Fullstendig transkripsjon av THE POSTPARTUM EXERCISE GUIDELINES MOMS ACTUALLY ASKED FOR | DR. MARGIE DAVENPORT

the chance to talk to lots of different people. 00:02:07.680 --> 00:02:15.360 I also learn a lot when I do podcasts too, uh, get an idea of the types of questions and myths that need to be busted still. 00:02:15.599 --> 00:02:27.199 Um, but it was a really purposeful decision about a year, year and a half ago, that I was really tired of uh the papers that we were doing, just sort of sitting in academia. 00:02:27.280 --> 00:02:30.800 And, you know, every once in a while you might get a media story about it. 00:02:31.039 --> 00:02:38.960 But uh there were so many messages and emails coming, especially from athletes, about they just had no idea what to do and they were terrified. 00:02:39.120 --> 00:02:43.919 They had gone to their healthcare provider and were told, don't go above 140 beats per minute. 00:02:44.000 --> 00:02:49.840 And I was just like, but we busted that, like really conclusively a long time ago. 00:02:50.080 --> 00:02:53.360 Um, and so yeah, it was a really purposeful decision. 00:02:53.439 --> 00:03:00.400 And I'm pretty happy to uh be able to sort of see the increase in sort of knowledge and awareness. 00:03:00.479 --> 00:03:10.879 Um, I think my biggest hope is that it's not just in an echo chamber that it's starting to sort of trivel, you know, weed out into uh the general population as well. 00:03:11.120 --> 00:03:15.039 Yeah, no, I I see your posts being shared so many places. 00:03:15.199 --> 00:03:18.479 And it's one of those things where I'm like, should I should I still share? 00:03:18.639 --> 00:03:20.719 Because I feel like it's always like everywhere. 00:03:20.800 --> 00:03:23.919 I'm like, just keep getting out because you you don't know the reach. 00:03:24.080 --> 00:03:24.240 Yeah. 00:03:24.479 --> 00:03:31.599 What are what are the questions you feel like um are coming up the most frequently that you're answering over and over again? 00:03:32.560 --> 00:03:35.919 Uh so that 140, it just doesn't want to die. 00:03:36.159 --> 00:03:36.639 It won't die. 00:03:36.879 --> 00:03:38.400 It's the most surprising. 00:03:38.560 --> 00:03:50.639 So I've seen a lot of movement when we're talking about heavy weightlifting and pregnancy, but when we talk about intensity and higher intensity activity, it's just um, yeah, it will not go away. 00:03:50.879 --> 00:03:52.800 Why do you think it won't die? 00:03:53.120 --> 00:03:53.680 I don't know. 00:03:53.840 --> 00:04:01.680 I think it's one of the first sort of big recommendations that came out for um pregnancy, uh, you know, back in again, 1985. 00:04:01.759 --> 00:04:10.319 And it just became so ingrained that we had to have a limit, uh, some sort of limit on pregnant women when they are exercising. 00:04:10.560 --> 00:04:25.839 And, you know, we're just about to put forward um, you know, a study with more than 4,000 women who have done acute exercise bouts where we monitor fetal heart rate, and they're all well above 140 beats per minute when they're doing this. 00:04:26.079 --> 00:04:28.800 And we're not seeing any adverse outcomes. 00:04:28.959 --> 00:04:34.160 And so I'm hoping, hope against hope that maybe that paper um will help with it. 00:04:34.240 --> 00:04:39.439 But I think it just continues that we need to do more dissemination, more awareness. 00:04:39.519 --> 00:04:41.920 Um, and someday it'll change in budge. 00:04:42.240 --> 00:04:47.279 I I think that one too, it's it's the one that I think is most applicable to like the everyday person. 00:04:47.439 --> 00:04:50.800 Whereas like weightlifting, I think it's it's maybe just some groups of people. 00:04:50.959 --> 00:04:53.279 But I still, I mean, I it's really cool though. 00:04:53.439 --> 00:05:06.319 I do see um clients that will come in and share their stories about how they're staying active, they're doing what they did before, they're not worried about um heart rate, but their moms are like, you shouldn't be doing this. 00:05:06.399 --> 00:05:09.519 And you have multi-generation saying, No, you shouldn't be doing this. 00:05:09.680 --> 00:05:11.519 And it's that internal pressure at home. 00:05:11.600 --> 00:05:14.000 And then they come in and be like, I'm right about this, right? 00:05:14.079 --> 00:05:15.279 I'm like, Yeah, you're right. 00:05:15.519 --> 00:05:19.360 But it's it's it's like it's such a hard, slow turn right now. 00:05:19.439 --> 00:05:20.720 I'm like, oh my God. 00:05:21.439 --> 00:05:23.279 I wish it wasn't so difficult. 00:05:23.600 --> 00:05:27.839 Yeah, no, I agree, but I mean it keeps us busy too, right? 00:05:28.000 --> 00:05:28.800 So it's important. 00:05:29.439 --> 00:05:32.879 I I don't know about you, but I feel like I'm repeating myself a million times over. 00:05:32.959 --> 00:05:35.759 But if that's what it takes, you know, it's fine. 00:05:36.000 --> 00:05:37.439 What what are the questions? 00:05:37.600 --> 00:05:46.879 Maybe let's what's one or two questions that you finish an episode, an interview, and you're like, God, I I wanted you to ask me this. 00:05:47.040 --> 00:05:50.560 Like, no one's asking me this, and I want to talk about this. 00:05:51.040 --> 00:05:53.279 Hmm, that's a good one. 00:05:54.639 --> 00:05:57.600 I think the implementation side, the the how. 00:05:57.920 --> 00:06:13.439 So we have a lot of information about, you know, the potential benefits of exercise and safety of exercise, and we have the general guidelines, um, but people don't ask enough about how do we take those guidelines and apply it, you know, into my daily life? 00:06:13.600 --> 00:06:16.000 How am I going to action these recommendations? 00:06:16.240 --> 00:06:21.279 How do I know if, you know, it's time to come off the pitch if you're a soccer player? 00:06:21.439 --> 00:06:44.000 Um, you know, the the sort of nitty-gritty details, uh, you know, I think that's where I haven't been asked uh enough about, but we just published uh with FIFA um decision aids and frameworks, uh, where I'm hoping that we'll have more of those

conversations because we have the supports and the tools to be able to guide um pregnant and postpartum players now. 00:06:44.319 --> 00:06:44.560 Right. 00:06:44.639 --> 00:06:53.040 No, and I I love this idea of frameworks, and and we'll talk about, you know, we've done it with FIFA, we're starting to do it in the climbing space and other sports and things like that. 00:06:53.360 --> 00:07:05.920 Um, I feel like this framework and phase concept is coming up more and more in the pregnancy postpartum space as opposed to these hard and fast timelines and rules. 00:07:06.079 --> 00:07:12.079 And I think for those of us that have been in it for a long time, and those of us that are moms too, we're like, yeah, you can't do hard and fast. 00:07:12.720 --> 00:07:20.959 Um, how is that being received when you're going and talking at conferences to people that that this is an entirely new concept? 00:07:21.120 --> 00:07:26.000 Do they like the idea of a framework or are they looking for like that concrete rule? 00:07:26.319 --> 00:07:28.879 Yeah, I think you it depends on who I'm talking to. 00:07:28.959 --> 00:07:44.160 So if we're talking to, you know, the obstetricians, healthcare providers, a lot of times they want those hard, fast rules because they're really easy to um talk about and say, you know, don't start exercise until six weeks postpartum, don't start running until 12 weeks postpartum. 00:07:44.560 --> 00:07:53.199 But when you are the pregnant and postpartum woman on the ground, um, those rules just don't necessarily apply. 00:07:53.360 --> 00:07:55.120 And so, and it works both ways. 00:07:55.199 --> 00:08:03.920 For some people, they're ready to go, you know, a couple days after birth, getting up and starting to engage in, you know, moderate intensity activity. 00:08:04.079 --> 00:08:04.800 That's okay. 00:08:04.959 --> 00:08:14.160 But there's also when we have these recommendations for timelines, there are lots of people who are just like, I am so not ready to go for a walk at six weeks. 00:08:14.240 --> 00:08:16.399 I am definitely not ready to go for a run. 00:08:16.560 --> 00:08:25.519 And so I think it makes it more applicable and um, you know, just better for our overall physical, but also our mental health as well. 00:08:25.680 --> 00:08:29.360 There's so much pressure as a mom to do the right thing. 00:08:29.519 --> 00:08:32.799 And the right thing is sort of recognizing your own journey. 00:08:32.879 --> 00:08:43.200 And so it's um, I would say that the feedback, especially at conferences, the feedback on social media, uh, has been really that this is what we want. 00:08:44.320 --> 00:08:44.960 That's nice. 00:08:45.120 --> 00:08:54.879 I mean, I'm just thinking yesterday, a caseload that I had, I literally in the same day I had one patient who was two weeks after a C-section asking when can I start running? 00:08:55.039 --> 00:09:04.159 And then somebody who was six weeks after a C-section with a lot of other things that that happened, and being like, Okay, I went for my first walk yesterday. 00:09:04.320 --> 00:09:07.200 And those are both normal and fine experiences. 00:09:07.279 --> 00:09:11.279 But I like the one that wants to run in two weeks, I'm like, that tells me a couple things. 00:09:11.519 --> 00:09:18.480 One, you're feeling great, your kid's sleeping, you're eating, like all these things that are good, and you haven't had any complications. 00:09:18.559 --> 00:09:21.200 And clearly this other situation is very different. 00:09:21.679 --> 00:09:29.360 Um, do you feel like kind of that sort of encompasses just that breadth of what postpartum looks like? 00:09:29.519 --> 00:09:33.120 I mean, it I think once you've been in it, you're like, oh yeah, I get it. 00:09:33.200 --> 00:09:36.639 But your first time through, you don't realize that it can look so many different ways. 00:09:36.879 --> 00:09:38.399 Yeah, no, absolutely. 00:09:38.559 --> 00:09:41.679 And I mean, you know, we should just clarify with the timelines. 00:09:41.759 --> 00:09:49.200 Um, they were put forward, and that in and of itself, when they were being put forward, were absolutely groundbreaking. 00:09:49.360 --> 00:09:51.039 Like those were brand new. 00:09:51.360 --> 00:09:55.919 We had nothing else to go on, and that advanced the field massively. 00:09:56.159 --> 00:10:02.080 The research that came out after that, you know, the data just really didn't support these hard and fast timelines. 00:10:02.240 --> 00:10:13.279 And I imagine when we continue to do research in the next five years, like the way that we're conceptualizing postpartum return to activity and return to sport is again going to advance and change. 00:10:13.440 --> 00:10:20.240 So, you know, it's not bad that things are changing, that we're reflecting the way that people are having their postpartum journeys. 00:10:20.480 --> 00:10:22.879 Um, that's what science is all about. 00:10:23.039 --> 00:10:25.440 And that's why we do the work that we do. 00:10:25.679 --> 00:10:37.360 Yeah, and I'm I'm even thinking five years ago, I don't even think societally we were completely fully accepting of pregnant women in the gym or running half marathons or marathons. 00:10:37.440 --> 00:10:39.120 Like that wasn't that long ago. 00:10:39.360 --> 00:10:48.159 What's what's the thing maybe five years ago that was like the biggest myth, you know, in postpartum exercise five years ago versus now? 00:10:48.480 --> 00:11:00.159 Yeah, so 2021, um, we actually published um with my um postdoctoral fellow, Vicky Mia, uh, our very first study of heavy lifting in pregnancy. 00:11:00.320 --> 00:11:06.960 And it was the hardest thing to get through our ethics board because uh virtually every guideline said don't lift heavy. 00:11:07.120 --> 00:11:14.000 And so that was um, I would say the impetus uh for a lot of the work that we've been doing in pregnancy and postpartum. 00:11:14.080 --> 00:11:17.360 And that has been one of the biggest changes I've

been pretty excited to see. 00:11:17.440 --> 00:11:22.720 And we've had a number of trainees uh follow along who've been on this podcast as well, which is great. 00:11:23.039 --> 00:11:30.720 Yeah, I feel like again, like you kind of had to break, put that first crack in the ceiling, you know, to punch through to be like, yeah, there's women doing this. 00:11:30.879 --> 00:11:35.759 We need to establish that that this is a thing and we should be studying this. 00:11:36.159 --> 00:11:37.039 Oh, absolutely. 00:11:37.519 --> 00:11:41.919 What do you think is gonna be five years from now? 00:11:42.080 --> 00:11:45.679 What's gonna be the myth that we're gonna have to bust five years from now? 00:11:47.600 --> 00:11:48.960 That's a tough one. 00:11:49.120 --> 00:11:56.159 I actually hope within the next five years, um figured out. 00:11:56.399 --> 00:11:57.120 We can't be done. 00:11:57.200 --> 00:12:34.000 I I've got a good 20 years left to to go, but I I do hope by the time we get five years from now that we have actually replaced these long-standing theoretical risks and these long-standing um expert opinions or recommendations, that they're gone and that we've replaced it with um some level of research, whether we're talking about you know, doing our surveys, which is often where we have to start because uh we can't ethically go and jump right in and say, uh, for the first time, let's do this activity, which is not recommended in any guideline. 00:12:34.159 --> 00:12:46.320 So starting with surveys, building towards those in-person assessments and then moving towards those longitudinal studies to really get at uh whether or not those activities are safe, beneficial or not. 00:12:46.720 --> 00:12:59.919 Yeah, I think that's been one of the things that I have learned the most, I think, from watching you, your group build these frameworks is you have to establish that women are doing these things. 00:13:01.039 --> 00:13:03.919 And then you can go forward and ask the questions. 00:13:04.000 --> 00:13:09.519 And I think for the longest time as a clinician, I kind of was like, yeah, we already know that. 00:13:09.600 --> 00:13:10.559 Why do we need to establish that? 00:13:10.639 --> 00:13:14.960 And I was like, oh, that's not for me, that's for somebody else. 00:13:15.279 --> 00:13:15.919 Yeah. 00:13:16.159 --> 00:13:18.879 So oh, you have to do that work, sorry. 00:13:19.600 --> 00:13:21.039 Get to the fun stuff. 00:13:21.279 --> 00:13:22.559 Yeah, no, totally. 00:13:22.720 --> 00:13:48.240 But I think even as a society, you know, we're in a very privileged space where we've worked with pregnant postpartum women who don't just want to walk when they're pregnant or postpartum, and that we have actually seen people who are disclosing that they want to climb, they want to road bike, they want to do, you know, all these wild and crazy things that we would never even conceive of just a couple of years ago. 00:13:48.480 --> 00:13:57.360 And now we're building the research base demonstrating that in a lot of cases it's actually much lower risk slash no risk. 00:13:57.600 --> 00:14:02.000 Um yeah, I I think it's uh an exciting time for sure. 00:14:02.320 --> 00:14:03.360 Yeah, definitely. 00:14:03.600 --> 00:14:10.799 All right, let's talk about um the the postpartum Canadian guidelines came out just over a year ago. 00:14:11.039 --> 00:14:20.000 Um what were some of the biggest kind of takeaways that that you think people have commented about, you know, wanted to talk about? 00:14:20.080 --> 00:14:23.679 What are what are the things that have kind of stood out the most from that guidance? 00:14:24.799 --> 00:14:35.519 Um, I think one of the biggest things is that a lot of women were just so happy to, you know, be able to reflect on the fact that postpartum is different. 00:14:35.679 --> 00:14:39.120 So it's it's not going from pregnant to not pregnant. 00:14:39.279 --> 00:14:51.200 They're not the same as the adult guidelines, that there's this really unique period um where they felt lost and they they didn't know when or how or what to do in the postpartum period. 00:14:51.360 --> 00:15:06.000 So just, you know, putting that sort of mark or that um exclamation, exclamation, oh my gosh, exclamation point uh on this is postpartum, my journey is going to be unique, stating that it's quite different. 00:15:06.159 --> 00:15:07.840 I think that was really important. 00:15:08.080 --> 00:15:20.080 Um I think reflecting that everybody's postpartum journey is quite different, that six weeks is not an appropriate uh time point for um thinking about activity for the vast majority of people. 00:15:20.159 --> 00:15:25.759 Again, some are ready very early on, some are ready at three weeks, some are already at nine weeks, and much later. 00:15:25.919 --> 00:15:29.919 And all of those um time points are really appropriate. 00:15:30.240 --> 00:15:35.600 Um, you know, when we talk about the fact that we went and tackled sleep. 00:15:35.919 --> 00:15:37.440 I know, oh my gosh. 00:15:37.679 --> 00:15:49.679 Yeah, which, you know, again, when we went out to find out what women wanted to know about the postpartum period, they wanted to know about their mental health, they wanted to know about sleep. 00:15:49.840 --> 00:15:58.000 And as a mom who I literally didn't sleep for five years, um, thankfully my kids sleep mostly through the night now at 11 and 14. 00:15:58.320 --> 00:15:58.559 Same. 00:15:59.039 --> 00:15:59.840 Same, my friend. 00:16:00.159 --> 00:16:11.120 Yeah, it's it's just one of those topics that you can't shy away from it because people are going to, you know, not enjoy the conversation about sleep and postpartum sleep. 00:16:11.279 --> 00:16:28.879 Uh, we identified that there are things that you can do to help support sleep, but I think it's also really important that these conversations start during pregnancy before you become pregnant, um, even before you're thinking about getting pregnant,

that, you know, it's not just a time that you have to suffer through. 00:16:29.039 --> 00:16:33.840 I wish I had known the information that we now have with this 2025 guidelines. 00:16:34.000 --> 00:16:36.799 Um, but it's also a starting point as well. 00:16:36.960 --> 00:16:39.919 There were lots of gaps in the guidelines. 00:16:40.159 --> 00:16:49.360 One of the main things I wanted to do with that guideline is to be able to help support women if they had a vaginal delivery versus a cesarean delivery. 00:16:49.600 --> 00:16:52.320 There's almost no information out there. 00:16:52.399 --> 00:17:03.120 Uh, as researchers, even though we've been working in this field for decades, uh, it never occurred to us to actually split up the results between the two types of uh deliveries. 00:17:03.360 --> 00:17:07.599 Um, you know, it and there's massive gaps that we still need to fill. 00:17:07.759 --> 00:17:14.640 So uh I think it's also a nice impetus uh to sort of put some energy into postpartum research. 00:17:14.720 --> 00:17:17.119 And we've already been seeing that, which is really exciting. 00:17:17.440 --> 00:17:27.200 Yeah, no, I've also seen a lot of parallels with a lot of the things that got brought up here, sleeping, one of them, um, in like the low energy availability conversations. 00:17:27.359 --> 00:17:34.000 And then also kicking forward, there's so many parallels, I feel like, um, not just hormonally in postpartum and perimenopause. 00:17:34.079 --> 00:17:44.640 And I feel like again, like if we're establishing these, these concepts in the pregnancy postpartum space, then they're just natural kind of progressions into these other areas. 00:17:44.799 --> 00:17:48.160 Yeah, sleep's important in a lot of different ways. 00:17:48.400 --> 00:17:56.720 Um, and you know, I see this even just in like particular sports, that people are just talking about it far more than they ever did before. 00:17:56.799 --> 00:18:01.039 So it's really nice to see that kind of reflected here and tackled. 00:18:01.200 --> 00:18:05.839 Um, and again, I feel like postpartum two, you yeah, I I think we we've talked about this several times. 00:18:05.920 --> 00:18:09.680 And I did not sleep the first five years of my son's life either. 00:18:09.920 --> 00:18:13.599 Meanwhile, this morning he didn't have school, and so I think he slept till 10. 00:18:15.599 --> 00:18:16.880 I'm not quite there yet. 00:18:17.119 --> 00:18:21.440 Oh no, my daughter, I was talking to her the other day, and I was like, Do you sleep through the night? 00:18:21.680 --> 00:18:23.200 She's like, Yeah, don't you? 00:18:23.440 --> 00:18:24.319 Like, no. 00:18:26.319 --> 00:18:27.440 Like, enjoy that. 00:18:27.599 --> 00:18:30.319 Like, you put your head on your pillow and then you wake up and your alarm goes off. 00:18:30.559 --> 00:18:31.759 Oh, that must be lovely. 00:18:33.200 --> 00:18:34.319 Yeah, for sure. 00:18:34.559 --> 00:18:43.200 Um, talk a little bit about um the get active questionnaire for postpartum came out through that guideline as well. 00:18:43.359 --> 00:18:47.680 How have you seen that used and kind of what's the feedback that you've gotten on that as well? 00:18:48.000 --> 00:18:50.319 Yeah, so the feedback's been phenomenal. 00:18:50.480 --> 00:18:56.240 You know, it's uh a tool that's really designed to empower women to make decisions about their health. 00:18:56.480 --> 00:19:08.880 And uh one of the things that we did in the Canadian guideline is that we removed the requirement for everybody to go and see their healthcare provider before um starting or resuming activity in postpartum. 00:19:09.119 --> 00:19:18.640 Um the Get Active Questionnaire Postpartum has been um translated into, I think, five different languages uh are ongoing. 00:19:18.720 --> 00:19:24.880 Uh three are up online uh right now with more uh discussions uh uh upcoming for sure. 00:19:25.039 --> 00:19:28.480 I just have a bit of a capacity issue for the next month or so. 00:19:28.559 --> 00:19:32.880 Uh, and then we'll we'll get to doing some more translations for sure. 00:19:33.200 --> 00:19:47.759 But you know, the feedback's been overwhelmingly positive that you know there's a way that women can, you know, self-screen, identify if they need to speak to their healthcare provider, but you're busy postpartum. 00:19:48.079 --> 00:19:53.920 You may not have the time to go and see a healthcare provider about whether or not you can go for a walk. 00:19:54.319 --> 00:19:54.640 Right. 00:19:54.960 --> 00:19:55.279 Yeah. 00:19:55.440 --> 00:19:59.200 So yeah, no, I I that that one I think was so poignant. 00:19:59.359 --> 00:20:10.000 Um, at least here in the States, um, and again, why these things keep happening over and over again, there's a a certain group of people that feel like, oh, I can't do anything until I go to that six-week clearance visit. 00:20:10.160 --> 00:20:10.319 Yeah. 00:20:10.559 --> 00:20:13.599 And and again, I don't know where this is coming from. 00:20:13.839 --> 00:20:18.079 I if if I could figure it out, I'd I'd go stick my finger in the dike, you know. 00:20:18.480 --> 00:20:45.440 Um, but it's it's one of those things that if it is holding somebody back from just something as simple as walking or a couple of like cat cows or a bird dog or something like that, like I can't imagine not doing anything because you're just waiting for that check that to be quite honest, and obviously you you guys have have figured out that's not if there's no medical complications, that's not something you need to do. 00:20:46.000 --> 00:20:49.759 Um, have you gotten any negative feedback on that? 00:20:49.839 --> 00:20:53.200 Or have you gotten any people saying, no, we need to have this clearance. 00:20:53.279 --> 00:20:57.519 We've we've got to, you know, have the the uh the approval here. 00:20:58.160 --> 00:21:00.160 Uh no, I haven't heard anything. 00:21:00.319 --> 00:21:02.000 That doesn't mean that it doesn't exist.

00:21:02.160 --> 00:21:08.319 People might just not be talking to me about it, which uh, you know, I'm always open to criticism as long as it's constructive. 00:21:08.480 --> 00:21:11.279 If it's uh not constructive, I'm just not gonna listen. 00:21:11.359 --> 00:21:12.000 That's fine. 00:21:12.160 --> 00:21:20.559 But um, you know, there's always gonna be improvements in the tools we develop and improvements in the way we look at our research and you know, the things that we're doing. 00:21:20.720 --> 00:21:23.200 So I think those discussions are really, really important. 00:21:23.759 --> 00:21:27.599 Um, you know, we've had screening tools in Canada for quite a long time. 00:21:27.759 --> 00:21:32.160 The one in pregnancy was fantastic before the ParMed Expernancy. 00:21:32.400 --> 00:21:35.359 But the criticism of that one was that it was far too long. 00:21:35.519 --> 00:21:40.400 It was four pages um, you know, still required go and see your healthcare provider. 00:21:40.799 --> 00:21:45.279 Uh and so we we have to do these iterative processes to make it better. 00:21:45.519 --> 00:21:50.079 So um the feedback I've received has been all really positive. 00:21:50.240 --> 00:21:54.799 Um, but that doesn't mean that somebody out there would have something to say about it. 00:21:54.880 --> 00:21:56.400 And if they do, I'd love to hear it. 00:21:56.720 --> 00:21:59.759 Yeah, no, I mean, I I think with all the information that we have. 00:22:00.160 --> 00:22:06.799 Have about the reduced odds of depression, diabetes, like all these other things with increased activity. 00:22:06.960 --> 00:22:12.559 It just stands to reason that if if somebody's feeling good and they can go out and do it, why are we putting up barriers? 00:22:12.799 --> 00:22:20.000 And and again, here in the States, I feel like access to care is just getting worse and taking longer to get to see providers. 00:22:20.319 --> 00:22:27.119 And, you know, it they're just gonna make sure that you're you're you're vertical, nothing's flying out of your body, and you're on your birth control and get out the door. 00:22:27.279 --> 00:22:29.759 So it's like, why don't you you can go for a walk? 00:22:29.920 --> 00:22:30.799 It's it's all good. 00:22:30.960 --> 00:22:32.319 Yeah, it's no, absolutely. 00:22:32.480 --> 00:22:41.680 And again, like I think that one of the most important pieces that came out of the 2025 guideline is the emphasis and the recognition of postpartum mental health. 00:22:41.759 --> 00:22:50.000 You know, when I was doing my PhD in postpartum exercise back in, you know, I finished in 2010, nobody talked about depression. 00:22:50.160 --> 00:22:51.920 It was not something that existed. 00:22:52.000 --> 00:22:57.039 You were supposed to be very happy and enjoying life, but that you had this new baby. 00:22:57.200 --> 00:23:00.000 Um, and the reality is that it can be a real struggle. 00:23:00.079 --> 00:23:01.839 It's really a tough period of time. 00:23:02.000 --> 00:23:16.160 And if there's something like going for a walk that's going to help support your mental health, help you to feel like yourself again in this period of transition, um, you know, that's something that really needs to be talked about. 00:23:16.240 --> 00:23:21.119 Um, it's been taboo for so long that it's uh, but luckily that seems to be changing. 00:23:21.359 --> 00:23:21.599 Yeah. 00:23:21.759 --> 00:23:25.440 No, two things super important mom's mental health and and mom should get sleep. 00:23:25.519 --> 00:23:28.640 So we're we're glad there's some some more guidance there for sure. 00:23:28.880 --> 00:23:30.640 Or at least better quality sleep. 00:23:30.880 --> 00:23:33.039 Yes, yes, yes, better quality. 00:23:33.119 --> 00:23:33.599 We'll take that. 00:23:34.000 --> 00:23:50.480 You're not gonna sleep longer, you're still gonna wake up just as frequently because somebody else is having a say in that, but it's the quality sleep that's really linked to um risk of depression, and that's where we saw the benefits um within our reviews from physical activity and other sleep interventions. 00:23:50.880 --> 00:23:51.119 Yeah. 00:23:51.200 --> 00:23:54.799 And again, you learn it early, you're gonna need it later on in perimenopause. 00:23:55.119 --> 00:23:56.160 Oh my goodness. 00:23:56.799 --> 00:24:01.119 That'll be a separate episode when you work on your next framework. 00:24:01.359 --> 00:24:04.319 You shift everything to uh perimenopausal athletes, right? 00:24:04.400 --> 00:24:04.880 Yeah, yeah. 00:24:05.119 --> 00:24:13.279 Um, all right, so another big area that got tackled in this last year, I think was this idea of informed risk. 00:24:13.440 --> 00:24:18.640 Um, in the context of working with soccer, working with climbers. 00:24:18.720 --> 00:24:26.880 Um, we've had Joy Black on to talk about her work with you, with climbers, uh, Emma Brockwell talking about uh work with FIFA and so on. 00:24:27.119 --> 00:24:37.039 Um, why was this such an important concept to tackle and and what made it incredibly difficult to kind of start down that pathway? 00:24:38.799 --> 00:24:46.240 So it was important because so I'm the type of person that if you tell me no, I want to know why. 00:24:46.400 --> 00:24:50.880 And if you don't have a good solid reason of why no, then I'm going to do it. 00:24:52.000 --> 00:24:52.640 I like that. 00:24:52.880 --> 00:24:55.359 You probably don't want to tell that much about me. 00:24:55.680 --> 00:25:00.400 But you know, it came up um back with the 2019 guideline. 00:25:00.559 --> 00:25:04.319 Why are we telling women that they can't go for a bike? 00:25:04.559 --> 00:25:14.480 Why are we telling women um, you know, that they can't do XYZ activity when you go into the research and it's entirely theoretical. 00:25:14.640 --> 00:25:26.079 When we talk about contact sport, the only data we have is um car crash data from animal data, biblians, you know, from the 1980s, and nothing has been done since then.

00:25:26.480 --> 00:25:32.319 And so, you know, that was just a big gap that I get asked about all the time. 00:25:32.480 --> 00:25:54.880 And so, as we're seeing all these incredible benefits of physical activity, whether it's long duration activity or high intensity or weightlifting, it stands to reason that continuing other activities such as climbing, such as, you know, soccer or other activities like that, which are traditionally thought to be a little bit higher risk, that there might be some benefits. 00:25:55.119 --> 00:26:13.759 And we know that people are still doing it because we see it on Instagram, we see it on TikTok, we, you know, hear about it from our friends, um, maybe not all of our family, but um when women are making decisions about whether or not they can or should be doing it, they need the evidence to be able to support that. 00:26:13.920 --> 00:26:30.880 The evidence is going to help them to make informed decisions, but it's also going to help alleviate stress, anxiety about the decisions that they're making because those that are continuing, a lot of them feel very uncertain about whether or not they should be doing it. 00:26:31.119 --> 00:26:33.119 Um so it's just been a big gap. 00:26:33.200 --> 00:26:35.119 There's lots of studies outcoming. 00:26:35.200 --> 00:26:38.400 Um, you know, we're looking at skiing and snowboarding data right now. 00:26:38.559 --> 00:26:41.119 Like that's a pretty darn risky sport, we think. 00:26:41.279 --> 00:26:42.480 We'll find out. 00:26:42.799 --> 00:26:43.200 Yeah. 00:26:43.440 --> 00:26:58.319 Yeah, I I I think that was um kind of one of the one of the most interesting parts of the conversation I had with with Joy about the climbing, was it's so much of these uh societal kind of what society thinks these things are. 00:26:58.480 --> 00:27:07.440 And you know, never you're you're never gonna find a mom that says, I'm going to intentionally put my baby in harm's way. 00:27:07.599 --> 00:27:10.319 Like it's just I think it's just not in our biology. 00:27:10.720 --> 00:27:25.039 And so it really is tackling those ideas of what other people think risk is, and when you're really good in that sport or you spend a lot of time in it, like what your perceived risk is. 00:27:25.519 --> 00:27:31.759 What have you learned about kind of because I'm assuming a lot of these sports are new to you too. 00:27:32.000 --> 00:27:40.400 What are you learning about what risk means in some of these um sports that you're you're building frameworks for? 00:27:41.200 --> 00:27:48.799 Yeah, so I think everybody's perception or level of risk is so, so different depending on their experiences. 00:27:48.960 --> 00:27:53.279 So when I was pregnant, um, I would say I was fairly risk adverse. 00:27:53.519 --> 00:28:01.200 I, you know, was careful about I was, you know, climbing the Rocky Mountains, but I would stay away from a cliff, but I was still at altitude, right? 00:28:01.599 --> 00:28:09.440 Um, I continued to

rendering pregnancy, which, you know, back then was considered to be risky, but I knew the data. 00:28:09.519 --> 00:28:12.079 I was a researcher looking at this particular area. 00:28:12.160 --> 00:28:16.559 So to me that wasn't risky, but to the outside person, it really was. 00:28:16.960 --> 00:28:24.079 Um, and I think we have to recognize that everybody has their own level of risk and feelings of security about what they're doing or not. 00:28:24.400 --> 00:28:25.680 But we talked about the climbers. 00:28:25.920 --> 00:28:41.519 Probably one of the best quotes that uh came out of that study is uh a lady that said that, you know, she felt safer on the wall because she had three points of contact on the wall plus her harness at all points in time, whereas when she's walking down the street, she only has one. 00:28:41.759 --> 00:28:46.000 And so, you know, there's lots of things that we do that are risky in our daily lives. 00:28:46.240 --> 00:28:47.839 We hop into a car. 00:28:48.000 --> 00:28:56.720 Um car crash, you know, often doesn't go well for uh a pregnancy, uh, unfortunately, but we still get into our cars every day. 00:28:56.880 --> 00:29:00.960 We get into moving vehicles which have a level of risk that's inherent. 00:29:01.200 --> 00:29:16.640 And so, you know, I think it's really important that we sort of reflect on the different sports that we're talking about and actually measure the level of risk that is out there because unfortunately, a lot of times I think it's actually much lower risk uh than we've ever considered or realized. 00:29:17.119 --> 00:29:21.759 Yeah, but it's another one of those places too where it's like, oh, we don't have this hard stop anymore. 00:29:21.920 --> 00:29:29.920 We have this kind of framework on like, okay, look at your own acceptable level of risk, look at kind of what the sport is, all of that. 00:29:30.079 --> 00:29:32.160 Um, you mentioned skiing and snowboarding. 00:29:32.240 --> 00:29:34.319 Uh what else do you have your eye on? 00:29:34.400 --> 00:29:36.960 Uh let's go just risky sports right now. 00:29:40.400 --> 00:29:41.759 You know, pretty much anything. 00:29:41.839 --> 00:29:44.559 You know, everything is up for debate at the minute. 00:29:44.799 --> 00:29:47.279 Um, you know, we talk about cycling, road cycling. 00:29:47.359 --> 00:29:49.440 There's um, you know, mountain biking. 00:29:49.680 --> 00:29:52.000 Those are all very risky sports. 00:29:52.079 --> 00:29:53.119 You flip off your bike. 00:29:53.200 --> 00:29:58.319 Uh, you know, I have a friend who, you know, completely destroyed his shoulder as a result of that. 00:29:58.480 --> 00:30:01.759 And yet we have lots of women who continue to cycle. 00:30:01.920 --> 00:30:03.839 What is the actual level of risk? 00:30:04.079 --> 00:30:09.440 Was my friend's uh, you know, bike accident, was that a complete fluke? 00:30:09.519 --> 00:30:13.599 Or is there some underlying um risk associated with it? 00:30:13.759 --> 00:30:26.400 And so, you know, I'm trying to go into all of these different sports in each of these studies with as little bias as possible, just basically go in and say, is it risky or not? 00:30:26.640 --> 00:30:31.119 I actually don't care if we see high rates of risk or not. 00:30:31.359 --> 00:30:37.200 The important piece is that we need to have the data to be able to present so that women can make their own decision. 00:30:37.359 --> 00:30:48.240 They can have the autonomy to decide, am I comfortable with a, you know, one in 250 um risk of having a miscarriage with every hard hit that we get? 00:30:48.480 --> 00:30:52.880 Am I okay with that level of risk because it helps me to feel like who I am? 00:30:53.039 --> 00:30:54.960 It helps support my mental health. 00:30:55.119 --> 00:31:08.160 And the thing that we often forget about when we talk about mental health is that if you have um moderate to severe depression, there are known direct effects on certainly your own health, but also on the baby's health as well. 00:31:08.400 --> 00:31:15.440 And so we need to have a much more holistic understanding and assessment uh when we're talking about these sports. 00:31:15.599 --> 00:31:28.240 It's it's not black and white, it's always gonna be this lovely gray, which makes it very complicated to be able to, you know, work with people and tell them what to do because it shouldn't be like that. 00:31:28.400 --> 00:31:38.240 It has to be a conversation, it has to be with the athlete or the pregnant postpartum woman at the center of the conversation and help support her to make those decisions um around it. 00:31:38.559 --> 00:31:38.880 Yeah. 00:31:39.039 --> 00:31:42.559 And I I think it's it's even more far-reaching than that. 00:31:42.720 --> 00:31:57.920 I was uh I had a conversation um with high altitude climber Lata Hinsa, um, and she's lovely and shared her story of kind of her navigating her pregnancy um as a high altitude climber and losing sponsorships. 00:31:58.000 --> 00:31:58.319 Yeah. 00:31:58.640 --> 00:32:09.279 And, you know, we I I I it it's crazy because I feel like, you know, we we're still seeing it in running, you know, just like sports that that I feel like we're all kind of used to as opposed to, you know, high altitude climbing. 00:32:09.359 --> 00:32:32.559 But like having society shift their, I think, opinions, thoughts, however you want to put it, towards the safety and acceptable risk, I think is incredibly important because you know, it impacts these things like sponsorships and people's livelihoods and and and in so many different things beyond just that one person. 00:32:32.720 --> 00:32:35.119 Like she climbed because it made her feel good. 00:32:35.279 --> 00:32:40.640 It that's who she was, and she did it in a way that she felt safe and supported. 00:32:41.039 --> 00:32:53.359 Um, ideally, she's you know an example for other moms that want to do the same thing or have uh you know a conversation around what's appropriate for

them, but they they shouldn't be shut down because they're like, oh, you're pregnant now, we can't do that. 00:32:53.440 --> 00:32:53.680 Like that. 00:32:53.759 --> 00:32:58.880 It just it reeks of I don't know, just old, old myths again. 00:32:58.960 --> 00:33:08.079 And it just makes me sad that that stuff is is still going on and probably will continue to go on until until you finish all your frameworks of all the sports and in the history of man. 00:33:08.240 --> 00:33:12.880 But yeah, but I mean again, that's why the research is so important. 00:33:12.960 --> 00:33:20.559 So that exactly, you know, she's going to get negative pushback and she's gonna lose sponsorships and things like that. 00:33:20.720 --> 00:33:29.599 But to, you know, feel secure in that decision and be able to counter the negative feedback or the sponsorship loss, say, hey, you know what? 00:33:29.759 --> 00:33:32.720 This is actually not only safe, it's actually quite beneficial. 00:33:32.799 --> 00:33:39.920 And so as a sponsor, you should be supporting and promoting this because the research is there to suggest that's actually the case. 00:33:40.240 --> 00:33:43.599 Yeah, no, and that that's where I'm hoping that that things continue to shift. 00:33:43.680 --> 00:33:58.079 But I I think sometimes people don't realize um just how far this, the, these little pieces of information and guidance and and things that can help moms make good decisions can reach out to to society. 00:33:58.240 --> 00:33:58.559 Yeah. 00:33:58.720 --> 00:34:00.559 Um, let's switch gears a little bit. 00:34:00.720 --> 00:34:05.759 You have been traveling a bunch lately and you got to do a really, really, really cool thing. 00:34:06.079 --> 00:34:09.199 Um IOC consensus meeting. 00:34:09.280 --> 00:34:14.079 Tell us what that meeting was, tell us who was in the room and what is that like? 00:34:14.880 --> 00:34:17.760 Yeah, so it was so much fun. 00:34:18.079 --> 00:34:29.280 Um, so we're 10 years out uh from the 2016 IOC guideline, which when it came out was groundbreaking and a completely new way of thinking about how to support athletes. 00:34:29.360 --> 00:34:34.159 Uh, but 10 years on, we also have a lot more uh research and information. 00:34:34.400 --> 00:34:40.000 So I was pretty um, you know, proud to be the chair of that meeting. 00:34:40.239 --> 00:34:44.239 And uh we had some incredible people in the room. 00:34:44.400 --> 00:34:48.000 So certainly we had about half the panel that was there the last time. 00:34:48.159 --> 00:34:56.000 And then the other half, uh, we were asked by the IOC to make sure that we had really diversity in terms of who was on that panel. 00:34:56.159 --> 00:35:20.719 So coming from, you know, lower resource countries, from different cultures, um, you know, having more of a practical background to really feed into uh the consensus statement uh to be able to better represent women around the world from different contexts rather than um you know having a whole group of researchers uh saying, yeah, you know, this is what the research says, so we're going to do this. 00:35:20.880 --> 00:35:26.480 So uh it was really exciting uh to uh you know be part of it. 00:35:26.559 --> 00:35:31.440 And I have to say, IOC headquarters, that is one incredible building. 00:35:32.320 --> 00:35:44.239 So uh, you know, I put up a couple of pictures on uh social media, but I have dozens and dozens of them pretty much walk in the building just sort of click, click, click, click, and yeah, it's uh it's amazing. 00:35:44.559 --> 00:35:49.440 Yeah, no, I I I think back to, I mean, what do you think? 00:35:49.599 --> 00:36:00.000 I mean, I I know you guys haven't published yet and all of that, but like what was one of the biggest things looking back on the the 2016 version, as groundbreaking as it was at the time. 00:36:00.320 --> 00:36:08.239 Do you feel like where do you feel like one of the areas that we've been able to step forward a ton because of a lot of work that that that you have done? 00:36:10.159 --> 00:36:14.559 That you can say or not say, I I'm I'm bad here. 00:36:14.639 --> 00:36:16.159 Like no, no, no, no. 00:36:16.880 --> 00:36:18.000 Like just tell me. 00:36:19.280 --> 00:36:23.840 I have to think about so not everything is completely settled yet. 00:36:24.000 --> 00:36:28.559 So we're just in the process of um finalizing some of the recommendations. 00:36:28.880 --> 00:36:37.199 Um, you know, again, in in 2016, they worked with what they had and they didn't have a lot to work with. 00:36:37.360 --> 00:36:41.599 Um, and so they had general guidance that was mostly from the general population. 00:36:41.760 --> 00:36:46.079 We've seen this massive uptick in terms of our um athletes. 00:36:46.159 --> 00:36:51.599 Um, although I have to say, if there's any athletes out there, we need a lot more information still. 00:36:51.679 --> 00:36:53.519 Uh, so we desperately need your help. 00:36:53.599 --> 00:36:54.880 So contact us. 00:36:55.519 --> 00:37:06.719 Um, but one of the pieces that a lot of people, you know, found was missing, and this is missing from almost every guideline in the world, is that how? 00:37:06.880 --> 00:37:19.519 How do you take this information and apply it in these, you know, really wild situations where you have to make an instantaneous decision on the pitch, on the ground. 00:37:19.599 --> 00:37:21.360 Things are changing on a daily basis. 00:37:21.519 --> 00:37:25.840 And so we're trying to provide some supports in that particular way. 00:37:26.000 --> 00:37:30.639 Um, probably the best preview of the guideline is the work that we've done with FIFA. 00:37:30.960 --> 00:37:36.320 FIFA work has really been a change in the way that we think about supporting pregnant and postpartum women. 00:37:36.400 --> 00:37:45.599 Uh, and it's absolutely bled into um the IOC guideline because that's the way that, you know, as a chair, I've been thinking about for quite a long time. 00:37:45.679 -->

00:37:51.519 And I would say that the entire consensus was very much on board, which is really, really exciting. 00:37:51.679 --> 00:37:53.440 It's a it's gonna be a big change. 00:37:53.599 --> 00:37:54.880 I'll I'll stick with that. 00:37:55.280 --> 00:37:57.440 Let's talk about something that you can talk about. 00:37:57.760 --> 00:37:58.719 I tried. 00:37:59.599 --> 00:38:03.039 No, before we start, I was like, what can't we talk about? 00:38:03.679 --> 00:38:04.960 Sorry, I forgot about that one. 00:38:05.119 --> 00:38:08.400 No, I know we can talk about it, but it's just got published in. 00:38:08.719 --> 00:38:12.320 Let's talk about FIFA because that that that we can talk about a lot. 00:38:12.480 --> 00:38:15.679 Um, and even just, oh my gosh, I think it was just this week. 00:38:15.760 --> 00:38:26.800 Um, FIFA put out in their training center um Female Health and Athlete Performance Project, and there's a pelvic floor and public health component, and it's free, which is insane. 00:38:27.519 --> 00:38:30.320 Um, and was it like 11 hours or something? 00:38:30.400 --> 00:38:32.639 Like it just, it's it's a crazy amount of content. 00:38:32.800 --> 00:38:33.119 Yeah. 00:38:33.280 --> 00:38:40.559 Um talk to us first, in case somebody's been living under a rock, kind of what your role has been with FIFA. 00:38:40.960 --> 00:38:48.559 And um kind of because you hang out with a lot of physios, um you're kind of honorary at this point. 00:38:49.039 --> 00:38:51.280 So a lot of people, a lot of people think you're a physio. 00:38:51.440 --> 00:38:54.320 They do, because you're just like, you're you're one of us, one of us. 00:38:56.320 --> 00:39:00.480 Where um, like, first of all, kind of what what's your role and kind of guidance here? 00:39:00.559 --> 00:39:19.760 And then also, where do you sort of feel like our role as physios um might be in kind of in these collaborative team efforts, not only within these organizations and these sports, but then how are we going to translate it to that everyday person that that I see in my office? 00:39:20.000 --> 00:39:20.400 Mm-hmm. 00:39:20.960 --> 00:39:22.400 Wow, that's a big question. 00:39:22.559 --> 00:39:23.840 So, what was my role? 00:39:24.079 --> 00:39:25.920 I know so do I. 00:39:29.440 --> 00:39:34.880 So, okay, so going back to the education piece, you're absolutely right. 00:39:35.039 --> 00:39:38.159 Like that FIFA was so forward-thinking. 00:39:38.320 --> 00:39:42.480 This project actually started around the time of the 2023 World Cup. 00:39:42.559 --> 00:39:46.320 So that's when they started to bring experts around the world together. 00:39:46.400 --> 00:39:49.280 Um, and I was really fortunate to be on a team. 00:39:49.440 --> 00:39:53.119 Um, you know, I was the only full-time researcher. 00:39:53.280 --> 00:39:58.800 Um, we have uh Shine Dufour, who is, you know, partial research, partial clinician. 00:39:58.880 --> 00:40:04.800 We have Emma Brockwell who works with like all the athletes around the world and just brings them right up. 00:40:05.119 --> 00:40:12.559 Evie Casagrande, who is a really well-known coach who has trained so many um pregnant players. 00:40:12.800 --> 00:40:18.000 And so the beauty with the team is that we have such diverse perspectives. 00:40:18.239 --> 00:40:24.079 And that's where the magic really starts to happen, is because we bring all those perspectives together. 00:40:24.320 --> 00:40:29.920 And so we actually, this was like a three-year project to put together the education. 00:40:30.079 --> 00:40:44.719 So Linda Wilson, um, Don Scott, they have been really pushing uh the development of this, not just in fertility, pregnancy, postpartum, public health, but you know, sleep, recovery, training load, like nutrition. 00:40:44.880 --> 00:40:54.719 This is the most comprehensive education for female athletes that is freely available by the experts in the world that I can possibly think of. 00:40:54.880 --> 00:40:58.559 Uh, the fact that they're doing this, like they saw a big gap. 00:40:58.719 --> 00:41:00.639 They wanted to be able to fill it. 00:41:00.800 --> 00:41:23.119 Um, the data that's in there is certainly geared towards uh soccer or football, but the data that's in there is also exceptionally relevant to the average person, the general person who wants to, you know, go for a run, um, the person who, you know, is doing climbing, you know, there's lots of information that is just not easy to get to. 00:41:23.360 --> 00:41:34.880 Uh, so, you know, I've also been through this process um convinced, although it was like a rubber arm, they were very easily convinced to help fill some of the research gaps. 00:41:35.039 --> 00:41:43.599 Um, that because we just didn't have any guidance uh when we're talking about contact or um, you know, breastfeeding and injury in the postpartum period. 00:41:43.679 --> 00:41:50.639 And so FIFA's been really, really proactive in thinking about how do we better support our female athletes. 00:41:50.719 --> 00:41:54.320 And, you know, when we talk to athletes, education is the number one thing. 00:41:54.480 --> 00:42:03.280 They want to know, they wish that they know um about things like their fertility when they're a young athlete before they ever think about becoming pregnant. 00:42:03.440 --> 00:42:13.840 You know, I had a professional player contact me, she's 35, she didn't know that she was, you know, on the slower decline of um her fertility. 00:42:14.079 --> 00:42:17.760 Like that shouldn't be happening in 2026. 00:42:18.320 --> 00:42:22.559 Um, and so the fact that FIV is doing education is really incredible. 00:42:22.719 --> 00:42:30.320 And, you know, there's I'm fortunate to work with other organizations that are also starting to push, you know, sports-specific education as well. 00:42:30.480 --> 00:42:32.320 So it's uh it's been a lot of fun. 00:42:32.400 --> 00:42:35.039 And I've totally forgotten what your other questions were. 00:42:35.360 -->

00:42:36.960 Uh, this is more the how. 00:42:37.119 --> 00:42:38.960 Um, this is us as physios. 00:42:39.039 --> 00:42:42.880 Again, you're you're one of us, um, because we're we're we'll just take you. 00:42:43.119 --> 00:42:45.599 Um thank you. 00:42:45.679 --> 00:42:46.960 On our honorary degree. 00:42:47.119 --> 00:42:47.440 Yeah. 00:42:47.760 --> 00:42:52.400 Um I again, like where where can we be the most effective? 00:42:52.559 --> 00:42:54.559 You said people don't ask you about the how. 00:42:54.800 --> 00:42:56.079 I'm asking you about the how. 00:42:56.239 --> 00:43:06.480 How can we be the most effective in our day-to-day interactions, in how we get our education, in kind of how we even communicate with patients. 00:43:06.880 --> 00:43:07.360 Yeah. 00:43:07.679 --> 00:43:16.320 So I mean, I would hope that a lot of physios would already have a lot of the background on, you know, preconception, pregnancy, postpartum. 00:43:16.480 --> 00:43:21.840 But the fact of the matter is, the same as many academics, um, you know, many clinicians, we don't. 00:43:22.000 --> 00:43:26.880 And so getting the education, you know, from these resources, there's actually four levels. 00:43:27.039 --> 00:43:29.440 So the first two are easy to access. 00:43:29.519 --> 00:43:40.719 The the next two, which is where like they're really meat and bones, and then the the podcast with our um, you know, pro-famous players that I was like too shy to be able to talk about. 00:43:40.880 --> 00:43:44.400 I'm like, oh my God, am I really on talking with them? 00:43:44.559 --> 00:43:48.480 Um, but getting that education broad span, I think is really important. 00:43:48.639 --> 00:43:52.480 I also think it's essential that our patients are informed themselves. 00:43:52.639 --> 00:43:58.320 And so even just doing that introductory um level to be able to have some information is really important. 00:43:58.400 --> 00:43:59.760 Then we're having conversations. 00:44:00.639 --> 00:44:04.960 Where we're talking about the same thing in the same way as much as possible. 00:44:06.480 --> 00:44:18.480 How to implement it on the ground, that's part of the reason why we put together this decision aid and the framework, the five-step framework for pregnancy and the seven-step for postpartum. 00:44:18.639 --> 00:44:25.679 You know, it's not a protocol where it says that you have to do this at this point in time and you must do these exercises. 00:44:25.840 --> 00:44:39.119 It's a way of conceptualizing how to train during pregnancy, the things you need to consider, ideas, because a lot of times, you know, if we're in the moment, we just completely blank out and we're not sure what to do. 00:44:39.280 --> 00:44:41.519 And so it's giving those tools. 00:44:41.599 --> 00:44:48.559 Um, and I think they're equally applicable for our physios and uh for our patients as well. 00:44:49.119 --> 00:44:49.599 Yeah. 00:44:50.159 --> 00:44:52.400 Are there any like from there? 00:44:52.559 --> 00:44:55.760 I mean, where do you go from a massive education model and all of this? 00:44:55.920 --> 00:44:59.280 Or you guys just kind of see how people use it and then go from there? 00:44:59.760 --> 00:45:08.719 Yeah, so you know, certainly we did research as part of the education development, but there is still a lot of research that needs to be done. 00:45:08.800 --> 00:45:15.519 There are lots of gaps, there's lots of things we don't know about that we are actively filling at this point in time. 00:45:15.840 --> 00:45:21.440 Um, you know, there's options for providing feedback, what information is missing, what did you want to know? 00:45:21.599 --> 00:45:24.800 Where do we go from here as part of the modules? 00:45:24.960 --> 00:45:31.840 And so moving forward, we'll continue to be able to build, uh, which is the most beautiful thing, is that these are actually live. 00:45:32.000 --> 00:45:35.679 Um, and so they can be adapted, you know, real time. 00:45:36.000 --> 00:45:41.280 They don't have to be adapted in, you know, a one-year, three-year, five-year time frame. 00:45:41.440 --> 00:45:44.079 We can do it as the information gets available. 00:45:44.400 --> 00:45:44.800 Yeah. 00:45:44.960 --> 00:45:49.679 I I haven't had a chance because I think it just came out like a couple days ago to dive in and look. 00:45:49.840 --> 00:45:57.519 Um, how young does it go and how old does it go as far as um kind of age group is concerned? 00:45:58.400 --> 00:46:00.559 Uh, so there is reproductive years. 00:46:00.719 --> 00:46:04.320 So that would be, you know, certainly from puberty onwards. 00:46:04.559 --> 00:46:06.320 Um, there is a module. 00:46:06.400 --> 00:46:10.719 I'm not 100% if it's out yet, but it is going into menopause as well. 00:46:10.880 --> 00:46:17.599 So the content that is there is um, you know, available, but there's still more coming. 00:46:17.840 --> 00:46:18.639 It's not done. 00:46:20.239 --> 00:46:20.880 I love that. 00:46:21.039 --> 00:46:21.280 Yeah. 00:46:21.599 --> 00:46:23.920 No, I it's it's it's so interesting. 00:46:24.000 --> 00:46:34.960 The more I think we talk about, you know, the the reproductive years and that sort of thing, I feel like we need to be talking about it even sooner, um, obviously an appropriate way. 00:46:35.119 --> 00:46:39.920 And I think both of us having young kids, it it becomes a little bit front of mind. 00:46:40.000 --> 00:46:46.079 And then us, the, the kind of the time of life that we're entering, it's like, okay, well, can we keep it going? 00:46:46.559 --> 00:46:56.079 Um for you, kind of, you know, having worked in this for a while now, stepping back personally, you're a former national team athlete. 00:46:56.239 --> 00:47:02.960 Like, how do you reflect back on kind of your journey as an athlete? 00:47:03.039 --> 00:47:11.360 And then now as like a an active mom heading into, you know, later years, perimenopause, menopause, that sort of thing. 00:47:11.440 --> 00:47:14.639 Let

let's go, let's go a little personal here with Margie Davenport. 00:47:16.239 --> 00:47:18.880 Oh my god, I can't believe it just called me old. 00:47:19.599 --> 00:47:20.960 I think we're the same age. 00:47:21.360 --> 00:47:22.719 Is it the later years? 00:47:23.119 --> 00:47:23.840 Later years. 00:47:24.000 --> 00:47:24.400 Oh my god. 00:47:24.800 --> 00:47:26.480 I'm trying to be kind here, Margie. 00:47:26.800 --> 00:47:28.400 All right, ladies are vintage. 00:47:28.480 --> 00:47:29.920 I'm about to turn 50. 00:47:30.079 --> 00:47:33.280 So um yeah, I'm I'm pretty much there too. 00:47:33.679 --> 00:47:36.960 Um whatever I say about you, I mean about me. 00:47:37.440 --> 00:47:38.400 Just kidding. 00:47:38.719 --> 00:47:45.280 Um so uh two two of my uh students came back uh from Nepal. 00:47:45.360 --> 00:47:48.320 So we've been doing work in Nepal for a really long time. 00:47:48.800 --> 00:47:52.159 And uh we arrived back in Canada on the same day. 00:47:52.239 --> 00:48:04.559 I was in Europe, they were in Nepal, and uh I came in the next day and I was dragging, and I think I had about five cups of coffee, and they just sort of bounded in and they were like, ha ha ha, life is good. 00:48:04.960 --> 00:48:10.480 And um I was like, How are you getting over jet lag so well? 00:48:10.559 --> 00:48:13.519 And they're like, Well, we're half your age, and I was like, Yeah, thanks for that. 00:48:13.599 --> 00:48:15.039 So Paris. 00:48:15.519 --> 00:48:17.199 Yeah, Paris and Mac. 00:48:17.920 --> 00:48:20.800 Those two amazing, anyways. 00:48:21.039 --> 00:48:28.480 Um, like in terms of my journey from being an athlete to the mom that I am now in terms of my activity. 00:48:29.199 --> 00:48:40.400 Yeah, you know, some days I really miss being on the national team, actually, you know, spending, you know, six, eight hours a day, five, six days of the week training. 00:48:40.559 --> 00:48:46.159 Like it was so much fun to be able to see what my body could do at that point in time. 00:48:46.400 --> 00:48:52.719 Um, you know, I was super strong, I was super fit, not in running, I could not run because I was a swimmer. 00:48:53.599 --> 00:49:04.079 But there's also a really interesting transition that happens, I think, when you become a mom, you go through pregnancy and you know, twice for me. 00:49:04.239 --> 00:49:10.079 Um that your body is so incredibly resilient, right? 00:49:10.320 --> 00:49:13.280 It's going through all these crazy changes. 00:49:13.519 --> 00:49:17.840 Um, and then it comes back into something that is completely different. 00:49:18.000 --> 00:49:20.880 And I would say that the way that I train is very different. 00:49:21.039 --> 00:49:24.480 So um, you know, I run, I run very slowly. 00:49:24.800 --> 00:49:32.480 I am not somebody who naturally loves to run, but it's for me, that's where my best ideas come from. 00:49:32.639 --> 00:49:39.199 That's where, like, you know, I reduce my stress and I feel better after it, even if I

hate it for most of it during. 00:49:39.519 --> 00:49:41.920 Um, but it's also something that I can do with my kids now. 00:49:42.079 --> 00:49:43.679 So they're 11 and 14. 00:49:43.760 --> 00:49:45.599 Um, they're faster runners than me. 00:49:45.760 --> 00:49:50.800 They have my husband's long legs, so they go pretty quick and they like to tease me about it. 00:49:51.119 --> 00:50:05.920 Um, but I think, you know, while I loved that time in my life, I also really think it's cool to see, you know, what I can do now as a slightly more mature um masters athlete. 00:50:06.320 --> 00:50:16.159 Well, so and I think part of the problem now is that because I was such a high-level athlete that I don't really view myself as an athlete anymore. 00:50:16.320 --> 00:50:19.280 I'm just a recreational runner. 00:50:19.440 --> 00:50:22.880 I want to get back to athleticism as much as possible. 00:50:23.119 --> 00:50:34.320 But uh to go from what I was doing back then to, you know, which was basically a full-time job to where I am now, it's uh a little bit frustrating, but it's also really cool. 00:50:35.039 --> 00:50:36.239 That's really interesting. 00:50:36.320 --> 00:50:37.679 I never thought about that. 00:50:38.079 --> 00:50:46.159 That it really is it it does probably doesn't seem like much right now, but to a lot of people, that's probably pretty significant the amount of workouts that you do. 00:50:46.400 --> 00:50:48.320 Do you just run or do you swim anymore? 00:50:48.559 --> 00:50:50.800 Oh no, I don't swim at all. 00:50:50.960 --> 00:50:52.880 It's too embarrassing now, right? 00:50:53.280 --> 00:50:59.599 Because like, yeah, so I guess so well, I'm like, I'm so slow. 00:50:59.760 --> 00:51:01.360 Although yeah, whatever. 00:51:02.320 --> 00:51:02.960 So slow. 00:51:03.039 --> 00:51:04.800 And I was a synchronized swimmer too. 00:51:04.880 --> 00:51:07.119 So my flexibility is basically nils. 00:51:07.360 --> 00:51:12.000 So anytime I would try to do something, it was very I I was doing like vertical. 00:51:12.079 --> 00:51:20.559 So you basically go upside down and you um have to be straight, and I couldn't be straight, and I could barely get above my knees because my arms are so piddly now. 00:51:20.800 --> 00:51:28.639 Um yeah, so it's you know, swimming is not quite the same as it was um because I don't do it for fun. 00:51:28.719 --> 00:51:33.039 I do it to like be competitive. 00:51:33.280 --> 00:51:38.880 Yeah, so it's probably easier to do other sports because that wasn't your mental thing. 00:51:39.039 --> 00:51:39.760 Yeah, yeah. 00:51:39.920 --> 00:51:40.239 Huh. 00:51:40.400 --> 00:51:40.719 Yeah. 00:51:41.039 --> 00:51:44.000 So so are you gonna sign up for a race now or like a running race? 00:51:44.239 --> 00:51:46.000 Oh, yeah, I'm in Banff next weekend. 00:51:46.079 --> 00:51:47.199 So don't look at my time. 00:51:47.360 --> 00:51:53.039 I'm running with my 11-year-olds, but um yeah, she how far? 00:51:53.360 --> 00:51:54.239 Uh 10K. 00:51:54.400 --> 00:51:56.079 Sorry, she's supposed to be 12 to sign up. 00:51:56.159 --> 00:51:57.039 We signed her up early. 00:51:57.119 --> 00:51:58.800 That probably was a cool birthday. 00:51:59.119 --> 00:52:00.960 This will come out afterwards. 00:52:01.519 --> 00:52:02.880 We didn't break any rules. 00:52:03.440 --> 00:52:17.519 So we did it last year and uh they watched us and they were just like after the race, you know, when you have so many people, like there's hundreds of people getting ready and all the excitement, and they were just like, I want to do that. 00:52:17.599 --> 00:52:20.800 So they're already track athletes, like they're training and everything. 00:52:20.960 --> 00:52:24.159 Um, and I expect that there's gonna be lots of walking. 00:52:24.320 --> 00:52:27.760 But you know, we took our kids to um Everest Base Camp. 00:52:27.840 --> 00:52:32.880 We were away for a month, we were doing a study, and so they walked all the way up to base camp and back. 00:52:33.280 --> 00:52:36.800 Um, those are thick kids, they scare me sometimes. 00:52:36.880 --> 00:52:40.559 Um, but it's something they wanted to do, so we're happy to support it. 00:52:40.639 --> 00:52:46.000 And if my time is not what I want it to be, that is perfectly fine. 00:52:46.320 --> 00:52:52.480 Yeah, no, I I've I I have a we have a turkey trial I do with my daughter, and she's just starting to find running. 00:52:52.559 --> 00:52:58.559 She does all sports that I never played, like field hockey, yeah, basically anything with an object I did not do. 00:52:58.719 --> 00:53:00.800 Um, basketball, softball. 00:53:00.960 --> 00:53:01.760 She does swim. 00:53:01.840 --> 00:53:05.360 I swim for a little bit, like, but it's I I couldn't do fly or things like that. 00:53:05.440 --> 00:53:16.079 I don't have the mobility, but it's really cool to see them find enjoyment and find it themselves as opposed to be feeling like something that they have to do. 00:53:16.880 --> 00:53:20.800 Um it what what else are they looking at other than running? 00:53:21.119 --> 00:53:22.559 Uh so there's skiers. 00:53:22.719 --> 00:53:27.679 So because we're in Edmonton, uh our winters are fairly lengthy, it can get pretty cold. 00:53:27.840 --> 00:53:33.360 And you know, if you're not outside, um you may not see sunlight in the dead of winter. 00:53:33.519 --> 00:53:38.960 Uh so as a family, we've been skiing for years now, and just uh it's a big part of our winters. 00:53:39.039 --> 00:53:40.159 It's amazing. 00:53:40.320 --> 00:53:42.159 Yeah, and they school me on that one. 00:53:42.239 --> 00:53:49.519 It's uh I I like to try to do blacks, but sometimes I end up crying and being very scared. 00:53:50.000 --> 00:53:51.840 Uh it's not good. 00:53:52.000 --> 00:53:55.280 Uh, and they can just like zip down no problem. 00:53:55.440 --> 00:53:59.280 And so I learned a lot from them and they certainly push me outside of my comfort zone. 00:53:59.360 --> 00:54:03.440 But uh yeah, I

would say skiing is the thing I love to do the most, especially in winter. 00:54:03.519 --> 00:54:04.239 So I do miss it. 00:54:04.320 --> 00:54:04.480 Yeah. 00:54:04.960 --> 00:54:06.320 It's fun when you can get them all out. 00:54:06.400 --> 00:54:13.760 We we uh my kids started skiing young too, but we we have East Coast skiing, which is not Edmonton skiing, and it's a little warmer. 00:54:14.639 --> 00:54:23.679 Well, you have to come out because we got um a thousand centimeters of snow at one of the hills, and so uh we were talking before it's gonna open July 1st and my kids are going skiing. 00:54:23.760 --> 00:54:27.760 I'm away, so I can't, but um yeah, it's gonna be amazing. 00:54:28.159 --> 00:54:30.880 Is there is there any Nordic trails up there? 00:54:31.519 --> 00:54:35.360 Yes, in Canor, but I do not cross cross-country ski. 00:54:35.599 --> 00:54:36.480 All right, okay. 00:54:36.559 --> 00:54:39.280 Well, maybe maybe when I say ski is downhill. 00:54:39.920 --> 00:54:41.760 I learned to Nordic uh in high school. 00:54:41.840 --> 00:54:45.280 I did that in high school and then didn't do downhill until after PT school. 00:54:45.679 --> 00:54:49.360 And so um, because all the runners did Nordic, that's just how it went. 00:54:49.519 --> 00:54:49.840 For sure. 00:54:49.920 --> 00:54:52.960 Um, but there are a boatload of pelvic physios who do Nordic. 00:54:53.039 --> 00:54:55.920 So when we have our get together, we will invite you and someone will teach you. 00:54:57.199 --> 00:54:58.239 So, okay. 00:54:58.480 --> 00:55:04.800 The reason I say don't do cross-country skiing is because when I was a kid, that was what we did as a family. 00:55:04.960 --> 00:55:10.239 And my dad was so fast, and I was just like, Oh, I'm a swimmer, I can't ski. 00:55:10.480 --> 00:55:12.800 So I I will need the support. 00:55:13.599 --> 00:55:15.360 It'll be a group effort. 00:55:17.440 --> 00:55:26.880 We'll just have like a pregnancy postpartum pelvic health like ski-a-thon, and we'll just like you'll do the downhill part, we'll do the rest of the part, we'll figure it all out. 00:55:27.119 --> 00:55:28.880 Maybe we'll do that at CSVM next year. 00:55:29.280 --> 00:55:29.920 That'd be amazing. 00:55:30.079 --> 00:55:31.679 Yeah, that'll give me an entire winter. 00:55:31.760 --> 00:55:33.519 I'll uh I'll get practice done. 00:55:33.760 --> 00:55:35.760 But we'll contact the planning committee today. 00:55:36.079 --> 00:55:36.800 Perfect. 00:55:37.039 --> 00:55:38.239 Oh my gosh. 00:55:38.559 --> 00:55:48.960 All right, as we wrap up here and plan your whole year and uh recreationally and otherwise, um, tell us what's going on for the rest of 2026. 00:55:49.039 --> 00:55:51.920 What's on your travel docket, what's on your research docket? 00:55:52.000 --> 00:56:00.320 Who two do we need to be watching out for any uh up-and-coming researchers, either doing their doctorates or postdocs that we should be keeping an eye out for? 00:56:00.719 --> 00:56:07.760 Yeah, so we, you know, it's funny because I very rarely get overwhelmed with what's happening and going on. 00:56:07.920 --> 00:56:12.800 And the other day I walked into the lab and I was like, my gosh, you guys are just killing it. 00:56:12.960 --> 00:56:18.000 So, you know, I get to talk about all of the work that my incredible trainees are doing. 00:56:18.239 --> 00:56:26.880 So we have a number of papers coming out looking at pregnancy postpartum and parasport that hopefully any day will be coming out, which is really exciting. 00:56:27.119 --> 00:56:39.760 I have a PhD student who's looking at um exercise in pregnancy and cognition or, you know, baby brain basically, and looking at some of the physiological changes that happen. 00:56:40.000 --> 00:56:41.039 Does exercise help? 00:56:41.199 --> 00:56:42.320 Does it hinder? 00:56:42.480 --> 00:56:45.679 Um, you know, and then we have, you know, you've already met Paris. 00:56:45.840 --> 00:56:52.719 Uh, so Paris is doing work looking at postpartum bone and low energy availability, which is super cool. 00:56:52.880 --> 00:56:58.559 Amy's like just about to submit her paper looking at resistance training in bone. 00:56:58.719 --> 00:57:03.760 Um, you know, Mac is doing uh soccer and fetal responses during pregnancy. 00:57:03.920 --> 00:57:05.760 There's just so much that's happening. 00:57:05.840 --> 00:57:07.360 And I'm sorry I've forgotten other people. 00:57:07.440 --> 00:57:12.639 Brittany's doing sleep apnea and cardiovascular health, like it's so wide-ranging. 00:57:12.800 --> 00:57:17.760 Um, but there's lots of going on, and it's uh it's a really exciting time. 00:57:17.840 --> 00:57:23.280 Uh, I feel like we're making progress in terms of actually filling important gaps that need to be filled. 00:57:23.440 --> 00:57:28.000 And so I think the next two years especially, um, we're gonna make some pretty important strides. 00:57:28.079 --> 00:57:30.000 Uh, and I'm really excited for that. 00:57:30.159 --> 00:57:33.039 But that is all of my trainees. 00:57:33.119 --> 00:57:34.079 They're just brilliant. 00:57:34.239 --> 00:57:37.440 They're, you know, they're amazing. 00:57:37.760 --> 00:57:43.360 Yeah, no, we are big fans, and we will we will chat with any of them whenever they want to come on and talk about their work. 00:57:43.440 --> 00:57:52.639 I think that's been the coolest thing is to be able to um just give a space and a voice to to some people that are doing some really, really amazing work. 00:57:52.800 --> 00:57:54.960 Um, so that means you'll be here next year, right? 00:57:55.119 --> 00:57:56.559 Like same time, same station. 00:57:56.800 --> 00:57:57.760 Yeah, absolutely. 00:57:58.079 --> 00:57:59.920 We we were talking about the the jacket. 00:58:00.000 --> 00:58:06.800 I I had mentioned um when I chatted with Granya, um, Saturday Night Live has the smoking jacket when you've been on a certain number of times. 00:58:06.960 --> 00:58:07.360 I was wrong.

00:58:07.440 --> 00:58:09.280 I thought you were on five times. 00:58:09.440 --> 00:58:10.719 That will be next year. 00:58:10.960 --> 00:58:13.360 So you have time to decide what jacket you want. 00:58:13.679 --> 00:58:14.480 Right on. 00:58:15.760 --> 00:58:20.159 And maybe since you know, if CSBM is gonna be in Edmonton, I can present it to you there. 00:58:20.400 --> 00:58:22.559 Oh my gosh, I can do a whole thing. 00:58:22.800 --> 00:58:23.519 We'll stream it live. 00:58:24.000 --> 00:58:27.599 Ski with a jacket, like, oh my god, it's gonna be a whole thing. 00:58:28.719 --> 00:58:30.400 This has gotten way out of control. 00:58:30.880 --> 00:58:32.400 Um, thank you. 00:58:32.639 --> 00:58:41.280 Thank you for saying yes back in 2022 to a rando person being like, hey, come talk to me about research on a podcast. 00:58:41.360 --> 00:58:44.400 And thank you for coming back year after year. 00:58:44.639 --> 00:58:56.400 And I have to say, like, in in 27 years in practice, uh there hasn't been a time that that we've had so many amazing, exciting, cool things. 00:58:56.480 --> 00:59:06.719 It's just, it's, it's such a fun time, despite all the crazy crap in the world right now, to be able to celebrate all the research and be able to hand that to our patients. 00:59:06.880 --> 00:59:09.360 And and I I know I can't thank you enough. 00:59:09.440 --> 00:59:16.000 And you're just you're inspiring so many of us to bring that evidence to action and work on that how. 00:59:16.320 --> 00:59:21.840 So, on behalf of my profession at least, you know, we we appreciate you and all the work that you and your team are doing. 00:59:22.000 --> 00:59:24.639 Um, and yeah, same time, same station next year. 00:59:24.960 --> 00:59:25.440 Absolutely. 00:59:25.519 --> 00:59:26.159 I'll be there. 00:59:26.239 --> 00:59:28.800 And really, it's a it's a team effort, right? 00:59:28.960 --> 00:59:33.039 So, you know, I bring the research, but I can't do it without your support. 00:59:33.199 --> 00:59:35.920 I can't do it without participants joining our studies. 00:59:36.079 --> 00:59:42.480 So um we have a lot that we can do, and so working together, it's the best way to do it. 00:59:42.639 --> 00:59:44.159 So I'm very grateful. 00:59:44.400 --> 00:59:47.679 Yeah, the the those of us master athletes will change the world, right? 00:59:50.079 --> 00:59:51.920 I'm working towards it. 00:59:52.320 --> 00:59:53.920 Exactly, exactly. 00:59:54.079 --> 01:00:04.960 All right, if you guys want to know more about Margie's work or check out any of um the research that they have open, um, your your uh handle, you I almost called you exercise and pregnancy. 01:00:05.039 --> 01:00:06.079 That's not you anymore. 01:00:06.400 --> 01:00:07.599 I changed it. 01:00:07.840 --> 01:00:08.800 You changed it. 01:00:08.960 --> 01:00:10.079 Yeah, it's Dr. 01:00:10.159 --> 01:00:10.960 Margie Davenport. 01:00:11.199 --> 01:00:12.239 Are there any periods or underscores? 01:00:12.320 --> 01:00:13.280 I can't remember what it's in. 01:00:13.840 --> 01:00:14.320 No, none. 01:00:14.480 --> 01:00:19.039 Yeah, so my research is now spanning reproductive years right through. 01:00:19.280 --> 01:00:21.119 Um, and so yeah, had to change. 01:00:21.280 --> 01:00:22.000 We all evolve. 01:00:22.159 --> 01:00:23.920 Yeah, it's just easier that way. 01:00:24.239 --> 01:00:25.920 Maybe next time it's just Margie. 01:00:26.559 --> 01:00:28.079 You're like, we don't need any more than that. 01:00:28.239 --> 01:00:28.880 Like draw. 01:00:29.199 --> 01:00:30.480 I think that was taken. 01:00:31.760 --> 01:00:32.559 Next time. 01:00:32.880 --> 01:00:33.039 Yeah. 01:00:33.280 --> 01:00:35.039 The OG, Margie the OG. 01:00:35.119 --> 01:00:36.079 How about that one? 01:00:38.000 --> 01:00:38.800 All right, Dr. 01:00:38.960 --> 01:00:42.320 Margie Davenport, as always, thank you, and we'll see you again next time. 01:00:42.559 --> 01:00:45.360 Hey guys, hope you enjoyed this episode. 01:00:45.519 --> 01:01:01.920 Um, if you are a mom thinking about getting back to running, I don't care if you're a couple hours, a couple weeks, a couple months, a couple years, postpartum, or even perimetopause like me, and you're not quite sure where to start, check the link in the show notes for my free return to run readiness screen. 01:01:02.079 --> 01:01:16.559 We'll take a look at your balance, we'll check your tolerance to impact, we'll check your hip and your core strength, and at least give you a good idea of where to start, which might actually be a walk-run program and maybe some basic exercises to get going. 01:01:16.639 --> 01:01:19.599 So check out the link in the show notes and I hope you're enjoying the show. 01:01:19.840 --> 01:01:28.559 If you're navigating pregnancy, postpartum, or perimenopause, whether personally or professionally, check out all our free resources and upcoming courses at carypagliano.com. 01:01:28.639 --> 01:01:30.239 This podcast reflects the opinions of Dr. 01:01:30.320 --> 01:01:35.760 Cary Pagliano and her guests, and it is for entertainment purposes only and should not be considered medical advice. 01:01:35.920 --> 01:01:38.400 Always consult your healthcare provider with any medical questions. 01:01:38.559 --> 01:01:43.360 If you enjoyed the episode, please take a moment to leave us a five-star review on your favorite podcast platform. 01:01:43.440 --> 01:01:44.719 And thanks for listening.