​Giving birth is a most assuredly a transformative experience—physically, emotionally, and mentally. But one aspect that often doesn’t get enough attention is the impact childbirth can have on the pelvic floor. Whether you had a vaginal delivery or a cesarean section, your pelvic floor muscles have supported you through pregnancy and birth, and they deserve some care and attention during your postpartum recovery.

Let's explore what the pelvic floor is, why it’s so crucial to your well-being after childbirth, and practical ways to strengthen it during the postpartum period.

What is the Pelvic Floor?
The pelvic floor is a group of muscles and connective tissues that stretch like a hammock from your pubic bone to your tailbone. These muscles support key organs including the bladder, uterus, and rectum. They also play a critical role in urinary and bowel control, sexual function, and core stability.

Why is Pelvic Floor Health Important Postpartum?
During pregnancy, your pelvic floor carries the increasing weight of your growing uterus. Then, during vaginal birth, these muscles stretch significantly, sometimes tearing or weakening. Even if you had a cesarean section, pregnancy alone can put strain on the pelvic floor.
Common postpartum issues related to pelvic floor dysfunction include:

• Urinary incontinence (leaking when you cough, laugh, or sneeze)
• Pelvic organ prolapse (when organs like the uterus or bladder drop into the vaginal canal)
• Pain during sex
• Lower back or pelvic pain

These symptoms are common, but they are not something you have to just “live with.” Strengthening your pelvic floor can help restore function, improve comfort, and support your long-term health.

When Can You Start Pelvic Floor Exercises?
Generally, you can begin gentle pelvic floor exercises, often called Kegels, within a few days after birth, especially if you feel ready and comfortable. However, every birth is different, so it’s essential to:

• Listen to your body
• Follow any specific guidance from your healthcare provider
• Wait for clearance at your postpartum check-up (usually around 6 weeks) before starting more intense exercise

You can also be proactive about your pelvic floor health and begin seeing a PFT during pregnancy.

How to Strengthen Your Pelvic Floor Postpartum
Here are simple, safe ways to start restoring your pelvic floor health after birth:
1. Kegels- These are small but powerful contractions that help rebuild strength and endurance in your pelvic floor.

• Tighten the muscles as if you’re trying to stop the flow of urine
• Hold for 3–5 seconds, then release
• Repeat 10 times, a few times a day

Pro tip: Avoid doing Kegels while actually urinating, as this can lead to bladder issues over time.

2. Pelvic Tilts- Lie on your back with your knees bent and feet flat. Gently tilt your pelvis so your lower back presses into the floor, then release. This helps engage your deep abdominal muscles along with the pelvic floor.

3. Diaphragmatic Breathing- Deep breathing helps reduce intra-abdominal pressure and allows the pelvic floor to move naturally.

• Inhale deeply, expanding your belly
• Exhale slowly, gently drawing in your pelvic floor muscles

4. See a Pelvic Floor Physical Therapist- If you’re dealing with discomfort, incontinence, or just want expert support, a pelvic floor PT can create a personalized plan to help you recover safely and effectively.

Pelvic floor recovery isn’t a race. Healing takes time, and every body is different. Rest, hydration, and gentle movement are all part of the equation. And remember: asking for help, whether from your OBGYN, a physical therapist, or a postpartum coach, is a sign of strength, not weakness.

Caring for your pelvic floor after childbirth is one of the best investments you can make in your long-term health and quality of life. Whether you’re newly postpartum or a few years into parenthood, it’s never too late to start. Strong doesn’t mean “bouncing back”, it means building back better, with awareness, support, and self-compassion.

Got questions? Contact me for resources and recommendations for local pelvic floor therapists.

​Parenthood is a rollercoaster—equal parts joy, terror, and mystery odors. Some days you're crushing it and other days you're barely hanging on and giving it just enough to keep everybody alive. The truth? Raising kids is weird, messy, loud... and absolutely hilarious. If you know where to look (hint: everywhere), the humor in parenthood is not only real, it's what will keep you sane.

1. The Comedy is in the Chaos
The toddler tantrum over the “wrong” color cup. The six-year-old logic that explains how underwear is optional at school. The teen who’s suddenly embarrassed by the way you breathe. These moments are comedy gold—eventually. Maybe not in the moment, but give it time. Or a group text with your best parent friends.
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Need reassurance?
Check out “Sh*t My Dad Says” by Justin Halpern, which began as a Twitter account and evolved into a hilarious memoir of growing up with a brutally honest (and unintentionally funny) father. It’s a reminder that even the most off-the-wall parenting moments make for the best stories later.

2. Lower the Bar (And Your Expectations)
Perfection is a trap. Let go of the Pinterest-worthy bento boxes and embrace the chicken nuggets. Your child will survive mismatched socks and cereal for dinner. The real parenting wins are surviving Target with toddlers or managing to drink your coffee before it gets cold.
For a perfect dose of reality, “Toddlers Are Aholes: It’s Not Your Fault” by Bunmi Laditan delivers a painfully accurate (and funny) look at life with tiny, irrational dictators. She reminds us all that it’s okay to laugh at the absurdity of parenting life—because that’s what it is: absurd.

3. Kids Say the Darndest (And Most Terrifying) Things
Children are unfiltered little truth bombs with a gift for mortifying their parents in public. Their questions, observations, and bedtime stall tactics are often unintentionally hilarious.

Take comfort in “I Heart My Little A-Holes” by Karen Alpert, a laugh-out-loud collection of parenting mishaps, awkward moments, and brutally honest truths. Alpert’s self-deprecating style gives all parents permission to laugh at themselves—and their offspring.

4. Celebrate the Small Wins
Did you remember picture day? Amazing. Got your child to eat something green? You’re a wizard. Laughed at a poop joke? Welcome to the club. Parenthood is built on these small victories and the ability to find joy (or at least sarcasm) in them.

For inspiration, revisit “Go the Fk to Sleep” by Adam Mansbach, the picture book for grown-ups that perfectly captures the bedtime battle—and your inner monologue. Bonus: there’s a version read by Samuel L. Jackson that deserves a spot in the Parenting Hall of Fame.
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5. Share the Struggle
Some of the funniest parenting moments come from swapping stories with other sleep-deprived grown-ups. Community is key. Whether it's a mom group, a dad podcast, or a 2 a.m. Reddit thread titled "Is this rash normal?", laughter connects us.

Don’t miss “How Not to Hate Your Husband After Kids” by Jancee Dunn, which tackles the relationship side of parenting with humor, honesty, and actionable advice for keeping your sense of humor—and your marriage—alive through the trenches.

Parenting isn’t a sitcom, but it sure has the material for one. So the next time your kid draws a mustache on the cat or announces loudly in public that “Mommy tooted,” take a breath and laugh. These are the moments you will retell at their graduation party... or wedding... or to their therapist. After all, if we can't laugh at parenting, we’ll probably just cry into that day-old coffee. And that’s just no fun.

Do you have high lipase breast milk?

I first learned about high lipase breast milk when I was working as a nanny. I was caring for a newborn and one day while preparing his bottle, I noticed a difference in the milk. It smelled different, like it had gone bad. But how could that be? Ths mom had just pumped the milk the night before. So I went upstairs to tell her and we both agreed to see if the baby would drink the milk. He did. But this led to an afternoon of unexpected research to figure out what was going on with her milk. What had she eaten recently? Was she sick? Was this a one time thing? Should she call her OBGYN? And most importantly, would the baby experience any adverse affects after consuming the milk?

​​For many breastfeeding mothers, pumping and storing breast milk offers flexibility and peace of mind. But some discover an unexpected twist: after storing breast milk, it smells or tastes soapy, metallic, or even rancid. If this sounds familiar, you might be dealing with high lipase breast milk. While it can be frustrating, the good news is that your milk is still safe and valuable for your baby.

What Is High Lipase Breast Milk?
Lipase is a naturally occurring enzyme in breast milk that helps break down fats, making the milk easier for your baby to digest. In some individuals, lipase activity is higher than average. This can cause stored breast milk (especially when refrigerated or frozen) to develop a distinct smell or taste after just a few hours or days.

What Causes High Lipase?
The exact cause isn’t fully understood, but it's believed to be simply a matter of individual body chemistry. High lipase levels don’t mean there’s something wrong with you or your milk, just that the enzyme is working very efficiently.

Is It Safe to Feed Baby?
Yes, breast milk with high lipase is completely safe and still highly nutritious. However, some babies may reject it due to the altered taste. If your baby refuses stored milk, there are still ways to make it work.

​How to Feed Your Baby With High Lipase Milk
1. Scald Your Milk Before Storing- If your baby rejects unmodified high lipase milk, scalding may help. This process deactivates the lipase enzyme before it can change the milk's flavor.

• Heat freshly pumped milk in a small pot until bubbles form around the edges (about 180°F or 82°C), but do not boil.
• Immediately cool it in an ice bath.
• Store as usual in the refrigerator or freezer.

Please Note: Scalding may reduce some of the milk’s immune properties, but it still remains a far better option than formula in most cases.

2. Test Milk Storage Time Limits- If scalding isn’t ideal, experiment with how long your milk can be stored before the taste changes. Some high-lipase milk is fine for 24 hours or more in the fridge before becoming off-tasting. Feeding it within this window might work.

3. Mix With Fresh Milk- Some babies will take stored milk more easily if it's mixed with freshly expressed milk to dilute the altered flavor.

Other Uses for High Lipase Milk
​If you find yourself with milk that your baby won’t drink, don’t throw it out! Here are other meaningful and creative ways to use it:

• Milk Baths- Breast milk baths can soothe diaper rash, eczema, and dry skin. Just add 1–2 ounces to your baby’s bath water.
• Breast Milk Lotion or Soap- DIY breast milk lotion and soap are great for your baby’s skin and they make thoughtful keepsakes or gifts.
• Donate It- Some milk banks will accept high lipase milk, especially if you have a surplus and it’s otherwise healthy. Always check their guidelines first.
• Use in Solids- Once your baby starts solids, you can mix breast milk into purées or oatmeal. The flavor may be masked enough that baby won’t mind the taste.
• Breast Milk Jewelry- Some artisans can create keepsake jewelry using your breast milk, offering a beautiful way to honor your breastfeeding journey.

High lipase breast milk might throw a curveball into your pumping plans, but it doesn't mean the end of breastfeeding success. With a few tweaks, you can still feed your baby and make the most of every drop. Remember, your milk is amazing, even with a soapy twist.

Have you dealt with high lipase milk? What worked for you? Share your story in the comments below.

The early days of the fourth trimester are beautiful, exhausting, and demanding all at once. In the whirlwind of those early postpartum days, one of the most thoughtful ways to support new parents is by providing meals. Meal trains—a system where friends and family sign up to bring food on designated days—have long been a go-to tradition. But while well-intentioned, traditional meal trains aren’t always the best option for postpartum mothers. Here’s why and how we can do better.

The Problem with Traditional Meal Trains
Traditional meal trains often fall short because they don’t take into account the specific nutritional needs, dietary restrictions, and personal preferences of postpartum mothers. Some common issues include:

• Uncoordinated variety: Lasagna three nights in a row? It happens. Without a clear meal plan or coordination, families often get repeat dishes or meals that don’t suit their tastes or needs.
• Nutritional mismatch: Heavy, greasy, or overly processed foods can be hard on a recovering body. Many postpartum mothers need nutrient-dense, healing meals, not just comfort food.
• Dietary restrictions: Some mothers may be breastfeeding and avoiding common allergens like dairy or soy. Others may be healing from a c-section and need lighter, anti-inflammatory meals. Unless those preparing food are well-informed, these needs are often overlooked.
• Drop-in disruption: Meal drop-offs sometimes come with unexpected visits. While well-meaning, this can disrupt feeding, napping, or simply the need for quiet recovery time.

The Importance of Postpartum Nutrition
Postpartum recovery isn’t just about rest, it’s about replenishing the body, healing tissues, and supporting hormone regulation. Proper nutrition plays a pivotal role in all of these. Some postpartum nutrition guidelines include:

• High-protein foods to support tissue repair and hormone balance.
• Iron-rich meals to restore blood levels after delivery.
• Omega-3 fatty acids, especially DHA, to support mood and brain health.
• Warm, easily digestible meals (such as soups and stews) that comfort the body and aid digestion.
• Hydration through broths, teas, and electrolyte-rich fluids.

How Friends and Family Can Truly Help
Instead of relying on the traditional model, here are more thoughtful, flexible, and nourishing ways to support a postpartum family:
1. Cook or Deliver Requested Meals

• Ask the family what they want or need. Some may prefer light soups, rice bowls, or specific cultural dishes.
• Use services like Meal Train Plus or Take Them a Meal that allow families to list preferences and dietary restrictions.

2. Order from Their Favorite Local Restaurants

• Skip the guesswork and send takeout from places they already love. Many new parents appreciate this more than surprise home-cooked meals.

3. Send Grocery Deliveries

• Set up a grocery order with fresh produce, snacks, or meal kits that the family can prepare easily.
• Let them curate the list so it’s stocked with their postpartum essentials.

4. Provide Gift Cards or Meal Delivery Services

• A gift card to a favorite restaurant, grocery store, or food delivery app (like DoorDash, Uber Eats, or Instacart) offers freedom and flexibility.
• Subscription meal services like Spoonful of Comfort, Daily Harvest, or MotherBees cater specifically to postpartum needs.

The heart behind a traditional meal train is always appreciated, but as we grow in understanding postpartum recovery, it’s clear we need to move beyond casseroles and cookie-cutter solutions. Supporting new moms means nourishing them in ways that honor their bodies, preferences, and healing journey.
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So, the next time someone you love welcomes a baby, ask how you can feed them their way, not just what’s easiest for you. Thoughtful nourishment is one of the most profound gifts you can give a new mother.

​Becoming a parent is often described as one of life’s most joyful experiences. But what many new parents don’t expect is that joy can coexist with anxiety, sadness, irritability, or even despair. For many new parents, the flood of hormones, sleep deprivation, and life changes can bring on an abundance of feelings. These early emotions are often referred to as the "baby blues", and they affect up to 80% of new mothers. Thankfully, baby blues usually fade within two weeks.

But what happens when those feelings don’t go away or they get worse?

If you’re experiencing lingering or intense emotional distress after having a baby, you may be dealing with a Perinatal Mental Health Disorder (PMHD). PMHDs are the most common complications of childbirth, affecting up to 1 in 5 new moms and 1 in 10 new dads.

Let's explore what Perinatal Mental Health Disorders (PMHDs) are, how to spot the warning signs, who is at higher risk, and—most importantly—where to get support.

What are PMHDs?
​PMHDs (Perinatal Mental Health Disorders) include a range of mental health conditions that can occur during pregnancy and up to a year postpartum. They include:

• Postpartum Depression (PPD)
• Postpartum Anxiety
• Postpartum Obsessive-Compulsive Disorder (OCD)
• Postpartum Post-Traumatic Stress Disorder (PTSD)
• Postpartum Bipolar Disorder
• Postpartum Psychosis (rare, but serious)

These are medical conditions, not personal failures. These conditions are more common than many realize and can affect all parents—birthing and non-birthing. But they are treatable, and support is available.

Who is at risk for PMHDs?​
PMHDs can affect anyone, regardless of background. However, certain factors can increase vulnerability:

• History of mental health issues (depression, anxiety, etc.)
• Lack of social support
• Traumatic birth experience
• Complications during pregnancy or delivery
• Stressful life events (e.g., financial strain, relationship conflict)
• Sleep deprivation
• Previous PMHDs with earlier children

Some sobering statistics:

• Up to 1 in 5 women experience a perinatal mood or anxiety disorder.
• About 1 in 10 partners (non-birthing parents) will also experience postpartum depression.
• Postpartum psychosis, a rare but severe disorder, occurs in 1 to 2 out of every 1,000 deliveries.

These numbers remind us that PMHDs are common and treatable.

Warning Signs to Watch For
It's normal to feel emotionally sensitive or tearful in the days following birth. This is often referred to as the “baby blues” and typically resolves within 1–2 weeks. But when symptoms persist or intensify, it could be a sign of a PMHD. Here are some signs that what you're feeling might be more than just baby blues:
Emotional Symptoms:

• Feeling persistently sad, hopeless, or empty
• Excessive worry or panic, especially about the baby
• Intense irritability or anger
• Feeling detached from your baby or like you're not bonding
• Guilt or shame about how you're feeling
• Thoughts of harming yourself or your baby

Physical and Behavioral Symptoms:

• Difficulty sleeping (even when the baby sleeps)
• Changes in appetite
• Fatigue that feels overwhelming
• Loss of interest in activities you used to enjoy
• Racing thoughts or inability to relax
• Withdrawing from loved ones

If these symptoms last more than two weeks after birth, interfere with your daily functioning, or feel like they’re getting worse, it’s time to seek help.

What to Do Next: Steps Toward Healing
​Please know that you are not weak and you are not alone if you are experiencing signs of a perinatal mental health disorder. Here's what you can do to seek help:
1. Talk to your healthcare provider- Let your OB/GYN, midwife, or primary care doctor know how you're feeling. They can screen you for PMHDs and connect you with mental health professionals.
2. Reach out to a therapist- Look for a therapist who specializes in perinatal mental health. Many offer telehealth appointments, which can be especially helpful with a newborn.
3. Connect with support groups- Sometimes, talking to other parents who have been there can be incredibly healing. Peer support groups can reduce isolation and offer real-world advice.
4. Involve your partner or support system- Let those close to you know what you’re experiencing. They may be able to help with baby care, offer emotional support, or attend appointments with you. 
5. Emergency support- If you're having thoughts of self-harm or harming your baby, seek emergency help immediately by calling emergency services or going to the nearest ER.

Resources for Support
Here are some trusted organizations offering help:

• Postpartum Support International (PSI)
  Call or text the PSI HelpLine: 1-800-944-4773 (EN) or 1-971-203-7773 (Text)
• National Maternal Mental Health Hotline
  1-833-9-HELP4MOMS (1-833-943-5746)
  Free, 24/7 support in English and Spanish
• Therapy for Black Girls
  Mental health support for Black women and girls
• The Blue Dot Project
  Awareness and community around maternal mental health
• Your Insurance Provider’s Directory
  Many plans now cover perinatal mental health services. Check their mental health or behavioral health listings.

If you’re struggling right now, please know: this is not your fault. PMHDs can affect anyone, and with help, they do get better. You deserve support, healing, and peace during this chapter of parenthood. Take the first step. Help is waiting.

To learn more about PMHDs and the fourth trimester, sign up for my Postpartum Recovery Class.