Ten homeopathic remedies for the postpartum period

homeopathic-remedyHomeopathy is safe and gentle energetic medicine used to support our bodies, minds and spirits from the inside out. Homeopathic remedies are available at local health food stores including Whole Foods and local co-ops. Over the counter dosages of the following remedies (at 10x to 30x) can be used to treat issues that may arise after birth (follow directions on the bottle or given by a care provider). Dr. Amy and Monica at Health Foundations are both trained in naturopathic medicine and can also advice on appropriate remedies for you or your family.

Here are ten homeopathic remedies that may help women after birth, as they heal physically and adjust to the intense transformation they’re undergoing. Many of these are great for mood disturbances that can come after birth.

Arnica

Arnica is commonly used for bruising and can aid in healing the perineum and other tissues after birth. It can also be used for afterpains and uterine cramping that can occur with nursing.

Bellis Perennis

This homeopathic remedy can be used in the postpartum to treat abdominal symptoms. It too can be helpful for bruising and injury related to birth, as well as afterpains. It can also support healing after a tear. It may help women who have had a C-section.

Sepia

Sepia is one of the best remedies for assisting women experiencing hormonal changes, making it great for the postpartum period. It can be especially helpful in women experiencing the baby blues or even postpartum depression—those who may feel irritably, apathetic, resentful, or burdened. Women who benefit from this remedy may also feel indifferent to the birth experience and have trouble bonding with the baby. This remedy can also help with pelvic weakness or uterine prolapse.

Phytolacca

This homeopathic remedy can be helpful for issues arising with breastfeeding, including engorgement, painful nipples, and plugged ducts.

Natrum muriaticum (Nat Mur)

This remedy can be helpful when a woman is experiencing feelings of disappointment about the birth experience or overall outcome. It can help when one feels irritation at other’s attempts to console them even though they are sad. Women needing this remedy may also get headaches or heart palpitations when depressed.

Pulsatilla

This remedy can aid women who are feeling emotionally sensitive and prone to tears in the postpartum. These women may feel needy and insecure, wanting constant affection, reassurance, and nurturing. Getting fresh air and avoiding warm stuffy rooms can help. Finding a way to express/release the emotions in some way also greatly assists women experiencing this heightened sensitivity in the postpartum.

Phosphorus

This remedy is good for women who are experiencing anxiety and fear that something bad will happen to themselves, the baby, or others. This woman may have a hard time being alone. Many women who experience these fears and anxieties in the postpartum also experience heightened sensitivity to stimuli and exhaustion.

Calms Forte

This is a wonderful and very gentle sleep aid, helpful for women who are exhausted but having trouble sleeping and adjusting to their drastically altered sleeping rhythms.

Calcarea carbonica

This remedy can help women overwhelmed in the postpartum. For thes women, weakness and fatigue may lead to depression, anxiety, insomnia, and nightmares. A person who needs this remedy often feels sluggish, cold, and easily tired by exercise.

Cimicifuga

This remedy is for emotionally and hormonally based depression. A woman needing this remedy may feel “a dark cloud” has crept over her life and that nothing is right. Anxious and low-spirited, she may begin to believe she is incapable of caring for the baby. Alternatively, she may become excitable and talkative, saying and doing irrational things.

If you are dealing with challenging emotional or physical symptoms after birth, please reach out and connect with your care providers and your personal support team of friends and family, who can all help you.

Newborn Male Circumcision

What is circumcision?

Male circumcision is the surgical removal of some or all of the skin covering the tip of the penis, called the foreskin or the prepuce. In the United States, this surgery is often performed within the first few days of an infant’s life, when it is considered the most “simple.” It can also be performed later in life, should a man choose, though the procedure is considered “more complex.”

Infant male circumcision is one of many decisions parents are asked to make during their pregnancy or shortly after their boy is born. Socio-culturally speaking, this issue is very controversial and carries a lot of cultural, religious, and ethical charge. We believe that informed decision-making is paramount and want to empower our families to make an educated decision about infant male circumcision. While we cannot cover all of the information about male circumcision here, we hope to offer a broad look of this issue, as a launching point for gathering more information.

How prevalent is circumcision?

Globally, it was estimated in 2006 that approximately 30% of the world’s men were circumcised. The practice is nearly universal in some parts of the world (in most of these countries the practice is done almost exclusively for religious or cultural reasons), while in other areas the numbers are quite low.

In the United States, most estimates show that between 70-90% of males are circumcised, with the numbers peaking in the 1960s and falling by 5 to 10% since then. The practice has seen a greater decline in other developed nations including Canada, England, other parts of Europe, and Australia. The rates also vary by race, region, and class in the United States today.

The Controversy

There are a variety of views about circumcision. Generally speaking, those in favor of circumcision point to medical evidence that circumcision offers some health benefits to men. These advocates state that the benefits of the procedure greatly outweigh the potential risks. Some believe that circumcision should be performed for religious or cultural reasons (this is the more common reason, globally speaking).

Critics of the procedure believe it is entirely unnecessary, traumatic, and painful to a child.

Some people talk about the importance of choice—that parents should be able to make a choice about whether or not to circumcise their child. Others argue that the choice should be with the child because it is their body—in this view, circumcision is not considered ethical to perform on someone who is not able to make that choice.

Parents are often weighing all of these views and conflicting information in the context of cultural and familial norms. That is, many of the men in our country (and within our families) are circumcised, so there may be an additional pressure (stated or unstated) to conform to this norm.

It can be helpful to become aware of the reasons you may feel compelled toward or against the procedure as you explore this issue for yourself or your family.

The purported pros of male circumcision

In the US, the practice began in the late 1800s, prior to the germ theory of disease, when circumcision was thought to be “morally hygienic” (reducing sexual excitation) and even curative of such things as paralysis, masturbation, epilepsy, and insomnia. Those views have changed, but the health benefits of circumcision are still widely touted by the dominant medical community in our country.

For a long time, the American Academy of Pediatrics had remained neutral on the practice of circumcision. Then in 2012, it changed its policy (on which many insurance and social health care decisions are made). This new statement on circumcision stated that medical evidence shows that the health benefits of circumcision significantly outweigh the potential risks. They stopped short of actually recommending the practice, however, and instead said that families should have access to the procedure if they so desire.

The health benefits of male circumcision, as described by the AAP report include but are not limited to the following:

  • Reduced lifetime risk of urinary tract infections
  • Lowered risk of some cancers of the penis and prostate
  • Lowered risk of some, but not all, sexually transmitted diseases

They claim that the benefits outweigh the risks by 100 to 1 and that 50% of all those uncircumcised will experience some negative health effects as a result. They also claim that circumcision does not appear to have any negative effects on sexual sensitivity or function later in life.

The purported cons of male circumcision

There are many reasons given against male circumcision. The group Intact America, one of several organizations in the United States that are against circumcision, offers the following 10 arguments against circumcising, which you can read more about on theirs and other websites. 

  1. There is no medical reason for “routine” circumcision of baby boys and it is not recommended by any major organization in the nation.
  2. The foreskin is not a birth defect; it is a normal, sensitive, functional part of the body.
  3. Federal and state laws protect girls of all ages from forced genital surgery and they should protect boys as well.
  4. Circumcision exposes a child to unnecessary pain and medical risks
  5. Removing part of a baby’s penis is painful, risky, and harmful.
  6. Times and attitudes have changed and it is becoming more acceptable not to circumcise.
  7. Most medically advanced nations do not circumcise baby boys
  8. Caring for and cleaning the foreskin is easy and being intact doesn’t present hygienic concerns.
  9. Circumcision does not prevent HIV or other diseases
  10. Children should be protected from permanent bodily alteration inflicted on them without their consent in the name of culture, religion, profit, or parental preference.

Risks of circumcision

Significant complications are believed to occur in approximately one in 500 procedures.  One source states that over 100 infant males die each year as a result of circumcision complications, although this number is hotly contested by some members of the medical community and does not seem to be supported by medical data (although reports of circumcision deaths are not actually reported to the CDC, making it difficult to gather data at all).

Possible complications of circumcision can include:

  • Local Bruising
  • Bleeding
  • Scarring (always occurs)
  • Adhesions
  • Puncture and skin bridges
  • Amputation
  • Difficulty breastfeeding
  • Difficulty with urination
  • Long term aggravated response to pain
  • Infection
  • Subsequent corrective surgery
  • Permanent disability or death

Many also argue that because the foreskin is so sexually sensitive, that circumcision reduces sexual pleasure and function.

This list doesn’t include the potentially negative psychological impact of this procedure on the newborn child, which is more difficult to account for.

Bottom Line

As mentioned we encourage our families to research and talk to their pediatric care providers about circumcision. We hope this article serves as a “launching off” point for one’s own exploration of this issue and we hope that each family makes an informed decision based on their own preferences and values, as well as a clear understanding of the available information on circumcision.

Resources

http://www.mayoclinicproceedings.org/article/S0025-6196%2814%2900036-6/fulltext#tbl4fne

http://www.mayoclinic.org/tests-procedures/circumcision/basics/why-its-done/prc-20013585

http://pediatrics.aappublications.org/content/early/2012/08/22/peds.2012-1990

http://www.nytimes.com/2012/08/27/science/benefits-of-circumcision-outweigh-risks-pediatric-group-says.html?_r=0

http://www.who.int/hiv/pub/malecircumcision/infopack_en_2.pdf

http://www.jurology.com/article/S0022-5347(12)05623-6/abstract

http://www.intactamerica.org

http://www.circumcision.org/

http://www.cirp.org

www.cirp.org

Easy postpartum chicken tacos (slow cooker)

This is a delicious and ridiculously easy meal for the postpartum period… or any time!  While this recipe does include some fresh herbs and spices, you could even forgo these and just do the chicken and salsa– it would still be delicious!

Ingredients

  • 1 jar of your favorite salsa (or you can make fresh)
  • 1 pound of chicken (breasts or mix of breasts and thighs)
  • 1 T chopped cilantro
  • 1/2 T cumin
  • 1 t coriander
  • 1 t sea salt
  • 1/4 t cayenne
  • 1/4 t black pepper
  • 1/3 cup water

fixings may include: corn or flour taco shells, or lettuce wraps; avocado, black beans, jalapenos, or pico de gallo)

Preparation:

Place all of the ingredients in the slow cooker and cook on low for 3-4 hours.

Remove the chicken from the slow cooker and shred with two forks.

Return to the cooker and cook an addition 30-60 minutes.

Serve with your favorite fixings.  YUM.

Photo source: cookingclassy.com

Photo source: cookingclassy.com

Eight Reasons to Wear Your Baby

babycarrierarticleBaby wearing is the experience of carrying your child in a sling or other carrier on your chest (and/or, as they get older, on your back). Baby carriers come in different materials and configurations, each with their benefits. Keeping a child close to you in a carrier is a natural practice utilized by people across time and cultures. There is something instinctual and natural about keeping babies close to our bodies in infancy. Baby wearing has many practical benefits but, more importantly, it offers a number of significant benefits for baby and caregiver. Here are eight benefits of carrying your baby in a carrier in his or her early days, months and even years.

  1. Baby wearing supports bonding.

When we wear baby close to us, we learn his cues and communications so intimately. This not only allows us to get to know our child, it helps us more effectively meet his or her needs, which will support bonding, ease the transition into parenthood, and so much more. Face to face orientation between baby and caregiver offers a powerful catalyst for bonding. Baby wearing can be great not only for mom and baby pairs, but also for dad (or other parent) and baby pairs, and babies and other caregivers, such as relatives. It gives others an opportunity to be close to and bond with baby.

  1. Baby wearing is good for baby’s physiological systems.

According to Dr. Sears, babywearing provides an external regulation system that balances the irregular and disorganized tendencies of a baby adjusting to life outside the womb, where all systems were once in harmony and regulated for them. If you think about it, the baby in utero is lulled to sleep by the rhythmic movements of his mother as she walks or moves about during the day. The gentle pulsing sound of her heartbeat and her breath are familiar and constant rhythms throughout womb life and likely offer tremendous comfort and stability.

Bringing baby close to us in a carrier or just being held, reintroduces those powerful organizing environmental cues back into baby’s life—baby places her ear to mama’s chest and hears mama breathing, baby is lulled to sleep by papa’s heart beat as he carries about his morning routine, baby is soothed by the familiar rhythms of walking as mom and dad go for a neighborhood stroll. All of these regular rhythms not only comfort but also have an organizing effect on an infant’s naturally rhythmic physiological processes, such as sleeping and waking; breathing; eating, digestion and elimination; temperature; heart rate; and more.

  1. Carried and worn babies are happier and cry less.

Likely connected to the phenomenon above, babies who are carried and held often are less fussy, cry less, and seem more content than those who are put into devices (such as cribs, car seats, and bouncers) most of the time. According to one study in which routine baby wearing (3 or more hours of carrying per day) was compared to a control given no instructions on wearing baby, the babies held more often throughout the day cried over 40% less. Wearing or carrying baby close helps make them secure and content. Furthermore, colic and reflux can be reduced by the upright position of being held, which can make babies more comfortable (and thus happier).

  1. Carried and worn babies learn more.

When babies are not exerting their energy on crying and fussing, they are able to devote more energy into taking in and learning from their environments. Research shows that babies who are carried show enhanced visual and auditory alertness and spend more time in the quiet alert state in which they are best able to interact with their environment. Carried babies also have the opportunity to see more and experience more varied environmental stimulus at an adult’s chest level than they would if they were on the ground or in a device. Carried babies are intimately involved in their caregiver’s world and learn what human life is all about from a young age.

  1. Carried and worn babies develop social skills

Along those same lines, being at an adult’s chest level, babies get an opportunity to pay close attention to the subtle non verbal language used by their caregivers and by others in their shared environment. They begin to learn how social interaction works, what cues are used for different feelings and needs, and the whole dance of human social life. Carried babies also get more opportunity to observe and learn verbal language as well. Research has found that carried babies experience enhanced speech development. Many report that carried babies seem to be more tuned into and attentive toward the world around them.

  1. Baby wearing is convenient.

Babies can nap in a sling or just be with you during their waking hours, happily carried about in a soft carrier. With your hands free, you can still attend to and be close to your baby while taking care of your life responsibilities and doing things you enjoy. You don’t have to be distracted by a baby monitor or constantly stop to soothe or check in with baby. Many mamas exercise with baby in a carrier, socialize with friends or family, get household chores done, and so much more with a baby in a carrier.

  1. Carrying baby in a carrier (versus car seat) is better for parent or caregiver’s body 

Sure there may be some times when baby falls asleep right before you get somewhere and leaving baby in the car seat means more rest for them while you go about your business. However, making a habit of leaving baby in the car seat can deprive you and your baby of the benefits of close physical proximity. More than this, carrying around a car seat is not easy on a caregiver’s body. Having that much weight outside your center of gravity is hard on the body and can cause or exacerbate physical pains and stresses. This is not ideal for the healing postpartum body. Holding baby close, in a carrier for example, is easier because there is no extra weight of the car seat and baby is much closer to your center of gravity, making it easier on the body to carry this additional weight.

  1. Baby wearing is economical.

Baby carriers can run from $10-20 (used—or free!) up to about $100 or so. This is typically far less than the cost of strollers, baby bouncers, and other devices meant to hold baby. Baby carriers often last a long time and can be used from a the newborn stage into toddlerhood.

These are just some of the many great reasons to keep baby close in infancy. If you choose to use a baby carrier, do some research into the different kinds, ask others for recommendations, and try them out to see what works best for you (many parents have different preferences in style. Make sure to follow safety recommendations as well to keep baby safe while in a carrier. Enjoy these precious times with baby.

Infant Massage: How To

babymassageAs we mentioned last week in a post on the benefits of infant massage, this special activity with baby can be a great bonding tool with myriad benefits to both babies and their caregivers.

While no special training is required to offer healthy touch to a baby, here is some additional information on how to give infant massage.

When to massage

For young babies, it can be ideal to offer a massage when your baby is in a quiet yet alert state. You may want to avoid the time just after a feeding or when baby is sleepy.

Setting the scene

Lay a soft towel or blanket on the bed or floor where you will offer the massage. You may also wish to sit on the floor (or bed) with the soles of your feet together and knees apart, forming a diamond shape with your legs. Drape the blanket over your feet and between your knees. Undress baby down to the diaper and place him or her on the blanket, head toward your feet, facing you.

You can use massage oil in a non-breakable container. Almond oil or coconut oil work well for many babies, but you may wish to test the oil on a small spot on baby’s skin and wait a day to ensure they aren’t irritated by the oil.

Beginning

Start with a gentle stroke from baby’s head to toes. If baby stiffens up, cries, or becomes irritable, switch to another area of the body or end the massage for time being. If s/he responds well, start gently massaging his/her body. Here are some techniques for each body area.  Note: their is not one particular “right” order of body areas to massage.  You may choose to work from trunk to extremities, or the opposite, or massage in any order that feels right.

Tummy

  1. Hold your hands palms toward you, fingers pointing in (wrists bent), so the edge of your pinky can move across your baby’s belly. Starting at the base of the rib cage, stroke down with one hand, then the other, continuing one after the other.
  2. Massage her belly with your fingertips in a circular, clockwise motion.
  3. Do the “I Love U” stroke: Trace the letter I down your baby’s left side. Then trace an inverted L, moving across the belly along the base of her ribs from your left to right and then down. Trace an inverted U, stroking from low on the baby’s right side (your left), up and around the navel, and down the left side (your right).
  4. Walk your fingers around baby’s navel, clockwise.
  5. Hold baby’s knees and feet together and gently press knees up toward the belly. Rotate baby’s hips around a couple times to the right. (Great for expelling gas. 

Note: Avoid massaging tummy if the umbilical cord site hasn’t completely healed.

Head and Face 

  1. Cradle your baby’s head with both hands, gently massage the scalp with your fingertips, as if you’re shampooing. (Avoid the fontanel, the soft spot on top of baby’s head.)
  2. Massage her ears between your thumb and index finger.
  3. Trace a heart shape on baby’s face, bringing your hands together at his/her chin.
  4. Place your thumbs between your baby’s eyebrows, and stroke outward.
  5. Stroke from the bridge of the nose out over the cheeks.
  6. Using your fingertips, massage the jaw hinge in small circles.

Chest

  1. Place both hands on baby’s chest and stroke outward from sternum to shoulders.
  2. Beginning at the sternum, trace a heart shape bringing both hands up to the shoulders, then down and back together.
  3. In a crisscross pattern, stroke diagonally from one side of your baby’s hip, up and over the opposite shoulder, and back down to her hip.

Arms

  1. Hold her wrist with one hand and hold your other hand in a C-shape around baby’s upper arm; make long strokes from her shoulder down to her wrist
  2. With each hand grasping her arm, one right above the other, stroke down from shoulder to wrist with both hands rotating in opposite directions, as if you were gently wringing out a towel.
  3. Massage baby’s palms, moving thumb over thumb from heel of the hand to the fingers.
  4. Stroke down from the wrist to fingertips on the back or front of the hand. Gently squeeze and pull each finger.
  5. Roll her arm between both your hands.

Legs

  1. Hold the ankle with one hand and hold your other hand in a C-shape, thumb down, around your baby’s upper thigh. Stroke from thigh down to foot, skipping over the knee joint.
  2. With your hands grasping the leg at the thigh, one right above the other, stroke down from hip to foot with both hands rotating in opposite directions, as if you were wringing out a towel.
  3. On the sole of her foot, use a thumb-over-thumb motion to massage from heel to toes.
  4. Use your whole hand to stroke the bottom of the foot from heel to toes.
  5. Stroke the top of the foot. Gently squeeze and pull each toe.
  6. Roll each leg between your hands, as if you’re rolling dough.

Back

Place baby on tummy horizontally in front of you, or lay baby across your outstretched legs. Keep baby’s hands in front of him/her, not at the sides.

  1. With both of your hands on baby’s back, move each hand back and forth (keeping them going in opposite directions) from the base of the neck to her buttocks.
  2. Hold your baby’s bottom with one hand and use the other to make long strokes from the neck down to the bottom.
  3. Using your fingertips, massage in small circles down one side of baby’s spine and up the other. Avoid pressing on the spine directly.
  4. Massage the shoulders with small circular motions.
  5. Massage the bottom with big circular motions.
  6. Holding your fingers like a rake, stroke down her back.

Other infant massage tips:

  • Make strokes gentle but firm, and not ticklish.
  • Build massage into your baby’s daily schedule.
  • Follow baby’s signals about when to stop. A massage can last anywhere from a few minutes to as much as 30 minutes, depending on baby’s moods.
  • Enjoy this precious time with your beloved little one.

Five reasons to massage your baby!

BabyMassageInfant massage offers many benefits to babies and their caregivers. For many parents, touch is a natural part of caring for their children but some may not feel like they know how to give infant massage. While you can certainly take a class on infant massage, watch a youtube video or a read book about baby massage, you don’t have to be an expert to offer this wonderful healing touch to your child. If you follow your instincts and have a little fun, you can massage your baby without any additional knowledge. (Next week, we will post a “how to” for those wanting some more information on giving infant massage)

Here are five great reasons to massage your baby

  1. Infant massage facilitates bonding and healthy attachment

Infant massage promotes and develops positive interactions between caregivers and babies, helping them to better learn each others’ feelings and needs and understand one another’s communication. Massage and regular touch can help infants to feel more secure and attached to their caregivers. Massage facilitates the release of “love” hormones such as oxytocin and prolactin in both caregiver and baby, helping each to feel connected to one another in a strong, positive and healthy way. Infant massage is a great way for fathers to build their nurturing skills.

  1. Infant massage can help with colic and digestive complaints

Massage can help tone the digestive tract and stimulate the release of insulin and related chemicals, which help with food absorption. According to research, infant massage can increase the assimilation of nutrients at the cell level, helping babies’ digestive systems function better, including easier elimination and less gas.

  1. Infant massage calms babies, helping them to cry less and sleep better

Massage stimulates the body’s production and release of natural painkillers that may ease emotional distress. Touch balances our autonomic nervous systems. Massage can help to relieve tension in a baby’s body caused by all the sensory stimulation and processing he/she experiences in daily life.

  1. Infant massage can increase baby’s brain and muscular development

Research shows that frequent healthy touch increases a baby’s neurological and muscular development. Infant massage can also have a profound effect on a child’s emotional development.

As one professor and researcher of developmental psychology put it,

“Early understanding of self and early understanding of other is developed through interaction. It teaches babies basic lessons that they have some agency in the world, so that allows them to explore the world and feel like they can affect their environment as opposed to just being helpless to whatever happens to them. We’re basically a social species, and we learn those things through interacting with others.”

  1. Infant massage reduces levels of stress in the caregiver

Mothers and fathers (and other caregivers) who offer infant massage to their children and other forms of nurturing touch on a regular basis report lower levels of depression. They also seem to be more sensitive to their babies cues, are thus better able to meet their child’s needs, and experience greater overall satisfaction in their relationship with baby. Infant massage boosts positive caregiving and maternal feelings in adults.

Stay tuned for next week’s details on offering infant massage.

Flower essences

SAMSUNG DIGITAL CAMERAFlower essences are an amazing and lesser-known healing resource that can be quite amazing for expectant and new mamas, and, really, anyone.  We offer a line of flower essences by Santosha Birth and Wellness that are specifically for conception, pregnancy, birth and motherhood.  We also have a new acupuncturist that is trained in the use of flower essences.  With all the buzz about flower essences, we wanted to share a bit more about what flower essences are and why they are so wonderful for the childbearing cycle.  

What are flower essences?

Flower essences are type of botanical medicine that works on the energetic level (like acupuncture does) to positively affect the emotions, energy, and deeper soul levels. Flower essences are especially suited to helping people overcome obstacles, heal the past, reduce negative thoughts, actions and perspectives, cope with changes and challenges, and achieve greater joy and peace. Put simply, flower essences are energy medicine—they safely and effectively address root causes of emotional and physical issues to bring healing and growth on all levels (physical, emotional, mental and soul).

Odorless and virtually tasteless, a flower essence is an infusion of flowers stabilized in water and a small amount of brandy to preserve. 

What is the history of flower essences?

Flower essence therapy has been used by indigenous people for centuries and have been thoroughly studied and developed in the West for over a century. Dr. Bach, a British physician and homeopathic doctor, was the first to develop a robust system of flower essence therapy in the early 1900s. His system included 38 flower essences and his blend, Rescue Remedy® is the most famous of all flower essences. Dr. Bach’s early death left room for further development and refinement of this system and additional flower essences have been added to this healing system.

Master herbalists such a German healer Julia Graves (creator of the Lily Circle) and Flower Essence Service, among others, have continued Dr. Bach’s legacy, producing high quality flower essences that yield profound results. The Lily Circle (used in Santosha’s blends) is exceptionally well suited for female archetypal issues and those surrounding birth and motherhood, but are equally powerful and healing for all people.  

Why flower essences?

There are so many reasons why flower essences are an incredible healing tool, especially in the childbearing cycle.  

They are safe: Because flower essences work on the energetic rather than biochemical level, they don’t pose the same risks that some pharmaceuticals, herbal tinctures, and essential oils may pose. This makes flower essences particularly attractive for treating issues that may arise in the childbearing cycle, when other treatments may not be advised. Flower essences are completely safe for use in pregnant women, birthing women, nursing women, newborns, infants, and children (and even pets and plants, evidence shows!). There are NO known contraindications.

They are gentle: Flower essences are gentle, they don’t work by force, nor do they overwhelm the body or mind. Flower essences are subtle, yet powerful and profound in the positive change they produce.

They address root causes of physical ailments and emotional/spiritual conditions. Flower essences often get to the source of one’s physical or other ailments. By addressing underlying emotional/mental/energetic/spiritual factors contributing to dis-ease or challenges, flower essences heal the deeper levels of one’s being and when they are healed, the body follows. What better time than pregnancy to clear out what doesn’t serve us and make room for greater wellbeing in parenthood? The healthier and happy we are going into parenting, the better we can be for ourselves and our children!

How do you use a flower essence?

Flower essences are commonly taken by mouth, with 4 drops taken orally 4 times a day. This is a general guideline—a person in an acute situation (e.g. labor) may take an essence as frequently as every 10 minutes as needed. Taking an essence frequently is the path to desired change. Because there is a small amount of brandy in the essence, some pregnant women or sensitive individuals may prefer not to take the essence directly under the tongue. You can add an essence to beverage—covered water is best (but tea or juice can also be used). For those that wish to avoid ingestion entirely, flower essences can be sprayed or applied on to the skin, clothing, bedding or air. One can also take a flower essence bath.

How long should one use a flower essence?

Many flower essence practitioners note a definite cycle period in taking a flower essence, typically two to four weeks though this can be longer or shorter for some and depending on the reason for use.

Can flower essences be used together with other healing modalities?

Flower essences can be used alone or in conjunction with other therapies to enhance a healing process. They have been used with great success by flower essence practitioners, naturopathic doctors, massage therapists, psychologists, medical doctors, veterinarians, and other health care practitioners.

How do I learn more?  

If you want to learn more about flower essences, you can speak with us at an upcoming appointment or contact Santosha Birth and Wellness directly at http://www.santoshamama.com.  

Mastitis

mastitis

Mastitis is inflammation of the breast that can occur in breastfeeding women.  This condition can be caused by an allergy, infection, or an obstruction.  While mastitis is the most common in the first 2 to 3 weeks of breastfeeding, it can occur at any time during lactation.  Approximately 1 in 3 (other sources say 1 in 5) postpartum women in the West will experience mastitis.

This condition often comes on abruptly and often affects only one breast.  It may last for a few hours or up to a week or so.

Symptoms of mastitis include:

  • Breast area that is warm, hot, sensitive and may be painful
  • Red or reddish streaks on the tissue of the affected area
  • Fever of 101.3 or more
  • Chills
  • Generalized aching
  • Flu-like feelings

What causes mastitis?

Sometimes the cause of mastitis is unknown.  Possible causes or contributing factors can include:

  • Plugged ducts
  • Cracked or damaged nipples, which let germs in
  • Ineffective or infrequent nursing or pumping
  • Pressure from a baby carrier or a bra
  • Fatigue
  • Being “run down”

Other effects of mastitis, which can help indicate illness include:

  • Decrease in milk supply from the affected breast temporarily
  • Expressed milk that looks like strings or grains of thick, fatty milk; lumpy, clumpy milk (this is safe for baby, but some moms like to strain this out.
  • Milk may contain more sodium and chloride, making it saltier—baby may refuse or resist the breast due to this temporary change in flavor.
  • In more serious cases, milk can contain mucus, pus, or blood.

How to prevent mastitis

  • Breastfeed or pump frequently
  • Fully drain the milk from your breasts while breastfeeding
  • Allow baby to completely empty one breast before switching to the other breast
  • If baby nurses for only a few minutes on the second side (or not at all) begin on that side for the next feeding
  • Alternate the breast you offer first at each feeding
  • Regularly change the position you use to breastfeed
  • Ensure that baby is latching properly
  • Take good care of yourself– get enough rest, eat well, and drink enough fluids

What do to if you suspect mastitis

If you feel you may be experiencing mastitis or a plugged duct, please call or page the midwives if you are a current client.  A visit to determine the cause of your symptoms and potentially a prescription for antibiotics (if infection is present) and/or a recommendation for over-the-counter anti-inflammatory medication may be in order.

There are also many things you can do at home to help treat mastitis.

  1. Apply cold or heat: apply a cold pack (frozen peas work great) or a heat pack or compress, whichever feels better to the area, 20 minutes on then 20 minutes off and repeat.  Hot showers and soaking (with the affected breast immersed) in warm water with Epsom salt can also help.
  2. Empty the breast often:  frequently nurse or pump or hand express (at least every 2 hours) on the affected side to keep the milk moving.  (Don’t neglect the unaffected breast)
  3. Rest: it is so important to rest as much as you can.  Rest means lying down sleeping or resting for as much of the day as possible.  Get help around the house as much as possible
  4. Eat well and stay hydrated, drinking plenty of water throughout the day
  5. Go braless if possible
  6. Massage:  some call this the “bag of marbles” massage.  Cup your affected breast with both hands, fingers interlaced, and massage as if you were rolling marbles around in a bag.  You can also rub the affected area in a circular motion with 2 or 3 fingers.  You can massage as baby nurses, toward the nipple, to help with milk flow and clearing out obstructed ducts.
  7. Natural remedies: speak with your midwife to see about the appropriateness of using raw garlic (2-5 cloves per day), Echinacea tincture, Oregon Grape Root tincture, Propolis tincture, and/or vitamin C
  8. Raw potato or cabbage leaves:  applied to the breast.

After mastitis has resolved, it is common for the area to be red or feel bruised for up to a week longer.

Additional Resources on Mastitis:

http://kellymom.com/bf/concerns/mother/mastitis/

http://www.storknet.com/cubbies/breast/naturalremediespt2.htm

http://www.breastfeedinginc.ca/content.php?pagename=doc-BD-M

Postpartum nutrition

postpartum nutrition

We talk a lot about nutrition in pregnancy, but eating well is also incredibly important in the postpartum as we heal, undergo many physical and emotional changes, and begin breastfeeding.  It is so important to take care of ourselves at this time.  It is also one of the more challenging times to practice self care, as we are busy caring for our newborns and juggling a whole new set of demands.

For many women, postpartum eating needs to be as simple and quick as possible.  Women are greatly helped in the postpartum when others are able to spend more time preparing and offering her healthy meals and snacks regularly throughout the day.  Preparing meals ahead of time to freeze and make later is a good idea, although we want to take care to choose foods that are going to serve the body best.  Loved ones may also offer to make healthy meals, which can be organized by a close friend or family member or with the help of online services such as Meal Baby, Take them a Meal, Food Tidings, and others you can find via a search for “meal registries.” Check out our post on preparing for the postpartum.

Here are some principles of optimal nutrition for the postpartum.  Our midwives can also talk with you about postpartum nutrition in greater detail during a prenatal or postnatal appointment.

Caloric Intake

During the later months of pregnancy, women need to consume about 200 to 300 more calories than their pre-pregnancy requirements, as a general rule.  Breastfeeding women need even more than this. Women generally need about 500 extra calories to make enough milk to feed baby and to get the nutrients they need.  As we mentioned in a previous post, consuming less than this does not help mamas lose weight, but actually encourages the body to hold on to fat reserves.

Drink lots of water

Most women need 2 to 3 liters of water a day in the postpartum to heal and to make milk.  A new mama’s support team should be aware of her need to stay well hydrated and ensure she has access to water at all times.  Make sure glasses or bottles of water are stashed anywhere in the house where mama and baby spend time throughout the day and night.  New mamas typically get an intense feeling of thirst each time they begin to breastfeed, a cue from our bodies that we really need to drink lots of water during this time.

Snack

To get the recommended additional calories in the postpartum and to avoid hunger, it can be helpful to have little snack stations wherever you plan to breastfeed throughout the day, or bring a basket of snacks around the house with you.  These stations or baskets should include water and easy nutritious foods such as trail mix, dried or fresh fruit, high-quality bars (such as Pure bars), or the like.  (You may also want to include in your stash a book to read and/or your phone…nursing takes time!)

Iron

For many postpartum mamas, getting enough iron is huge.  Pregnancy often depletes a woman’s iron stores and bleeding during and after birth can further deplete her stores, so replenishing iron is important to healing in the postpartum and to preventing anemia.  Ways to increase iron include:

  • Eating red meat, eggs, blackstrap molasses and other good sources of iron
  • Increase vitamin C to help absorb more iron from your food.  Take C with your meals and don’t exceed 3000mg a day, or as directed by your care provider.
  • Avoid black tea, as the tannins in tea decrease iron absorption
  • Cook using cast iron pans and pots, iron from the cookware actually gets into the food you eat while cooking.

Keep taking your prenatal vitamins

Women are encouraged to continue taking their prenatal vitamins until they are done nursing.  This extra nutritional support helps mama and baby.  Extra B vitamins can give you a boost in energy and stamina.

It is also a good idea to regularly eat low-mercury fish (the most bioavailable forms of DHA are found in coldwater fish and algae) and/or take an Omega-3 fatty acid supplement with a higher DHA to EPA ratio (taking a supplement is a reliable way to make sure you are getting enough).  Studies have found that infants benefit neurologically when moms supplement during pregnancy and throughout the breastfeeding relationship.  These healthy fats also benefit mamas by helping them heal and by replenishing the nervous and reproductive systems.

Ideal foods

In general, whole, organic, protein-rich, nutrient-dense, warm and nourishing foods are ideal in the postpartum.  It is best to avoid cold, processed and high-sugar foods as well as dairy, and peanut butter (at least for the first few days as these latter two are hard to digest).  You may also want to avoid foods two which babies can be sensitive (a topic for another post!

Good postpartum foods include:

  • Warm soups
  • Warm/Hot foods (avoid cold)
  • Soups, stews and braised dishes (can be made ahead and frozen or prepared in a crock pot)
  • Ginger
  • Whole grains
  • Fermented foods, such as yogurt, kefir, and sauerkraut. These foods promote “good” gut flora in mama and baby and may help prevent colic and the development of allergies in babies.
  • Beans, such as kidney beans, black beans, black soya bean
  • Meats, such as beef, lamb, offal
  • Nuts, such as walnut and almond
  • Eggs
  • Fruits, especially black grapes, plums, cherries, cooked raisins
  • Veggies such as tomatoes, beets, yams, spinach, sweet potatoes, winter squash, leafy greens, avocado
  • Plain Greek yogurt with honey, nuts, fruit, and/or seeds
  • Milk supply supporting foods

New Mama Self-Care

Woman Lying in a Bathtub Holding a MugSelf-care can be a real challenge in the early postpartum and throughout early motherhood.  With a little one needing care 24/7, a home to keep somewhere in the realm of clean, adult relationships to nourish, maybe other kids to care for, and often additional work inside or outside the home, it can be hard enough to get food in our bellies and count on more than one hand how much sleep we had the night before.

But self-care is paramount, especially in the postpartum and first year of motherhood when we are often depleted and giving far more than we are receiving.  Mamas need a full well of their own to keep giving as motherhood requires.  They also need a full well because they deserve to BE well.

We probably all have enough checklists of things we need to do.  Here is a simple little check IN list for mamas—a way to become more aware of how well you are nourishing and caring for yourself.  Notice where you fall on the spectrum (how many “yes” and “no”s) and allow this to guide you towards greater self-care.

Check IN list for Mama Self-Care

Yes           No

____           _____    I allow myself to rest when I am tired

____           _____    I nap regularly or as often as I can

____           _____    I drink enough fluids daily

____           _____    I am eating well—I am able to eat when I am hungry, I eat often throughout the day, and the foods I eat are healthy and nourishing, particularly for me as a postpartum (breastfeeding) mother

____           _____    I eat something fresh and natural at least once daily

____           _____    I spend time in nature at least once, if not several times, a week

____           _____    I get sunlight (nearly) everyday

____           _____    I take care of my physical needs and wellbeing

____           _____    I get help or take measures to address physical issues that may arise.

____           _____     I take good care of my teeth

____           _____     I am able to keep up on personal hygiene as I’d like (bathing, nails, hair, etc)

____           _____    I exercise regularly and in ways that replenish (not deplete) my body and make me feel good

____           _____    I make time to relax and slow down

____           _____    I find time for things I really enjoy

____           _____    I regularly engage my creativity in some way

____           _____    I ask for help when I need it

____           _____    I speak up when my needs are not being met and seek solutions

____           _____    I forgive myself and others

____           _____    I take time to laugh

____           _____    I make time for my partner, my friendships, and other important relationships

____           _____    I practice kindness toward myself and my mothering, knowing I am doing the best I can in every moment

____           _____    I release expectations that don’t serve me

Take Action

Answering these three questions after checking in may also help to clarify what action you might take to enhance your self-care:

  1. What are three to five ways I could improve my self-nourishment?
  2. Whom can I ask for help or support to improve in these ways?  What would help or support look like?
  3. I deserve to take these actions because:  (you fill in the blank).

Be as kind to yourself as you are to your child. 

Give yourself permission. 

Advocate for yourself.

Ask for support. 

Forgive.

Breathe deeply. 

Laugh daily.

Be well. 

Three easy postpartum soups (or anytime!)

Soup season is upon us…and soup can be an excellent nutrient-dense and nourishing meal or snack for busy new mamas.  The beauty of soup is that is can be made ahead of time, even frozen, one batch can last several meals, and its fairly easy to reheat and consume (we just have to circumvent baby’s head as we heap spoons of hot soup into our mouths!).

Here are three great soups recommended by master herbalist, midwife, and medical doctor Aviva Jill Romm for the postpartum.  Dr. Romm has other great postpartum meal recipes and many other rich resources for new mamas in her book Natural Health after Birth.  (She also has a fantastic pregnancy book called The Natural Pregnancy Book.)

Barley Stew

barley soup

Okay, technically a stew and not a soup, this stew is great for encouraging good milk production.

  • 2 carrots*
  • 2 celery stocks*
  • 1 parsnip*
  • 1 yellow onion, sliced
  • shiitake mushrooms, sliced
  • 2 cups of dried pearl barley
  • 2 T olive oil
  • 8 cups water
  • salt, to taste

*diced

Sauté all of the vegetables in the olive oil for 3-5 minutes.  Move to a large pot, add the barley and water.  Bring to a boil, then reduce to simmer for an hour or until barley is tender.  Season as you wish and enjoy warm.  This stew will keep for three days in the frig.

Sesame and Shiitake Mushroom Soup

shiitake soup

  • 1 t toasted sesame oil
  • ½ inch fresh ginger root, peeled and diced small
  • 1 carrot, sliced
  • 4 oz. shiitake
  • 6 cups of broth
  • 4 oz. of soba or somen noodles
  • 1 T tamari
  • 4 oz. of tofu (optional, good for milk production)
  • 1 T cilantro
  • salt to taste

In a soup pot, sauté all the vegetables (not the cilantro) for 4 minutes.  Add broth, noodles, and tamari (and tofu if using).  Turn off the heat after 10 minutes.  Add the cilantro and serve.

Lentil Soup

lentil soup

  • 1 T olive oil
  • 1 yellow onion*
  • 1 carrot*
  • 1 red bell pepper*
  • 1 cup of dried green lentils
  • 1 bay leaf
  • 1 16-oz can or jar of tomatoes
  • 6 cups water
  • 1 T fresh mint, chopped
  • 1.5 t salt
  • 2 cloves of garlic, crushed
  • black pepper to taste

* diced

Sauté in oil, the onion, carrot and pepper.  Add lentils, tomatoes, bay leaf and water.  Bring to boil, then reduce to simmer for 1 hour (until lentils are soft).  Add mint during the last 5 minutes of cooking.  Add pepper as desired.

15 Cool Facts about Breastfeeding

We all know the saying “breast is best” but here are some of the colossal benefits, and a couple quirky facts, about breastfeeding.

1.  Human milk boosts a baby’s immune system big time—helping baby fight viral, bacterial, and parasitic infections, including:

  • Respiratory tract infections
  • Ear infections
  • Bacterial meningitis
  • Pneumonia
  • Urinary tract infections
  • Infant diarrhea
  • Common colds and flus

2.  Breastfeeding can actually reduce baby’s risk of disease later in life, including:

  • Type I and II diabetes
  • Hodgkin’s disease
  • Leukemia
  • Obesity
  • High blood pressure
  • High cholesterol levels
  • Crohn’s disease
  • Ulcerative colitis
  • Asthma
  • Eczema

3.  Breastfeeding reduces mama’s risk of ovarian and breast cancer, heart disease, and osteoporosis.  The longer she breastfeeds, the higher the benefit.  In fact, a woman who breastfeeds for 8 years has nearly a 0% risk of breast cancer.

Get this—breastfeeding a baby girl actually reduces her lifetime risk of breast cancer by 25%.

4.  Breastfeeding saves a family approximately $2 to 4 thousand dollars annually (compared to cost of formula).

5.  Breastfeeding helps mama heal faster in the postpartum, helping her uterus return to pre-pregnancy size faster and lowering overall postpartum blood loss.

6.  Breastfeeding can help mama return to her pre-baby weight.  It takes 1000 calories a day on average to produce breast milk.  Women are advised to consume an extra 500 calories a day, and the body dips into reserves it built up in pregnancy to make the rest (it’s important to consume those extra calories or the body actually goes into “starvation mode” and holds onto the reserves).

7.  Producing breast milk consumes 25% of the body’s energy; the brain only uses 20% by comparison.

8.  On average, babies remove 67% of the milk mama has available—they eat until fullness, not until the breast is emptied.

9.  Almost 75% of all moms produce more milk in their right breast, whether they are right- or left- handed.

10.  Mama’s body is constantly making the perfect milk for baby.  Milk changes its nutritional profile as baby grows (milk made for a 3 month old is different than for a 9 month old).  Milk can even change day to day—for example, water content may increase during times of hot weather and baby-sickness to provide extra hydration.

11.  Human milk contains substances that promote sleep and calmness in babies (who doesn’t love that?)  Breastfeeding also calms mama and helps her bond to baby.

12.  Breastfed infants are at lower risk for sudden infant death syndrome (SIDS)

13.  Mama’s breasts can detect even a one degree fluctuation in baby’s body temperature and adjust accordingly to heat up or cool down baby as needed.  This is one reason skin-to-skin contact in the early days is so crucial.

14.  Breastfeeding reduces baby’s risk of cavities later on and may lower the chance they will need braces as kids.

15.  Breastfeeding mamas sleep on average 45 minutes more a night, compared to those who formula feed.

Oxytocin in Childbirth: A Labor of Love

Last week, we talked about the role of endorphins in natural childbirth and today we turn our focus to oxytocin, another crucial hormone in the symphony of chemicals created naturally in the body to help mom and baby through childbirth.

There are four major hormonal systems active during labor: endorphins, oxytocin, adrenaline and noradrenaline, and prolactin.

What is oxytocin?

pregnancy oxytocin

Oxytocin, known as the “love hormone,” is a hormone and neuropeptide that causes both physiological and behavioral effects when produced in the body.  It is produced in the hypothalamus of the brain and is released into the bloodstream via the pituitary gland.

Our bodies produce oxytocin when we are attracted to a mate, during lovemaking (it assists with arousal, fosters bonding and may facilitate sperm and egg transport), following positive social interactions (it can even potentially improve wound healing following such positive interactions, say experts), and with other positive experiences.  It is thought to enhance our capacity to love ourselves and others.

Oxytocin is produced in pregnancy, levels increase significantly during active labor and childbirth, and both mom and baby produce oxytocin after birth and as long as baby breastfeeds.

Oxytocin evokes feelings of contentment, trust, empathy, calmness and security and reduces anxiety and fear. Under certain circumstances, oxytocin can hinder the release of cortisol, or stress hormones.

What are the functions and roles of oxytocin in childbirth?

Oxytocin plays a major role in the following:

  • Uterine contractions that help facilitate dilation in labor
  • Facilitating the milk let-down reflex
  • Fostering the mother-baby bond
  • Encouraging maternal behavior in the first hour after birth
  • Released during breastfeeding, oxytocin causes mild uterine contractions after birth to expel the placenta and close of many blood vessels to prevent bleeding
  • Assisting the uterus in clotting the placental attachment point postpartum

What helps to facilitate the production of oxytocin naturally during labor?

Unhindered production of oxytocin is important in labor because oxytocin is responsible in large part for uterine contractions.  Oxytocin initiates labor and helps it keep going strong.

Because the production of oxytocin is so connected to our emotions, it is paramount that a laboring mama feel calm, secure, and uninhibited in her environment and that she trust those around her.  A dim room without too much excitement or distraction is an environment conducive to the unhindered production of oxytocin.

happy birth

Natural ways to stimulate oxytocin production in labor include:

  • Caring, non-medical touch
  • Nipple stimulation (this can be helpful in getting labor started in some cases, or to increase strength and frequency of contractions)
  • Laughter and humor
  • Kissing (Ina May, a famous midwife, touts “smooching” as a great way to keep labor going)
  • Gentle exercise, dancing and rhythmic movement
  • Feeling grateful and loving (a partner’s words and actions can be so instrumental in helping mama create oxytocin and so help her labor along)
  • The repetitive use of mantras, prayer or sounds
  • Meditation, positive visualization and hypnosis
  • Relaxation
  • Warm bath

What can diminish oxytocin levels in labor?

Again, because of the emotional connection, any experience of fear, anxiety, stress, tension, discomfort, or distrust can negatively effect oxytocin production during labor.  A feeling of being watched can also hinder oxytocin release.  The use of synthetic oxytocin (Pitocin)—which also stimulates contractions and is used to induce labor—can also slow the body’s own production of oxytocin.

Oxytocin in Breastfeeding

oxytocin breastfeedingOxytocin, also called the cuddle hormone, is released by both mama and baby during breastfeeding.  It can cause slight sleepiness, mild euphoria, a higher pain threshold, and increased love for one another.  It also helps build the attraction and strengthen the bond between mama and baby.

As you can see, oxytocin is an amazing gift and tool our bodies make to help us through childbirth and postpartum.

Free Essential Oils Classes this Fall!

essentialoils2We are thrilled to be offering two free essential oils classes this fall– one on October 28 and the second on November 11, both the same class and both from 7 to 8 pm at Health Foundations.

Details:

This informative class will help you learn the basics of how pure, therapeutic grade essential oils can be incorporated into your everyday life. We’ll share real-life testimonies about how these amazing natural products have helped heal, soothe and enrich the lives of those who use them and discuss ways they can be used to improve your physical well-being and the health of those you love.
Brochures will be available outlining the benefits of using essential oils during pregnancy, with infants and children, and to transform your medicine cabinet..

Presenters:

Stacy Tiegs
Stacy Tiegs is a self-made entrepreneur, a mother to three grown children, and a wife of twenty-five years to her wonderful husband Tom . For six years Stacy has created, owned, and operated  Something Savvy in Buffalo, Minnesota. After being introduced to essential oils several years ago, Stacy used them to help heal herself and her family.  She watched her youngest daughter relinquish herself of many medications because of daily oil use.  Now, Stacy cannot stock her store shelves fast enough. She hears testimonies daily of how quickly these oils work and has decided to make it her full time mission to let others know there are healthier alternatives to pharmaceuticals that can often have serious side effects.
Betsy Kelly
Betsy Kelly is a mother, reading specialist, self-proclaimed cloth diaper guru, and a firm believer in natural medicine. After having been raised in a chiropractic family, she has become a woman passionate about preventative health and medicinal healing rooted in all that is natural. The power of essential oils is something Betsy has always believed in and now she is sharing her knowledge and love of them with others. Betsy lives in Hopkins with the love of her life, Paul, her daughter Ruby (born at Health Foundations Birth Center) and her son, Clyde (born at home).

Interview: Welcome Baby Care’s Carey Lindeman

wbcWe had the pleasure of speaking with Carey Lindeman, founder of Welcome Baby Care to discuss postpartum care and her pioneering postpartum doula service in the Twin Cities.  Many people don’t know what a postpartum doula is or how they can help.  Hopefully, this interview will shed some light on this invaluable and unique type of postpartum support and what amazing doulas, like those at Welcome Baby Care, can offer.

What is a postpartum doula?

While a lot of people have heard what a birth doula is, not everyone has heard of or understands what a postpartum doula is.  Essentially, what a postpartum doula does is come into a family’s home after the birth. Our first priority is taking care of the mother and making sure that she is healing properly and bonding with her baby.  So our goal is to relieve her of the things that would normally be overwhelming her.  Whether that be laundry, changing the sheets, keeping the bathroom clean, cooking, maybe running errands.

So there is that piece and there is also the education piece where we educate on taking care of baby—you know, best practices, what’s normal, what’s not, as well as what is normal and what is not in her own recovery.  So a lot of the questions she may call the doctor about or wonder about, we are able to help with and so help her with the transition into a more confident parent and navigating all of the unknowns.

Having this support can speed up the process of becoming a more confident parent and bonding with your family, staying connected with your husband, all those things you are negotiating during this tremendous transition.

What does a typical doula visit look like? 

ppdoula

It could be two different things depending on whether it’s a day shift or an overnight shift.  A daytime shift is usually a minimum of 4 hours.  When the doula arrives at a family’s home she is going to assess what is going on—she may walk into a sink full of dishes,

piles of unfolded laundry, or mom may need some hands on help with the baby or with breastfeeding).  She is not going to ask, “what can I do” but instead will assess and do what needs to be done.  She may ask things like “Have you had anything to eat today?” to mom.  Usually what a doula will do is prepare snacks for the day for when mom is feeding, she’ll prepare food for later, she’ll clean up, and essentially her goal is to create a very stress-free environment.

And, you know many times a doula is walking into chaos, there may be multiples or other challenging situations.  A doula’s role is to put a “calm” on the situation.

She may be managing other people as well—maybe there are grandmas involved or aunts, cousins—she may have to say to them “This is where you can be most helpful right now.”

 What about if there are older children there, how does that look with a postpartum doula? 

With other children, what a doula will do is find a way to entertain and manage them while mom needs to be breastfeeding or napping or whatever she needs.  But she also finds ways to incorporate the family together.  So it isn’t just a separation of mom from partner and other children.  Sometimes, for example, the doula will make a snack and ask dad or an older child to take it to mom and sit with her.  We are always trying to foster family bonding.

Great, and what about that overnight postpartum doula service you mentioned?

Yes, going back to our overnight care, this looks a little different.  This is a separate service and definitely our most popular.  A typical overnight shift will begin at about 9 or 10 at night. Mom and partner are off to bed immediately and we take over from there.  We are with the baby.  Mom may choose to pump and have us feed the baby or maybe she wants to breastfeed.  In that case, we would console baby for as long as possible, then bring the baby into her, she can breastfeed, and then we will change the baby and put him or her back to bed.  So we are with the baby all night long while the parents sleep.  The doula will stay as long as the family wants them in the morning but a typical shift ends about 6 am or so.  A lot of times we leave when everyone is sleeping.  And mom can get up with baby whenever that is.

What does service typically look like for a new or growing family—how often do people need care, is it different for everybody? 

You know it is different for each family, depending on if there are multiples or not, if it is a first child, etc.  We do have packages offered on our website that give some examples.  And I would say that most people buy one of our packages.  Probably in the next few weeks people will be able to purchase these right from the website (as well as our classes).

twins

What does the training look like for a postpartum doula? 

We have our own postpartum doula training and certification program.  We have an excellent trainer formerly from Fairview and she has developed a certification program.  We felt that a lot of postpartum doulas coming to us as DONA-trained doulas (birth doulas with a piece of postpartum education) had great training but that it didn’t go far enough.  We wanted more extensive training.  So we developed our own specific postpartum training program.

People can go through it and not necessarily work for us, though there is always the option to interview with us, while other people will work independently or just want to learn this information for their own benefit.  We give people a max of 6 months to go through the program and there are 4 components: reading, classroom training, shadowing a doula, and pro bono work for moms in the community that need help.  The details of the classroom training content can be found on our website.

How did Welcome Baby Care come to be? 

One of the unique things about our service is that we also do senior care—so we are kind of a full spectrum in-home care provider.   How Welcome Baby Care started was with this senior business.  When my stepdaughter was having her first baby—and I have raised four children myself—I was there as a grandmother I thought, “I’m really rusty—I don’t really have all the answers to help out.” So what occurred to me at that time was, just like seniors, new moms need support, everybody needs a doula.  And its just one of those things, you know it’s the same type of care, the difference is the type of caregiver.  But it is still that turbulent time in people’s lives where they don’t know what they are getting into.  It’s so new.

So that is when we decided to have these two ends of the care spectrum (we split these into two sister companies).  And that’s how it came about.  Then I discovered that a doula with her expertise, the sixth sense they have…those were the kind of people that I wanted to do this care.  They are just so loving and caring and have such a heart.

Can you tell me more about the doulas you work with? 

The doulas are hand picked and multi-talented.  They all have their own gifts; they are all different in so many ways.  They are all doulas but they all have special additional gifts that they can offer.  So when we are interviewing with families, what’s great is that we have this whole team to pick from, not just one person.  So we can really assess what the family needs and hand pick the doula or doulas that are going to be the best fit.

Another great thing about having a doula team—and all of our doulas are our employees, none of them are contract—is that we have ongoing monthly training. So we may have speakers come in, and there is always a discussion session.  If there is ever something with a family that they maybe have a question or concern about, it’s all confidential, but they also have this team to talk with and get support from.  So they are not trying to figure things out all on their own.  And what’s really important is this ongoing training component.

When they go into a home, we always want that continuity of care.  So when you hire our doulas, you are not going to get someone different every time.  You are going to get the doula or two that are the best fit for you (# of doulas per family depends on # of hours needed).

What other services does Welcome Baby Care offer?

Through in-home care, lactation support, and classes, we offer:

  • Information for bonding techniques for new families (including adoption)
  • Breastfeeding support and counseling
  • Special care for preemies and multiples
  • Expertise in postpartum depression
  • Overnight care
  • Household care
  • Bedrest support
  • In-Home infant CPR

As far as our classes go, we offer a gamut of breastfeeding classes.  We have Breastfeeding 101, which is “the basics”.  The 201 class is not just breastfeeding or bottle feeding but also weaning, starting solids, and those types of things.

We also have a Grandmothers class, which is really popular.  This is where the expectant mom and her mother and/or mother-in-law come to class together.  And they talk about the differences between when grandma had the babies versus now.  A lot of new things that are happening, such as back to sleep and feeding and equipment, and all those things that may be new that grandma may not know about.

Kind of breaking down the barrier of her knowing what is important, and what mom feels is important, because often grandmas play a large role in raising the new child.  So with the help of this class, they are not going into it with preconceived ideas, barriers, and walls and not really discussing it.  And it’s learning on both ends—both the new mom and the grandma.  It’s a combination of education and facilitating communication between the generations.

gma

What if you are not sure during pregnancy whether you want or need a postpartum doula? 

I would suggest pursuing it.  We are here to answer all questions without any strings attached.  And maybe its not even postpartum services she may have questions about.  We also have a separate lactation service so maybe if she is feeling uncomfortable about breastfeeding and has questions, you know she can ask without being locked into in-home services.

I think that it’s worth attending one of our classes. We help provide a postpartum plan.  You know a lot of people make a birth plan, but not always a postpartum plan.  And we help you develop a plan, which covers things you should be aware of postpartum.

And again, consider calling and asking questions or even interviewing someone just in case, because again no strings attached ever.  People don’t always realize the importance of having that care.  You know, in other countries, people have their families and they have people helping them and we just don’t have that in this country.  The lesson is from second world nations that really know how important extended family care is.

What if you are sitting at home one week postpartum and you realize you need some help.  Is it too late to call a doula? 

It’s never too late.  We answer our phone 24/7.  I get calls during the night.  Calls come in when people are in the hospital or are feeling like they need to go back to the hospital.  You know, I got a call from a mom recently, I couldn’t even understand her.  She was so tired and so overwhelmed—it was four in the morning—and I was trying to get information and finally I just asked: “Do you need help right now?”  She asked if we could call her back in the morning at nine.  So we called her back and she was so overwhelmed.  But we were able to help her.

So anytime, we are available for new moms.  We want you to call us.

What advice might you have for pregnant mamas?

No expectations.  I mean, plan, but have an open plan for how the postpartum is going to look.  I think one of the most damaging things about our social world and the media is they put such high expectations on new moms and I think that is a mistake.  To buy into that and listen to too many people ahead of time and have all these expectations and lofty goals is a mistake.

You know, take things a day at a time and realize that, more than anything, you just want to have time for that baby, and give them everything they need.  But don’t have this idea of what its going to look like—like you’re going to lose weight, you’re going to look like this, you are going to have all the perfect equipment and clothes, and everything is going to look perfect and composed, and then buying into what all your friends are saying.

You know make sure you know who your support people are: get the support.  But don’t surround yourself with people who tell you how you need to be—just get that loving non-judgmental support.  And know, too, that we come in with NO judgments—mom can decide and parent the way she feels is right.  You know, we will guide and support but we will not judge.  That’s the biggest thing—you do not want judgment around you because it is just toxic.

What advice do you have for new mamas, who are maybe going through the postpartum period right now?

For them, I would say, the same information applies.  You need the support of other people.  Do not isolate.  Get the support.  Find those people that don’t have expectations for you.  Because you are the parent and you know your baby better than anybody and you need to be the one to make decisions.  You know, 10 or 20 years from now, it is going to be your decisions that matter, not anyone else’s.  So I think you need to really look at your own “mama guts” because you know.  And don’t think you don’t know because you DO know what is best.

And also, there are so many good resources out there, so take advantage of these great resources.

And plenty of rest and relaxation, and try not to put too many expectations on yourself.

You can contact Welcome Baby Care on their website or by calling 952-942-5676. 

 

FREE Postpartum Class Next week

Join us next Tuesday October 1st from 10 to 11 am for a free 1 hour class in which we will discuss posture, strength, and flexibility changes that occur during pregnancy and after delivery. We will demonstrate correct alignment for standing, sitting, bending, lifting, nursing, and pushing strollers to protect joints from strain or pain. Participants will also be led through exercises including breathing to restore ribcage position, correct abdominal strengthening, gluteal exercises, kegels, and stretching of tight muscles. Please come in comfortable clothing and feel free to bring your baby.

Instructors: Gayla Pleggenkuhle PT, PRC & Laurie Xiong, MPT have both had extensive experience working in specialized physical therapy treatment of pelvic floor and post partum musculoskeletal issues for over 15 years. They work at New Heights Physical Therapy in Mendota Heights. www.newheightsptmn.com

Class will be held at Health Foundations and is free!

Finding a Pediatric Care Provider

Ped1One of the many to-dos during pregnancy is to find a care provider for your baby. It’s a good idea to meet and interview a few practitioners sometime in the third trimester (most providers are willing to do this—you may want to consider how future care may be with someone not willing to meet with you).

The provider you choose is someone you’ll likely be seeing many times in the next year and for years to come.  You want to make sure you select someone whom you trust and feel comfortable with.

General Schedule for Well Child Visits in the First Two Years

For Health Foundations mamas, we recommend that a pediatric care provider see your baby in the first week or so of life.  After that, the American Academy of Pediatrics recommended schedule for well-child visits in the first two years are:

  • by 1 month
  • 2 months
  • 4 months
  • 6 months
  • 9 months
  • 1 year
  • 15 months
  • 18 months
  • 2 years

Well-child visits are important times to check in about your baby’s health, growth and development.  They are also key communication and education opportunities.  During these visits you can learn about and discuss issues such as normal development, sleep, nutrition, parenting practices, safety, diseases, and more.  The provider will do a physical examination, recording your child’s head circumference, weight, and height, and checking the heart, lungs, stomach, hips, head, ears, mouth, skin, etc..

Before Meeting Providers: Questions to Consider

Prior to these meetings, you may want to think through what is important to you in a pediatric care provider—

  •  Do you have strong opinions on issues like circumcision, parenting, antibiotic use and vaccine schedules? (If you are not sure, you may want to do a little research into these topics to familiarize yourself with your options.) Do you want someone who is knowledgeable about natural medicine or a proponent of alternative and complementary care?  You may want to find a provider that shares your beliefs or, at the very least, will respect your decisions in regards to these issues.
  • What is important to you in your child’s care provider in terms of access and availability?  To answer this question, you may want to imagine the case when something urgent comes up after normal business hours, maybe on the weekend or at night—what do you want in a provider in this situation?  How easily can they be reached?  How quickly can you be seen?  What if you have a non-emergency question after-hours, how easily can you reach someone?
  • How about bedside manner?  Do you want someone with time to sit and answer all of your questions?  Do you want someone who can get you in and out of the office quickly?  Do you want someone who educates you about issues or do you just want their streamlined recommendations?
  • Do you want a family doctor that can see the whole family?  Or someone who just sees kids?  Do you want a larger practice or a smaller practice and why?  (There are certainly benefits and drawbacks to each).
  • How far will you have to travel to see this provider?

20 Questions for Potential Providers

Ped2

The following are some questions you may want to ask potential pediatric care providers. You may wish to highlight those that you care about and add to this list other questions you want to ask.

  1. What is your background and experience?  How many years have you been practicing?  Why did you get into pediatric care?
  2. What do you like about your job?  Do you have kids of your own?
  3. When we schedule visits, will we always be seeing you or will we be seeing other providers?  If the latter, how many providers are on staff?
  4. What is after-hour (evening, weekend, holiday) access like—for questions?  For urgent visits?
  5.  How quickly can we be seen for urgent/non-urgent issues?  Do you have same-day appointments?
  6.  How easy is it to get a hold of a doctor with questions?  Do you accept questions by email?  Do you have an on-call paging service?
  7.  What is your philosophy on breastfeeding? Do you have a lactation consultant?
  8.  What is your philosophy on immunizations?
  9.  What is your practice (conservative, liberal) of antibiotic use for common infections?
  10.  How long are most appointments (including well-appointments)?
  11.  What percentage (roughly) of your appointments start on time?
  12.  Do you have separate sick and well child waiting areas?
  13.  What is the first visit with baby like?  Where will the first visit take place?  Do you offer home visits?
  14.  What hospitals/urgent care facilities are you affiliated with?
  15.  What are your specific areas of interest when it comes to baby care?
  16.  Do you take my insurance?
  17.  How do you feel/how knowledgeable are you about “alternative” medicine?
  18.  What are your recommendations on parenting and baby’s sleep?
  19.  How important is patient education to you and in what ways do you facilitate this?
  20.  How important is preventative medicine to you and in what ways do you facilitate this?

After the Interviews

After a few interviews, consider how you felt in each provider’s office—

  • Did you feel relaxed and comfortable in their office?
  • Did you feel good asking them questions or did you feel discouraged?
  • Did you feel heard and understood?
  • Did you feel rushed?
  • Did they answer your questions to your satisfaction?
  • Did the provider show interest in you and your family?
  • Do you feel competent in their knowledge and skills?
  • Do you trust them?
  • What does your gut tell you about this person?
  • Are they the kind of person you want to call in an urgent situation?
  • Do their philosophies of care match your needs and desires?
  • What did you think about the office and the other staff?

Remember that you can always try out a provider and see how you feel about your initial visits.  It’s okay to change providers at any time.  You may want to do another round of interviews before you decide to make a switch.

Happy searching!

Why Write your Birth Story?

WritingBirthStoryCoverArtGrowing, birthing and caring for a new baby is one of the most joyful times in our adult lives, and also one of the most demanding.  During the postpartum period, so many peripheral tasks may be vying for our attention (and, for many of us, all we really care to do is stare at our beautiful new baby…and sleep whenever possible.)

Making time to write your birth story may seem like one extra thing on the to-do list, but there are many reasons to make this task a priority.

Writing your birth story is a transformative, cathartic experience, with the power to help you process, make meaning from, heal from, preserve, celebrate and honor your unique experience of birth.

The following are eight great reasons to write your birth story.

1:  To remember

Writing your birth story preserves your memory of this important event for a lifetime (or longer!)  In the early days, you may run through your birth story again and again in your mind, remembering all the little details of this amazing experience.  But as time goes on, these details inevitably fade.

While it is ideal to begin writing in the early postpartum, it’s never too late.  If it has been months or longer since the birth of your baby, it is still very much worth your time to write your birth story (you surely remember more of it now than you will ten years from now!).

Memory-joggers, such as labor playlists and pictures, can help you recall fading details.  Talking to your partner or others present at your birth can also help to fill in the details of your birth, so you can write and preserve these memories.

TIP: If you can’t sit down to write out the narrative of your story, at least jot down some notes in those early hours and days after your baby’s arrival.  In the last weeks of pregnancy, consider getting a small bedside journal or type notes into a phone app or email to yourself.  (This can be helpful not only for jotting down birth story details but also for remembering the questions you want to ask your care providers—midwives, doulas, pediatrician, etc).

2:  To process and reflect

The experience of giving birth is one of the most profound, transformational, and emotionally rich experiences we will have in our lives.  In fact, how we gave birth can have a profound effect on how we see ourselves, how we feel about ourselves, and how we interact with others—including our baby.  For many women, it is imperative to their well being to talk about and process their birth stories.

Given the intensity of the birth experience, our memories can be jumbled or even chaotic-seeming until we have a chance to process them and assemble them in narrative form.  Writing can stabilize our experiences.

Writing your birth story enables a unique mode of processing that can’t necessarily be achieved through talking alone.  Writing accesses different parts of our brain—it is a reflective and reflexive practice that can help you process your story on a deeper level, helping you to explore and understand your experience in a particular way.  People often discover how they feel about something or find feelings transmuted as they begin to explore them through writing.  New perspective can be reached as you process and reflect on your birth experience by writing it down.

3:  To Heal

Along those same lines, writing your birth experience can be a healing experience.  One woman, reflecting on writing her birth story, commented: “At first I felt disappointed and angry that I didn’t not get to have the natural birth that I wanted.  But as I wrote about our transfer, how I ultimately delivered my baby, and how I felt when I held her, the anger changed and I felt like I was speaking not just for myself but for other women that don’t get to have their ‘perfect birth.’ I also realized that though the birth didn’t go as planned, I was surrounded by support of my husband and midwife. I ultimately felt strong and like I did my best in a situation I couldn’t entirely control.”

Both writing and storytelling are time-honored methods of healing from challenging life experiences.  While writing can’t always take away the trauma of difficult childbirth (or any experience), it can help us to express how we are truly feeling—it can give voice to the grief, disappointment, shock, and sorrow—and may help us come to terms with what happened and begin to make peace with it.

When we share our story on paper or maybe with others, we can find support, feel less alone, and become more empowered.  Saying: “this happened to me and this is how I am feeling about it” is a powerful exercise on the healing path.  Remember, while you can’t always change the past, you always have the power to change your connection to the past in this moment.

If you are struggling with aspects of your birth experience, you deserve to have the support you need to continue processing and healing.  In addition to writing, speaking with a counselor, having body/energy work, making birth art, healing through movement, and other measures can go along way to helping you find peace after difficult childbirth.

4:  To share

When we write about our birth experiences, we can share them with others—which has a number of potential benefits.  Sharing our story can help us bond with other people and find support.

When we share with our partners and other support people, it helps them gain insight into our perception of the birth, which can increase empathy and understanding and invite conversations about aspects of the shared experience.  When we share with other women, especially other mothers, we can find support, understanding, and camaraderie.

Sharing can have an unknown or unanticipated ripple effect.  You never know how your story will help someone else.  But it probably will.

5:  For your child

And let’s not forget our little ones (as if we could).  Writing down your birth story will enable you to share this story with your child and family for decades to come.

Consider for a moment what you know about how you were born.  Do you know the details?  Did your mother document your birth in some way?  Do you wish you knew more?

People whose mothers have a written their birth story often report gratitude for having such a treasured account of how they came into the world.  It can make your child feel special and important to know that you took the time to document their birth.  Whether or not it was an ideal situation, this birth was how they came into the world and it will always be special for them to know about it.  The experiences you had and the lessons they teach can have a profound impact on your child, both when they are young and when they grow up (and perhaps have children of their own).



“I printed out our birth story and placed it in my daughter’s baby book so she can look back and read about the day she was born. I can only hope that it will inspire her to have a birth without fear when she is ready to birth to her own baby someday,” reported one mama. 

6:  To preserve the beauty and spirit of the birth process

Many women (and men!) are profoundly affected by the stories of birth.  Birth is a sacred and primal process that connects us to our roots and to something greater than ourselves.  Author and healer Tami Lynn Kent calls birth the process of coming to the spirit door.

Like the beautiful children we birth, each birth story is completely unique and all have elements of the extraordinary in them.

Some women are driven to write their birth stories in an attempt to capture that beauty and power in words.  It can take some courage to do this.  While it may be “safer” to stick to the medical facts, writing about one’s full experience of birth—the physical, emotional, and spiritual—can be a powerful act.  Being honest about the deeper layers of your birth experience can be a true gift to yourself, your family, and anyone fortunate enough to hear your story.

7:  To help and inspire others

For most of human history, storytelling was the most potent way to transmit knowledge among kin.  In the past, we had a much greater connection to the world of birth and babies than we do today.  By the time we reached adulthood, we would have likely heard many birth stories, if not witnessed many births ourselves.

One woman writes: It’s sad that we don’t live in a culture where women gather post birth, removed from responsibility and routine, to sit around the fire under the stars with our female clan (including the elders and the young) and share our birth stories. Too many of our stories get lost in our hearts.”

While we are less connected to birth and birth wisdom today, telling our stories can be a way to reconnect to ourselves, each other and the wisdom of birth.

Telling your birth story can help other women in your life.  We can learn so much from each other and our mothers; and our children can learn from us when we take time to talk about our birth experiences.

When things don’t go as planned and we are brave enough to share our story, we can help other women who have or will experience similar situations.  Likewise, when we have a positive experience of birth, sharing our story can be a way of showing other women what it looks like to birth naturally, or without fear.  Hearing positive birth experiences is a powerful antidote to the mainstream perceptions of birth as a risk-laden, painful medical event.  In this way, the personal can become political, as we spread the truth that birth can be a positive, fearless, beautiful experience.

8:  To change our collective perceptions of birth

It was not so long ago that women were put under anesthesia (“twilight sleep”) during labor, completely disconnected from the experience of their births.  It is not uncommon in many parts of the world for women to have few options or control over their birthing experiences.  Even those with more choice may feel like it’s not acceptable or desirable to speak about their birth experiences.  It can almost feel taboo to speak candidly about birth, much less celebrate and honor this experience.

Writing and sharing your birth story can be a political act.  It can be a way of saying “Birth is important.  The WOMEN who birth are important.  MY birth is important. “ Regardless of how you feel about your birth, putting words to your experience is a powerful way to show that your experience matters.  Because it does.

Some women may feel reluctant to write their stories.  Maybe they don’t know where to start, are afraid they aren’t going to tell it right (impossible!), or get stuck in the practical limitations of sitting down to write with a little baby to care for.   But nothing worth doing is ever easy (cases in point: pregnancy and childbirth).  While not easy, these labors of love are worth it.

If you’ve written your birth story and want to share it with others, please consider submitting your birth story to be posted on our blog (with pictures too if you wish!)
If you need a little help carving out time, want to receive some guidance and feedback, or just want to write and share your story among other mamas, please consider joining us for our upcoming Write Your Birth Story Workshop in September 2013.
For information about either birth story submission or the upcoming workshop, contact Jaime@health-foundations.com.

Body Changes in the Immediate Postpartum

SONY DSCToday’s post is all about the changes a woman’s body may undergo in the days immediately after giving birth.  A lot is happening in those early days postpartum—your body is beginning to heal from the incredible experiences of pregnancy and birth, your hormones are shifting, your body is gearing up to produce milk, you may be sleep deprived, you are getting used to a whole new little being that needs you 24/7, you and your partner are adapting, your daily life looks completely new, and much more.

Some of the physical changes that happen after birth may be surprising to some women.  It’s important to know what is common and how to manage these changes at home.  It is also good to know the reasons you’d want to call Health Foundations (of course, you can call or page us at any time if you have questions in the postpartum).

Physical changes for mama in the immediate postpartum

Tears and tender places

While many women do not experience tearing in childbirth, some women do.  Even if you did not tear, it is likely that your bottom (perineum, labia, vagina, anus) is sore from all the stretching and pushing it took to move your baby into the world.  It may sting to urinate for the first few days.

We recommend that women use a peri-bottle (a squirt bottle designed to help you clean your sensitive parts in the bathroom instead of toilet paper) in the days after labor.  You can use plain water (most women prefer to warm it up) or you can use sitz bath/postpartum herbs.

Icing your bottom can also help to ease the pain from tears and other tender places and reduce swelling, especially in the first 24 hours after delivery (heat can be used thereafter).  You can use an ice pack, or you can get some big pads wet, freeze them, and then place inside your underwear.

Sitz baths are also very helpful in soothing and healing tears and tender bottoms.  We encourage women to take at least one to three baths each day in the postpartum period.  Epsom salts and sitz herbs can do a lot to soothe your body as you recover.   You can even soak a hot washcloth or a pad in sitz herbs and place between your legs at times when you cannot bathe or in addition to bathing.

Arnica can promote healing.

Make sure you are getting enough protein during the early postpartum period, as it helps to repair and rebuild tissues.

After pains

Not all women experience after pains, but they can be surprising when they do occur.  The uterus shrinks in size by 95% in the first 6 weeks postpartum.  This process—called involution—occurs via uterine contractions, which are felt to different degrees by different women (some do not feel them at all).  After pains typically begin about 12 hours following the delivery, some may be just as strong as labor cramps for some women (especially with subsequent births).  Most after pains subside within 72 hours following delivery if not much sooner.

Do not use aspirin, though you may speak with your midwife about the use of ibuprofen or acetaminophen.  Hot rice packs or a hot water bottle over the low belly or low back can be helpful.  Warm baths can also be soothing. Frequent breastfeeding, keeping an empty bladder, and lying face down with a small pillow or towel under the low belly can also help.

Bleeding

Postpartum bleeding, called lochia, occurs for 2 to 6 weeks (or even longer).  Lochia is a shedding of the endometrium, or uterine lining, which was beefed up in pregnancy to provide nourishment for your baby, and the eschar, or scar tissue that builds over the placenta site.  Physical activity level and uterine tone affect how long women experience lochia.  We encourage women to rest A LOT in the postpartum, as bleeding increases with even moderate activity.  Bleeding is actually a good gauge of safe activity levels in the postpartum—if your bleeding increases, it is a sign that you’ve had too much activity in the prior days.  Lifting, pushing, and other physical activity can cause increased bleeding anytime in the postpartum period.  Don’t lift anything heavier than your baby and lay in bed as much as you can for the first couple of weeks.  We also encourage women to avoid stairs in the first week postpartum.

During the first days following birth, lochia is likely to resemble a heavy period.  We want our patients to call us right away if they pass a clot the size of a golfball or bigger (smaller clots are usually normal), soak more than two large menstrual pads in 30 minutes, or experience fever, foul smelling discharge, or severe abdominal tenderness.

After the first week or two, bleeding will begin to lighten and eventually stop (though it may take another month to stop completely).

To minimize clotting in the first few days, you can firmly massage your abdomen before standing up after a period of rest or wear an abdominal wrap (which has other benefits to your healing uterus). Be sure to keep your bladder empty.

Avoid tampons and use unbleached menstrual pads or adult diapers, especially in the early days.

It is important to keep consuming iron-rich foods in the postpartum, such as red meat, red beans, lentils, dark leafy greens, and dried apricots, figs, raisins, and cherries.

Aching Muscles

You may be surprised in the days postpartum that your muscles are sore—perhaps muscles in your arms, back and legs.  You may not realize that those positions that helped you through labor were a real workout for your body!  An herbal bath, rest, and perhaps a massage (from your partner or support person) in the days after birth can help soothe aching muscles.

Sweats and Shaking

In early postpartum, some women experience excess sweating or episodes of intense shaking. This is the result of the body’s effort to eliminate the extra fluids built up during pregnancy and because of hormonal shifts.  You may also find you are urinating more frequently than normal.  Sipping warm ginger tea, keeping the room temperature comfortable (try not to let yourself get cold, however) can help.  If you experience shaking, your partner can hold or massage you if that feels good.  If you have any other accompanying signs of illness, please call us.  These symptoms often resolve quickly when they are the result of normal postpartum changes.

Bowel Function

Because of hormonal changes, you may not have a bowel movement for 2 or 3 days following birth.  Do not be afraid to have a bowel movement, even if you had stitches (they will not tear out).  Make sure to keep hydrated and get enough fiber to avoid constipation.

Hemorrhoids

Due to the pressure of a growing baby in the third trimester and/or the effects of pushing during childbirth, some women experience hemorrhoids, or swelling/protrusion of the anal tissues in the postpartum period.  Often hemorrhoids resolve on their own, though there are things you can do to help.  A high fiber diet, plenty of water, and taking a Calcium-Magnesium supplement (available at Health Foundations) can help women stay hydrated and avoid constipation, which is really key in healing hemorrhoids.  Witch hazel is useful in treating hemorrhoids (you can soak a compress and place them over the area.  There are also homeopathics, herbal balms and suppositories available to help you heal (you can speak to your midwife for details).

Do avoid over the counter laxatives and stimulating herbal laxatives (e.g. buckthorn and senna) if you are breastfeeding.

If you have any questions or concerns during the postpartum period, please do not hesitate to contact us.

Stay tuned for our post on breastfeeding in the early days and mood changes in the postpartum.

Breastfeeding class this month

breastfeedingbabe1Breastfeeding 101: “So that’s what they’re for!”

If you are pregnant or recently gave birth, consider signing up for this fantastic course filled with important information about breastfeeding your babe(s).  The class, put on by postpartum service provider Welcome Baby Care, will be held at Health Foundations on August 26 from 6 to 8:30pm. Please join us!

Details:

This breastfeeding class for new and expectant parents covers everything you need to know to get off to a great start with your breastfed baby. Taught by trained lactation counselors, and covering the first month after the birth. We provide evidence based information on:

– the benefits of breastfeeding
– milk production
– milk supply
– best latch techniques
– how to know baby is getting enough
– common stumbling blocks and how to overcome them
– pumping and storage
– and much much more!

Offering only the most up to date and evidence based information, you will leave this class fully informed and confident in your body’s ability to feed your baby!

Light snacks and refreshments will be provided.

For more information, please call us at (952) 942-5676 or visit us at http://welcomebabycare.com.

You can sign up at https://welcomebabycarebreastfeeding101.eventbrite.com/