I was lucky to have an uncomplicated pregnancy. I didn’t gain much weight despite binging on Fruit-tella and doughnuts. I had no morning sickness. My ankles didn’t swell and I didn’t feel uncomfortable until the last few weeks. My darling, lazy son Sonny didn’t come on his due date, preferring to extend his cozy stay for another week, while I waddled around our home looking like a hot mess, cleaning windows (so unlike me) and anxious to see his little pink face. I was booked in for an induction so I prayed for my waters to break, trying the usual things that are recommended, curry, herbal tea, and a little red wine. I waited for signs, had a false alarm, furiously scrolled on my phone, sighing loudly at unhelpful comments “you’ll know”. Heck, was that true. My contractions started in my lower back on Sunday evening. I was on all fours crying like a total wuss while my husband (unhelpfully) massaged my back like he was shown in antenatal classes. As my contractions got closer together I called the hospital, sobbing from the acute pain. That was nothing – mother nature had a lot more up her sleeve – was this some sort of karma for having an easy pregnancy? As a first-time mum, nothing can prepare you for what labour is going to be like, no matter how many hypnobirthing books you read. The pain was excruciating but, somehow, I sort of coped with gas and air. Sonny arrived in the birthing pool at 10.10am on Monday weighing 8lbs and 7 oz. I remember the sun streaming through the windows – Sonny was a fitting name. I had only minor tears thankfully and it wasn’t long before I everything returned to normal. I was lucky. Many, many women suffer complications and experience birth trauma. Many women suffer prolapse with symptoms of bladder and bowel dysfunction, urinary stress incontinence, pelvic floor dysfunction and in some cases, fecal incontinence. It’s horrifying. While I didn’t suffer any issues, it doesn’t make any less passionate about highlighting them.
Mind the (tummy) gap
Still, when you have a baby, you feel invincible, like you can face just about anything. I mean, you’ve carried a human being for nine months – and pushed it out. As I climbed the stairs to the clinic where I was to have my Mummy MOT, I thought (and panted) to myself, “well, it can’t be that bad”. Well, you’ll be very glad to know it wasn’t. A Mummy MOT is a specialist postnatal examination for women following both vaginal and caesarean deliveries. Giving birth is an endurance test that requires a massive amount of effort. While it’s a natural process, it’s obvious that giving birth is going to take a massive toll on our bodies. A Mummy MOT assesses how your posture, pelvic floor muscles, and stomach muscles are recovering after birth. Up to half of all women experience weakness in both the abdominal muscles and pelvic floor muscles after pregnancy and up to a third still have a gap in their tummy at eight weeks post birth which can cause instability or poor core strength leading to women developing pelvic pain or bladder, bowel, and sexual dysfunction. Sobering stuff. Following your Mummy MOT, you are given a personal exercise and activity plan.
I sat down with my lovely physiotherapist Sally Laverty. We went over my medical history and I gave her the details of my birth and if I was having any postnatal issues. My body is fairly unscathed but lately, I have been experiencing what can only be described as a ‘creak’ in my lower back when I twist and some pelvic discomfort when I sit down. I had to perform simple exercises like bending over, squatting and lunging. So far so good. Next was the examination part. I lay on a bed and Sally felt all around my torso, establishing weak, tight spots. Sally also felt around my neck and shoulders, commenting on the extremely tight knots. Yes, I have a bad habit of hunching over when I am nervous or anxious. I knew what was coming. The Mummy MOT includes an internal pelvic exam and so you are required to remove the bottom half of your clothing. It’s really not as bad as it sounds. Believe me, I am the most squeamish, scaredy-cat you will ever meet. For some context, it takes longer than a smear test but it isn’t as uncomfortable. To be honest, the worst parts of the Mummy MOT were my tight muscles being pressed and massaged. An hour elapsed fairly quickly and Sally gave me exercises to do at home to strengthen my body – and even develop a six pack! A few hours later, an email pinged in my inbox and Sally listed her findings. In the interests of openness (and doing Sally justice), I’ve listed them below.
- Tight hip muscles, notably hamstrings, piriformis and adductors.
- Some increased muscle tone on the left of the pelvic floor.
- 3.4/5 muscle strength on a pelvic floor contraction.
- Poor endurance of the pelvic floor muscles.
- Good recovery of the abdominal wall (only a 1cm separation of the rectus abdominus muscles with good tensile strength of the linea alba underneath.
- Flaring of the left rib cage.
I’ll admit, I haven’t heard of some of the terms used and I giggled at how much ‘rectus abdominus’ sounds a lot like a dinosaur. ‘Poor endurance of the pelvic floor muscles’ made a lot of sense seeing that during labour, I wasn’t pushing. Well, I was pushing, but I certainly wasn’t using my pelvic floor. On a serious note, I was blown away by how comprehensive the assessment was. Here I was, being smug about how my body had ‘snapped back’ while all these underlying issues were going on. It’s a very serious matter and if I take my health seriously, it’s up to me to be responsible – especially if baby number two was to come along. Sally also recommended that I drink more water (which I’m terrible at) take probiotics, do yoga each evening and use a meditation app like Calm – “body scans are fantastic,” she said. Sally says some women can feel quite emotional after a pelvic exam as it’s a release of tension. I didn’t experience a surge of emotions but I definitely felt a lot lighter.
All mums should have an MOT
Maria Elliot, mummy, physiotherapist, and founder of The Mummy MOT says: “All mums should have an MOT. Pregnancy takes a lot. The body is lengthened and stretched and then you deliver your baby with a person you’ve never met. Pushing weakens the pelvic floor so it’s important to do postnatal rehab exercises.” She says the most common postnatal issues women experience are prolapse symptoms, which is akin to heaviness and dragging and fear of organs falling out, pelvic floor weakness and urinary incontinence. Some women even have pelvic girdle pain up to 12 weeks after giving birth.
Maria’s mission is that women’s postnatal issues are resolved or fixed before going back to work. She recommends that women book their Mummy MOT between six and eight weeks for a vaginal delivery and before 12 weeks for a caesarean. Her message is clear – postnatal rehab works. As a new mum, I couldn’t recommend a Mummy MOT enough, in fact, I’m going to make sure I tell every mum I know about it. Your baby is everything, but so are you. Self-care will make you the best mum you can be, and don’t we and our babies deserve the best?
Book yours today https://themummymot.com/the-mummy-mot-practitioners/
Women can also avail of Mummy MOT advice points at Mothercare and John Lewis.