BREAST-FEEDING CAN LIMIT MOM'S RISK OF HEART ATTACK, STROKES

You've heard before about how healthy breast-feeding is for your baby. But what if it could aid your long-term health, too?

The latest findings published Wednesday in the Journal of the American Heart Association suggest that breast-feeding could reduce a mother's risk for developing a heart attack and stroke later in her life. Specifically, the Chinese study discovered breast-feeding mothers lowered their heart disease or stroke risk by approximately 10 percent.

It's important to note that the study was just observational (i.e. no cause-and-effect conclusions are available).

While short-term health benefits have been known – think weight loss and lower cholesterol – the long-term effects haven't been clear when it comes to cardiovascular diseases in mothers. University of Oxford, the Chinese Academy of Medical Sciences and Peking University researchers took into account data from 289,573 Chinese women, average age of 51, for the study. 

That data came from another study, where women (almost all were mothers, and none of them had cardiovascular disease) provided details regarding their reproductive history and lifestyle factors. There were 16,671 cases of coronary heart disease (including heart attacks) and 23,983 cases of stroke within eight years of follow-up. Mothers who breast-fed saw a 9 percent lower heart disease risk and an 8 percent lower stroke risk, all compared to those who had never breast-fed. Those who breast-fed for two years or more saw an 18 percent lower heart disease risk and 17 percent lower stroke risk.

Researchers accounted for cardiovascular disease risk factors like smoking, obesity and diabetes when putting together these results. Live Science notes the study couldn't account for factors like women's diet that might contribute to heart disease risk.

As for what researchers hope comes out of this? More breast-feeding.

"The findings should encourage more widespread breast-feeding for the benefit of the mother as well as the child," Zhengming Chen, senior study author and professor of epidemiology at the University of Oxford, said in a statement. "The study provides support for the World Health Organization's recommendation that mothers should breast-feed their babies exclusively for their first six months of life.

"Although there is increasing recognition of the importance of exclusive breast-feeding, genuine commitment from policy makers is needed to implement strategies in the healthcare system, communities and families and the work environment that promote and support every woman to breast-feed," the authors wrote.

5 WAYS TO PREPARE YOUR BODY FOR PREGNANCY

Ensure that your body is ready to carry a baby by addressing before pregnancy any pain or problems associated with posture or weakness. Here are some physical therapist tips for helping to prepare your body for pregnancy and to guard against musculoskeletal pain and dysfunction during and after it.

1. Strengthen your pelvic muscles. To strengthen your muscles, use pelvic floor contractions (commonly referred to as Kegels), which involve gently squeezing the sphincter muscles (rather than the buttocks and thighs). These tightening exercises help prevent leakage when a woman sneezes, coughs, etc, and also can help reduce pelvic pain during pregnancy. However, many women do Kegels incorrectly (perhaps because muscles are too tight and need to be relaxed before strengthening). Doing Kegels incorrectly can worsen conditions such as incontinence, pelvic pain, and even low back pain. This is why it is important to consult a women’s health physical therapist before beginning an exercise program. Physical therapists who specialize in women’s health can instruct women in how to perform these exercises safely and correctly.

2. Prepare for "baby belly" by focusing on your core. Core exercises can help prevent diastasis recti —abdominal muscle separation. As your belly grows, the abdominal muscles that run vertically along either side of the belly button can be forced apart, like a zipper opening. If these abdominal muscles separate from each other too much, the result can be low back pain, pelvic pain, or other injuries as your body tries to compensate for its weaker core. This also can result in the postpregnancy "pooch" many women find undesirable.

Some exercises, such as sit ups, increase the likelihood of developing diastasis recti, incontinence, and back pain during and after pregnancy. It is important, therefore, to work with your physical therapist on the right exercise strategy for establishing a strong core.

3. Take a breath! Learning proper breathing and relaxation techniques from your physical therapist will help prepare your body and mind for a healthy pregnancy. It is important to learn to properly exhale before performing any exercise. With proper technique, your core and pelvic floor muscles will contract automatically, and this will lead to optimal stability and injury protection.

4. Begin a regular fitness routine. Exercise will help reduce the amount of cortisol (stress hormone) in your body and will boost your muscle and cardiovascular strength—strength you'll need to carry that extra baby weight. Once you become pregnant, consider engaging in relatively low-impact activities, such as swimming, walking on even surfaces, biking, or using an elliptical machine. Runners should be aware that loosening of their ligaments may make them more susceptible to knee and ankle injuries. Also, when the muscles and ligaments that support a woman's pelvic organs weaken, the repetitive jarring of running can cause these organs to descend. This is known as pelvic organ prolapse. Physical therapists strongly recommend that, to prevent this condition, women wear undergarments that offer pelvic floor support, or compression shorts that support the pelvic floor, both during and after pregnancy.

5. Practice good posture. Poor posture can have a major effect on every part of your body, particularly with regard to pain during pregnancy. A physical therapist can evaluate your posture and suggest muscle-strengthening exercises and lifestyle education (such as not sitting at a desk for long periods, and carrying grocery bags properly). Establishing healthy posture habits—pre-baby—will better prepare your body for the extra weight of pregnancy and lessen your chances of low back and pelvic pain.

Acknowledgement: Marianne Ryan, PT, OCS