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Birth Healing Summit Podcast

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Rating
★★★★★
5
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This podcast has
194 episodes
Language
English
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No
Date created
2023/01/31
Latest episode
2026/10/19
Average duration
34 min.
Release period
7 days

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We are here for meaningful conversations that will transform how you work with pregnant and postpartum clients. Whether it is a new perspective, tool, or technique, you’ll be able to implement it into your practice today.

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Check latest episodes from Birth Healing Summit Podcast podcast


Using Intuition in Pelvic Health Therapy (Pelvicon Presentation 2026)
2026/10/19
What does listening have to do with your pelvic health practice? Today, Lynn Schulte shares what she presented at the Pelvicon conference about bringing intuition and spirituality into manual therapy practice. Through powerful clinical stories, she explores how listening to the body's signals, trusting intuitive insights, and approaching tissues with curiosity rather than force can transform the way we work with clients. From an unexpected discovery during a pelvic floor assessment to helping a client release long-held emotional tension, Lynn challenges practitioners to expand their understanding of what healing can look like. Key Discoveries from this Episode: How intuition can show up through knowingness, visual images, auditory messages, and bodily sensations.Why following intuitive nudges can deepen your clinical awareness and manual therapy skills.How curiosity, rather than force, can help tissues release.The importance of recognizing the emotional experiences that may be connected to physical tension.How consent, discernment, ethics, and humility guide the use of intuition in clinical practice.Why developing your own therapeutic presence and inner work matters when supporting clients through healing. Clinical Takeaway In this episode, you will learn a question you can ask that is a must to add to your toolbox for your next session. This question can be the key to creating shifts when techniques are not working in a session. Frequently Asked Questions How can I use intuition in a pelvic health session without stepping outside my scope of practice? Intuition can be used as a clinical nudge – not a diagnosis or directive. If you get a feeling, image, word, or knowing, use it to guide curiosity and investigation within your existing anatomy, assessment, and treatment skills. Slow down, explore gently, stay within your scope, and reassess the client’s response. What should I do when a pelvic floor muscle or tissue won’t release? Instead of forcing the tissue to release, try asking, “I wonder what needs to happen here for this tissue to let go?” Then pause, listen to your own intuitive response, and pay close attention to what your client says or experiences. The goal shifts from making the tissue change to becoming a skilled, attentive partner with the body. How can I tell whether I’m actually receiving intuitive information? Intuition may show up differently for different practitioners. You might hear a word or phrase, see an image, feel a sensation in your body, or simply “know” something without knowing how you know it. Start by noticing which pathway is most natural for you and paying attention to the subtle nudges you already receive during your sessions Is there a way to further develop intuition in my clinical work? Yes – check out the Birth Healing Intensive 9-month coaching and development program to learn how to deepen your intuition, develop therapeutic presence, shift limiting beliefs, and do your own inside-out work to better support the deeper healing your clients need. Available as an annual cohort. Listen In Explore a different dimension of whole-person care and discover how bringing intuition into your practice may change the way you approach manual therapy, trauma, and healing. Listen to the full episode now. Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
Overcoming Isometrics: Are We Missing the Passive Side of Pelvic Floor Rehab?
2026/10/12
Are we missing a big piece in postpartum rehabilitation by focusing on the pelvic floor muscles? In today’s thought-provoking episode of the Birth Healing Summit Podcast, Lynn Schulte is joined by physical therapist, strength and conditioning coach, and 2026 Strength and Conditioning Association Personal Trainer of the Year, Rachel Selman, to discuss a concept that's beginning to change how clinicians think about postpartum rehabilitation and athletic performance: overcoming isometrics. If you're looking for fresh clinical ideas that bridge pelvic health, strength and conditioning, and sports performance, this is an episode you won't want to miss. Key Discoveries from this Episode: How principles commonly used to treat tendinopathies may have exciting applications for postpartum athletes experiencing heaviness, pressure, prolapse symptoms, or urinary leakage. Why overcoming isometrics differ from traditional isometric exercises – and why that distinction matters.How to safely introduce pressure into rehab rather than avoiding it altogether.Clinical reasoning for treating endurance athletes versus power athletes with pelvic floor symptoms.Why postpartum runners may leak despite having "normal" pelvic floor strength.The engineering principle of creep and its potential role in pelvic floor dysfunction.Why collaboration between pelvic health therapists, strength coaches, athletic trainers, and researchers is essential for advancing athlete care.An exciting discussion on future research exploring pelvic alignment, passive tissue changes, and return-to-sport guidelines. Clinical Takeaway Sometimes the limiting factor isn't muscle strength – it may be the passive tissues responsible for force transfer and support. This episode challenges clinicians to think beyond isolated pelvic floor strengthening and consider how collagen, fascia, bony alignment, and graded loading may influence long-term outcomes in postpartum and athletic populations. This isn't simply another discussion about pelvic floor strengthening. Rachel and Lynn challenge conventional thinking while exploring how sports science, biomechanics, and pelvic health intersect. Their conversation raises important questions about how we assess postpartum recovery, prepare athletes to return to sport, and translate emerging research into meaningful clinical practice. Whether you treat postpartum clients, runners, CrossFit athletes, or women with prolapse and urinary incontinence, you'll leave this episode with new ideas – and likely a few new research questions of your own. Listen now and discover why overcoming isometrics may become one of the next frontiers in pelvic health rehabilitation. Frequently Asked Questions What are overcoming isometrics, and how might they help with postpartum pelvic floor rehabilitation? Overcoming isometrics involve producing force against an immovable resistance rather than simply holding a position. While traditionally used in strength and conditioning and tendon rehabilitation, Rachel Selman discusses how they may offer a new way to load and strengthen the passive tissues that support the pelvic floor. This approach shifts the conversation beyond muscle strength alone to consider fascia, collagen organization, force transfer, and tissue resilience. Why might someone experience pelvic pressure, prolapse symptoms, or urinary leakage even when their pelvic floor muscles are strong? Pelvic floor function depends on more than muscle strength. Passive tissues – including fascia, tendons, ligaments, and other connective tissues – also contribute to support and force transfer. Rachel explains that factors such as tissue resilience, collagen organization, pelvic alignment, and how the body manages pressure may help explain why some athletes continue to experience symptoms despite having "normal" pelvic floor strength. Should postpartum athletes avoid pressure and loading if they have pelvic floor symptoms? Not necessarily. The goal may be to develop the capacity to tolerate and manage pressure rather than avoid it altogether. Rachel discusses the importance of graded loading and individualized clinical reasoning, particularly when working with different types of athletes. Endurance athletes, power athletes, runners, and postpartum athletes may place very different demands on the pelvic floor, making an appropriately dosed return to loading an important part of rehabilitation and performance. About Today’s Speaker Dr. Rachel Selman is a Doctor of Physical Therapy, Certified Strength and Conditioning Specialist, and NSCA Performance and Sport Scientist specializing in pelvic health and athletic performance. She is the owner of a multidisciplinary wellness facility in Charlotte, North Carolina, where she works with athletes across the lifespan – from youth competitors to postpartum and perimenopausal athletes. In 2026, Rachel was named the National Strength and Conditioning Association’s Personal Trainer of the Year. She is an international educator, author of the forthcoming book Floor It: Using the Pelvic Floor to Power Athletic Performance, and a national conference speaker on the integration of pelvic health, performance, and sports medicine. Rachel’s mission is to help athletes, clinicians, and coaches rethink the pelvic floor as a critical component of performance, resilience, and long-term health.   Link for the book to pre-order: https://www.simonandschuster.com/books/Floor-It/Rachel-Selman/9798994780121 Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
10 Year Anniversary
2026/10/05
What happens when you keep finding the same pattern in your postpartum clients – but you can’t find an explanation for it in the research? In this special 10-year anniversary episode, Lynn Schulte, PT shares the unexpected journey that led to the creation of the Institute for Birth Healing – from working with postpartum clients and noticing recurring pelvic patterns, to developing courses, launching the Birth Healing Summit, navigating the pandemic, and continuing to push for research into what happens to the pelvis and the pelvic outlet after birth. This episode is both a celebration of the past decade and a look at where this work is headed next. In This Episode, You’ll Hear About: The postpartum patterns that started it all How hands-on assessment of postpartum clients led Lynn to notice recurring asymmetries and question what was happening mechanically to the pelvic outlet after birth.Following the patterns beyond the research Lynn shares how observation, palpation, clinical experience, and curiosity shaped her understanding of the postpartum pelvis – and ultimately led her to investigate questions that weren't being answered in the existing literature.The evolution of her understanding of sacral mechanics Why sacral flexion became such an important clinical pattern in her work and how emerging research has begun to investigate changes in sacral slope following childbirth.The very personal beginning of the Institute for Birth Healing The story of launching her first course in 2016 during an incredibly intense and emotional period of her life.From live courses to online education – and back again How the courses evolved from two-day and three-day trainings to online learning combined with hands-on practice, creating more space for clinicians to learn and integrate the material.The surprising international connection that helped launch the Institute How an unexpected message from a practitioner in Russia helped Lynn realize that her work needed to reach beyond her own clinical practice.Why the Birth Healing Summit became practitioner-focused Lynn explains why she ultimately shifted the summit toward practitioners – and why educating clinicians can create a much larger ripple effect for postpartum clients.What the pandemic changed The unexpected disruption of 2020 and how it pushed the Institute to experiment with different ways of teaching and ultimately refine its current educational model.Going beyond physical techniques Why some tissues don't simply respond to mechanical techniques – and Lynn's perspective on the deeper layers that may be held within the body.The future of research Lynn discusses her desire to investigate changes in sacral slope and ischial tuberosity distance and eventually bring this clinical work into published research.The evolution of the Advanced Postpartum program From a four-day live course to a nine-month experience designed to give practitioners more time to integrate the work, both professionally and personally.A vision for the next 10 years Lynn shares her hopes for expanding the Institute, continuing research, reaching more practitioners, and finding someone who can carry this work into future generations. A Bigger Question for Pelvic Health Practitioners What might change in postpartum care if practitioners were taught to look at the pelvis differently? This episode is an invitation to think beyond simply restoring strength or treating symptoms – and to stay curious about the patterns we repeatedly see in our postpartum clients. It is also a reminder that clinical innovation often begins with a practitioner asking a simple question: “I wonder why this is happening?” For Practitioners Who Have Taken Institute for Birth Healing Courses Lynn also invites alumni to share their experiences and case stories – particularly examples of how the work has influenced their clinical outcomes and their clients' experiences. If you've taken an Institute for Birth Healing course, this is an opportunity to share how the work has affected your practice and contribute to documenting the ripple effect of this approach. Listen In Whether you've followed the Institute for years or are discovering this work for the first time, this anniversary episode offers a behind-the-scenes look at how a clinical observation grew into a decade-long educational movement – and where we’re heading in the next 10 years. Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
Supporting Pelvic Health Clients Through Infant Loss and Grief
2026/09/28
What happens when a patient walks into your pelvic health clinic carrying not only physical symptoms, but profound grief and trauma from pregnancy or infant loss? In this powerful conversation, Lynn Schulte, PT, talks with Noelle Moore, founder of the Finley Project, about what providers need to understand when caring for families after loss – and how our presence, language, and hands-on care can make a lasting difference. Key Discoveries from this Episode: Why grief and trauma can show up in the physical body. The power of giving a client permission. How to communicate when you don't know what to say. Why compassionate detachment matters for providers. Why grief isn't linear – or finished after one session.The importance of listening to the whole body. Why ongoing support matters. Clinical Takeaway For pelvic health practitioners, this episode is a reminder that our treatment room can become an important part of a patient's healing experience after loss. The goal isn't to fix grief. It's to create enough safety, compassion, and permission for the patient to have their experience while receiving the physical care they need. Frequently Asked Questions How can grief and trauma show up in the body? Grief and trauma aren't experienced only as emotions – they can also have physical effects. Patients may notice changes in tension, sensitivity, or sensation in the C-section scar, pelvic tissues, or other areas of the body. For pelvic health providers, this is a reminder to listen to the whole body rather than assuming the pelvis is the only place trauma is expressed. What can providers say or do when a patient is grieving? You don't need the perfect words. Slowing down, acknowledging what happened, and simply being present can be deeply supportive. Small statements that give a patient permission to cry, rest, pause, or stop treatment can help her feel safe, seen, and heard. Compassionate detachment is also important: providers can hold space for grief without taking it into their own bodies or trying to carry it for the patient.  Does grief have a timeline, and what kind of support is needed? Grief isn't linear, and it doesn't necessarily end after one session – or even after many years. It can resurface unexpectedly, which is why ongoing support matters. Families may need a combination of physical, emotional, practical, and community support rather than simply a referral to counseling and a quick return to “normal.” About Today’s Speaker Noelle Moore is the heart and strategic vision behind The Finley Project, a national nonprofit providing holistic support to mothers following the loss of an infant. After the devastating loss of her newborn daughter, Finley, Noelle recognized the lack of practical support available to mothers navigating life after loss. She founded The Finley Project to bridge that gap, creating a holistic 7-step program that supports mothers from hospital discharge through long-term healing. Based in Winter Park, Florida, Noelle serves mothers nationwide with compassionate, practical strategies for navigating trauma, grief, and healing. The Finley Project Programs: https://www.thefinleyproject.org/programs-all Ways to Get Involved: https://www.thefinleyproject.org/donate More Than I’m Sorry Book and Care Guide: https://www.amazon.com/More-than-Sorry-Step-Step/dp/1939237920 Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
When the Tissues Won’t Release: What Are They Holding?
2026/09/21
What if the tissue you’re treating isn’t simply “tight” – but is holding onto an emotional or traumatic experience? In this episode, Lynn shares two clinical case studies that highlight the potential connection between emotions, trauma, the nervous system, and the physical tissues of the body. One case begins with something as seemingly straightforward as shoulder tension. But when Lynn follows what she feels in the tissues, the story takes an unexpected turn. The second case involves a woman preparing for another pregnancy after significant reproductive and surgical trauma. What Lynn discovers while working with her pelvic tissues raises some intriguing questions about how the body may continue to respond to an experience long after the event itself has passed. What You’ll Discover In This Episode: The link between emotion and changes in tissue tension and mobilityThe power of acknowledging an emotion or experienceA profound case involving pregnancy, surgery, trauma, and the uterusThe impact of past experiences in how we perceive and treat the pelvic tissuesThe importance of getting curious about the tissuesWhat we can do as therapists to help the body feel safe enough to let goThese cases invite us to look beyond the traditional question of “What structure is tight?” and consider another possibility: What is this tissue holding onto? If you work with pelvic health clients, especially those with birth, reproductive, surgical, or other significant trauma histories, this episode will give you some other ideas for what is impacting the body and what you can do about it. 🎧 Listen to the full episode to hear the details of these cases and what happened when the tissues finally began to release. Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
Stop Chasing the Gap: New Findings on Diastasis, Strength, and Function
2026/09/14
As pelvic health therapists, should we be focused on “How big is the gap?” or on “What can this person's abdominal wall do?” In today’s episode of the Birth Healing Summit Podcast, Dr. Nina Theodorsen, associate professor at the University of Bergen in Norway, practicing physiotherapist, and diastasis recti researcher, shares the latest on what current research tells us about exercise, pregnancy, and postpartum recovery. Her research discoveries challenge what practitioners have been taught to focus on with abdominal health, and she provides new insights on how we can better support clients to become stronger and more confident in their bodies after birth. Key Discoveries from this Episode: Diastasis during pregnancy may be adaptation – not pathology.We may be blaming exercise for something exercise doesn't cause.IRD measurements and “doming” do not tell the whole story.Large persistent diastasis may have less to do with what they did – and more to do with who they are.The clinical goal should shift to what can this person's abdominal wall do.Exercise should be encouraged, not restricted.You don't necessarily have to “close the gap” to improve strength and function.Using better language and updating your practice. Clinical Takeaway Treat the person, not the centimeter measurement. A large IRD does not automatically mean weakness, pain, dysfunction, or injury risk. Conversely, a relatively small separation can be highly distressing or functionally significant.  Clinical decision-making should be driven by symptoms, strength, function, goals, and patient concerns – not IRD or abdominal appearance alone. Today’s conversation challenges the fear-based approach many women have been given around lifting, abdominal exercise, and movement with pregnancy. Instead of treating a measurement, we can help women become stronger, more capable, and more confident in their bodies. Frequently Asked Questions Does abdominal exercise cause or worsen diastasis during pregnancy?  Current evidence does not support the idea that normal abdominal exercise causes or meaningfully worsens pregnancy-related diastasis. Nina's research found no significant difference in diastasis development between women who performed abdominal exercises and those in a control group. Exercise should generally be encouraged rather than restricted solely because of concern about diastasis. Should clinicians measure interrectus distance? IRD can provide useful information, but it shouldn't be the primary measure of whether someone has a clinical problem. A measurement alone doesn't tell us whether someone has pain, weakness, functional limitations, or distress. The more important question is: What is this person experiencing, and what do they want to be able to do? What should postpartum rehabilitation focus on? For people with persistent symptoms or functional limitations, progressive strengthening and loading may be more valuable than trying to mechanically “close” the separation. The goal is to improve capacity, strength, confidence, and function. Persistent large diastases also warrant more research into who may benefit from rehabilitation, surgery, or a combination of both. Studies Mentioned Theodorsen, N.-M., Donnelly, G., &. Bø, K., (2026). Diastasis Rectus Abdominis: Time to Reconsider Our Approach. A Scoping ReviewJournal of Women's & Pelvic Health Physical Therapy https://doi.org/10.1097/JWH.0000000000000383Theodorsen N-M, Moe-Nilssen R, Bø K, Haukenes I. Associations with the inter-recti distance at gestation week 37: a prospective cohort study among healthy pregnant women. BMC Pregnancy Childbirth. 2025 May 29;25(1):630. doi: https://doi.org/10.1186/s12884-025-07741-7. PMID: 40442641; PMCID: PMC12123851.Marander V, Råheim M, Haukenes I, Theodorsen N-M. Mothers` experiences living with diastasis recti abdominis-an interview study. BMC Women`s Health. 2024 24-292. https://doi.org/10.1186/s12905-024-03131-xTheodorsen N-M, Bø K, Fersum, K V, Haukenes I, Moe-Nilssen R. Pregnant women may exercise both abdominal and pelvic floor muscles during pregnancy without increasing the diastasis recti abdominis: a randomised trial. J Physiotherapy. 2024/03/11 2024; https://doi.org/10.1016/j.jphys.2024.02.002Theodorsen N-M, Moe-Nilssen R, Bø K, Haukenes I. Effect of exercise on the inter-rectus distance in pregnant women with diastasis recti abdominis: an experimental longitudinalstudy.Physiotherapy.2023/12/01/2023;121:13-20. https://doi.org/10.1016/j.physio.2023.08.001Theodorsen, N., Strand, L-I., Bø, K. Effect of pelvic floor and transversus abdominis muscle contraction on inter-rectus distance in postpartum women: a cross-sectional experimental study. Physiotherapy 2018;https://doi.org/10.1016/j.physio.2018.08.009 About Today’s Speaker Dr. Nina Theodorsen, PhD, is a physiotherapist, researcher, and Associate Professor at the University of Bergen in Norway. Her work focuses on women’s health, with expertise in pregnancy, postpartum care, pelvic floor dysfunction, and musculoskeletal health. Her PhD research on diastasis recti has challenged common misconceptions about exercise during pregnancy and helped shape evidence-based clinical practice. Nina is an internationally recognized educator and speaker passionate about translating research into better care for women. Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
When Rib Pain Isn't a Rib Problem: A Pregnancy Case Study
2026/09/07
What’s the connection between ribcage and diaphragm tension when it doesn’t originate in the ribcage? In this episode, Lynn Schulte, PT walks through a recent pregnancy case where she saw just how interconnected the growing uterus, uterine ligaments, diaphragm, and ribcage can be – even before the baby is large enough to physically push upward into the ribs. A pregnant client of approximately 17 weeks presented with a painful, “vice-like” sensation around the left anterior ribcage. As Lynn assessed her body, she discovered something unexpected: the uterus was growing significantly toward the right side. Key Discoveries from this Episode: How looking for connections rather than isolated restrictions can help you find the cause of pain and dysfunctionWhy the position and direction of uterine growth may be an important clinical clueWhat to watch for when comparing ribcage mobility side-to-sideWhy pregnancy can reveal or amplify pre-existing movement and tissue restrictionsThe importance of re-assessment after every meaningful intervention Clinical Takeaway Sometimes the ribcage restriction you feel may be responding to what is happening much farther down in the pelvis. An expanding uterus may be contributing. When you find a rib cage or diaphragm restriction in a pregnant client, don't automatically treat it as a rib cage problem. Check what is happening below it. If the uterus is growing or being pulled toward one side, assess the tissues that may be influencing that position – including the uterine ligaments and surrounding abdominal/fascial tissues. Then reassess the rib cage after addressing the pelvic restriction. Frequently Asked Questions Can the uterus affect the rib cage before the baby is large enough to reach it? Potentially, yes. The uterus begins expanding well before the third trimester, and its changing position can alter tension through its supporting tissues and surrounding abdominal structures.  This case suggests that uterine position and tissue tension may influence rib cage and diaphragm mechanics earlier than we typically expect. Why would the uterus grow more toward one side? There can be many reasons for uterine asymmetry, including the position of the uterus, surrounding soft-tissue tension, ligamentous restrictions, abdominal/fascial relationships, and fetal positioning. A uterus favoring one side isn't automatically pathological. The clinical significance comes from the overall pattern – pain, restriction, asymmetry, tissue tension, and how the body responds when those restrictions are addressed. Why assess the rib cage when a pregnant client presents with pelvic or uterine restrictions? Because the pregnant body is an interconnected system. Changes in the position and mobility of the expanding uterus can influence tension through the abdomen and trunk, while diaphragm and rib cage mechanics can also influence how the client moves and breathes. Assessing both regions can help you identify which restriction may be driving the other – or whether they're responding to a shared underlying asymmetry. How can I learn to work with the uterus and the pregnant body? If you want to expand your clinical toolbox for treating the uterine ligaments, abdominal tissues, ribcage, and diaphragm, check out the Holistic Treatment of the Pregnant Body live training or online course. Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
The Neurological Birth Cascade: How the Baby, Brain, Pelvic Floor & Hormones Work Together in Birth
2026/08/31
How does labor actually get started? Labor isn't simply something the uterus does, but a coordinated neurological and hormonal cascade involving the baby, placenta, maternal brain, cervix, pelvic floor, and nervous system.  Today, Lynn Schulte sits down with Dr. Carly Cameron, a pediatric and perinatal chiropractor, to explore the neurophysiology of physiologic birth and why this process is important for pelvic health providers. Key Discoveries from this Episode: The hidden neurological cascade of birth: How the fetal brain, cortisol, hormones, and maternal nervous system work together to initiate and support physiologic labor.The cervix-to-brain connection: A closer look at the Ferguson reflex and how cervical pressure communicates with the maternal brain through the sacral pathways.The pelvic floor’s role in the birth cascade: How the pelvic floor, sacrum, fascia, fetal positioning, and descent may influence this intricate neurological communication.Why safety matters physiologically: How parasympathetic regulation, fear, and previous birth experiences can influence the hormonal environment and progression of labor.Oxytocin’s bigger role in birth: Why this powerful hormone influences far more than contractions – including pain, fear, bonding, and maternal behavior. Clinical Takeaway The pelvic floor does not exist in isolation during birth. It participates in a complex system involving the fetal brain, hormones, placenta, cervix, sacral pathways, oxytocin, uterus, and maternal nervous system. Understanding this cascade can change how we approach birth preparation as pelvic health therapists – considering pelvic mechanics, fetal positioning, sacral mobility, pelvic floor adaptability, nervous-system regulation, and emotional safety as interconnected pieces. Listen to the full episode to dive deeper into the neurophysiology of birth and discover how the pelvic floor may be participating in the conversation in ways you never realized. Frequently Asked Questions Why Does Fetal Positioning Matter? If pelvic, fascial, or ligamentous restrictions interfere with fetal positioning or descent, the baby may have a harder time providing the cervical stimulus involved in the Ferguson reflex. Proactive pelvic preparation before labor can help resolve these restrictions to better prepare the body and baby for birth. Why Does Safety During Birth Matter? Addressing fear, processing previous birth experiences, nervous-system regulation, and helping patients build confidence and trust in their bodies allows the body and the body’s hormones to work more optimally to support labor and birth. What Role Does Previous Birth Trauma Play in a Subsequent Birth? Previous traumatic birth experiences can shape fear and protective responses during a subsequent pregnancy. Pelvic PTs and OTs can help patients identify those fears, process previous experiences, and build a greater sense of safety before labor. What Can Pelvic Health Therapists Do to Support a Smoother Birth? Pelvic health therapists can work with clients to help them process fear and trauma in their system from previous experiences and build a greater sense of safety before labor. They can help address pelvic, fascial, or ligamentous restrictions in the body to get the baby into a better position for birth as well as help clients build confidence, trust and connection with their body. Resource Mentioned Oxytocin: The Biological Guide to Motherhood by Kerstin Uvnäs Moberg About Today’s Speaker Dr. Carly Cameron, D.C., CACCP, is a pediatric and perinatal chiropractor and founder of Nervology Chiropractic and Neurodevelopment in Raymore, Missouri, serving the greater Kansas City area. Her work focuses on the critical window from preconception through the first three years of life, supporting mothers, babies, and growing families through chiropractic care and a deep understanding of nervous system function, neurodevelopment, pregnancy, and birth physiology. Inspired by her father, a chiropractor and sports medicine physician, Dr. Carly is passionate about honoring the body’s innate design and helping families build a strong foundation for lifelong health. Speaker’s Website: https://mynervology.com/ Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com YOUTUBE LINKS: Oxytocin: The Biological Guide to Motherhood by Kerstin Uvnäs Moberg: https://www.amazon.com/dp/1939807808?lv=shuf&channelId=500&plpRedirect=mhFallback Speaker’s Website: https://mynervology.com/ Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
The Gold Standard for Pelvic Health Education: Are We Training Therapists the Right Way?
2026/08/25
Internal pelvic health work can be incredibly valuable – but are we truly teaching clinicians how to do it safely, skillfully, and effectively? In this candid conversation, Lynn Schulte, PT, and Laura Rowan, OT, challenge the way pelvic health clinicians are being trained and explore what the gold standard for intravaginal education should really look like. In this episode, we explore: What success with internal work looks likeThe importance of trauma-informed education and true consentThe must-haves in intravaginal education that every practitioner needsWhy knowing how to assess is only half the equationWhat to treat beyond the pelvic floor musclesHow to turn clients from passive recipients to active participants in their treatment The Clinical Takeaway Internal work is a tool – not the entire treatment. The real skill is knowing when to use it, how to create safety, how to interpret what you find, and how to turn those findings into effective treatment. If you've ever taken a pelvic health course and thought, “I know how to assess it…but what do I actually DO with it?” – this episode is for you. Press play and rethink what is needed to support a gold standard in pelvic health education. About the Speaker:  Laura Rowan, OT/L, is a Pelvic Health Occupational Therapist, educator, mentor, and advocate dedicated to advancing Occupational Therapy and expanding access to pelvic health care. As founder of Essential Pelvic Health, LLC, an Upstate New York pelvic health practice, Laura takes an innovative, collaborative, whole-person approach to helping people of all gender identities experiencing persistent pelvic pain and bladder, bowel, or sexual dysfunction return to meaningful activities. Laura also advances the field through clinician education, mentorship, and advocacy. Essential Pelvic Health offers continuing education courses, including PR-MATT and Cr-MATT, as well as workshops, free resources, and EPH Mentor Creative, a mentorship community supporting ongoing professional growth. Speaker’s Website: https://www.essentialpelvichealth.com/ Speaker’s Podcast: https://open.spotify.com/show/27VFGUfoj3XbVtXMZ8LbME Essential Pelvic Health Education FB group: https://www.facebook.com/share/g/1DMxYG7U8y/ Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
Beyond IVF: How Pelvic Health Providers Can Help Optimize Fertility Before Treatment
2026/08/17
As pelvic health providers, we often see patients who are trying to conceive, recovering from pregnancy loss, or navigating the emotional weight of infertility. But how much do we really know about what happens before a patient ever walks into an IVF clinic? In this fascinating conversation, Lynn Schulte sits down with internationally recognized fertility expert Gabriela Rosa, who has spent more than 25 years helping couples with complex infertility and recurrent pregnancy loss. Together they challenge common assumptions about fertility care and explore why so many patients may be missing critical pieces of the puzzle. This episode isn't about quick fixes – it's about asking better questions, looking deeper, and understanding how pelvic health providers can become valuable members of a patient's fertility team. Key Takeaways from this Episode: Why infertility should be viewed through a whole-body health lensWhy both partners must be included in fertility conversationsHow preconception preparation impacts fertility outcomesThe connection between muscle health, insulin sensitivity, and fertilityWhy miscarriage and infertility often share common root contributorsHow practitioners can help clients become proactive participants in their fertility journeyRather than focusing solely on reproductive organs, Gabriela explains why whole-body health, lifestyle, and individualized investigation deserve a much larger place in fertility care. Clinical ApplicationPelvic health providers are uniquely positioned to support patients long before assisted reproductive technologies are considered. This conversation is a reminder that fertility is influenced by far more than the uterus and ovaries. By recognizing systemic contributors – including metabolic health, inflammation, lifestyle factors, and the importance of involving both partners – we can help patients ask better questions, advocate for more comprehensive care, and become stronger members of their fertility healthcare team. Whether you regularly treat fertility patients or simply want to better understand the bigger picture behind infertility and recurrent pregnancy loss, this conversation will challenge your thinking and leave you with new perspectives to bring into clinical practice. Frequently Asked Questions What are the biggest overlooked factors affecting fertility? Many fertility challenges are influenced by factors beyond reproductive anatomy, including metabolic health, insulin resistance, inflammation, nutrition, environmental exposures, egg quality, sperm quality, and overall cellular health. Optimizing these areas before conception may improve fertility potential. Why is male fertility an important part of infertility care? Fertility involves both partners. Sperm contributes half of the embryo’s genetic material, and sperm quality – including DNA fragmentation – can influence fertilization, embryo development, implantation, and miscarriage risk. Why should pelvic health practitioners understand fertility care? Pelvic health professionals frequently work with clients before, during, and after pregnancy. Understanding fertility, preconception health, and whole-body contributors allows practitioners to better support clients navigating reproductive challenges and collaborate within a multidisciplinary care team. About The Speaker Gabriela Rosa, DrPH (Harvard University), is a Harvard-awarded fertility specialist, founder of The Rosa Institute, and author of Fertility Breakthrough: Overcoming Infertility and Recurrent Miscarriage When Other Treatments Have Failed. A pioneer in integrative fertility care, she brings evidence-based reproductive solutions to individuals and couples worldwide. Creator of The Fertility Challenge and the F.E.R.T.I.L.E. Method®, Gabriela has supported more than 204,000 people across 111 countries. Published research on her program demonstrates a 78.8% live birth rate among patients experiencing infertility, recurrent miscarriage, and failed treatments. Speaker’s Website: https://fertilitybreakthrough.com/ Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
Following the Tissues: The Clinical Reasoning Behind a Complex Pregnancy Case Study
2026/08/11
What do you do when a pregnant client presents with tailbone pain, SI joint dysfunction, painful intercourse, and persistent uterine cramping – but nothing quite explains the full picture? In this fascinating case study, Lynn walks through the clinical reasoning behind treating a first-time pregnant client whose symptoms continued to evolve over multiple visits. As the pieces slowly came together, an unexpected finding challenged assumptions and reinforced the importance of following the tissues rather than chasing symptoms. This episode explores how careful assessment, respectful hands-on treatment, and clinical curiosity uncovered a restriction that could have had significant implications for both comfort during pregnancy and preparation for birth. Key Takeaways from this Episode: Why persistent tailbone pain and painful intercourse may be connected to much more than pelvic floor muscle tension.How following tissue restrictions over multiple treatment sessions can reveal the true source of dysfunction.The relationship between the sacrum, uterine support structures, and changing symptoms throughout pregnancy.Clinical reasoning behind treating complex pregnancy presentations while respecting the safety of both mother and baby.Why stepping back and reassessing the entire kinetic chain can change the direction of treatment.Clinical ApplicationSometimes the biggest breakthroughs come from listening to what the tissues are telling you rather than forcing a diagnosis to fit the symptoms. This case is a powerful reminder that pregnancy-related pain often requires ongoing reassessment, thoughtful clinical reasoning, and  If you enjoy complex case discussions that challenge your thinking and help refine your clinical reasoning, you won't want to miss this one. Frequently Asked Questions Why does tailbone pain happen during pregnancy? Pregnancy tailbone pain can result from changes in pelvic alignment, ligament tension, muscular guarding, and altered mobility of the sacrum and coccyx. This case demonstrates why evaluating the entire pelvic system may provide more answers than focusing on the tailbone alone. Is painful intercourse during pregnancy always caused by tight pelvic floor muscles? Not necessarily. While pelvic floor muscle tension may contribute, this case illustrates how restrictions involving connective tissues, uterine support structures, and pelvic mobility may also influence symptoms. Why is reassessment important throughout pregnancy? As pregnancy progresses, tissue tension, biomechanics, and symptom patterns continually change. Regular reassessment helps clinicians refine treatment as new findings emerge and supports better clinical decision-making. Where can I learn more? Download the Institute for Birth Healing’s FREE Pregnancy Pain Treatment Guide to learn more about working with the pregnant body. About The Speaker Lynn Schulte, PT is a pelvic health physical therapist with more than 30 years of experience helping practitioners understand the biomechanical, myofascial, and nervous system influences affecting pregnancy, birth, and postpartum recovery. Through the Institute for Birth Healing, she teaches evidence-informed continuing education courses focused on practical techniques that help clinicians achieve meaningful outcomes for their clients. Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
When Pelvic Floor PT Isn't Enough: Solving Complex Postpartum Cases
2026/08/03
What if your client has done everything right – pelvic floor PT, stretching, exercise, therapy, nutrition – and they're still struggling more than a year postpartum? In this episode, Lynn sits down with former client Samantha to unpack a complex postpartum recovery that many pelvic health therapists will recognize. After two very different births, Samantha was left with persistent pelvic floor tension, low back pain, bowel dysfunction, urinary symptoms, painful intercourse, and overwhelming emotional distress. Despite months of treatment elsewhere, her symptoms remained unchanged. This conversation explores the clinical reasoning behind looking beyond isolated muscles to assess the pelvis as a whole – including birth patterns, pelvic bone positioning, compensatory movement strategies, nervous system regulation, and unresolved trauma. For those who have had postpartum clients that plateau despite doing "all the right things," this episode offers valuable clinical insights for how you assess and treat these challenging cases. Clinical Takeaways The importance of learning the birth history – even when symptoms don't appear until months later.The long-term effects of prolonged labor versus precipitous birth on the postpartum body.How previous orthopedic injuries can influence pelvic alignment years later.Recognizing common postpartum pelvic bone patterns that often perpetuate pelvic floor tension.Why persistent urinary, bowel, and sexual dysfunction may have structural contributors beyond muscle tightness.The role of the central nervous system in clients who remain "stuck" despite appropriate treatment.How emotional beliefs and nervous system regulation can influence physical recovery.Why individualized assessment is essential when previous pelvic floor therapy hasn't produced results. From Treatment to Recovery: A Clinician and Client Perspective This episode isn't simply another postpartum success story. It's a detailed clinical discussion that walks through the therapist's reasoning from evaluation to treatment, while hearing directly from the client's perspective about how unresolved pelvic tension affected every aspect of her life – including motherhood, relationships, and mental health. If you treat postpartum clients with persistent symptoms, this conversation will encourage you to think differently about assessment, treatment sequencing, and the interconnected nature of physical and emotional healing. Don't Miss This Episode If You Treat Clients With: Persistent postpartum pelvic floor tensionUrinary dysfunctionBowel dysfunction, fissures, or hemorrhoidsPainful intercourseChronic low back pain after childbirthClients who plateau despite previous pelvic floor physical therapyComplex postpartum presentations involving both physical and nervous system factorsRecovery isn't always about doing more exercises. Sometimes it's about uncovering the hidden patterns that have been preventing the body from healing all along. Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. About the speaker:  Samantha Dove is a Board-Certified Behavior Analyst and LBA living in Mead, Co. She has over 16 years of experience working with children and adults in a multitude of settings. She has been working in the field of Applied Behavior Analysis for 8 years, but before that, she worked as a Special Education teacher in the public-school setting. She has a passion for advocating and helping individuals with disabilities accomplish their goals. She loves to go camping, paddleboarding, and spending time with her family.   Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
The Pelvis-Neck Connection Every Postpartum Therapist Needs to Know
2026/07/27
Could your postpartum client's neck pain actually begin in the pelvis? In this episode, Lynn Schulte, PT, explores the often-overlooked relationship between pelvic stability, upper cervical mechanics, shoulder function, and the physical demands of caring for a newborn. Learn why headaches, neck pain, thoracic outlet symptoms, and shoulder tension may be driven by postpartum compensation patterns – not just local tissue dysfunction. You'll discover how birth biomechanics influence the entire body, why first rib mobility and scalene function matter, and practical assessment strategies you can immediately integrate into your postpartum evaluations. If you're a pelvic health therapist, physical therapist, occupational therapist, bodyworker, or birth professional looking to improve outcomes for postpartum clients, this episode offers valuable clinical insights you won't want to miss. Subscribe for more evidence-informed education designed to help you transform the way you practice and help your clients recover more completely after birth. About The Speaker Lynn Schulte, PT is a pelvic health physical therapist with more than 30 years of experience helping practitioners understand the biomechanical, myofascial, and nervous system influences affecting pregnancy, birth, and postpartum recovery. Through the Institute for Birth Healing, she teaches evidence-informed continuing education courses focused on practical techniques that help clinicians achieve meaningful outcomes for their clients. Open Birthing Pattern: https://instituteforbirthhealing.com/open-birthing-pattern-signs-symptoms/ Institute For Birth Healing Courses: https://instituteforbirthhealing.com/all-courses/ Message me on Instagram: https://www.instagram.com/instituteforbirthhealing/ Message me on Facebook: https://www.facebook.com/InstituteForBirthHealing/ Email Me: [email protected] If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treating your clients, find us on your favorite podcast app and subscribe so you don’t miss an episode.  Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
Sports Medicine Meets Pelvic Health: Why Every Clinician Needs This Conversation
2026/07/20
Pelvic floor health has long been overlooked in sports medicine – but that's changing. In this episode, Lynn sits down with internationally recognized pelvic health physiotherapist and researcher Gráinne Donnelly to discuss her groundbreaking new textbook, Sports Medicine in the Pelvic Floor: Science to Practice. Together, they explore why pelvic health deserves a place in every athlete's care, how this ambitious project came to life, and the exciting future of research that will shape the next generation of clinicians. If you're passionate about helping athletes perform at their best, this episode will leave you inspired and thinking differently about the pelvic floor. In This Episode You'll Discover: Why pelvic floor health should be a routine part of sports medicine – not just pregnancy and postpartum care.The surprising research changes how we think about urinary incontinence, load capacity, and athletic performance.How psychology, biomechanics, and pelvic health all intersect to improve patient outcomes.The importance of individualized assessment when guiding athletes back to sport.Why research is essential for moving innovative clinical ideas into mainstream practice. Clinical Takeaways Screen every athlete for pelvic floor symptoms. Pelvic floor screening shouldn't be reserved for postpartum clients or those with urinary leakage – it's relevant across all ages, sexes, and athletic populations.Think beyond incontinence. Pelvic floor dysfunction encompasses much more than leaking. Pain, pressure, bowel symptoms, sexual function, and performance all deserve consideration during assessment.Load capacity matters. Return to sport isn't determined by a timeline alone. Assess each athlete's individual capacity, symptom response, and readiness to progressively increase load.Sport-specific demands influence risk. Different sports – and even different positions within the same sport – place unique demands on the pelvic floor, requiring individualized clinical reasoning.Stay curious and evidence-informed. Emerging research continues to reshape our understanding of pelvic floor biomechanics, anatomy, and rehabilitation. Remaining open to new evidence helps improve patient outcomes. Why You Should Listen Whether you treat elite athletes, postpartum moms, or active individuals, this conversation offers fresh perspectives that challenge traditional thinking. Gráinne shares the vision behind creating one of the most comprehensive pelvic health resources available today while Lynn explores how emerging research could transform postpartum rehabilitation. You'll walk away with new ideas, renewed curiosity, and plenty of inspiration to elevate your own clinical practice. 🎧 Tune in now and discover why the future of sports medicine can't ignore the pelvic floor. About The Speaker Gráinne Donnelly is an Advanced Practice Pelvic Health Physiotherapist, doctoral researcher and international educator based in Northern Ireland. She is Editor-in-Chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy (JPOGP) and editor of the Elsevier textbook Sports Medicine and the Pelvic Floor – Science to Practice. Her work bridges research and clinical practice, advancing evidence-based pelvic health care for women in sport and postpartum recovery. Speaker’s websites: https://absolute.physio/ and https://www.sportsmedicineandthepelvicfloor.com/ Connect With Lynn Have a comment or question about today’s episode? Message Lynn on Instagram or Facebook, or Email Lynn. [Don’t include for YouTube/Buzzsprout] Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsVisit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE
Show Notes: The Hidden Impact of Obstetric Anal Sphincter Injuries (OASIS): Must-Knows For Pelvic Health Therapist
2026/07/13
Many obstetric anal sphincter injuries (OASIS) are missed immediately after birth, leaving women to unknowingly compensate for years until hormonal changes, aging, or menopause expose underlying dysfunction. In this eye-opening conversation, Lynn Schulte sits down with urogynecologist and pelvic floor surgeon Dr. Alexandra Dubinskaya to discuss obstetric anal sphincter injuries (OASIS), why they are often missed, and the lifelong consequences they can create for women. From the realities of birth trauma to missed diagnoses to pudendal nerve injuries, this episode dives into the complex factors influencing bowel control, pelvic floor function, hormonal shifts and postpartum recovery. Dr. Dubinskaya also shares treatment options that many practitioners may not be familiar with, including neuromodulation and surgical interventions. This conversation will provide pelvic health practitioners with practical insights to better recognize, educate, and support clients in postpartum and throughout their lifespan Clinical Takeaways from this Episode What qualifies as an obstetric anal sphincter injury (OASIS) and how third and fourth-degree tears are classified.Why sphincter injuries are frequently underdiagnosed or missed immediately after birth.The critical role of the pudendal nerve in bowel control, sensation, and pelvic floor function.The differences between neuromodulation and sphincteroplasty as treatment options.Common postpartum symptoms that may indicate an undiagnosed sphincter injury.Why menopause frequently exposes previously compensated pelvic floor injuries.How pelvic health therapists can help restore function and improve quality of life after birth trauma.The patient education you can offer your clients to improve birth outcomes and postpartum recovery. Frequently Asked Questions What is an obstetric anal sphincter injury (OASIS)? OASIS refers to third- and fourth-degree perineal tears involving the anal sphincter muscles, with fourth-degree tears extending into the rectal mucosa. Why are OASIS injuries often missed? Diagnosis can be difficult because birth occurs in a dynamic environment with tissue swelling, bleeding, variable anesthesia, limited visualization, and urgent clinical priorities. What symptoms may suggest a missed sphincter injury? Practitioners should be alert for fecal urgency, bowel leakage, decreased anal sensation, difficulty controlling bowel movements, urinary symptoms, and persistent pelvic floor dysfunction. Why do symptoms sometimes appear years later? Women often compensate for mild injuries for years. Hormonal changes during menopause, age-related muscle loss, and reduced tissue resilience may uncover previously compensated dysfunction. How can pelvic floor physical therapy help? Pelvic floor rehabilitation can improve muscle coordination, restore neuromuscular awareness, optimize bowel mechanics, reduce muscular guarding, address scar tissue, and improve quality of life while helping determine when additional medical referral is appropriate. About Today’s Guest Dr. Alexandra Dubinskaya is a nationally and internationally recognized Urogynecologist and Sexual Medicine specialist based in Beverly Hills. Her innovative, whole-person approach blends cutting-edge science with deeply compassionate care, empowering women to reclaim their bodies, confidence, and pleasure at every age. Born and raised in Russia, Dr. Dubinskaya moved to the United States with a singular goal: to transform women’s health. Today, she is a rising voice in the field, serving as Chair of the Communication Committee for the International Society for Sexual Medicine (ISSM), where she leads global efforts to elevate sexual health literacy and dismantle the silence surrounding conditions women have been told to “just live with.” Dr. Dubinskaya’s expertise spans urinary and pelvic floor disorders, sexual pain, libido concerns, menopause care, and the modern science of pleasure. Her research is featured in top medical journals and textbooks, and her growing social media platforms are reframing long-ignored conversations with evidence, empathy, and a touch of humor. She is sought after for her ability to translate medical knowledge into compelling, relatable storytelling—whether on stage, on camera, or behind a microphone. Fiercely dedicated to women’s wellbeing, she is on a mission to rewrite the cultural narrative around pelvic, sexual, and menopausal health, empowering women everywhere to feel seen, validated, and in control of their bodies. YouTube: Drurogyn IG: Drurogyn Alexdubinskaya Why This Episode Matters Birth recovery doesn't end at six weeks postpartum, and neither should our clinical thinking. Obstetric anal sphincter injuries remind us that the effects of childbirth can extend across decades, influencing continence, function, confidence, and quality of life long after delivery. Through earlier recognition, collaborative care, patient education, and skilled rehabilitation, pelvic health practitioners have the opportunity to change outcomes – not only in the postpartum period, but throughout every stage of a client's life.  Subscribe to the Birth Healing Summit Podcast Don’t miss an episode! If you enjoyed today’s podcast and are interested in more topics to support your clinical practice and treatment sessions, find us on your favorite podcast app. Follow or Subscribe to the Birth Healing Summit Podcast on: SpotifyYouTubeApple PodcastsBuzzsproutAmazon PodcastsTo learn more visit: InstituteforBirthHealing.com Visit Institute for Birth Healing to learn more about how to care for the pregnant and postpartum body: CLICK HERE

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5 out of 5
9 reviews
★★★★★
Rana Lowenthal 2025/01/15
Extremely beneficial
I work in pelvic health and this podcast is my go to anytime I’m feeling stuck and need an extra boost of knowledge, energy, motivation or grounding. ...
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