Chat with Michelle
March 22nd. 2021 | Comments Off on Chat with Michelle
Link below to listen to chat with Michelle
Michelle works as a women’s health physio in a maternity hospital (Limerick)
Michelle spoke about who gets seen in the public system. She sees women antenatally and postnatally. A referral from GP/Consultant/midwife is required to be seen.
Antenatally she sees women in pelvic girdle pain, low back pain, mid-back pain, carpel tunnel and education class.
Currently the antenatal classes are delivered virtually, live. You register as normal for the classes when in the hospital. They are busy. There may be differences between hospital.
Post-natally, the physios see everyone on the post-natal ward, where they go through the relevant advice.
Everywoman has the option to self-refer postnatally to the physios in the maternity in Limerick up to 12 weeks post-natal (this may differ from the hospital).
Beyond 12 weeks it needs to be a consultant referral to be seen by the women’s health physios in the maternity.
If you need to be referred to physio after 12 weeks the referral will be sent to the primary care service/community service.
Ailish clarified that the primary care service can fluctuate in terms of whether there is a physio working in primary care specialising in pelvic health. Ailish advised to follow up the referral to ensure that service is available.
Types of areas covered post-natally included Incontinence, feelings of heaviness/achiness, ?doing exercises correctly and checking whole body (posture, tummy muscles, functional movements)
Michelle emphasised that in an ideal world every woman should get the full check post natally. Regardless of any symptoms, your body has been through so much during the pregnancy, a lot of internal healing has to happen including your deeper tummy muscles/pelvic floor muscles.
‘Build yourself from the inside out’
‘Build the parts that aren’t seen’
We talked about women can use their voice as having this as a standard ‘Ask for it’, if there is an increased demand that is when change happens.
Ailish mentioned the importance of seeking the referral to use your voice, even though there may be no outcome, it will show there is a demand, in which case the resources will follow.
Michelle also mentioned how they cover a huge array of gynae conditions also, incontinence, prolapse and post-surgery.
Michelle really want to emphasise how constipation during pregnancy and the post-natal period can have such a huge impact on your pelvic floor. Keeping it under control can make all the difference with the level of pressure going down the pelvic floor.
Good hydration, lots of fibre in the diet, toilet positioning, deep breathing no straining and try to go with the first urge, don’t delay it.
Ailish demos toileting positioning at 22 mins 19 secs.
Michelle talks about how to protect the perineum and c-section wound during first few bowel movements and also highlighted to say it the midwives in the maternity before you leave, if you feel you are constipated, can prescribe stool softener.
We also chat about teaching the toileting tips to our kids.
Michelle acknowledged the work of the pelvic health physios:
The Physio Girl- Eimear Lynch- loves her videos
Shalini Wiseman-Pelvic Health Programs- Lovely course for labour
Ailish spoke about choosing The Bump Room when she hit burnout and her favourite part has been developing the Finding Relief class.
Michelle encourages women to think about long term impact of leakage, down the line. She asked women to consider prioritising themselves more.
Michelle speaks about the women later in life who express how they ‘I wish I had known this’, ‘If I known there was help there’.
It’s easier to put it on the back burner and get on with things, however Michelle would like to change narrative around women looking after themselves.