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Mommies Don't Get Workers' Compensation Part 2 Print E-mail
Thursday, 06 April 2006

In an ideal world, you spent the nine months before your baby was born staying in shape, keeping your heart strong, keeping your muscles stretched, and learning good posture for nursing, holding an infant, and so forth.

But let’s say we’re too late for preventative measures.

No, let’s be more honest than that. Let’s say you spent the nine months pre-baby working 12-hour days like a maniac, convinced you will never be a part of the paid workforce again. You ran yourself ragged finding the exact right shade of red gingham crib sheets, walking through miles of malls despite your aching back and swollen ankles. You reveled in the fact that it was the one time in your life you could gain weight and no one would think worse of you, so you stopped caring if your hamstrings were both strong and supple; who would notice under that pregnancy schmata? At the end of the day, faced with the choice of hitting the gym for 50 laps in the pool or hitting the couch for 50 re-runs of Friends, guess which one won out. When you dragged yourself home at 10 o’clock at night, the last thing you wanted to do was spend twenty minutes stretching. And Kegels? Frankly, you never could figure them out and they don’t seem to matter much since you’re peeing every 20 minutes anyway.

Stop me if this sounds familiar.

So now you’re a mommy who looks back on those pre-baby days and wonders, “What the heck did I do all day?” You can’t believe you never found time to work out. Truthfully, hitting the gym for a grueling 45-minute run followed by an hour of tough weights work sounds totally blissful right now for the simple reason that your baby wouldn’t be there and you haven’t had a two hour stretch to yourself since your water broke. Honestly, the gym would sound downright luxurious if you weren’t afraid you’d hurt yourself due to sleep-deprivation. And oh, yeah, you’ve got the baby.

Your life has become the definition of self-sacrificing, and as mommies we happily do it. We’re in love with our babies and will do what it takes to keep them healthy and happy, completely forgetting about ourselves and our needs for very long stretches of time. We run ourselves ragged and think remarkably little about our own needs. That twinge of pain in a knee seems so unimportant when a baby’s crying inconsolably and walking him in an endless pattern is the only thing to help. That ache between your shoulder blades seems inconsequential compared to your daughter’s need for food every two hours.

But here’s the thing: it is important. Your baby needs you. And needs you healthy. You can’t do your job if you’re not healthy. So listen up.

Becoming a mommy means adding several new repetitive motions to your daily repertoire. Bending over and picking something up will be repeated dozens of times a day, as will holding a weight (the baby) in the nursing position, and carrying a baby? You’ll log thousands of hours that first year. Let’s talk about nursing first.

I’m not going to go into different positions to put your baby in for nursing, or latching techniques or any of that stuff; check out my Nursing Support Sites on my Top 5s page if you need help. There are several effective positions a newborn can be in to nurse; the older a baby gets, the more limited your options become. Regardless of whether your baby’s in a cradle hold or a football hold, your basic checkpoints should be the same.

First, make sure you’re sitting in a good position. If you sit with your tail tucked under, like your pelvis is slumping, you can push on your tailbone, which is already mobile from birth. You don’t want to strain those ligaments, so make sure you’re sitting up on your sits bones; if you need a pillow behind your back or even a lumbar support, make sure it’s there every time. Have a foot rest or stool for your feet to make your hips more comfortable.

Second, use a nursing pillow. I prefer the Boppy to the My Breast Friend pillow; it allows me to hold her in more positions. But both are great, and you’d do well to test-drive one in the store and see which one you think you’ll like. Maddie is 10 months old and I still use the Boppy at every feeding unless I’m out and about with her. This enables me to be lazy and not hold her weight. Six times a day adds up. So get used to using a nursing pillow. Baby rests in your arms, and your arms rest on a pillow.

Third, remember that you are bringing baby to your breast, not breast to your baby. This is why you use a nursing pillow! You should be able to position the baby to be in a good latch while your chest is upright. As a new mommy you’ll find you have a tendency to hunch forward over the angel, hovering or simply trying to help out and bring the breast to her. Don’t do it. Find a place where you both can relax and not struggle to be in a good position. If you’re having trouble doing this, ask a girlfriend, your OB or pediatrician, or a lactation consultant to watch you and give some advice. Our pediatrician taught me a vertical nursing hold that I used a ton when she was younger.

And even if you’re in a good position, you’ll find your chest caving in as you nurse. Periodically remind yourself of that good posture you practice (in all your spare time) and make sure your chest is open and relaxed, your shoulders back and soft down your spine. If you get tense, roll your shoulders forward, up to your ears, then softly back and down. You don’t have to squeeze them together in the back; just think open in the front. Gently roll your neck to make sure you’re not holding tension while you nurse.

Moving on to the second repetitive motion – picking a baby up. Julie Tupler wrote a follow-up to yesterday’s recommended reading, Maternal Fitness, and it’s called Lose Your Mummy Tummy. She’s got clear illustrations on good bio-mechanics for picking a baby up, holding a baby, getting a baby in and out of the car, and so forth. Please read it. You can read it while you do your Kegels and breastfeed your baby; your hands will be free since you’re using a nursing pillow! Mommies are nothing if not master multi-taskers.

For picking a baby up, the absolute worst thing you can do is curl your spine forward and pick a baby up with straight legs while holding the baby out in front of you. This puts a huge amount of strain on your lower back. Whenever possible, bend your knees, pull the baby to your chest with your arms, and come up with your legs. Think of it as an opportunity to get a bit of a leg workout in a few times a day. And those stomach muscles you were supposed to work while pregnant? You need them now to help you protect your back during lifting. Pull your belly button to your spine, lift the baby to you with your arms, and stand up with your legs. The safest way to stand up with your legs, by the way, is from a one-kneed lunge position, rather than a deep squat pushing up with both legs simultaneously. Go down on one knee to pick your baby up, rather than a deep knee bend, and you’ll save years on your knees. To put baby down, again, go down to one knee.

When you’re dealing with lifting out of a crib or playpen, there are no easy answers. It’s oftentimes difficult if not impossible to bend your knees as you hinge over at a crazy angle. So try as best you can to support the lift. Remember that any time you bring the baby to you before straightening up, you are decreasing the load; your back is having to lift from a much more stable center of gravity than it would with your arms straight in front of you.

And speaking of drawing the baby to your chest, practice doing that with your arms, not your chest muscles. Try to lift baby to you with your chest open and your shoulders down your back, rather than closed off and slumpy. Your biceps should get a workout, not your pec muscles.

And finally, carrying your baby. Obviously, we all do it, and obviously, it’s killing us. Trying to stabilize with that belly button abdominal will help ease the work load on your back. Making sure you alternate which side you carry on will more evenly distribute the wear and tear on your body. And again, your posture and muscles you use to carry are key. Keep the chest open, shoulders down the back; use your biceps to hold baby rather than your pecs; and make sure your head’s not thrusting forward to “help out”.

Monday will be the last day of this lecture, I promise; we’ll talk about what you need to strengthen and stretch as a mommy, as well as what to do if your preventative measures let you down.

One more time with the disclaimer –

I’m not a medical professional. I did not go to medical school. I’m just a chick on the internet who had a baby and happens to be in the fitness field and have a penchant for obsessively researching everything she does. So for heaven’s sake, don’t take my word for anything. Talk to your doctor and if anything she says contradicts what I say, whom do you listen to? Your doctor. That’s right.

Comments
Thanks
Written by Uncle John on 2006-04-07 03:54:12 IP: 204.108.0.10
Thanks for the refresher on lifting techniques and how to help the back. I knew lifting with the legs is better for you, but not about going from a lunge instead of a squat.
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