The OB package is a set of 4 appointments:
- During 2nd trimester, preferably between 14-18 weeks, but can also be later
- Between 35-37 weeks
- At 1-2 weeks postpartum
- At least 6 weeks postpartum
The 1st visit is to teach you some exercises that are going to be important to utilize during pregnancy to help keep your core strong, prevent or minimize a rectus diastasis, help your pelvic floor, prevent common pain and dysfunction that occurs during pregnancy, and also give you an exercise program you can continue on with if you desire. We can also address any pain you might be having or other orthopedic issues that may come up. This is always individualized to your specific body and needs because each woman is different!
The 2nd visit is all about getting you ready for labor and delivery. This visit can be done with your partner – I’ll be able to show you both some hands-on techniques that can be used to give the baby more room to get in the right position and to help with your pain. Both of these should help decrease length of labor. We’ll go over various labor/delivery positions that will also hopefully help decrease length of labor and pain. We’ll do some pelvic muscle balancing which helps prepare the pelvic floor for birth, and there are some measurements I can take which will even give us direction with which labor positions might be best for your type of pelvis.
The 3rd visit in early postpartum is all about getting your core muscles going again. After childbirth (c-section or vaginal delivery) it can be difficult to activate the pelvic floor or other core muscles. We’ll work on muscle activation and recruitment, check for any diastasis that might be present and begin treating it if able, and talk through a few other issues that are common after childbirth. We can also deal with any pain that might be present from labor and childbirth.
The 4th visit is after you’ve been given clearance from your physician to resume normal activity and exercise. Now we can really deal with any pelvic floor issues that might be going such as pelvic floor muscle weakness, lack of control or motor recruitment, and pelvic organ prolapse. If you still have a diastasis I’d like to get a little more aggressive in treating that so it does not cause you future problems such as back injury or pain. And then we can talk about working into an exercise routine that works for you and your lifestyle. Many women jump back into exercise after they’ve been given clearance from their physician, without any real knowledge of how to do so in a smart way. I’ve seen lots of women struggle with back pain because their pelvic floor and core are still so weak. I want to prevent that by giving you the tools you need to return safely to exercise and normal functional activities.