Why French women don’t pee their pants when they laugh and you do—
In France, any woman who has delivered a baby gets a prescription for 10 free physical therapy sessions to “re-educate” her pelvic floor—you know, that collection of muscles, ligaments, tendons and fascia that supports your pelvic organs, helps youEmily Mazo-Rizzi, an American who has lived in Paris for nearly 20 years, happily took advantage of this government-funded rehabilitation when her first baby was born in 2012.
After the six-week mark, French women are encouraged to follow up with a physiotherapist or midwife twice a week for about a month and a half. Some healthcare providers, like the one assigned to Mazo-Rizzi, give manual therapy , a type of internal massage that involves working out any tension and scar tissue and physically feeling the woman contract her muscles.
While new French moms are engaging in this intensive postpartum therapy, Canadian women are generally left with their pelvic floors hanging. Take Toronto mom Sylvia Vickers*, for example. She had a bit of an “oops, I did it again” feeling when a wee bit of pee would leak out with a sneeze, laugh, cough or other sudden movement after her daughter, Samantha* was born in 2015.
Mary Wood, a pelvic health physiotherapist in Edmonton, isn’t surprised by the lack of awareness in North America. “We’ve seen a huge increase in women in our clinic from 10 years ago, both prenatally and postpartum, but we’re seeing a small percentage of all births,” she says. “Women usually find out about us from a friend of a friend.”First up, says Julia Di Paolo, a pelvic health physiotherapist in Toronto, is to know more about that whole area.
If you see a therapist during pregnancy, she can also help you learn how to breathe properly and push during labour—something that Di Paolo says we generally don’t talk about or practise in Canada. “Pushing is a lengthening of the pelvic floor,” she says.
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