Guidelines for postpartum rehab after having triplets

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Guidelines for postpartum rehab after having triplets

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The guidelines for postpartum rehabilitation for a mother of triplets vary slightly from a mother who’s had twins or singletons, because on average, a mother of triplets will gain about 65 pounds. The two things you have to consider is that – the weight gain – and how it affects the abdominal wall, and the heart muscle, because 75%, remember, have been on bed rest, so their cardiac output is going to be different. To correct the abdominal wall issue, because the muscles instead of looking like this might look a little bit like this, they do their abdominal crunches with a corset or a sheet wrapped around where you pull one way and pull the other way to keep it firm while they’re doing their exercises. And in about six weeks those muscles will correct. And then they can go back to baby boot camp and do regular sit-ups. For the heart, you just have to be careful that they ramp up their activities of aerobic exercise postpartum. They can’t go back to marathon running right out the gate. They have to take into consideration their heart rate is going to jump up really fast and they have to take it slow, and maybe walk first or do a stationary bike instead of a cross country ride.

Watch Video: Guidelines for postpartum rehab after having triplets by Julie Gillespie, ...

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Julie Gillespie

Author & Triplet Mom

Julie Gillespie, DPT, a mother of multiples, physical therapist, teacher and writer, is a graduate of Mt. St. Mary's College and the University of Southern California. 
 
A leader in pelvic floor therapy for over 30 years, she now works at Synergie Physical Therapy in Los Angeles. Find out more at JulieGillespieDPT.com Her customized treatment plans can relieve a variety of urinary, bowel and sexual conditions including dyspareunia, coccydynia, testiculitis, vulvodynia, and vaginismus. With a specialty in identifying and treating pelvic floor disorders, Julie has worked with hundreds of patients throughout the Los Angeles area to achieve optimal core fitness.

Overall wellness is Julie’s goal for all patients, and Julie believes in an integrated approach to physical therapy. She supports a combination of therapeutic studio and pool exercises, manual trigger point release therapy, biofeedback, dilator therapy, postural stabilization, meditation, yoga, Pilates and behavioral retraining, all with the goal of relieving pain and improving each patient’s emotional, physical and sexual wellbeing. 

Julie works with women whose inner core has been detrimentally affected by the stages of menstruation, maternity, postpartum and menopause. She also treats women who have been subject to sexual trauma or assault, to help them regain sensitivity, strength and comfort. For women or men in rehabilitation and recovery from pelvic floor injuries or surgeries, Julie helps strengthen the inner core muscles that have been compromised.

Julie also works with athletes, developing treatment plans to manage the impact of up-training, down-training, and injury. She has helped countless elite athletes and cyclists with pelvic floor therapy for injury and repetitive use. 

Julie earned her Masters and Doctorate in Biokinesiology and Physical Therapy from the University of Southern California, and her Physical Therapy degree from Mount Saint Mary’s College. Julie has owned and/or managed several ob/gyn, continence and women’s healthcare groups in California, including the Women’s Health Program at USC.  

Julie has taught Women’s Health in the physical therapy programs at Mt. St. Mary’s College, Northridge and Loma Linda. In 2019, Julie was invited to Shenzhen, China to lecture on pelvic floor conditions and sexual dysfunctions. She has been recognized for her pelvic floor research with an award  from the American Physical Therapy Association.

On a personal note, Julie is the mother of triplets and two singletons, and enjoys hiking, running, skiing and quilting. She is the author of Magical Multiple Moments.

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