Kegels
Kegels are, quite
simply, exercises of the pelvic floor that help to strengthen it, not
only for pregnancy and childbirth, but for life. The exercise is named
after Arnold Kegel, a professor of obstetrics and gynecology at UCLA,
who first prescribed the exercise as an alternative to non-pregnant
women with urinary incontinence.
To find out why pelvic floor
muscles are important, you need to first know what they do! The pelvic
floor muscles:
Support the
pelvic organs and their contents (bladder, uterus & bowel)
Withstand all the
increases in pressure that occur in the abdominal and pelvic cavity
(caused by laughter, sneezing, coughing, straining, pushing a baby out,
and of course, pregnancy)
To provide
sphincter control of the perineal openings. (To prevent incontinence,
and to assist with relaxing the pelvic floor during the birth of a
baby).
Kegel exercises help prevent
hemorrhoids, leakage of urine, episiotomy, tearing during birth, and
uterine prolapse. A fringe benefit is that it can also intensify sexual
responsiveness.
Ideally, girls should be
taught at a young age to do Kegels, and the exercise should be continued
throughout life. However, it’s always "better late than
never"! Start now, and not only will your birth be more
comfortable, but you will experience a much speedier recovery!
References
Noble, Elizabeth. Essential
Exercises for the Childbearing Year. 3rd ed. Boston, MA/Houghton
Mifflin; 1988.
McCartney, Marion & van der Meer, Antonia. The
Midwife’s Pregnancy and Childbirth Book. New York/Harper Collins;
1990.
Appel, Cheryl, PT, ACCE. "Feeling Fit." Lamaze
1992: p.34
How To Do Kegel Exercises
Tighten the pelvic floor
muscles as if you were stopping the flow of urine. Hold for a few
seconds and release. It’s as easy as that! Do this 5 times in a row,
about 30 to 50 times each day. That may sound like a lot, but it’s the
frequency of the contractions that tones the pelvic floor, not the
length of the contraction. Also, as Elizabeth Noble points out in her
book Essential Exercises for the Childbearing Year, "This
way you don’t get bored, or risk muscle fatigue by prolonged holding
or frequent repetition without resting." The real beauty of Kegels
is that they can be done anywhere, and no one will notice! Make notes to
yourself that say ‘Kegels’, so you don’t forget!
Note: I am not practicing midwifery at this time, as I feel that the Lord would have me to stay home and focus my attention on my family for this season. However, I believe that homebirth is the best option for most birthing women and their families, and it is in support of this cause that I have included this article on my website. I am glad to offer ideas, suggestions or information to couples who are planning a homebirth. Please email me if you have any questions.
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