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Brittany Mahomes urges moms to “take care of your pelvic floor.” Here’s why experts agree.
Brittany Mahomes, the wife of quarterback Patrick Mahomes, is urging women to take care of their pelvic floor.
“Just a daily reminder: Once you have kids please take care of your pelvic floor. Seriously,” the 28-year-old mother of two wrote in an Instagram Story last week, signing the message: “From: A girl with a fractured back.”
Though specific details about Mahomes’ case are not publicly known, a fracture from a weak pelvic floor is typically rare, Dr. Fatima Naqvi, the medical director at Atlantic Medical Group Outpatient Obstetrics and Gynecology, told CBS News.
“That’s a major injury, and thank goodness we don’t hear about it often,” she says.
But other more common issues can arise from a weak pelvic floor, experts say, making it an important aspect of overall health.
“(Mahomes) does make a good point to talk about preventative care and that weak pelvic floor muscles can contribute to additional core injuries and fractures,” says Aleece Fosnight, medical adviser at Aeroflow Urology and a physician assistant specializing in sexual medicine, women’s health and urology.
Here’s what to know:
What is the pelvic floor?
The pelvic floor in a female body is a “complex interplay of muscles that hold not just the bony part of the pelvis, but also helps give important support to our internal structures — the uterus, the bladder,” Naqvi explains.
The pelvic floor is not rigid, which makes it “designed perfectly for childbirth,” she adds.
But a range of problems can arise if those muscles and connective tissues are weakened or injured.
“During the labor process, the muscles, everything has to be able to accommodate the birth of the child, so you need the muscles to stretch,” Naqvi says. “…It can cause micro-tears (or) it can cause bigger injury.”
In addition to pregnancy and childbirth, there are also other reasons someone’s pelvic floor might weaken, Fosnight says, including:
- Constipation
- Back and hip injuries
- Weak abdominal and back muscles
- Poor posture
Pelvic floor issues
Almost 1 in 4 women in the U.S. are affected by pelvic floor disorders, according to the National Institutes of Health. It says the three main pelvic floor disorders that women may experience are urinary incontinence, fecal incontinence and pelvic organ prolapse.
Naqvi says it’s normal for pregnant or postpartum women to have trouble holding their urine as they experience changes in their pelvic floor. But while this is fairly normalized, the same issue with gas and stool can also occur, which is less discussed.
“The bladder one, they’ll bring it up,” she says. “The one that they don’t talk about is fecal incontinence or flatus (when you’re unable to restrain your flatulence).”
Pelvic organ prolapse is when organs located in the pelvis region — such as the uterus, bladder and bowel — aren’t sufficiently supported and drop or collapse, pressing onto the vagina. “The resulting pressure may cause a bulge or protrusion through the vaginal canal. This protrusion may be uncomfortable, may make physical activity difficult, and may interfere with sexual functioning,” the NIH explains.
Pelvic organ prolapse is less common than urinary or fecal incontinence, but still affects about 3% of U.S. women. It is also treatable, as are the other pelvic floor disorders. In some cases, using a device to support the bladder, medications or surgery may be recommended to treat prolapse, NIH says.
Research also shows the frequency of pelvic floor disorders increases with age, affecting around 40% of women ages 60 to 79, and about half of those 80 or older. The conditions are also more common in women who have had multiple children.
Even those who haven’t given birth can benefit from having a strong pelvic floor, Fosnight says, noting that everyone should aim for a “strong, relaxed pelvic floor.”
Does pelvic floor therapy work?
Many women benefit from exercises to strengthen these muscles.
“Prevention and optimization after injury are keys to helping your pelvic floor and pelvic organs to function and recover as best as they can,” Fosnight says. “One of the best ways to do this is to make an appointment with a pelvic floor specialist.” This can be a health care provider or a physical or occupational therapist who specializes in pelvic floor disorders.
Naqvi says she often refers patients to pelvic floor therapists if they are still presenting with issues 8 to 10 weeks after childbirth.
“These are therapists that specifically understand the pelvic floor, the anatomy, how to get the muscles to work and regain strength so that they’re able to support the internal structures,” she says. “So it doesn’t necessarily mean you’re going to need medicine or you’re going to need surgery that’s out there for your incontinence, but just doing these things that we can do at home will help.”
For those who may be predisposed to pelvic floor dysfunction, like patients with autoimmune or connective tissue disorders, Naqvi may send them to pelvic floor therapy even prior to issues arising, to try to prevent future problems.
“By sending them there, I know they’re going to get educated on their pelvic floor… (and) start doing exercises early to help strengthen that floor muscle,” she says, noting that access and education are key.
How to strengthen the pelvic floor
One exercise that many may already be familiar with are kegels, which you can try by stopping your urine midstream.
“Those are the muscles you’ve got to exercise,” Naqvi says.
But pelvic floor muscle exercises and stretches are not “one size fits all,” since everyone is unique, Fosnight says.
“Coordination of the core muscles is also key in optimizing your pelvic floor,” she says.
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Hearing the voice of Sir Laurence Olivier catch you up on work memos may not offer the same thrill as watching the acclaimed English actor on stage or screen, but it could make your morning commute more interesting.
That’s the vision of artificial intelligence startup ElevenLabs, which this week announced that fans of Hollywood icons such as Judy Garland and James Dean can now listen to the voices of the deceased film stars narrate books, articles and other digital text.
The company said it had reached agreements with the estates of Olivier, Garland, Dean and Burt Reynolds to add their voices to a library of AI-generated voices on ElevenLab’s new Reader App. The product lets users listen to text on your phone, with the actors’ voices available for individual streaming.
ElevenLabs did not provide details about any financial compensation it is offering to the actors’ estates.
“We deeply respect their legacy and are honored to have their voices as part of our platform,” Dustin Blank, head of partnerships at ElevenLabs said in a blog post. “Adding them to our growing list of narrators marks a major step forward in our mission of making content accessible in any language and voice.”
Liza Minnelli, Judy Garland’s daughter and the representative of her estate, said in the post that her family is excited to “see our mother’s voice available to the countless millions of people who love her.”
Using AI to recreate a version of someone’s voice has drawn negative attention after being used in nefarious ways, including the creation earlier this year of a phony robocall from President Joe Biden urging people not to vote in New Hampshire’s presidential primary.
In another incident, actress Scarlett Johansson is May said she was “shocked, angered and in disbelief” after discovering that a voice option on OpenAI’s ChatGPT app sounded like her. Johansson had declined OpenAI founder Sam Altman’s offer to voice ChatGPT’s text-to-speech product. Altman said the voice is not Johansson’s.
AI was a key issue in the SAG-AFTRA strike last year. A new actor contract includes limits on artificial intelligence. Producers for TV and film must get consent from actors to use a digital replica, and performers are also entitled to compensation for using AI to create their virtual likeness.
CBS News
Candidates in pivotal French legislative elections drop out in tactical move ahead of final vote
Paris – As France prepares for a decisive second-round vote Sunday, political parties from all persuasions are scrambling to secure seats in the National Assembly. However, more than 200 candidates – mostly from left and centrist parties – have dropped out in a tactical move to block the far right.
Marine Le Pen’s far-right National Rally (RN) party and its allies led the first round vote with 33.4%. However, after the significant number of withdrawals to avoid splitting the vote against the far right, it’s unlikely the RN can secure an absolute majority in this second round and form a government.
The RN is anti-immigration and has been accused of being antisemitic and anti-Muslim. It wants to roll back the power of the European Union in France and has threatened to pull the country out of the U.S.-led NATO military alliance.
There are 577 seats in the National Assembly, the lower house of parliament. Just 76 deputies were elected with an outright majority in the first round so the majority of seats are still up for grabs. A total of 289 seats is needed for that crucial absolute majority.
Final opinion polls on Friday predicted the RN and its allies would again lead the field – but would now only secure between 175 and 205 seats, well below the majority needed to form a government on their own, and below predictions in the immediate aftermath of the first round. However, that is more than double the number of seats held before these elections.
EMMANUEL DUNAND/AFP via Getty Images
The leftist group, Nouveau Front populaire, or New Popular Front, is predicted to take between 145 and 175 seats. That grouping of traditional left, hard left and green parties was hastily formed after President Emmanuel Macron called snap elections in June.
Macron hoped to rally voters against the far right after the RN did well in early June elections for the European parliament, which governs the European Union.
However, political analyst Douglas Webber told CBS News: “President Macron made a colossal error in judgment”.
His Ensemble – Together – centrist coalition for these parliamentary elections is tipped to win just 145-175 seats.
Polls predict voter turnout for this second round will be as high as 65%. That’s similar to the numbers for the first round on June 30. Turnout was unusually high as many voters said they either wanted to block the far-right, or just get rid of Macron’s government.
“Right now, we have big problems with the right wing,” said one young woman after the first round vote. “We want more democracy, you know, we don’t want people to feel afraid or scared about living in France.”
These elections have been marred by attacks on candidates. The interior ministry said 51 candidates or party activists – from different parties – were attacked during the short campaign. For Sunday’s vote, 30,000 police have been drafted in case of violence during polling or after the results are announced.
Initial predictions will be available shortly after the polls close in France on Sunday night. However, in the absence of an outright majority for one party or grouping, it may be days – or even weeks – before a government emerges.
RN president Jordan Bardella – who wants to be prime minister – has suggested that he would refuse to form a government if his party and allies do not win an outright majority. He argued that without a majority, his government could achieve little and, therefore, would not be worth it. Whether that is simply posturing to encourage all far-right supporters to vote in large numbers remains to be seen.
There is talk of a rainbow coalition of traditional left and right parties and centrists. But Macron made it clear on Wednesday at a meeting with his Council of Ministers, that blocking the far right did not mean that he would name a government led by the hard left LFI – La France Insoumise, or France Unbowed – led by Jean-Luc Melenchon. It remains to be seen if there would be enough deputies without the two extremes to form a government.
There is a third option. President Macron could decide to postpone forming a new government until after the Paris 2024 Olympic Games, which open on July 26. He could ask the current Prime Minister Gabriel Attal to continue in a caretaker role and then deal with the fallout of the elections once the Games are over.
