
24. Chronic Pain After Pregnancy and Infant Loss with Macy Guisto, DPT
11/17/22 • 37 min
Macy Guisto, DPT talks about chronic pain after pregnancy and infant loss.
In this episode she talks about:
- Risk factors - emotional overload, trauma
- Pain after delivery or c-section
- Identifying contributing factors
- lack of sleep
- emotional overload
- constantly in "fight or flight" mode
- stressors (like loss)
- hormones
- nutrition
- Induced labor, epidurals, and c-sections have been shown to increase the risk of developing chronic pain
- How do you make a plan and where do you start?
- 3 Priorities
- Give yourself grace
- Start moving
- Have a way to manage stress
Where to find Macy Guisto.
- Instagram: @paincoachmacy
- Email: [email protected]
- Website: Wonsettler Physical Therapy
Pause to Remember Resources for Healthcare Providers Grieving After Pregnancy and Infant Loss
- Facebook Group
- Virtual Support Group
- Amy's Calendar to talk 1:1
- eBook - A Guide After Pregnancy & Infant Loss
- Refer a provider (therapist, counselor, psychiatrist, etc)
- Be a guest on the podcast
- Contact Amy
- Yoga with the Pause to Remember Community
NEW OFFERING IN 2023! - MNDFL Rx (M
Be a guest on the Pause to Remember Podcast, complete this form
Pause to Remember - Website, Instagram, Facebook, YouTube, Pinterest
Amy Pelkey, MSN, CRNA, RYT-200 - Speaker at conferences & website
Donate via Venmo: @amypelkeyllc
Macy Guisto, DPT talks about chronic pain after pregnancy and infant loss.
In this episode she talks about:
- Risk factors - emotional overload, trauma
- Pain after delivery or c-section
- Identifying contributing factors
- lack of sleep
- emotional overload
- constantly in "fight or flight" mode
- stressors (like loss)
- hormones
- nutrition
- Induced labor, epidurals, and c-sections have been shown to increase the risk of developing chronic pain
- How do you make a plan and where do you start?
- 3 Priorities
- Give yourself grace
- Start moving
- Have a way to manage stress
Where to find Macy Guisto.
- Instagram: @paincoachmacy
- Email: [email protected]
- Website: Wonsettler Physical Therapy
Pause to Remember Resources for Healthcare Providers Grieving After Pregnancy and Infant Loss
- Facebook Group
- Virtual Support Group
- Amy's Calendar to talk 1:1
- eBook - A Guide After Pregnancy & Infant Loss
- Refer a provider (therapist, counselor, psychiatrist, etc)
- Be a guest on the podcast
- Contact Amy
- Yoga with the Pause to Remember Community
NEW OFFERING IN 2023! - MNDFL Rx (M
Be a guest on the Pause to Remember Podcast, complete this form
Pause to Remember - Website, Instagram, Facebook, YouTube, Pinterest
Amy Pelkey, MSN, CRNA, RYT-200 - Speaker at conferences & website
Donate via Venmo: @amypelkeyllc
Previous Episode

23. Sex After Pregnancy Loss with David Allsop, MS, CFLE, CNP
David Allsop, MS, CFLE, CNP is completing his PhD in the Department of Psychology and Neuroscience at Dalhousie University in Halifax, Nova Scotia.
He is investigating how sexual wellbeing changes after pregnancy loss and hopes to better understand the experiences of the couples in the ALOE study.
ALOE stands for Acknowledging Loss Outcomes and Experiences. Couples can participate in the ALOE study if they have:
- Have experienced a pregnancy loss within the past 4 months
- Have been in a relationship with their partner for a year or more
- Are not currently or recently receiving fertility treatment
Each partner must be willing to complete a survey (30-45 minutes) once a month for four months. They will be compensated. You can sign up here or contact the team by email: [email protected]
In this episode we talked about how sexual health impacts both mental health and happiness. Samantha Joel's research about predictors of relationship quality is mentioned. Sexual satisfaction is a predictor or a good relationship.
Researchers know little about how pregnancy loss affects couples’ sexual relationships, which makes it difficult for couples to get the help they need after a loss. Studying this is fairly new. There are only three empirical studies on this topic. One trend in the data includes mothers having a decreased sexual desire after loss.
The research that showed 42% of surgeons had experienced pregnancy loss was in 2021 in JAMA Surgery. You can access it here.
Natalie Rosen - Couples and Sexual Health Research
David Allsop's email: [email protected]
Pause to Remember Resources for Healthcare Providers Grieving After Pregnancy and Infant Loss
Be a guest on the Pause to Remember Podcast, complete this form
Pause to Remember - Website, Instagram, Facebook, YouTube, Pinterest
Amy Pelkey, MSN, CRNA, RYT-200 - Speaker at conferences & website
Donate via Venmo: @amypelkeyllc
Next Episode

25. Grieving Children with Sara Asch
Sara Asch, from The Center for Grieving Children, in Portland, Maine, works closely with families, volunteers, and the community in the areas of grief and loss, program development, outreach, and training.
Sara offered many suggestions and insights regarding grieving children. Some include:
- Sitting with difficult news about a life limiting diagnosis or a pregnancy or infant loss before sharing it with your living children. Acknowledge your feelings and begin your grief work first.
- Think about what the next few days or weeks might look like for you and your family.
- Model and show some of your feelings feelings for your children when you are talking to them.
- Tears are an indication of sadness and that is OK.
- Stay away from euphemisms. They are confusing. Use the words "die" and "death."
- Let your children know you are always open to talking about the baby, death, and dying.
- A toy or favorite blanket may bring comfort to young children during difficult conversations. Avoid bringing up death at bedtime.
- If your baby dies at the hospital, follow your children's cues for visiting. Give them a choice about seeing the baby. Prepare them before the visit. Have a trusted adult bring them and be available to take the sibling(s) home.
- Suggestions to honor your baby's memory.
- Help your children learn to express feelings.
- Behavior and clues to watch for if your child is struggling after loss.
- Navigating bereavement resources. Peer support groups are helpful.
- Tell children the truth so they do not imagine the worse.
Recommended Books: (Note: If you decide to purchase through these links, the Pause to Remember receives a small commission at no extra cost to you.)
- Life Is Like the Wind by Shona Innes (age 4+)
- The Goodbye Book by Todd Parr (age 2-4)
Be a guest on the Pause to Remember Podcast, complete this form
Pause to Remember - Website, Instagram, Facebook, YouTube, Pinterest
Amy Pelkey, MSN, CRNA, RYT-200 - Speaker at conferences & website
Donate via Venmo: @amypelkeyllc
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