Mom's Guide to Diastasis Recti: A Program for Preventing and Healing Abdominal Separation Caused by Pregnancy
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About this ebook
Pamela Ellgen
Pamela Ellgen is the author of more than twenty cookbooks, including the best-selling The 5-Ingredient College Cookbook, The Gluten-Free Cookbook for Families, and The Big Dairy Free Cookbook. Her work has been featured in Outside Magazine, TODAY Food, Huffington Post, Darling Magazine, and The Portland Tribune. When she's not in the kitchen, she's surfing with her two boys off the coast of San Diego. You can find her on Instagram @surfgirleats.
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Mom's Guide to Diastasis Recti - Pamela Ellgen
INTRODUCTION
Shortly after I gave birth to my second son by emergency cesarean section, I snuck away from home to get a pedicure. As my feet soaked in the spa tub, the nail technician asked the question every postpartum woman dreads: When are you due?
Two weeks ago,
I said.
Wow, you look amazing,
she said, thinking I was two weeks overdue.
There was an uncomfortable silence in the nail salon. I just laughed.
My body had done something amazing—it had nourished and supported a new life for nine months. Not only had it done what it was supposed to, but it also looked exactly the way it was supposed to after such an accomplishment.
I’ve never viewed my body with as much acceptance as I did after giving birth, even though neither birth went as I anticipated. Perhaps it was because I finally had an excuse not to have a perfect body, whatever that means. Perhaps it was because I was too smitten with my newborn to care. And perhaps it was because I had a profound new respect for my body and what it was capable of. It was empowering.
This might sound like a strange way to introduce a book about altering the physical effects of pregnancy. However, I believe physical fitness and good nutrition should always emerge from a place of self-acceptance and kindness. You have to treat your body—especially your pregnant and postpartum body—with a lot of love and respect. This means not pushing yourself to the point of injury, making sure you get enough sleep (or as much as your new baby allows), eating nourishing foods, and choosing healthy and strong over skinny.
Exercise and eat well because you love your body, not because you hate it.
This book is designed to help you develop healthy movement patterns during and after pregnancy so that you can handle the physical demands of caring for a newborn without pain and help your body recover from the physical effects of pregnancy. It will help you prevent and heal diastasis recti, restore pelvic floor strength, and improve core stability and strength. It will also help you reshape your waistline and reduce excess body fat in a safe and sustainable way.
Part 1 of the book explains the causes and symptoms of diastasis recti and how you can test for the condition safely in your own home. It also covers the risk factors for developing the condition, and whether or not having it predisposes you to other conditions. It explores how to prevent diastasis recti during pregnancy and the immediate postpartum period, and covers the various treatment methods available. Part 1 also discusses the other causes of stomach protrusion that affect most postpartum women.
Part 2 of the book is devoted to specific exercises for preventing diastasis recti during and immediately following pregnancy, and includes a complete pregnancy workout and exercises you can do in the hospital immediately after birth to begin healing diastasis.
Part 3, the largest section of the book, is dedicated to healing diastasis recti both for women who are newly postpartum and those who are addressing their diastasis years after childbirth. The exercises are divided into three phases to ensure safe, gradual progression. It also includes a chapter devoted to overall weight loss to reveal the strong, shapely abdominal muscles you’ll develop.
The methods described in this book are backed up by the latest scientific research into diastasis recti. They’re designed for busy moms to complete in just 10 minutes a day with minimal equipment and easy-to-understand exercise descriptions. Whatever your fitness level, this book will help you heal diastasis recti and improve the appearance of your waist.
My Story
Before I became pregnant with my first son, I exercised religiously and carefully tracked calories. Fitness was my passion, sometimes even my obsession. After several months of trying to conceive, I considered whether my low body weight and low energy intake were hindering my efforts to get pregnant. (You think?) So I relaxed my attitude toward food, slowed down the intense workouts, and gained a few pounds.
Within a month or two, I got pregnant. For some reason, I threw all caution to the wind regarding nutrition and exercise. I stopped working out and my grocery budget burgeoned, along with my waistline. I enjoyed milkshakes and burgers after every doctor’s appointment—yes, even when they came weekly. By the time I was 25 weeks pregnant, people were asking whether I was having triplets and thought I might go into labor at any minute. Not funny.
During my third trimester, a distant cousin with four of her own children cautioned me about diastasis recti. She said I shouldn’t use my abdominal muscles at all after birth to avoid irreversible abdominal separation. Yikes! She put the fear of diastasis in me, and I vowed to brace when coughing or sneezing and used triceps pushup to get out of bed so as not to engage my abs at all.
My water broke the day after my due date and I labored for an intense 24 hours without much progress before being wheeled into the operating room for a C-section. As far as I was concerned, delivering a healthy baby was all that mattered, so I was overjoyed to welcome my son into the world however he came. I left the hospital a few days later with a stack of maxi pads, enormous mesh panties, a painful incision, and an extra 40 pounds.
About a pound of weight a day came off the first two weeks, giving me incredible hope for hopping into my pre-pregnancy jeans within a few months. But, eventually, it stalled, and I began the long road to regaining the strength, endurance, and shape I had before pregnancy. Through consistent exercise and sound nutrition, a year later I was back to my pre-pregnancy weight and had built back most of the muscle I had lost.
However, I was still hesitant about doing abdominal exercises. Sometimes I felt a strange tinge of pain at the site of my incision, and I always noticed doming
in my stomach when I did crunches. Six-pack abs are made in the kitchen, not the gym,
I told myself. So, I didn’t invest much time in ab exercises.
When my son was two years old, I became a certified personal trainer with the National Academy of Sports Medicine (NASM). It had a profound impact on the way I approached fitness and gave me an insatiable hunger for reading studies on fitness and nutrition in medical journals. Shortly thereafter, I began training clients at a local gym