Weak bladder due to forceps delivery / Fright of miscarriage

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Weak bladder due to forceps delivery / Fright of miscarriage

Weak bladder due to forceps delivery / Fright of miscarriage
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Namaste all,

Hoping you will have some advice for a lady in class who is 22 weeks pregnant with her second child. She had a scare this week while showering. She felt something coming out of her vagina and was frightened it was a miscarriage. She went to hospital, was kept in overnight, with 6 different consultants checking her. Their conclusion was that it was possibly her bladder that she felt moving down due to a forceps delivery with her first child 3 year ago. A scan was done and baby is fine but she was told she may have serious problems later in the pregnancy and may need surgery after. I explained about reverse breathing, a non-invasive but effective method of helping to bring tone back to her pelvic floor and associated muscles, but does anyone have experience of this situation or other advice for use now up until birth? We do use sankalpas for relaxation but any advice on specific asanas to do or to avoid would be welcome. This lady is otherwise fit and she used to come to my general hatha classes before she got pregnant so she's been practising yoga some years now.

Many thanks

Leigh

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Tue, May 8 2012 4:26 AM In reply to
francoisef

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Re: Weak bladder due to forceps delivery / Fright of miscarriage
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Hi Leigh, You are doing the right thing with a focus on relaxation, as this is important for the baby too... we heard a lot about this at last weekend's conference... but for the mother to be, some suggestions: 1. reverse breathing practice lying on her side with a cushion between her thighs, on both sides. 2.on all fours: lots of 'little knee circles' close to floor level, in both directions, in and then out. 3. on all fours: raise one knee on a foam block (if she is tall, even use two blocks) to create an asymmetry. Then breathe and tone in this position. She will feel which side is most effective, possibly the left side. Avoid: wide angle poses, particularly standing, strong standing poses, strides, lunges. I hope this helps. It is worth noting that at this time of pregnancy there are lots of adjustments of position of the growing fetus in relation to pelvic ligaments and that many women experience cramping or severe pains in the lower pelvis, related to bladder or uterus. So it is also helpful to rest and relax and be cosy when this happens. All best wishes, Francoise.

Francoise
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Wed, May 9 2012 4:51 PM In reply to
innerpeace

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Re: Weak bladder due to forceps delivery / Fright of miscarriage
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Hello Francoise, thank you for the very helpful reply, and for responding so soon after the conference - a busy time I"m sure. We are already incorporating some of your suggestions in class, but I'll add the variations with blocks etc.

I've understood that Reverse Breathing 1 and 2 were strictly postnatal practices; I have not used them in pregnancy yoga classes before - do you suggest these breathing practices should be a regular part of pregnancy classes as well, or just in this case? For this lady did you mean RB1 or RB2?

thank you in advance for the clarification,

Leigh

Filed under: pelvic Floor, forceps
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Thu, May 17 2012 4:27 AM In reply to
innerpeace

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Re: Weak bladder due to forceps delivery / Fright of miscarriage
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Hello Francoise, thank you for the very helpful reply, and for responding so soon after the conference - a busy time I"m sure. We are already incorporating some of your suggestions in class, but I'll add the variations with blocks etc.

I've understood that Reverse Breathing 1 and 2 were strictly postnatal practices; I have not used them in pregnancy yoga classes before - do you suggest these breathing practices should be a regular part of pregnancy classes as well, or just in this case? For this lady did you mean RB1 or RB2?

thank you in advance for the clarification,

Leigh

Filed under: pelvic Floor, forceps
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Fri, May 18 2012 5:07 AM In reply to
francoisef

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Re: Weak bladder due to forceps delivery / Fright of miscarriage
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Hi Leigh,

In this case RB2 is the practice. Yes it's helpful prenatally in cases of previous uterine prolapse (even when surgical intervention has been required after a previous birth); for women who are pregnant for the fourth or subsequent time (called great multips in jargon); for pregnant women with ME or MS if this is associated with poor tone in birthing muscles. In all these cases practice of RB2 up to 37 weeks and then birthing breathing thereafter can be very positive! Avoid RB2 however if there is any sign of vulvar varicosities as well. I hope this helps, there is a lot to know and more to find out about the many conditions of pregnant women who come to prenatal yoga and how we can best help them. All best wishes, Francoise.

Francoise
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Fri, May 18 2012 6:15 AM In reply to
Rosanna

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Re: Weak bladder due to forceps delivery / Fright of miscarriage
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Francoise,

do you have any suggestions regarding the use of RB1 or RB2 when there has been a previous history of miscarriage?

Thanks

Rozy