inspiring women series | keary bixby

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It has been such a joy to get to know Keary better in the last few years. As a health and wellness figure in Los Angeles, with years of experience in her businesses and also as a mother, she has so much insight to offer. She has recently made the tough decision to close her Pilates studio in Playa Vista, but out of that closure has built a new holistic wellness program called Rooted and Winged that she tells us all about in our conversation below. I can’t thank her enough for sharing so personally and showing up for women in such an important way.

xx,

Allison



I love to start off with questions that I ask nearly all of the inspiring women I get to connect with. Keary has some great responses about motherhood, body shifts and her current favorite practices…check them out.

AO: What's one thing you have had access to before, during or after pregnancy that has positively influenced your experience?


KB: It was the 15 years of prenatal and postnatal Pilates clients that shared their stories with me prior to having my own child. I am forever grateful to these women. I was able to see the entire picture of pregnancy from one end of the spectrum to the other through their personal experiences. There were perfectly executed birth plans and plans that completely unraveled. There were easy pregnancies, and those troubled with pain, nausea, underlying conditions etc. Being a part of these clients’ journey helped educate me and allowed me to be more objective and realistic when it came to making plans and setting expectations of my own.

AO: What are you surprised by (that no one ever talks about) that happens to your mind or body during or after pregnancy?


KB: I have only ever heard one other woman say this! It was the calm feeling and simple perspective that pregnancy brought me in my second and third trimester. I am laughing just thinking about it. I wonder if there is a name for this feeling. After the first trimester it was as though no one could interrupt my tranquil disposition. Staff issues, a frustrating email, a disagreement with my partner, the fire alarm going off during a full yoga class… it was as though nothing was ever a big deal. It was the most amazing feeling ever! I think it was my body telling my mind that nothing was going to stress me out because I had a bigger job at hand. I was building a baby, and that needed all my attention and energy. If I could just bottle that up and sell it…

AO: With your experience as a mother, what knowledge would you share with a new mother?

KB: Take it one day at a time. One hour at a time. The 4th trimester is real. There is little time for anything else than providing for that beautiful new soul and taking care of yourself. Avoid making plans during those first few months. You need to spare your energy for the incredible shift into motherhood, to bond, and most importantly to heal.

AO: How did your body amaze you on the journey of pregnancy and/or motherhood?

KB: I am still in awe and complete shock at the life my body created and sustained during pregnancy. Watching my body grow, change, and birth this little being, it was nothing short of having a superpower.

My current self-care must do/have: Sleep

Motherhood means: Creating space for a soul to love, grow, and thrive.


UNIQUE TO KEARY


AO: You work in the women's health space and have for years, but I know that your offerings are shifting. What are you doing right now in this space? And what was that journey like for you?

KB: I absolutely love helping women feel their best, especially with Pilates, but 2020 made that very difficult in a physical space! My studio immediately shifted in April, offering virtual sessions and classes. I am currently still offering virtual wellness, nutrition, and movement sessions. I also launched the virtual series Rooted+Winged for those ready to create more balance, joy, and healing and set a beautiful foundation for 2021.

Looking back, just as most small businesses, I was looking forward to returning to “normal” this past summer. While applying for grants/funding, keeping my clients engaged and staff hopeful, I had also finished up my new program called Rooted+Winged. I’d been working on this series for years. I was going to add it to our list of services while we rebuilt the business after re-opening. However, as we know the closures of studios continued and I ended up having to surrender our physical space in August. I realize each small business has their own set of obstacles during this pandemic and ours became insurmountable. Eventually I was at ease with my decision to close our physical space knowing there was no magic way out. The numbers were very clear. I reminded myself daily that this wasn’t my fault. No amount of education or training could have prepared small business owners for a worldwide pandemic. I was also incredibly thankful that my family were all able to maintain their jobs and health.

I think the hardest part of shifting from a brick-and-mortar was moving through the daily fears of what the future holds, all the unknowns. There was no longer a space I showed up to every day. I continue to remind myself all the time that I will feel fear, that feeling fear is okay. It’s normal. I’m no longer in my early 20’s opening a business with a beautiful thing called naivety. I have a family and need to save for my daughter’s education, retirement, etc. I need to make time for my daughters distant learning asynchronistic requirements (!!!!!) and time for my virtual offerings. How will the health and wellness industry land when this is over? How can I keep connected with clients online? It can be overwhelming and exhausting. However, I keep coming back to those same words listed above, “Take it one day at a time. One hour at a time.”

AO: Share with us why your program "Rooted+Winged" is so important to you?

Finishing this program over the summer – when I needed it the most – was how I knew it was time to share Rooted+Winged with my base. It opened my eyes to how much I needed what I was creating at the very same time. I have a few (100) things on my plate. We all do. Saying goodbye to a place I spent the last decade and a half educating, teaching, connecting and laughing was so hard. This constant list and the closure paired with learning how to raise a kid during a time when they can’t go play at a park, see their friends at school, or have birthday parties brought me to my knees. Needless to say, I had to dig really deep. I had to find steady ground. I needed to surrender so much of what I desperately wanted to control. I launched Rooted+Winged because I knew how much the content helped me. Hopefully it could help many other women looking for the same peace. I needed tangible concepts, easily explained and easy to follow to help me stay the course. I wanted simple exercises to help me clear the old patterns I was constantly defaulting to, and movement plus meditation in my inbox. I wanted a clear path forward with more balance and joy. This is what R+W offers.

BIO
Keary Ann Bixby, founder of two Los Angeles based health and wellness businesses, has been involved in health and fitness since an early age. Playing sports throughout her youth, Keary’s love for conditioning was just the beginning of a budding career in wellness. In 2003 she fell in love with Pilates and its focus on the mind-body connection. After 10 years of teaching and completing two comprehensive Pilates and yoga trainings, she developed her own Pilates teacher training program. In 2015, Keary welcomed daughter Teagen. Her new role as a mother deepened her understanding of the mental and physical challenges women face allowing her to offer more specialized pre and postnatal programs. More recently she completed studies in nutrition, lifestyle medicine, individual trauma, and mindfulness based cognitive therapy. Her spirit for continued growth in physical and emotional wellbeing can be found in her movement and wellness sessions, workshops, trainings and retreats.

You can find Keary on Instagram @kearyannbixby or at her website www.kearyannbixby.com


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inspiring women series | emma bennett

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It doesn’t matter how much you want to be a mother, how hard you’ve tried to have a baby, or how much support you have—this transition is full of highs and lows. The range of emotions is nothing to be ashamed of or stay silent about, this just perpetuates the unrealistic expectations society places upon new parents.  I am a strong believer in normalizing the struggles of motherhood. There is a need for support from the moment a women decides she wants to become a mother.  I’m honored to be a support to women during this season of life.
— Emma Bennett, Licensed Therapist

AO: As a licensed psychotherapist why have you chosen to specialize in women and mothers?

EM: I have always been drawn to working with women and mothers, and have worked with them in various therapeutic settings for almost a decade in Los Angeles. I knew I wanted to be a mother from an early age. I am fortunate to have wonderful maternal role models in my life who inspired me and amazed me with their patience and caring (thanks, mom!). 

 In 2016, I was grateful to be able to have a spirited and wonderful little girl.  I quickly realized that despite deeply wanting to become a mother and taking all of the preparation classes, I felt completely unprepared for the emotional, physical and identity changes that I encountered.

It doesn’t matter how much you want to be a mother, how hard you’ve tried to have a baby, or how much support you have—this transition is full of highs and lows. The range of emotions is nothing to be ashamed of or stay silent about, this just perpetuates the unrealistic expectations society places upon new parents.  I am a strong believer in normalizing the struggles of motherhood. There is a need for support from the moment a women decides she wants to become a mother.  I’m honored to be a support to women during this season of life.

AO: Most of us year about “postpartum depression” or “baby blues”, what do these actually mean?  

EM: About 80% of women experience baby blues after birth.  Baby blues should resolve within a couple of weeks, and is not considered a disorder since the majority of mothers experience it (Bennett & Indam, 2015). 

Postpartum depression is depression that can occur following the birth of a baby.  Mothers who experience postpartum depression can experience feelings of extreme sadness, anxiety, lack of connection to baby, overwhelm and exhaustion that may make it difficult for them to function in their daily life.  Postpartum depression impacts about 1 in 5 women.  It is not uncommon for a woman to experience symptoms of depression during pregnancy as well (National Institute of Mental Health).

AO: What types of issues do you work with women on?

EM: I work with a myriad of issues surrounding this stage of life.  Some issues include:  perinatal mood and anxiety disorders,  adult daughters of difficult mothers, ambivalence during pregnancy/postpartum, adjustment to motherhood, perfectionism in motherhood, pregnancy loss, challenges of being a working mother, feelings of isolation, feelings of inadequacy/guilt/shame, feelings of anger, relationship issues+boundary setting, communication issues, postpartum body image, social media comparison/pressure, motherhood + identity shift, making yourself a priority.

AO: For all of our mamas out there, what are some signs or feelings that might indicate that we could use some more support?

EM: I believe that every mother could benefit from therapy because this perinatal period is so profound.  Even if you feel “fine,” it can be helpful to have a safe and nonjudgmental space to process the emotions and issues that can arise with motherhood.

If you are on the fence of whether therapy might be the right fit for you, I would consider if you are feeling overwhelmed or concerned by current feelings or symptoms, if you are having a difficult time coping, or if you are having a difficult time currently functioning in daily life. 

If a mother ever feels as though she cannot keep herself or her baby safe, call 911 as this is a psychiatric emergency and immediate support is needed.

AO: Where does a woman go to find the support she needs?

EM: I’m a believer in giving wraparound support.  Having a holistic approach to support is what can help a woman feel held during this transition.  I believe in psychotherapy, support groups, mommy + me groups, acupuncture, chiropractic work, physical therapy, exercise groups, and doulas to name some of the wonderful supports we have available in our community.  When I work with women, I often refer to many of my community partners who can help support the mother in overall wellness.

AO: We should mention that you are a mother of one yourself, with baby #2 on the way...has being a mother changed your approach or practice?

EM:  Being a mother has changed how I practice immensely.  It has deepened my empathy, humility, patience and sense of humor (because sometimes the ridiculousness of motherhood just makes you laugh).  Being a mother has changed so much of who I am, my practice is just one of the dimensions I have noticed a shift.

AO: You offer many different ways for women to work with you, can you describe those for us?

EM: I provide both concierge services and in-office therapy for women on the Westside of Los Angeles.  Additionally, I provide walk-and-talk therapy for moms who are looking to have a session outside.  The integrative walk-and-talk therapy can be wonderful for getting mothers outside and grounded.  Lastly, I lead supportive mommy+me groups in Santa Monica, Marina Del Rey and the South Bay.

AO: What are you favorite resources for women’s mental health right now? (Books, websites, Instagram handles?)

EM: I love This Isn’t What I Expected by Karen Kleiman.  I also love What No One Tells You by Alexandra Sacks MD.

For podcasts, I recommend Mom&Mind, The Longest Shortest Time and Atomic Moms. 

I post a lot of content about new motherhood on my instagram @therapyfornewmoms.  I also suggest following @alexandrasacksmd for content about motherhood that will resonate.

AO: What is your current self care must have/do?

EM: Asking for help when I feel overwhelmed, setting boundaries and lowering/adjusting unrealistic expectations.

AO: What/Who is inspiring your right now?

EM: My daughter is my continued inspiration and greatest teacher.  She helps me see my strengths and weaknesses, and teaches me to love myself—imperfections and all.

AO: Also, if there is a tool or practice you’d like to share, we could do that as well?

EM: A helpful practice for moms is to acknowledge the expectations that they have or have internalized from society and compare that to the reality of actual motherhood.  The discrepancies can cause many uncomfortable feelings for us!  It’s important to readjust expectations and also discard any unreasonable expectation myth of motherhood that isn’t serving you.  One of my favorite quotes by Jill Churchill is “There’s no way to be a perfect mother and a million ways to be a good one.”


Resources

Mamas, we see you. Here are some resources if you are looking for support.

You can ask your OBGYN for local therapists/support groups in your area.

You can check out Postpartum Support International’s website- they have a warm line to talk to support, local coordinators in your area who can help connect you to support, and a database of providers who are specialists! (Postpartum.net)

If you are in LA county, Maternal Mental Health Now has a LA wide database for providers who specialize in working with perinatal mental health (https://www.maternalmentalhealthnow.org)


Name: Emma Bennett

Occupation: Licensed Therapist

Website: https://www.therapyfornewmoms.com/

Instagram: @therapyfornewmoms

inspiring women series | postpartum doula + chef stephanie matthias

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All mothers need to know that it’s completely normal to fall head over heels in love with your baby and in the very same moment yearn deeply for your old life. It’s ok for all of your thoughts and feelings to share the same space.
— - Stephanie Matthias, Postpartum Chef & Doula

During my most recent pregnancy (which I knew would be my last), one of my goals was to try and honor the first forty days more mindfully. I had not done this with my other two pregnancies, but for some reason it felt right for me this time around. I did a lot of prep in order for this to happen, but most importantly I asked for support. From my friends, family, caretakers, colleagues, etc…I love to give support, but asking for it has always been a challenge, so this was a big deal for me.

Cooking and eating good food is something that I love, almost as much as I love to watch my family enjoy it! What is it about watching your kids eat and like the food your prepare? It gives me great satisfaction and I take so much pride in making nourishing, delicious meals for us to eat together as a family. But I knew that cooking with a newborn was not going to be easy. So with a plan to meal prep as much as I could, I also made the decision to ask for help from the wonderful Stephanie Matthias. We met a couple years ago, and I have been referring clients and friends to her over and over again. But since I didn’t know her with my first two pregnancies, I never got to actually receive her services.

Stephanie is such a delight! Her energy and peacefulness, combined with knowledge and training is exactly what a new mom needs. She wears many hats as a Postpartum Doula, Holistic Chef, Loss Doula, Reiki Healer and Baby Massage Educator. And yet I still don’t feel like those titles cover all that she offers. Having her in my home during the first forty days to support me and my family with nourishing meals and sound advice was a real gift. So I was thrilled when she agreed to answer a few questions for me so I could share her and her expertise with all of you!

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AO: What is a postpartum doula?

SM: A postpartum doula is someone who is trained to provide guidance, support and education to new families following the birth of a child. A postpartum doula typically focuses most of their time and energy on the new mother- helping her transition into her new role/identity, making her nutritious food, preparing a sitz bath, guiding her on how to care for herself and her baby, etc.

Postpartum Doula support can include:

  • Emotional and physical support for the mother as she recovers from birth

  • Meal preparation: As the main focus of the support I provide, I offer meals that are especially formulated to deeply nourish the postpartum mother. Meals can be made just for the mother or I am happy to feed the whole family.

  • Newborn care: education and soothing techniques

  • Normalizing the postpartum experience: when you first become a parent, it's easy to feel isolated and not know whether your experience is typical. Having an experienced postpartum doula by your side to reassure you is invaluable.

  • Phone and email support before and after birth

  • Breastfeeding support

  • Emotional support for the new mother’s partner, as needed - Basic infant massage

  • Provide professional referrals, as needed

AO: How is your approach/services unique?

SM: My holistic nutrition and food background sets me apart from most postpartum doulas. I believe that food is medicine and is one of the cornerstones of healing quickly and thoroughly. I also believe that the health of the mother is essential to the health of her newborn: eating well is not just for breastfeeding mothers (though that population is more vulnerable to getting depleted). Eating well is not just about your baby. Eating well is for YOU. You need to be nourished. You need to be nurtured. You need to be fed. You need to be revitalized and healed and replenished so you can flourish not only as a mother, but as a person.

Eating high quality, warming and nourishing foods- especially organic and natural foods as much as possible- is an important way to continue to take care of your body after birth. Protein is important to help with speed and effective repair and replenishment of body tissue. Do your best to incorporate iron rich, blood building foods into at least 2 of your daily meals, especially while you are still bleeding. This includes liver, red berries, red meat, dark leafy greens, soups, stews, broths, nettle tea, red beans, and sesame (tahini is a great source of iron and protein). In addition, drinking water abundantly throughout of the day helps with fatigue, depression and constipation. New mothers should plan to drink ten 8-oz glasses of water each day.

Alongside the importance of eating well is also an enormous amount of empathy for how overwhelming it can feel to feed yourself properly during those first few weeks and months. I can’t tell you how many women I’ve worked with who feel like it’s an accomplishment for them to even remember to have 3 meals a day, let alone making sure they’re nutritionally balanced. I advise my clients to try to have a week or two of meals planned out before the birth- this can be a combination of meals in the freezer and food you know that friends and family are going to be dropping by or hiring a postpartum doula to come in and make food for you.

AO: Working with so many women during this time, do you see any themes/areas where you tend to offer more support than others? (Ie: cooking, dealing with guests, helping the partner, lactation)

SM: Emotional support is the area of postpartum support that I love the most and also the space that my clients and I often spend the most time in, especially with first time moms.

The range of thoughts, feelings and emotions after birth are vast. There is a need to physically recover from birth while also taking care of your baby (or babies) and rediscovering yourself as a woman while your identity merges with that of yourself as a mother. It’s an incredibly delicate and complex process that, prior to birth, most women underestimate. Between sleepless nights, endless feedings, and a body you don’t quite recognize as your own, most women find themselves wondering who they are and where they are in all of this.

One of the most incredible things about motherhood (and this is something that never really leaves, no matter how old your children get) is that you can experience so many feelings all at once- pure and all encompassing love for your child and complete emotional crisis about being a mother. The beauty of it is that the full range of your feelings is allowed to exist at once- one feeling doesn’t negate the other. All mothers need to know that it’s completely normal to fall head over heels in love with your baby and in the very same moment yearn deeply for your old life. It’s ok for all of your thoughts and feelings to share the same space. Embrace all of it- be gentle with yourselves, have a sense of humor, let yourself feel ALL of it. It can take weeks, even months, to get comfortable and confident with your baby and your role as a mother so please be patient with yourself as much as possible.

Helpful suggestions for expressing these inner feelings include journaling, talking with your partner if you have one, sharing your experiences with your doctor or your doula if you have one, calling a friend who is also a mother, creating ritual, etc.

The other thing that I think it vitally important for new mothers to know is that your postpartum time can look however it needs to look for you to be happy and well. If that looks like staying home for 40 days, taking placenta pills, eating oatmeal every morning and co-sleeping with your baby, do that. If it looks like putting your baby to sleep in the SNOO and having a glass of wine at 6pm, do that. If it looks like getting together with girlfriends for dinner at your favorite restaurant before you’re “supposed to” be out and about, do that. If it looks like supplementing with formula because breastfeeding is either challenging or just something you don’t want to do, do that. If it looks like taking meds because your mental health is on the edge, do that.

I believe in happy moms. Happy moms make happy, well adjusted children who have their needs met. If parents’ needs aren’t getting met, it’s really difficult for them to fully meet the needs of their children.

There is a lot of pressure these days for postpartum and parenthood to look a certain way or be a certain way and that is so damaging for all of us because it’s just not a one size fits all kind of thing. We are dynamic, wonderfully complex and imperfect beings and our parenting experiences reflect that. And that’s ok!

AO: For women that don’t have access to support like you, what are your top 5 tips on setting up a more successful postpartum experience?

SM: 1 - Lean into your village

  • when people in your life as you if you need anything, say yes

  • Allow friends and family to show up for you and take care of you

  • Ask a friend to set up a meal train

  • If you have older children, have some playdates and babysitting scheduled for them ahead of your birth.

  • If you start feeling isolated or overwhelmed, ask a friend to come over.

  • Don’t be afraid to give visitors jobs! Most people want to help and will be grateful for direction.

  • I recommend putting a trusted friend in charge of organizing this: create a job list on a pasteboard or whiteboard and set it up somewhere very visible (near your front door is best). Anyone who wants to come and visit you and the baby should also sign up for a job while they are there. These jobs can be anything from doing dishes to doing laundry to taking your older child out for an ice cream.

2 - Consume the highest quality food and water possible

  • After birth your body needs to replenish everything it gave to grow and birth your baby. Taking care of your body is not a luxury, it is a necessity. I can’t stress that enough- eating well, drinking enough water, and getting enough rest is what will enable you to care for your baby. And, as a human, you deserve to be nourished, healthy and well.

3 - Practice empathy

  • Being tired coupled with learning something new (ie how to take care of a newborn while still functioning yourself) can be really hard and really frustrating sometimes. I deeply urge all new parents to practice empathy, compassion and kindness for themselves and each other through the process. Give yourself, and each other, the benefit of the doubt. Remember that it’s temporary!

4 - Stay off of social media, particularly if it’s a trigger for you

  • My advice is to stay off social media as much as possible during the first few weeks- and beyond if you’re feeling particularly sensitive or protective. Or if it’s triggering you! It can be really difficult to see your friends doing fun things without you or to see idealized images of motherhood. If you do participate in social media, be mindful of how you’re engaging with it energetically and remember that what you’re seeing is a very curated version of people’s lives.

  • Also, I really recommend that if you’re going to be on your phone while you’re breastfeeding to make sure that you’re not holding your phone anywhere near your baby’s head. EMFs are very real and your baby’s developing brain does not need the intense exposure from your phone.

  • NO GOOGLING. I can’t tell you the number of texts I’ve received from new moms at 11pm convinced that their baby has a terrible disease. Google is not your friend. If you have a concern, please speak with your care provider. If you need to talk through a situation, seek out your partner if you have one, a friend, a family member, a doula- anyone other than google. You will only end up feeling stressed and upset- and most likely for no reason.

5 - Boundaries

  • Be mindful of who you invite to spend time with you in the weeks immediately following birth.

  • Surround yourself with people who make you feel protected, honored, respected and nurtured

  • Place a sign at your front door to remind visitors that they are entering a sacred space. I like to suggest that the home of a new mother and baby should be treated like a house of worship- enter with the same respect and reverence as you would enter a place of worship.

  • The postpartum is a time for you to be preserving and pulling energy into yourself, not giving it out to family and friends. Others should be nurturing you.

AO: You are serving in a few different areas of women’s health besides supporting women as a postpartum doula. Share with us what those are?

SM: Yes! In addition to postpartum support, I also offer abortion support, women’s healing and holistic wellness mentoring, vaginal steaming, and reiki healing. I also have an herbal bath blend that I sell on my website and that will be available at Plumb Line very soon!

AO: What is your current self care must have/do?

SM: In my opinion the most important thing when it comes to self care is that it’s sustainable- I say that for myself and for others. If our self care practices are too time consuming, too expensive or too complicated, we’re less likely to consistently integrate them into our lives. So I keep things simple- I add magnesium flakes and my Radiant Woman herbal blend to my baths, take time to connect with nature (mountain hike, walk on the beach, looking up at the sky), eat foods that are nourishing and unprocessed, do my best to get 15-20 minute of unfiltered sun every day (ie no sunblock and not through a window), go to sleep before 1030 whenever I can, and make time to see my friends- time with my lady friends nourishes me in a way that few other things can.

Products that I’m currently really into are True Botanicals renew oil and Nucifera balm. My ritual when my skin is feeling dry, dull or just tired from living in a city with air pollution: put a thick layer of Nucifera balm all over my face, get into a hot bath and let everything really sink in with the steam and warmth, after the bath wipe my face with a warm washcloth to remove any excess balm, then finish with True Botanicals renew oil. Truly the best. My skin glows for days after that!

AO: What/who is inspiring you right now?

SM: Brene Brown- currently listening to “The Power of Vulnerability” on audiobook right now and it’s just incredible.

The women in my life - I am so grateful for all of my female relationships. I am continually in awe of the strength, power, beauty, empathy, magic, vulnerability, passion, creativity, etc that I get to witness and learn from in my friends and clients.

Mother Earth- nature is my greatest teacher in so many things, but right now the focus is on trust and grace. Trusting the phases, trusting the process, trusting the seasons, trusting the out-breath and handling it all with grace. Nature doesn’t question its purpose or jump ship when things get challenging or just give up the whole forest when one tree dies. Nature sits with whatever is happening- it meets us right where we are. It knows how to hold space without trying to fix us. Nature trusts that winter will turn to spring. It trusts that an inhale will follow the exhale. And if death comes, that’s ok too because that’s the cycle. Energy doesn’t die, it just transforms. The wisdom is just endless…

Zach Bush - honestly, you’ve got to just look him up. He is an incredible human being who is working tirelessly and gracefully to educate people on how to truly care for our earth, and each other, going forward. Definitely one of the more inspiring humans that I’ve come across in a while.


Name: Stephanie Matthias

Occupation: Postpartum Chef & Doula

Website: www.radiantwomanhealing.com

IG: @radiantwoman_

inspiring women series | dr. rebecca nelken

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Women come to me in the postpartum period (which is already so complex), and because no one talks about it, they assume that they are the only one suffering with urinary incontinence, prolapse, or even fecal or flatal incontinence.  I always encourage my patients to share their experiences- when women open up about common experiences we can support each other. 
— Dr. Rebecca Nelken, OB/GYN, Urogynocyologist

I have always been so grateful for other practitioners in the Women’s Health field. Not only because their work can also benefit my patients but because they inspire me through their work in teaching and showing women alternate ways in taking care of their bodies, mentally, physically, emotionally and spiritually.

For this series, I am excited to introduce you to Dr. Rebecca Nelken. Dr. Rebecca Nelken is a double board certified OB/GYN and Urogynocologist. I have had the chance to experience Dr. Rebecca Nelken’s treatment and I am excited to announce that we will be having her as a guest speaker for our first #aconversation series this Friday, May 10 at 10am at Plumb Line Studio. This specific conversation series with Dr. Nelken will bring to light the topic of pelvic floor health postpartum, painful sex, incontinence and prolapse. To sign up for this free event, you can RSVP here.

I know that I truly enjoyed learning from Dr. Nelken and have found her work to be so beneficial not only for my patients, but also for myself and I hope that this will be beneficial to you too.

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AO: What's one thing you have had access to before, during or after pregnancy that has positively influenced your experience? (product/professional service or treatment/class/book etc...)

RN: Vaginal estrogen cream! Sex was so painful after pregnancy.  Even though I had a C-section, my vagina was so dry because I was breastfeeding which suppresses estrogen.  Vaginal estrogen cream allowed me to have sex again without pain!

AO: What are you surprised by (that no one ever talks about) that happens to your mind or body during or after pregnancy?

RN: Unfortunately most women are embarrassed to discuss the pelvic floor symptoms that are so common after pregnancy.

Women come to me in the postpartum period (which is already so complex), and because no one talks about it, they assume that they are the only one suffering with urinary incontinence, prolapse, or even fecal or flatal incontinence.  I always encourage my patients to share their experiences- when women open up about common experiences we can support each other. 

I’ve seen women who are unable to return to exercising because of their incontinence.  This in turn can contribute to depression at a time when women want to get back to their normal routines and bodies, and need those great endorphins.

The good news is that there are many treatment options available (see below).

AO: With your experience, what knowledge would you share with a new mother?

RN: Make the time for self care.  We all feel guilty taking time for ourselves, but it’s so important to model this for our children.  And we are better moms when we are happy!

AO: How has your body amazed you on this journey of pregnancy and/or motherhood?

RN: The magic of the human body is what originally drew me to the field of medicine.  As an OB/GYN initially, and then later as a Urogynecologist I have supported women through their pregnancies, deliveries and postpartum period, all based on my extensive studying.  But living through it myself really took my appreciation to another level. I was blown away by the experience of my body growing a baby, delivering it, and then being able to nourish that baby.

AO: Fill in the blank: My current self care must do/have: _______________

RN: Meditation.

AO: Fill in the blank: Motherhood means: __________________

RN: Letting go & accepting that everything will not go according to script, but that it will end up even more beautiful than you imagined

Additional Questions Related To Your Practice

As a urogynecologist we have a few bonus questions for you since your knowledge and expertise is so pertinent to our audience. 

AO: Prolapse after baby is a common issue I see in my practice.  When do you consider surgery as the best option?  And if that is the case, do you still recommend pelvic floor PT to prepare for surgery?

RN: I always recommend Pelvic floor PT as first line therapy for prolapse.  Especially in the postpartum period, when the tissues are still healing and hormone levels have not returned to baseline.  I try to avoid surgery in this time unless absolutely necessary. 

I encourage women to start with PT, and vaginal estrogen, and possibly a pessary.  It takes about 3 months after completing breastfeeding for hormone levels to return to baseline.  If prolapse symptoms are still present at that time, then we discuss surgery. 

I always recommend pelvic floor PT both before and after surgery, as we have good data that this improves surgical outcomes!

AO: I know that you fit women for pessaries if they have a prolapse.  Do you ever use a pessary temporarily for women postpartum as they heal?  If so, for how long and is it accompanied with other therapies?

RN: A pessary is a plastic device (similar in size to a diaphragm) which can be placed in the vagina to help lift up a prolapse.  These are a great option for postpartum women who are very uncomfortable from their prolapse.  As I mentioned before, most postpartum prolapse will resolve with time and PT, so a pessary is often just the thing to alleviate discomfort in the interim. 

I always teach my patients to insert and remove it themselves, so they can be in control of when they use it.  Some women say their prolapse only really bothers them during a workout, so they can simply use the pessary when they need it.  Other women want to wear it all day, but like to remove it at night so they can have sex.

AO: I am always reminding my patients that incontinence is common post pregnancy, but not normal.  Obviously I am a huge advocate for pelvic floor and core rehab, but are there other treatment options that you perform/prescribe in your office? (ie. laser, estrogen?)

RN: I think the distinction between common and normal is so important!  Both prolapse and urinary incontinence are common postpartum, as the pelvic floor heals from the trauma of pregnancy and childbirth.  But just because it’s common doesn’t mean that women need to live with it.  We have a lot of treatment options to improve these symptoms.  I offer a radiofrequency treatment called ThermiVa.  This is an in-office, pain free treatment that accelerates the body’s natural healing by tightening existing collagen and stimulating deposition of new collagen.  This can improve symptoms of prolapse, urinary incontinence as well as vaginal laxity (looseness), which are all common postpartum.


Name: Dr. Rebecca Nelken

Occupation: OB/GYN & Urogynecologist

Website: www.rebeccanelkenmd.com

IG: @rebeccanelkenmd