell anyone until the next day. The first person I called was my sister. “I think I’m going to keep it,” I found myself saying.

I told a few other close friends. Everyone was supportive, though some encouraged me not to make my decision right away about keeping it or not. I said I would think about it to appease them, but I had already made up my mind.

“I began to see how people in early pregnancy should instead lean into their community. If the worst happens, then the village is there to offer support. Why keep things secret and battle that loss alone?”

I found it very difficult not to tell people my happy news. I wanted to share it with the world, but I didn’t even tell my parents, nor did I tell the Hinge guy, who I hadn’t spoken to in two months. I knew I would tell them, but I felt I needed to wait.

I had heard you weren’t supposed to announce your pregnancy until you were 12 weeks along. I had people I was close to encourage me to wait until that long to share widely, but I didn’t understand why.

Abortion stigma and miscarriage stigma are two sides of the same coin. In both cases, instead of seeing reproductive health as simply that — a part of a person’s overall health care, it’s instead loaded with politics and morality. One sequence of events means you are a terrible person, another sequence of events means you somehow are lacking as a real woman.

One-quarter of pregnancies end in miscarriage. We are told to keep early pregnancies private in order to be spared the pain of sharing our loss. I began to see how people in early pregnancy should instead lean into their community. If the worst happens, then the village is there to offer support. Why keep things secret and battle that loss alone?

A week and a half after I found out I was pregnant, I was reading on the couch, and I felt a sudden gush of liquid. I went to the bathroom and realised I was spotting. I happened to have my first ultrasound appointment the next day, and I was prepared for the worst.

At first, when the technician began the ultrasound, I didn’t realise that my insides were being projected on the screen in front of me. I opened my legs apart so I could see the image. I gasped. I saw the most miraculous thing. It was my very own little nugget right there!

Finally, the technician took the wand out and told me she was very sorry but couldn’t detect a heartbeat. It was like she jabbed me with a knife. I started crying then, and she took me to a private room so I didn’t have to go to the waiting room.

I immediately regretted not telling my parents. I needed my mom more than ever. Why hadn’t I shared with her the truth from the beginning?

“Our culture has a long way to go to support people who get pregnant, and that starts with getting rid of the shame of miscarriage, the politicization of abortion, and the judgment of not having children at all.”

I felt shame too, about the people I had told. Now I would have to tell them about the miscarriage. But then I started to question myself. Wasn’t it a good thing to seek support when something terrible happens? Why should I feel ashamed?

It took three more weeks for the miscarriage to actually happen. I decided to wait for it to happen naturally, and I ended up needing to go to the emergency room. It was traumatic, and yet I still felt hesitant to share with people outside of my closest circle.

I didn’t truly feel comfortable saying it was a loss, but it was. That doesn’t negate other people’s experiences of becoming pregnant and deciding to abort. Those two truths can exist for different people. For me, I lost someone I wanted to meet and love. I had to say goodbye before they were even born.

Our culture has a long way to go to support people who get pregnant, and that starts with getting rid of the shame of miscarriage, the politicization of abortion, and the judgment of not having children at all.

That’s why you should share whenever you feel compelled to share. For me, keeping the news bottled inside me ended up preventing me from getting all the support I needed. Maybe other pregnant folks want to wait a bit longer.

The important thing is that as a society, we need to stop telling people they have to wait until some arbitrary predetermined date. Get rid of the stigma around miscarriage and start caring for people at all stages of their pregnancy journey, even pregnancies that don’t come to term.

Help and support:

  • Sands works to support anyone affected by the death of a baby.
  • Tommy’s fund research into miscarriage, stillbirth and premature birth, and provide pregnancy health information to parents.
  • Saying Goodbye offers support for anyone who has suffered the loss of a baby during pregnancy, at birth or in infancy.
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Strictly’s Oti Mabuse Gets Candid About One ‘Beautiful Life Lesson’ Pregnancy Has Taught Her

Former Strictly Come Dancing professional Oti Mabuse has shared a candid Instagram post about the “huge adjustments” she’s made due to her pregnancy.

Over the weekend, Oti announced that she and her husband, fellow dancer Marius Lepure, are expecting their first child, and in a follow-up Instagram post, revealed she had to take an extended break from dancing early on in her pregnancy due to the nausea it triggered.

“I actually do enjoy working out lately again,” she explained. “In the beginning it was the one thing along with dancing that would cause my nausea so I stayed away for the longest of time.

“This obviously was a huge adjustment for my body, mental health and stamina and came with another huge but beautiful life lesson. I am creating a human being and whatever my body needs I should listen to it.

“But now that I can walk, run [and] lift weights again… I’m excited to get active again.”

Oti joked: “And this new ass… OH MY DAYS. I love it.”

In her original post announcing her pregnancy news, Oti wrote: “This is new for us, scarier than swimming with sharks, jumping off cliffs or even swinging from bridges, but the best news we could have ever asked for.

“We love our little bundle of joy so much already… and can’t wait to see what our future will now look like as family of three plus Leo [the couple’s dog].

“It’s been a beautiful journey so far with close friends and family and nearly over but we have learnt a lot a long the way…. Christmas is about to get even louder.”

The South African performer followed this with a beautiful video in which she was seen sharing her happy news with her husband, Marius, as well as different family members and friends.

Oti is most well-known for her seven-year stint as a professional on Strictly, during which she made TV history as the only dancer to have won the show in two consecutive series.

More recently, she joined the panel of ITV’s Dancing On Ice and served as a judge on The Masked Dancer.

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‘I Faced Judgy, Thoughtless Comments When Pregnant At 42, This One Stuck With Me To This Day’

When Lucy Baker was five months pregnant with her third child, a mum on the school playground exclaimed rather bluntly: “But you’re going to be 47 when the baby starts school!”

It wasn’t the first negative comment she’d faced since revealing she was pregnant at 42 – other “judgy, thoughtless comments” she’d been on the receiving end of included, “Why are you having another baby?” and “Was it a mistake?”

But the comment on the school playground really stuck with her.

At the time, she says she was “aghast”, but she later turned her negative experience into a positive, launching her blog the Geriatric Mum, which celebrates older mums.

“It’s been a real driver for me in some ways because I thought: you know what, I’ll bloody show you,” Baker, who lives in Lincolnshire and has three children aged 13, 10 and four, tells HuffPost UK.

Fast forward five years and Baker’s youngest child is set to start school in September.

To honour the occasion and “show the world how great being an older mummy can be,” the confidence coach plans to wear a gold, sparkly dress to drop him off on his first day.

The idea came about while she was doing a panel talk in London and was wearing the gold dress in question. “I talked about the Geriatric Mum story and the fact my son starts school in September,” she recalls.

“I said to the audience: ‘Actually I should do something big on the day, should I wear this gold dress?’ And the whole place cheered, so I thought: Well, I’ve committed to it now.”

Baker plans to wear the dress as a way of sticking two fingers up to society’s ageist views – which especially impact women.

“I want to do it as a celebration of geriatric mums – and for me and my little boy,” she says.

There is a deeper message she wants to convey by getting parents, particularly mothers – both on the playground, and reading this article – considering their actions towards others.

“As a geriatric mum, I’m trying to spread the message of: please don’t judge other women for their life circumstances, their choices, their situations because it’s really boring and actually hurts – these words stick,” she says, referring back to the comments she received during her pregnancy.

“I get messages on Instagram and women are feeling judged because of their age. It’s still happening and those labels are 100% out there.”

She adds: “I was really judged and nobody knows what I was feeling behind the scenes or what I’d been through to have my third child. Nobody knows what anyone else is going through.

“The journey to pregnancy is so unknown, but people are still judging other people for the age they have their children.

“I just want people to hold back on that judgement and pause for a minute and think: I don’t know that person’s story, so why am I judging them?”

But above all, she wants people to know she’s “loving being an older mum” – and endeavours to give other women who are striving to become mothers in their 40s hope.

“I’m in a great place in my life, I’m confident, I’m happy,” she says. “Motherhood is tricky whatever age – it’s really difficult, it can be very hard work, it changes your life. But I’m loving it – and I want the message to be: it can be glorious no matter how old you are.”

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1 In 61 Pregnant Women Say Their Boss Insinuated They Should Have An Abortion

Shocking new research from the campaign group Pregnant Then Screwed has revealed that 1 in every 61 pregnant workers says their boss has insinuated they should terminate their pregnancy for the sake of their career.

Pregnant Then Screwed, who campaign for the rights of parents and against sex discrimination, surveyed over 24,000 parents to uncover the discrimination that women face in the workplace when they become mothers.

The data shows that over half of all mothers (52%) have faced some form of discrimination when pregnant, on maternity leave, or when they returned to work.

One woman involved in the study, Connie*, told her boss about her pregnancy at eight weeks and was told, “It would be easier for your future career if you just brought a coat hanger”. Three colleagues went on to tell Connie that she had ruined her career and should have had an abortion.

For some women, the consequences of having children can have life-changing consequences on their career, with one in five mothers (19%) making the decision to leave their employer due to a negative experience.

Additionally, one in 10 women (10%) revealed they were bullied or harassed when pregnant or returning to work, and 7% of women lost their job — through redundancy, sacking, or feeling forced to leave due to a flexible working request being declined or due to health and safety issues.

If scaled up, this could mean as many as 41,752 pregnant women or mothers are sacked or made redundant every year.

“These stats show how far we have to go before mothers are truly accepted as equal members of the workplace,” says Joeli Brearley, CEO and founder of Pregnant Then Screwed.

“We know that women are treated differently from the point they get pregnant. They are viewed as distracted and less committed to their work, despite there being no change to their performance. This bias plays out in numerous ways, affecting women’s earnings and career potential. There is absolutely no excuse for bosses, who hold the power, to tell their employees to abort a pregnancy. It is sex discrimination and it is inhumane.”

Portrait of a stressed woman tries to work from home with baby in arms

Abraham Gonzalez Fernandez via Getty Images

Portrait of a stressed woman tries to work from home with baby in arms

The discrimination that women face doesn’t always come from their boss; in fact, 73% of women shared that a colleague made hurtful comments about their pregnancy or maternity leave, and 74% of women said that a colleague insinuated that their performance had dipped due to pregnancy or maternity leave. Some women even experience criticism based on the way they look when they are pregnant – with 64% saying their boss or a colleague had made inappropriate comments about their looks.

“The fact that the majority of pregnant women have experienced inappropriate and degrading comments from a colleague or their boss about the way they look is shameful,” says Brearley.

“Why as a society do we accept women being a target for such abuse? These hurtful comments chip away at women’s confidence, ambition and feeling of belonging,” she says.

“Pregnant women are made to feel like an unsightly burden, no wonder a high proportion of women report feeling depressed or anxious when pregnant and one in five women leave their employer after becoming pregnant.’’

The study’s data and the shocking stories shared by pregnant women in workplaces around the UK highlight the worrying and pervasive attitudes towards women in society — even in a supposedly equal one like the UK.

It isn’t just about having children; women are being treated differently for decisions relating to their reproductive health, too. An especially worrying trend in our post-Roe v Wade world, which is seeing our rights rolled back across the globe.

For instance, a third of women (31.58%) who told their employer about having an abortion felt that they experienced discrimination or were unfairly treated as a result. And the majority of women (57.6%) didn’t even tell their employer they had an abortion, presumably for fear of being judged negatively.

Women being bullied out of the workplace for being pregnant, or choosing not to be, is just one more example of the ways women’s freedoms are being infringed upon, and shows that, in the end, the patriarchy doesn’t want us to win.

It’s something we should all vehemently stand against, together.

If you or anyone you know has experienced discrimination in the workplace, please call the Pregnant Then Screwed helpline on Tel: 0161 2229879

*Name changed to protect anonymity

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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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Can I Be Pregnant And Not Know? Welcome To The World Of Cryptic Pregnancies

Being pregnant and birthing a baby can be stressful enough, but getting pregnant and going into labour without even knowing about it? Well, that’s unlocked a new fear.

Some people are taking to TikTok to share their accounts of ‘cryptic’ or ‘invisible’ pregnancies.

Kayla Nicole Simpson (@kaylanicolesimpson) shared how she went to the emergency room with severe abdominal pain, thinking she had appendicitis. But at the hospital, an ultrasound revealed she was pregnant.

Doctors swiftly realised she was crowning and she was rushed to the labour ward where, in 15 minutes, she’d given birth to a baby girl.

“Throughout my so-called pregnancy I had lost 30lbs, was the flattest I had ever been and had my period every month,” Simpson recalled.

What is a cryptic pregnancy?

In short, it’s where you don’t realise you’re pregnant because your body doesn’t really give you any of the tell-tale signs.

While for a very small amount of people they might not realise they’re pregnant until labour, a cryptic pregnancy can also apply to people who don’t realise they’re pregnant until at least 20 weeks.

Some people might not experience any symptoms, or very mild symptoms of pregnancy; others might blame their pregnancy symptoms on issues, like stress; and some might not grow a baby bump at all.

Why do some women not get a baby bump?

TikTok creator Nikki Salazer shared a video of her story. While she knew she was pregnant, it didn’t take away from the fact that not getting a bump felt a bit strange.

“As the months went by, I still had nothing,” she explained. “But I still had all the symptoms and felt kicking regularly. At eight months, I started to feel very heavy – but still, no bump.

“No-one could believe I was pregnant – even at the hospital. Thankfully, I had a healthy birth and delivery.”

Dr Karan Raj stitched Salazer’s video with some commentary of his own to explain just why these hidden bump pregnancies occur. “There are a number of factors that could contribute to this,” he said.

Apparently, it’s all to do with the shape of your uterus – and if you have a retroverted uterus, it’s easier for your baby to hide.

“Most women have an ‘anteverted’ uterus where it’s slightly tilted forwards,” said Dr Raj.

“But one in five have a backwards tilt towards the spine. For some women, it may remain tilted backwards for the duration of the pregnancy. This backwards growth could hide any bump.”

He explained that previous surgery, endometriosis and other gynaecological conditions could scar what’s known as the uterosacral ligaments, which “keep the uterus fixed to the spine and inside the pelvic cavities”.

“If these are stiff because of scarring, these ligaments can literally hold the uterus back and stop it from protruding too far out,” he said, which will result in a tiny little bump, or no bump at all.

And bad news if you’re tall… “If you’re taller, you’ll have a longer torso, so there’ll be more space for the uterus to develop upwards rather than just outwards,” added Dr Raj.

Gym bunnies should be wary, too, as a super strong stomach could have the same effect. “If you have well-developed rectus abdominal muscles, the uterus may develop closer to your core, rather than protruding out,” he said.

Other causes can include:

  • Having recently given birth,
  • PCOS,
  • Peri-menopause.

How common are cryptic pregnancies?

The good news is cryptic pregnancies are relatively rare. Studies suggest that around one in 475 pregnancies aren’t noticed until about 20 weeks gestation, which is halfway into the pregnancy.

And around one in 2,500 pregnancies go completely unnoticed until delivery.

On the upside, not having a huge bump getting in the way of tying your shoes, picking things up and generally moving around can be super beneficial.

But the emotional trauma of suddenly going into labour must be… well, a lot.

Although as Kayla Simpson said: “Within those 15 minutes my life changed forever – and now I can say for the better … Obviously I was in shock but I do think that things happen for a reason.”

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After Years Of Infertility, I Got Pregnant At 46. I Had No Idea That Would Be The Easiest Part.

I turned 51 this year, and one of the many things I’ve learned over the course of five decades on this planet is that our dreams rarely manifest exactly as we envisioned them. We can spend years and years longing for something and then, when it finally arrives, we either don’t realise it or we’re disappointed because it doesn’t look quite the way we expected it to.

I never dreamed that a “normal” family was in the cards for me. It was something that happened to other people. People who were better at finding themselves in the right places at the right times. People who weren’t so guarded with their hearts. People who were unbroken. But a part of me yearned for it. I remember thinking that a loving family must feel like the safest place in the world.

I’d been told, my entire adult life, by a battery of soft-spoken doctors and specialists, that I would never conceive a child naturally. While there were times when I considered alternative avenues to motherhood, ultimately I felt content in my child-free life. I was a dog mom and an auntie, and I relished those roles. I was also a mountain girl: adventuring into the alpine each weekend in my Jeep or on foot to leap into remote crystalline lakes. I loved my adventurous single gal existence and my freedom. I had plans to travel, continue building my creative business so I could work from anywhere, and collect stories that I would one day, just maybe, compile into a book.

One month after my 46th birthday, I missed a period. Though I’d been casually dating someone, I assumed, considering my history, that this was menopause rearing its head at last. A couple more weeks passed and I started to have some other symptoms that were unusual for me. I figured these were further indications that my hormones were changing. But — maybe on a whim, maybe at the urging of my best friend, maybe in a burst of intuition — I bought a pregnancy test at my local drugstore and went into the bathroom at the adjacent Whole Foods to take it.

I sat there in the stall staring in disbelief at a very crisp, clear blue line in the little window on the test stick. Surely this was an error — yet another artefact of my hormones gone awry. I immediately consulted Dr. Google and learned there is a kind of ovarian cyst that can release hormones that mimic the signs of pregnancy. That was it. I was certain I had one of those cysts. I just needed to get the confirmation from my doctor.

That confirmation wouldn’t come. What would arrive was a phone call from a jovial nurse, the announcement that my HCG levels were so high it was in fact possible I was pregnant with twins, and a referral for an ultrasound that would reveal what was now undeniable: I was pregnant. PREGNANT. Impossibly. At 46. With a man who was certain about few things in life save for the fact that he didn’t want to be a father.

The author and her partner, unwitting parents at midlife, in 2023.

Courtesy of Natasha Dworkin

The author and her partner, unwitting parents at midlife, in 2023.

He was a performing circus artist — an aerial acrobat seven years my junior. We’d dated briefly several years prior and had at this point been rekindled for a few months. Our connection was mostly physical and it was far from serious. On our first date, I texted my best friend, “I’m not gonna spend the rest of my life with him, but he sure is cute.” He told me on many occasions that he didn’t want to have kids, and I thought I couldn’t conceive, so we were well-matched, in that regard at least.

Now I had to bestow on him a piece of news that could forever alter the course of his life. I remember driving to his apartment the evening I planned to tell him, half in a daze, almost numb with uncertainty. We had already made plans for that particular night — get pho and hang out at his place listening to podcasts — so I remember him opening the door with a smile, then ducking back inside to grab his coat. I recall that, as usual, he was warm when he hugged me, warm and strong. And he seemed happy to see me. My heart was leaden in my chest as I asked him if we could sit down for a minute before we left. As soon as we did, I began to cry. He put his hand on my knee and looked at me in a way that said, “Hey, whatever it is, I’m here.” You have no idea, I thought.

I managed to utter the words, and he managed to receive them, setting in motion a period that was both miraculous and fraught. I felt stunned, terrified, sad, thrilled, hopeful and humbled all at once. He felt disempowered, grieving for a future he’d envisioned that might not come to fruition in the ways he’d hoped. I think back on that time as both a whirring blur and a slow-motion free-fall.

We attended therapy together, spent hours and hours talking about all the possible scenarios. He promised he’d be there for me no matter what I decided to do, but he also begged me not to have our baby. I came close so many times to assuring him that I wouldn’t, but I always, inexplicably, stopped short. I wondered: If I chose to have an abortion, would I have regrets? And would that experience, and those regrets, leave me forever heartbroken? I also thought about how I’d be in my mid-60s when this child graduated high school, and about the end of those solo summer days high in the mountains, the travels, and the book.

While I’ve always vehemently supported a woman’s right to determine what she does with her own body — and while I was very clear about the choice in front of me — the gravity of that choice, now that it was mine to make, was almost too much to bear. I felt crushed under the weight of making it for the both of us. For the three of us. Crushed and paralysed. In my state, in-clinic abortion is legal into the second trimester, and other options are available until a foetus is viable. I would need every single minute, hour, day, week and month I could get to process my own conflicting emotions, to be counselled, to get clear with myself, to gain some level of certainty that I was making a decision that was truly right for me, that was pure of heart, that was mine.

Ultimately, my choice was to meet my child.

The author and her family.

Courtesy of Natasha Dworkin

The author and her family.

When I finally knew what I was going to do, and when I eventually began telling my friends and family about the decision I’d made, what stood out to them was the unlikeliness of my story. I got pregnant naturally at midlife, after decades of infertility. Their faces lit up with the news that perennially single me would now, along with my soon-to-arrive babe and his inadvertent father, have a family. Congratulatory texts arrived from people I hadn’t spoken to in years, cards came in the mail, packages appeared containing hand-knitted baby blankets and wise, loving notes. People used words like “miracle,” “wonder,” “blessing,” “full circle.” And so much of that was true. It was a wonder. My son was a tiny miracle.

But the journey of the midlife mother is rarely so black and white. No matter which road leads us to motherhood, we each end up in a place where we have to reconcile the woman we spent half our lifetimes becoming with the mother we’ll spend the rest of our lives being. Even after my son was born, big and healthy after an uneventful pregnancy, I found that my identity was still firmly rooted in the soil — for lack of a better word — of childlessness. I still felt like the woman at the party who couldn’t relate to the moms in the corner swapping milestones, like the auntie whose nieces confide in her things they’d never tell their moms, like the single gal sneaking peeks at the handsome dad in the grocery store wearing his baby, wondering about the partner waiting at home, and if it would ever be me.

I still felt like her because I still was her. But I was a mom now, too. This clumsy dance of identities is one of the more profound grapplings of later-in-life motherhood: straddling adjacent chapters, one just beginning, the other not yet closed, attempting in real time to bridge the two. It’s disorienting to lose access to things we’ve always known. But we also get the thrill and delight of peeking into new places in our hearts that we didn’t know were there before and of discovering new pieces of ourselves in the process.

Four years later, I’m a mother and partner, fully immersed in a family of my own. It doesn’t look like the family I imagined. My son’s father and I stumbled from non-exclusive dating into sudden partnership and parenting in a matter of months. Our road to becoming parents together, and eventually a family, has been a winding one, but we are a family nonetheless. We rallied to bring our child into an environment of love and laughter and kindness and mutual respect. Along the way we had to get to know ourselves, each other, and a new vision for what the rest of our lives would look like. We are still growing and fumbling and learning every day but we are among the most devoted parents you’ll ever meet.

And now, I find myself planning different travels, collecting different stories, working on a different book.

One recent weekend, my partner packed me up and sent me off to my cabin in the country on my own so I could write, refresh and connect with the land where I grew up. While I was there, a neighbour invited me to pick apples from her tree. I picked a huge bag full and then brought them back to the city, to my boys, and made a lovely apple tart. It was an offering of thanks for these two magical souls who have become my accidental dream come true.

The author and her son in 2023.

Courtesy of Natasha Dworkin

The author and her son in 2023.

Natasha Dworkin is an agency founder, strategic storyteller, and midlife mama. For more than 20 years, she has helped her purpose-driven clients tell their stories, amplify their impact, and change the world. She now leverages her professional expertise with her personal experience becoming a first-time mom at the age of 46, to help other midlife women make transformative change in their own lives and communities. Connect with her through her website, natasha-dworkin.com, on Substack at natashadworkin.substack.com, and on Instagram at @midlife.mama.

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Serena Williams Telling Her Daughter She’s Pregnant Is Unfiltered Family Fun

Tennis great Serena Williams can still serve up entertainment – and now she’s doing it at home.

The 23-time Grand Slam singles champion shared a video this week of her telling daughter Olympia that she’s pregnant.

The five-year-old, whom Williams was carrying when she won the Australian Open in 2017, had been worrying about Serena’s weight gain, the athlete explains in the video.

“Remember how you’ve been praying/planning for a little sister or brother?” Williams says to her daughter. “Well, we went to the doctor, and it turns out I’m not getting fat, but I have a baby in my belly.”

“Are you kidding me?” Olympia replies.

“You’re gonna be a big sister,” confirms Alexis Ohanian, Williams’ husband and Olympia’s father.

Olympia shrieks and hugs her mum.

“Oh, my god! I’m so excited!” she says.

She screams again as she sprints out of the room ― where she apparently falls.

“I’m OK!” Olympia yells off-camera.

Williams, 41, has ostensibly been retired since last year’s U.S. Open, and one of the reasons she cited was to grow her family.

But the new video shows the funny exchange in full:

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Rihanna Drops Sensual ‘Rub On Ya T*tties’ Pregnancy Pics Wearing A Thong And Heels

Rihanna is sharing some of the most intimate moments from pregnancy with her son.

The Umbrella singer posted a series of maternity photos Thursday to celebrate her son, RZA Athelston Mayers, who has since celebrated his first birthday. Dressed in nothing but high heels, underwear and jewelry, Rihanna didn’t need an umbrella — and was shaded by palm trees.

The seven-photo Instagram carousel showed Rihanna posing with a mysterious book while cupping her breasts; she stood on a balcony near an unspecified ocean — and captioned the series “Rub on ya titties”.

“In honour of my first pregnancy, embracing motherhood like a g, and the magic that this body made!” Rihanna captioned the Instagram post. “Baby RZA… he in there not having a clue how nuts his mama is, or how obsessed he was bout to make me”.

Social media sleuths have surely noticed the post contained only seven images — and that Instagram allows for up to 10 photos in their carousels. Currently pregnant with her second child, Rihanna notably concluded Thursday’s caption with “#tobecontinued”.

Many of her whopping 150 million followers commented on the post, with Pharoahe Monch perhaps most notable. The rapper practically coined the phrase “rub on ya titties” with the chorus of his 1999 song Simon Says — and wrote it out in the comments for her.

Rihanna famously announced her second pregnancy during the Super Bowl this year.
Rihanna famously announced her second pregnancy during the Super Bowl this year.

Evan Agostini/Invision/Associated Press

Rihanna received further praise from Wu-Tang Clan rapper GZA, whose fellow group member RZA inspired the name of Rihanna’s son. Kathy Hilton, the mother of socialite Paris Hilton, left red heart emojis behind — while rapper Bia called Rihanna “the most beautiful”.

Rihanna, who celebrated RZA’s first birthday with partner A$AP Rocky on Instagram last week, famously became the first artist to perform at the Super Bowl halftime show while pregnant — in a historic reveal that served as an announcement of her second pregnancy.

The ambitious fashion magnate, who became the richest woman in music in 2021 and the youngest self-made female billionaire in 2022, is mainly focused on her family these days. In March, she told British Vogue that motherhood is “everything”.

“You really don’t remember life before, that’s the craziest thing ever,” she told the outlet. “You literally try to remember it — and there are photos of my life before — but the feeling, the desires…everything, you just don’t identify with it because…it doesn’t matter.”

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