My guess is I could probably count the number on one hand...without the thumb. The importance of the transverse abdominus in labour is massively overlooked by care professionals but it is one of the major muscles you will need to use to ensure an easy labour.
As you can see from the diagram the TA is a deep seated abdominal muscle that attaches to the bottm six ribs at the front and the pelvis in back. It runs across our sides and inserts into the linea alba at the front (the middle of your abdomen). It is also connected to the diaphragm which helps us breathe.
It looks like and acts like a corset, pulling you in and helps stabilise your torso and pelvis. This little beauty is the muscle that, if trained correctly will give you a flat stomach.
It is also the muscle that will help you push your baby out during labour.
Transverse Exercises
1. Now to work the transverse you need to breathe. Start by taking a big belly breath into the pit of your stomach. If you put your hands on your belly the in breath should expand your belly making it rise and grow outwards. As you exhale imagine pulling your bElly button right back to your spine. Now hold it there for a count of 10 second before releasing with another belly breath. Repeat this exercise for a minimum of 10 holds.
As you get stronger you can increase the hold count to 30. Always count out loud so that you are not holding your breath as this is a dangerous movement called the valsava manoeuver which can send your blood pressure sky high.
2. Next imagine your belly button is like an elevator. When you take in a belly breath this is ground floor, as you exhale and draw the belly button back to the spine, imagine you are passing through 5 floors.
Pull all the way back to floor 5 on the first exhale.
Then as you inhale release your belly button to floor 4.
Exhale and pull back to floor 5.
Release to floor 3.
Pull back to floor 5
Exhale to floor 2
Pull back to floor 5
Exhale to floor 3
Pull back to floor 5
Exhale to floor 2
Pull back to floor 5
Exhale to floor 4
Pull back to floor 5
Inhale with a big belly breath to floor 1
Pull back to floor 5
Inhale all the way to ground floor
Do 3 sets of these exercises 5 times a day. You can do your Kegels in between sets as your rest.
Now when it comes to the big day your TA is going to act like squeezing toothpaste out of a tube to push your baby out. However, YOU MUST BREATHE! Unfortunately the majority of delivery room staff will try and get you to hold your breath whilst pushing. Not only is this ineffective, it's also dangerous.
*When you hold your breath and work a muscle (or push) your blood pressure will go mental, first rocketing upwards, then going down rapidly before shooting up to an even higher level than before. Many women have burst blood vessels in their eyes and increase their risk of stroke after labour because of this.
*Your transverse muscle will move forwards instead of back and push against your weakened rectus abdominus, (the six pack), pushing the muscle apart and giving you a diastasis - leaving your back weakened an unsupported.
*You will fatigue quickly - research shows that holding your breath whilst bearing down for more than 5 seconds is uneccessarily tiring. Labour requires stamina so you don't want to be tiring yourself out before you've finished the race!
So instruct your birthing partner to be firm with the delivery room staff. Keep breathing as your contractions come. Take a big belly breath in at the start and then exhale long and hard as you pull your transverse back to squeeze your baby out.
So long as you have been practising your transverse exercises daily throughout your pregnancy you will find you have great stamina and strength and labour should become a much easier process.
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