Perineum

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• She referred to Kate as a “silly girl” and told her she needed to calm down.
• He asked if this was “the silly girl” he’d heard about, and then told her to control herself.
• Nevertheless, everyday sexism, particularly in the form of paternalistic and patronising language, remains common throughout UK obstetric care, according to our research.

No respect

• In our study exploring birth experiences, many participants told stories of interventions during childbirth, including surgery, that were performed without consent, or adequate pain relief.
• Participants also discussed experiences of their own views or knowledge about what was happening to their bodies, being ignored.

Language matters

• The language used about and to pregnant women matters because it sets the context for the way in which they are treated and the extent to which they are valued as experts in what is happening to their own bodies.
• This may be because paternalistic language can be difficult to call out.
• For these contributors to the discussion, the language used by health care professionals wasn’t as important as the quality of the healthcare they were providing.

“Good girls” don’t complain

• This concern prevented many of them from putting in a complaint.
• Our findings suggest that the extent of experiences of sexist language, and more overt discriminatory or poor practice, may be significantly under reported.

Nadia von Benzon does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

• After all the physical changes during pregnancy and following childbirth, many women are left wondering how to get active again and where to begin.
• Of course, activity after childbirth is an individual journey with multiple things to consider – and one of the first considerations may not be what you expect: your pelvic floor.
• If you’ve just given birth (or are about to) and you’re wondering where to start, here’s what you need to know:

1. Keep your poo soft

Straining on the toilet can overstretch the pelvic floor muscles which makes it harder for them to work properly. To avoid this you can keep your poo soft by drinking lots of water and increasing the fibre in your diet, such as high-fibre cereals, brown pasta and nuts. Also, consider your position on the toilet. The use of a stool underneath your feet can make it easier to poo without straining as it helps to straighten the end of the bowel.

2. Get your pelvic floor moving

• This is because pelvic floor activity can improve the strength and function of the muscles to help bladder control and vaginal support.
• After a vaginal delivery and even after a c-section, the recovery time for the pelvic floor continues for up to one year.
• Pelvic health physiotherapists recommend squeezing your pelvic floor for ten seconds before relaxing for ten repetitions, followed by ten short squeezes.

3. Let things settle and go gently

• The tummy helps to support the pelvis so rushing back to activity too quickly can put unnecessary strain on these areas.
• Opt instead for a gentle increase in activity to help the muscles and joints settle such as walking, yoga or pilates rather than starting higher impact activity, like running, too early.

4. Check your mental health

• The National Perinatal Mental Health Project Report focuses on improving mental health support for women after they have given birth by providing more support services.
• These services can be accessed by speaking to your GP, midwife, health visitor or pelvic health physiotherapist.
• Looking after your mental health and concentrating on your pelvic floor are good starting points.

• Working with TheracosBio and Cost Plus Drugs, SmithRx now provides BRENZAVVY as an option following its launch in July 2023.
• BRENZAVVY is not recommended for use to improve glycemic control in patients with type 1 diabetes mellitus.
• Diabetes is the most expensive chronic condition in the U.S. and accounts for 1 of every 4 dollars spent on healthcare.
• In patients with type 1 diabetes mellitus, BRENZAVVY significantly increases the risk of diabetic ketoacidosis, a life-threatening event, beyond background rate.