
Fourth Trimester
Yoga Therapy
Introduction to the Course
Pregnancy changes our entire physiology. From our physical bodies and the shifting of our organs, the sweeping changes in our hormones that change our physicality as well as our minds. I know I'm not the only one who feels organs smushed and moved, randomly weepy and sensitive, lethargic and the ever-present brain fog we call "pregnancy brain".
This is all due to the rapid, sweeping shifts in our hormones and our growing babies. Our bodies are showing us the power of returning to our animal nature; shifting away from our cognitive, frontal lobe thinking, and turning inward to our instinctual nature so that we can birth and mother.
"Birth is an animal body event, not a cultural or social event." - Liz Koch
How can you more deeply connect to your animalistic, primal, instinctual, intuitive nature?
This program's goal is to reconnect you to your inner nature. Your instincts. Your intuition. Each meditation is meant to bring you more into your body and your gut instinct and away from listening to all the advice that has been thrown at you. You and your baby know best. Listening to yourself can be challenging, so these practices will help you to quiet the noise in your mind and in your environment so that you can reconnect to what your intuition is telling you.
How to Use This Course
Each section is broken up into 'weeks'. You can use these sections in 7 day weeks, or you can also use them in 5 day 'weeks' or 10 day 'weeks'. I advise using them in this way:
5 day 'weeks' - if you had a smooth vaginal birth, no tearing, no forceps, not too much excess pushing, no hemorrhaging.
7 day 'weeks' - if you had a vaginal birth that was mostly smooth. A small tear that is healing easily, light hemorrhage, medium amount of pushing.
10 day 'weeks' - if you had a challenging birth or C-Section. Tearing, prolapse, lots of pushing, etc.
The reason these weeks are spread out in this way is so that your body (your body is unique and doesn't necessarily follow the timeline you or your health care provider expect) has adequate and appropriate time to heal. Rest is imperative to healing. The first 2 'weeks' try to carry your child as little as possible, sit and lay down with them over walking and carrying. Ask for help, ask someone to move in. I know it's hard and I know sometimes it's impossible. You're welcome to email me to ask how I can support you virtually (itsjess@jessgruber.com) or I can suggest postpartum doulas to support you as well.
You can jump around this course in a way that supports you best. Shift to whichever 'lesson' you need today. Repeat 'lessons' as you need them.
Most of these practices are audio. This makes it much easier for you to listen and not have to set up a screen to look at. Also, the audio recordings are available for you to download so that you can have them anytime, anywhere.
Let's get started!
The Week Before Birth: Preparation
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Other Resources
Click the link below to view the resource list
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Birth Visualization Meditation
This is a visualization practice to help you connect to your ideal birthing experience.
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Allowing Meditation
As you approach birth, a naturally mysterious process, it can be beneficial to practice allowing.
What I mean by 'allowing' is that you are able to allow events to unfold without attempting to change or control them. It means that parts of your birth experience may be different than you expected or planned for. How can you practice allowing birth to happen and ride the waves it brings? This meditation is part of that practice.
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Movement Practice - Squats + Pelvic Mobility
As baby moves downward and prepares to be born it's helpful to practice movements that bring strength and space into your pelvis.
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Restorative Yoga for Late Pregnancy
This restorative practice is meant to create space in your abdomen and pelvis as well as create a sense of relaxation and restoration as you prepare for birth.
Week 1: Ease
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Transitioning into this new life
The first 'week' postpartum is best spent in bed. No chores. Only getting up to go to the bathroom.
Rest in bed. Eat nourishing foods. Ask and accept help from others. Limit baby wearing and standing/walking. When sitting, try to keep legs together to encourage pelvic organs to draw back into place.
Remember this 'week' might be 5 days long, it might be 10 days long. Take your time and give yourself all the space and time you can.
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Feeding Meditation - Connecting to Baby
This meditation is meant to bring you to feeling a sense of ease while feeding and connected to baby.
When feeding your babe, get your body comfortable first. Then get babe comfortable and latch.
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Body Scan for Sleep
Get cozy and press play. Time to get some zzzzzz
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Vaginal Steam Instructions
Click the link below to download the instructions with links to other resources
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Vaginal Steaming Meditation - Return to Center
This steaming meditation is meant to guide you and your uterus to returning to center.
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Vaginal Steaming Meditation - Clarity
This steaming meditation is meant to guide you to feeling a sense of clarity and ease in your uterus as it heals.
Week 2: Restore
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Getting into the Swing of Things
'Week' 2 is meant to be spent on the bed. Make sure you are sitting and resting for at least 30 minutes every 2 hours. No chores during this week. Your uterus is trying to return to normal. Your abdominals and pelvic floor are not able to engage to support you like they used to, baby wearing puts a lot of pressure on your core and pelvic muscles and they just aren't ready yet for that kind of action.
Remember, this 'week' can be 5 days, 7 days, 10 days long... whatever you need.
Many clients start to feel a rush of energy and desire to 'get back to normal' during their second or third 'week' postpartum. This energy and desire to 'get back to normal' doesn't mean your body is really ready. I know it's hard. I know this is going to be a big challenge for me in my postpartum, but please, please, don't go on long walks, don't carry/wear baby for long periods of time (no more than 15 min), don't do a yoga class.
This is the perfect time for breathwork, meditations, and gentle shoulder stretches if you're feeling energetic.
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Feeding Meditation - Body Scan
This meditation is meant to bring ease to your feeding session through a body scan meditation.
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Breathing Deeper
Breath a little deeper and more easeful with this practice.
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Self Touch + Massage Practice
This self-massage practice is meant to bring about a greater sense of clarity in your body and maybe even a greater sense of being 'awake' as you are still likely not getting much sleep.
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Breath Observation
Allow ease and clarity in your body with this gentle meditation focused on observing your breath.
Week 3: Rejuvenate
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Returning to movement
This week is when we begin to bring gentle movements back into your body and daily life. If you feel ready to start doing chores like dishes (try not to lift up laundry baskets right now) go for it. Walking around your neighborhood will feel great. Keep it simple.
This 'week' is meant to be spent near the bed, half the day in bed and going on short walks.
Try not to carry/wear baby for too long (no more than 20-30 min). Your abdomen and pelvic floor aren't quite ready to hold that extra weight.
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Feeding Meditation - Even Breathing
This feeding meditation is a gentle even breathing practice meant to help you breathe a bit easier and fuller.
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Gentle Yoga for Shoulders
Holding babe while feeding, wearing babe, changing diapers, and all the other things that put pressure and stress on your shoulders are only compounded by the fact that you core and pelvic floor muscles are still healing. Let's sit and gently stretch and move our shoulders to alleviate some tension.
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Maintaining Healthy Posture While Baby Wearing
This video goes over healthy baby wearing posture.
Note: I am pregnant in this video so just remember your body will be different than mine, so listen to my words more than looking at my body ;-)
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Clarifying Staircase Breath
This practice will bring some energy and clarity into your mind and body. Get comfortable and let's breathe together!
Week 4: Clarity
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Your New Normal
This week is all about finding your new normal. Many new parents feel like week 4 brings a bit more clarity, a routine is starting to take hold, and the birthing parent is able to physically do more.
Spend this 'week' around the house. Going on short trips and adding some time/distance to your walking route are good practices this week. You might start wearing baby more this week - opting to wear baby while doing chores or going on walks (30-40 min).
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How to Sit
We often sit on our sit bones. As you start to move around a tiny bit more you may notice some stiffness or discomfort in your pelvis or lower back. Start practicing sitting up on your sits bones for 5 minutes every couple hours. This will help your body get stronger and alleviate some of the discomfort on your sits bones.
Watch this video by Lisa Gillispie
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Feeding Meditation - Loving Kindness
Loving kindness, or metta, is a powerful meditation meant to bridge connections and bring about a greater sense of community and 'oneness'. A great practice to do during matrescence (the journey into motherhood).
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Activating Staircase Breath
This is another staircase breathing practice. Instead of the 'stairs' being on the inhale, the 'stairs' are on the exhale. This will bring about a gentle engagement in the abdominals, toning those muscles as the uterus is now much smaller, almost returned to normal.
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Restorative Legs Up the Wall
Legs up the wall is a great posture to rebalance the pelvis postpartum. It helps to draw the pelvis organs back into the body, especially if there is a prolapse. It also helps to draw the pelvic floor muscles back together, which is why a strap around the shins to hold the legs and feet parallel and a pillow under the pelvis are beneficial to this practice.
If you don't have a yoga strap that's okay! Use a belt or a scarf to tie around your shins. And have 2 pillows or 1 thick pillow for this practice.
Here's a link to learn how to do the posture and it’s benefits:
https://www.yogauonline.com/yoga-pose-primer/take-5-recharge-viparita-karani-legs-wall-pose
Week 5: Reset
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Coming back to movement
This 'week' is meant to be spent returning to gentle movement. Maybe you begin lifting things again (not much heavier than baby). Maybe you take a longer walks or a not-too-strenuous hike. Maybe you are ready for a gentle movement class. Maybe you do part of one of the Week 6 baby and me yoga classes.
As you begin to re-incorporate movement into your life, try not to do too much in 1 day. It can feel exciting to jump right in and start doing a lot. Ease into it all so that by week 7 you're still increasing your abilities without any set-backs.
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Womb Meditation
This womb meditation is meant to bring you to greater connection to your wombspace as it heals. Enjoy this sweet practice and I encourage you to come back to it regularly.
Here is an image of the yoni mudra (hand gesture for the female reproductive organs) that we'll be taking during this meditation.
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Breast Massage
Breast massage can be a wonderful way to alleviate a clogged milk duct, to gently care for tender breasts, improve the quality of breast milk, and encourage production of breast milk.
Grab your favorite oil (I love coconut oil!) and warm up your hands.
Study on breast milk quality and breast massage: https://journals.lww.com/jpgn/Fulltext/2004/05000/Composition_of_Milk_Obtained_From_Unmassaged.5.aspx
Study on increased milk production with breast massage: https://www.sciencedirect.com/science/article/abs/pii/0028224394901317
Follow these steps:
Focusing on your left breast. Using left hand on the bottom of the left breast and the right hand on top. Using 4 fingers of each hand massage in a circular pattern as you slowly shift your hands to either side of your left breast.
Changing your hands to fists, gently knead and/or roll your knuckles over your breasts. Continuing in a circular motion.
Gently using your finger tips to tap and massage all over your breasts.
If you want to hand express milk, position your right thumb to the top of the nipple and your 4 fingers underneath. Then, in a rolling motion, gently massage to hand express your milk.
Repeat on your right breast.
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Double Exhale Breathwork
This practice is meant to encourage gentle engagement of your abdominals during the exhale.
Go slow.
Take breaks.
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Pelvic Floor Elevator
This is an easeful way to engage your pelvis floor muscles. Do this instead of kegels!
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Activate Your Pelvic Floor
This is a practice meant to engage the fast twitch muscles of the pelvic floor. These are important muscles to engage as you begin to move more and become more active.
After this practice I encourage you to go back to one of the gentle breathwork practices or restorative yoga practices earlier in the course. This is important because pelvic floor muscles need rest and stretching after being activated, just like all of our other muscles!
Week 6: Return
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Returning to (the new) you
This 'week' is meant to be the week that you're cleared by your health provider for movement again. If this isn't you, if you're not yet ready for big movements, that's okay! Six weeks isn't a magical amount of time in which all people are now back into their pre-pregnancy bodies. Six weeks is meant to be seen as a time of restoration and transition. Ease yourself, at your pace, into movement, exercise, etc. Feel free to take as long as you need through this course.
I encourage those who are still experiencing incontinence (fecal or urinary) and prolapse to check out my Postpartum Yoga Therapy Course focused on rebuilding strength and stability throughout the pelvic floor.
Enjoy these longer and more active practices!
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Baby + Me - Focus on Hips & Pelvic Floor
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Baby + Me - Focus on Core & Shoulders
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Baby & Me - Focus on Shoulders
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Baby + Me - Focus on Core & Diastasis