MyBirthClass

Exercise in Pregnancy

2011-06-30T08:31:00.000-07:00

Exercise in pregnancy is almost as important as a healthy diet. Yet prenatal exercise is often over looked as a necessary component to a healthy pregnancy. It is a popular misconception that pregnancy is a time to take it easy, kick back, relax, and be sedintary.

Unfortunately, this approach may lead to a number of serious consequences including, toxemia, eclampsia, heart failure, depression, and thyroid disease.

Pregnant women should exercise a minimum of 30 minutes daily. Two fifteen minute walks daily may provide the following benefits:

Elevated Mood
Improved Circulation
Enhanced Digestive Funtion
Greater Endurance
Increased Muscle Tone
Stable Metabolism
Deeper States of REM Sleep
Higher levels of Energy

Women who did not exercise prior to pregnancy should begin exercising as soon as they possibly can. Start with a short and easy workout gradually building your musle and cardiovascular capacity. Some basic rules to follow about exercise in pregnancy are as follows:

Be Consistent
Begin exercise with a warm-up
Never do anything that hurts
Keep core body temperature under 100.4 degrees
Keep intensity level in the moderate range
Stop exercising before reaching point of fatique or exhaustion
Stop immediately if you experience, bleeding, cramping, or faintness
Reduce intensity with presence of high blood pressure
Practice abdominal breathing to oxygenate the body properly
Avoid activities that stress joints or comprimise balance

Treating Constipation in Pregnancy

2011-06-21T05:59:00.000-07:00

Even during the earliest stages of pregnancy when the fetus isn’t quite a fetus yet and still measures smaller than a grain of rice you may feel bloated and begin experiencing constipation. Constipation in pregnancy affects half of all pregnant women.

Why is the pregnant body more prone to constipation?

During pregnancy women produce a hormone called progesterone which relaxes movement in the intestines. In turn the bowels move more slowly and less effectively, as a result you see constipation during pregnancy.

High quality minerals and nutrients are necessary for a healthy fetus to grow and develop. As the body attempts to extract as much nutrients as possible from the pregnant woman’s food consumption higher levels of progesterone may be produced. The extra time that the body takes to absorb these nutrients slows the flow of digestion.

Pregnant women also need extra water for the extra blood volume needed during pregnancy. The pregnant body absorbs more water from the bowel than she would if she were not pregnant. This naturally causes a harder and dryer stool.

The longer food remains in the intestines the more water is absorbed from the bowel into your body to help with the extra blood required during pregnancy.

Most if not all prenatal vitamins contain iron which is also known to bring about constipation in pregnancy.

Treating Constipation in Pregnancy

-It is recommended that pregnant women drink a minimum of 72 ounces of water per day.

-Pregnant women should also increase the amount of fiber in their diet with fresh fruits, vegetables, legumes, and whole grains. For a more complete index of foods containing fiber see the fiber chart located at the top of this page.

-Eating two prunes a day is a natural and safe way to increase bowel regularity

-Peppermint tea can be used to help with bloating pains. I would also recommend trying to
reduce your stress levels as much as passable. Stress is also a known cause of constipation.

-Walking for 15 minutes following each meal significantly aids the digestive process and increases circulation to the intestines and bowels.

Pregnancy #3 Isaac's Birth Story

2011-06-15T07:57:00.000-07:00

The third time is a charm. My weight gain by the end of pregnancy number three totaled 19 pounds. I walked 5-10 miles a day and nourished my body with plenty of fresh fruits, vegetables, folic acid, and whole grains. I ate meat in moderation and limited my sugar and fat intake.

I felt great. My energy levels were terrific and even though my body started producing relaxin a bit early and experiencing the same pains in my ligaments and joints I promised myself I wouldn’t whine. But just in case, I switched to the doctors within the same clinic. I knew they’d be a little more inclined to strip my membranes if I wanted a little pre-labor boost.

I approached labor and delivery with a better idea of what to expect from my body, the hospital staff, and my husband. This time around I wanted a doula.

This upset Neil. He resented my decision to bring a third party to the birth of number three. He felt like I was saying, “You’re not good enough.”

That wasn’t the message I intended. I simply wanted to create an environment that allowed him to fill his role as companion, not birth coach.

At one point he sarcastically said, “I’m not coming. What do you need me for? You have Tina.”

I explained that Tina was not meant as a replacement for him. She planned to support him, give him tips, encourage me, and ward off any medical staff that intended to alter our birth plan unnecessarily. I tried to convey that her purpose was to make his job easier.

Eventually, Neil accepted Tina’s presence as a possible advantage. As we patiently awaited a spontaneous labor or naturally occurring labor I experienced a few false alarms. You’d think that by baby number three you’d recognize labor when it hit. But I learned something new about the uterus in the pregnant anatomy.

Your uterus will never return to its pre-pregnancy condition. Each time your uterus, the hollow organ known as the womb, houses a new fetus it stretches and weakens. It loses muscle tone in the fibrous tissue. In order for the uterus to continue functioning effectively it must get back in shape and prepare and practice for labor. This warm up period manifests itself with Braxtion-Hicks contractions. You experience Braxton-Hicks contractions by the third trimester of your first pregnancy. However, many woman never notice these little abdominal tightening or quickening. Regardless of whether you recognize them or not, they occur regularly.

These Braxton-Hicks or toning contractions begin sooner and become stronger in subsequent pregnancies. The more your uterus is stretched the more work your uterus must do to get back in shape.

Six weeks prior to the delivery of baby number three I experienced my first FALSE LABOR.

My contractions initiated on their own while my Neil and I sat in a movie theatre. I couldn’t help but feel a little excited. I sat content to watch the movie as labor progressed.

When I we returned home I went walking. My uterus tightened while I walked, but not in regular contraction patterns. I couldn’t really tell if it was a contraction or not. Eventually, my uterus relaxed and I resigned that it must not be labor.

I walked the rest of the way home and retired to bed. Laying in my bed my contractions returned strong. At first they only lasted 30 seconds. I timed the contractions. The clocked at 7 minutes from the start of one contraction to the start of the next.

Realizing that 30 seconds isn’t a very serious contraction I ignored the pain as best I could. The contractions continued to progress. Over the next couple hours the length of each contraction increased to 60 and even 90 seconds. The contractions came regularly and steady in the strength. I continued to time the distance between contractions. By this time my contractions were a little more than 4 minutes apart from the start of one contraction to the beginning of the next contraction. My level of discomfort continued to rise.

I wanted Neil to sleep as long as possible so that he would be well rested for the hard part of labor. I quietly left the bedroom and drew a warm bath.

The buoyancy of the water provided welcome relief. When laboring in water the force of gravity is weakened on your muscle groups. I laid back and relaxed. The contractions continued for over an hour, but they eventually became shorter and farther apart. I took catnaps between contractions until I could finally sleep right through the contractions. When I awoke in the tub realizing that my body wasn’t laboring any longer. I climbed out of the tub and went back to bed.

Contractions came and went through the night, but by 6:00a.m. my body didn’t seem very serious about the prospect of labor.

The physical consequence of false labor is pretty harmless. The biggest challenge presented by false labor is the emotional impact on the expectant mother.

Following my first false labor I felt like my life was touch and go. I didn’t want to commit to workshops or projects that might be disrupted by labor. I spent the last four weeks thinking, Today’s the day!

At my routine office visit four days prior to my due date I asked Dr. Saunders to stip my membranes. He agreed. Upon further assessment he learned that my cervix was only a little more than a centimeter dilated. He performed a little sweeping. The effect proved enough stimulation to get me contracting, but not enough to maintain for more than a few hours. My body just wasn’t ready.

My due date came and went. It’s a distressful thing to reach your due date without a baby. There are such negative associations with due dates. When you fail to return a library book on your due date, you’re fined. When you fail to pay a ticket by the due date, you’re held in contempt of court. When you fail to turn in your homework by the due date, you’re academic grade is penalized. My baby was overdue and there wasn’t anyone to punish. Who was responsible for this unjustice? I got whiny. I probably drove my friends and husband crazy. In a particularly weepy moment I cried, “What if I’m pregnant forever? What if my body never goes into labor?”

In case you’re wondering, that won’t happen. Three days later I visited my the obstetric clinic for my weekly exam. Dr. Parker evaluated me and determined that my cervix still meausured once centimeter. My effacement remained the same as well. He refused to strip my membranes advising that my body wasn’t yet ripe and needed a little more time to prepare for a spontaneous labor. Furthermore, he happened to be the doctor on call that night and didn’t particularly care to start a latent labor that would inevitably keep him up all night. He explained that he didn’t mind assisting a laboring mom in the middle of the night when her body chose that time, but if he had a choice he was going to opt out.

I burst into tears asking what I should do. Dr. Parker was the oldest doctor in the partnership and by far the most seasoned in the trade of obstetrics. After delivering more than 14,000 babies hearing the same sob story probably sounded like a high pitched record.

Dr. Parker let me know that one of the other doctors, Dr. Jones was scheduled as the on call doctor for the following day. He explained that Dr. Jones was offering late night exams at a remote clinic in a more rural clinic. With a look of skepticism he checked his watch and said, “It’s 9:00a.m. now. If you can persuade Dr. Jones to see you after 7:00p.m. you could probably labor latently through the night and transition into real labor by midday. Let me see what I can find out. I’ll be right back.”

Hope soared. Valerie, the nurse in attendance winked at me and gave me the thumbs up. When the door closed behind Dr. Parker she said, “You lucked out, darling. Dr. Jones strips membranes aggressively. He’ll get your labor going for sure. But be warned, it’s going to smart!”

Within a few minutes Dr. Parker returned shaking his head as he couldn’t believe he was assisting in such whimsical treatments. Dr. Jones says he’ll see you at 7:30p.m.

I tried not to smile too big. Although I should have been thanking Dr. Parker profusely, I thought he was a mean callous old man for not doing the deed himself.

At 7:30p.m. I met with Dr. Jones at the other clinic. He looked at me with his bright blue eyes and said, “Are you ready for this. If I’m going to do the job, I’m going to do it right. Have you had your membranes stripped before?”

“Yes, with my two previous babies and once last week.”

“Well, I suspect tt this time it’s going to be a little more uncomfortable. But I need you to relax as best as you can.”

Dr. Jones swept his finger along the uterine wall lifting the amniotic sac. He spread his fingers prying my cervical opening.

He smiled, “There we go. Now you’re dilated somewhere between 2 and 3 centimeters. That should send you on your way. Now go home and mow the lawn and see what you can do to encourage some steady uterine activity.”

My uterus cramped in protest. My entire abdomen tightened acknowledging the procedure. Dr. Jones helped me sit upright and bid me farewell.

Just as Dr. Parker predicted I labored latently or unproductively all night. All though I did manage to get some good rest for a few hours. In the morning I walked five miles and piniced at the park with my children. By 4:00p.m. it required concentration to relax during contractions. Between contractions I felt great. We took our children to my sister-in-law’s house and I labored in the tub. Neil called Tina to let her know that I was in early first stage labor and would let her know when active first stage labor began so that she could meet us in the hospital.

We took a walk around the block and my contractions intensified immensely. In fact, I wasn’t sure I could make it home. I hugged Neil hanging my weight on his shoulders.

Neil whispered words of praise into my ears. I felt comforted by the smell of his neck and the familiar sound of his voice.

Once we were home we climbed into the car with our previously packed hospital bag, CD player, and new infant car seat.

As soon as we arrived at the labor and delivery unit I handed the nurse my Birth Plan and said and said this will be an un-medicated childbirth. The nurse smiled and said, “I’m glad you brought that to my attention. We’ll put you down at the end of the hall in Labor & Delivery Room #13. It’s quieter down there out of the way of the bustle. We’ll want to make sure your nurse is Peggy, she’s terrific with natural childbirth. Some of the other nurses just don’t like to deal with it, but Peggy will treat you great and will be a great help.”

This was sounding pretty good.

The nurse showed me to Triage where I changed into my gown and sat on the bed awaiting the fastening of my External Fetal Monitors.

She performed a cervical exam and determined I measured 4.5 centimeters.

Wow! That was my best admittance dilation yet.

The monitors swooshed and whirred with the baby’s heart rate and reporting the peak of a contraction.

“Looks good. Let’s get your Antibiotic IV going so you can get a good block through you and get a heplock. That way you won’t have to be hooked up to the I.V. for the rest of your labor.”

The nurse walked out of Triage. While passing the nurses’ station one of the other nurse’s announced, “Dr. Lawrence says she’ll be on her way in a little while She wants to know how urgent labor feels. She just started nine holes of golf with her son and she’d like to finish if she can. Will you be okay if it takes her an hour to get here?”

I shrugged. “That fine. We’ll just be doing our thing.”

The nurse continued to lead us down the far end of the hallway and showed us to our room. It was a corner room on the third story with natural light creating a warm cozy feeling on two of the four walls. While we set down our belongings the nurse began drawing warm water in the private bathroom.

Our labor and delivery nurse explained, “The temperature of your water is really nice and warm. The tubs are cast iron so they should retain the heat for along time. But if you start getting cold feel free to let some water out and add more warm water. I’ll show your husband around the nurse’s station so you can help yourself to juice, ice, snacks, or anything else you might like. Is there anything I can get you before I go?”

“I’d like a birthing ball if that’s okay.”

She smiled. “Not a problem. I’ll bring that right away.”

I undressed and stepped into the warm tub. The white cast iron tubs at the hospital were not jetted and they weren’t longer or wider than the standard sized bath tub, but they were deeper. This allowed more of my body to relax in the weightlessness of the water.

Neil sat over the toilet seat and made small talk. Enya played in the background. Neil was in a good mood being better rested this time around. He playfully bantered with his dry sense of humor. We laughed between contractions and I closed my eyes and breathed deep abdominal breaths. I concentrated on slow focused exhalations. I imagined myself blowing on an invisible candle flame just enough to make it flicker, but not enough to extinguish the flame.

We enjoyed a beautifully serene quality time together. Eventually, Tina arrived, but didn’t want to interrupt the moment. She stayed in the delivery room while Neil and I laughed and spoke in hushed tones in the bathroom. At one point a contraction began in mid laughter. The physical activity of laughter strained my abdominal muscles. I abruptly stopped laughing, but couldn’t containe my smile. Neil’s ego boosted gaining confidence in his ability to provide adequate support and companionship through labor.

The nurse came came to check my progress. She brought external fetal monitors using telemetry device or battery operated monitors that could be used in the bath tub. She seemed pleased wth the readings and performed a cervical exam while I lounged in the tub.

“You’re progressing. I estimate you’re measuring 7 + centimeters. I’ll call Dr. Lawrence and find out how long it will be before she arrives.”

I closed my eyes and offered a silent prayer, “Dear Farther in Heaven, Thank you for getting me this far. Thank you for sending me Neil. Please stay with me and let my body accept the work its work. Please help me to stay relaxed as the pain intensifies.”

A spirit of gratitude and confidence provided peace. Within minutes my body shifted gears and I felt immense pressure down low. My back pain grew deeper and lower with each contraction.

Relaxation required increased focus. I closed my eyes and concentrated on the notes playing, “Sail away, Sail away.” The music aided my visual imagery as I mentally envisioned myself floating on the shallow shores of Waikiki. I mentally created my personal paradise. The sun shone, the waves lapped, the water sparkled. I felt warm. I focused on the circular warmth emanating from the sun above.

The warmth comforted me. I imagined myself floating closer and closer to the sun basking in its warmth. As the sun came closer, I pictured my cervix opening and expanding its circumference. I let the contractions wrap around me. The enveloped me. I surrendered completely somewhere inside. At times the contractions became powerful enough, I shrank back from the sun in fear that it might burn me.

I continued in this way until the urge to use the bathroom interrupted my concentration. The urgency to get to the toilet overpowered me. I asked Neil to leave the bathroom. I stepped out of the tub and sat on the toilet. The painful sensations down low subsided. The toilet provided welcome counter pressure on my coccyx bone and allowed my perineum tissue to relax completely.

Although I felt better over the toilet, I couldn’t seen to move my bowels. Nothing came. I waited and pushed.

Neil knocked regularly and asked, “Are you okay in there? Are you ready to come out.”

Although I felt okay, I was not willing to get off the toilet. I felt security as I rocked my upper body back and forth while sitting upon the toilet. I couldn’t shake the feeling that I needed to expel something soon.

The nurse returned to the room. I overheard the conversation on the other side of the door.
“Is she still in the tub?”

“No. She said she needed to have a bowel movement. I think she’s still sitting on the toilet.”

“How long has she been sitting on the toilet?”

“Maybe 20 minutes. I checked on her just a couple of minutes ago and she said she was fine but that she didn’t want to leave the toilet.”

The nurse came knocked on the door and said, “Hon, I’m coming into check on you.” She entered exposing my naked pregnant body hunched over the toilet.

“I think you’ve been on the toilet a little too long. You’ve got me concerned. Let’s move you into the room and you can sit on the birth ball. It will give you the same relief without the risk of having a baby in the toilet.”

I stood in my nakedness hoping somebody would hand me a towel or a gown, but too focused on deep abdominal breaths to interrupt my relaxation to ask. I walked across the room where the nurse opened a gown for me to slip my arms through.

She set a clean towel on a birthing ball. “There you go.” I looked at the ball with a contraction vibrating through by core. It seemed that my short walk across the room stepped up the intensity of my contractions significantly.

I stood still afraid to move. No position seemed capable of alleviating the surreal deep pressure.

I felt shifts and movements as though a baby might be rubbing its head against my cervix.

I waited for the contraction to end, but it never really did. Although there was a point where it let up slightly. I bent my knees to sit on the ball but the pressure against my bottom felt alarming. I sat up, exclaiming, “Hot.”

Everyone in the room looked at me startled. That was the first word I’d spoken in quite some time. I felt too much pain to explain the sensation. But there was a hot burning sensation that protested the idea of my sitting on it.

The nurse asked me to sit on the bed and allow her to check my cervix. Feeling like a helpless little girl, afraid to lay on that uncomfortable bed, I said, “I don’t want to.”

The nurse reassured me, “We’ll make it really quick. As soon as you’re done, I promise you can get in any position you want.”

I conceded and sat up on the bed. The pain heightened forcing more pressure in my lower back.

The nurse didn’t seem to require much entrance. “Yep. Just as I thought. You’re done. You’ve got a complete cervix here with a baby ready to come out. I can see lots of hair.”

“Really?” I half laughed with excitement and amazement I’d really done it.

The nurse nodded her head with a smile. “Dr. Lawrence isn’t hear yet, she’s about five minutes away, but Dr. Parker’s here waiting to deliver a baby for a family friend. I’ll walk down the hall and grab him.”

“No. I’d rather wait for Dr. Lawrence.” The nurse looked at me as though I were alien.

“Are you sure? I’m going to go grab him just in case.” She exited the room at a brisk pace.

I carefully scooted off the bed and leaned over the birth ball. The weight of my belly hanging hurt my abdomen, but relieved my back. With my face laying against the towel I saw Dr. Parker rushing into the room followed by our nurse.

“All right, Dr. Parker’s here. Do you want to push?”

“No, thank you.” I shook my head slowly.

“Dr. Parker seemed surprised by my answer.”

“Are you sure?” The nurse queried. “You could be done before Dr. Lawrence arrives.”

“I’ll wait.” I confirmed my decision. What I failed to communicate was that I was still mad at
Dr. Parker for not “helping” me the day before. When I’m angry, with someone I typically withdraw and avoid them. In truth, with as many patients under Dr. Parker’s care, he probably didn’t even remember me. According to the paperwork Dr. Lawrence was my primary caregiver anyway.

Dr. Parker stood in silence for a minute observing the scene. He must have determined that there would be no harm waiting for Dr. Lawrence to arrive.

While I waited for Dr. Lawrence I scanned the room seeking some place or something to provide comfort. I hiccupped incessantly. I felt confused and indecisive. I licked my lips realizing they were dry and chapped. I looked at Tina. “Do you have any chapstick?” She smiled and whipped open a cosmetic bag exposing three types of lip balm, “Would you like mint, pina colada, or cherry ice?”

Under normal circumstances I would have reached for the pina colada. I marched in place delicately as though I were kneading bread with my feet. It felt better to keep moving. If I stopped my instincts told me to lift my feet again like one stepping on hot coals only my feet weren’t the part of my body experiencing discomfort.

I involuntarily released an unusually long burp. I covered my mouth and raised my eyebrows with surprise.

Minutes later Dr. Lawrence entered the room in hospital scrubs. As she dressed in the hospital protective robe and gloves, the nurse advised me to climb on the delivery bed. My feet were cold and I continued hiccupping.

Standing at the foot of the bed Dr. Lawrence assessed the birth canal. “You’ve got a really bulgy bag of waters cushioning the baby’s head. I’m going to slit the membranes and drain the water to minimize the fluid release when you push.”

Dr. Lawrence inserted a tool resembling a crochet hook. The underside of the hook contained a sharp razor like edge designed to penetrate and create a small opening in the bag of waters.

I felt a small amount of pressure release as the membranes ruptured. Water trickled in a steady yet manageable flow. Dr. Lawrence strategically placed towels to absorb the moisture.

“Okay. Relax” Dr. Lawrence instructed.

“Relax?” I looked at her incredulously. I’d been holding a baby inside for the last several minutes and couldn’t conceive of how to reverse my focus.

I took a deep breath through my nostrils filling my lungs all the way into my lower back. I stretched my arms upward and fanned them downward slowly. As I exhaled and slowly and calmly repeated, “I can relax, I can relax, I can relax.”

Dr. Lawrence looked at me like I might be on crack and then turned her attention to my cervix.

“Good. Very good.”

“Now push.” She ordered.

Suddenly I realized this was the scary part. The blood curdling pull your lip over your head part of labor. You’ve heard the terrorizing descriptions of people comparing birth to fitting something the size of a watermelon through an opening the size of a lemon. There was so much pressure along my pelvic floor I didn’t even know where to concentrate my efforts.

I asked, “How?”

Dr. Lawrence tapped her fingers on the tissue crowning over the baby’s head. “Can you feel that?”

“Yes.” I could feel her fingers in sort of a numbed area of my body.

“Focus on that spot right there where my fingers are. Push with all of your strength right there in that spot.”

I pulled my legs back all on my own in a perfect symmetry. The back of the bed angled upward supporting my back. I closed my eyes and heaved with full force. Low grunts emitted from my mouth as I exhaled.

“Wo, wo. Slow it down just a little.” Dr. Lawrence lifted her hand in the stop sign.

I stopped pushing.

“Good. Hold it there for just a second.” I could feel Dr. Lawrence stretching and easing the tissue evenly over my baby’s head.

“Okay, Give me another push in the same place. This time push a little slower.”

I pushed hard, but not my hardest.

“Good. Hold it, hold it, just a little longer. I continued exhaling. My perineum stung, but it didn’t feel nearly as bad as my contractions felt 30 minutes earlier. The tissue stung with a mild irritation or burning as it stretched. As I continued to push I felt a release.

“See the head, dad?” Dr. Lawrence pointed below.

Neil stepped toward the foot of the bed and announced, “You’re almost done, Beck. The head is out.”

“The head is out?” I couldn’t believe it. Pushing wasn’t nearly as bad as I’d expected.

I pushed a third time. The shoulders crept forward forcing the final stretch of the birth canal. I held the push and exhaled low and slow.

Suddenly the rest of the baby’s body exited with a slippery wiggle.

Adrenaline shot through me. I sat up grinning. I scooted back on my bed and set my legs down.

I smiled at Neil, “We did it!”

Neil returned the smile, “No you did. You were amazing!”

My little baby screamed showing off his vocal cords and exercising his new lungs. He continued to scream in complaint of his new surroundings. His shouts continued for nearly twenty minutes. I tried to nurse him, He attempted to latch many times but couldn’t complete a full suction before he opened his mouth to voice complaint about his terrestrial experience.

His little voice cracked. He sounded hoarse. His body shook with angry screams. I nestled him closely and kissed his new little head. I spoke softly to him and welcomed him to the family. His shouts gradually quieted and he took comfort in his first nursing.

During that first hour I walked to the bathroom without assistance. I felt energetic, alive, and on top of the world. Endorphins rushed through my entire body elevating my mood.

After an hour the excitement subsided and I grew sleepy. I fell asleep in a blissful content replaying the experience over and over in my mind.
Analysis

-Presenting the birth plan upon arrival is like placing your order at a restaurant. It allows everyone to better serve you.

-A helpful labor and delivery nurse or doula greatly enhances the birth environment.

-A well rested husband fully on board with the birth goals is a much better labor support than the alternative.

-If you think you need to poop in labor or if you want to sit on the toilet, it’s probably time to push.

-A woman in transition may not be able or willing to communicate her preferences. Discuss modesty and other possibilities in advance.

-Hiccups and Burping are key indicators of transition.

-Transition not Pushing is the most painful part of labor.

-Pushing feels good. It provides relief and releases the building pressure in the perineum floor.

-No amount of discussion in a prenatal class will prepare you for pushing. Ask for a tutorial if you need one. The medical professional can guide you with their experienced vantage point.

-Pushing un-medicated accelerates the pushing stage of labor. The muscles maintain full control and power.

-Pressure in the perineum acts as a natural anesthetic that numbs the perineum tissue.

-After the shoulders are delivered the birth descent is rapid and involuntary over the rest of the body.

-Delivering a baby un-medicated produces a natural state of euphoria that carries you into motherhood with excitement and optimism.

-There are few things in life that produce the pure satisfaction of accomplishing a challenging goal.

Pregnancy #2 Alia's Birth Story

2011-06-14T06:17:00.000-07:00

I looked forward to labor with confidence. I felt like I knew what to expect. What small desire I possessed to labor un-medicated with baby one grew into a real vocalized and written goal.

I bought relaxation music and a miniature CD player to bring to the hospital. I invested in a few essential oils such as lavender and chamomile to aid in aromatherapy. Late at night while my husband worked his graveyard shift I practiced abdominal breathing and mental labor simulations. I continued to make prenatal toning exercises part of regular routine.

As my due date approached the certified nurse midwives confirmed that baby number two was in the anterior occiput position, the most favorable position for birthing. My confidence waxed strong.

Early on the morning of November 30th I could tell I was getting closer but these contractions were nowhere near as intense as the contractions I recalled from labor number one.

We walked around the block hoping to speed up the timing a little bit I was sleepless and tired and wanted to get this show on the road.

Walking seemed to be the trusty trick to accelerating labor contractions. Most of the time I could continue walking through the contractions which is a definite indicator that I have some work to do. A few times I stopped and hung my body weight upon my husband in a bear hug. It felt good to have him support my back.

When we got home I desperately wanted to sleep but my body engaged in a serious work. I soaked in my tub with the jets on my back once more.

We called Julie, the certified nurse midwife on duty and informed her that we were on our way to the hospital. Contractions were four minutes apart, but there it wasn’t urgent. We loaded the car with our previously packed hospital bag, CD player, throw-up bowl, birth plan, and infant car seat. This time the drive seemed much more tolerable than with baby number one.

As soon as we arrived at the nurse’s station in the Labor and Delivery unit I wondered if I were really in labor at all anymore. I felt good. In fact, I couldn’t recall a contraction in the last ten minutes. What I didn’t realize is that sometimes the excitement of going to the hospital can release endorphins that temporarily stop the labor process.

The nurse showed us to triage where they handed me a hospital gown and instructed me to lay on the observation bed. A nurse strapped the external fetal monitors to my abdomen and began measuring contractions.

The labor and delivery nurse performed a cervical exam and announced two and a half centimeters dilated and 75% effaced. I looked to see if her hands were big. Nope. They were average.

A little after 7:00a.m. the nurse assigned us to our own room. We set up our CD player, dimmed the lights and I pulled out my essential oils. The nurse looked at me and said, “You aren’t planning to go natural are you?”

I nodded and handed her my birth plan.

“Great!” she sighed with irritation. It would have been helpful if you’d shown us this when you checked into the hospital. We could have assigned you to a room with a tub. Now it’s too late. All of our inductions have arrived. Let me see if I can find someone willing to swap you rooms.”

I felt burdensome and didn’t want to cause problems. I looked to my husband for input.

Neil shrugged his shoulders with indifference.

I hated the thought of forcing someone out of their room. Not to mention walking through the hallway in a hospital gown with an open back and lugging all of our belongings around.

“Do I need a room with a tub?” I queried.

The nurse seemed impatient. “Nobody goes natural without the tub. If you want a room with a tub you need to make up your mind now so that I can arrange for someone to switch rooms with you.”

I looked back at Neil. “Do you think we should switch rooms?”

Neil shook his head. “Let’s just stay here.”

The nurse asked, “Last chance, are you sure?”

“Yes.” I nodded my head but doubted our decision.

I labored for another hour un-medicated. Neil fell asleep in a rocking chair while I stayed on my hands and knees rocking to alleviate the pressure of the baby’s head on my back.

The nurse came in and asked, “How are we doing in here. Are you ready for the epidural yet?”

I shook my head. “I think I’m okay.”

The nurse looked surprised. “Maybe labor stopped.” She suggested. “Let’s put the monitors back on you and see what’s happening. Come climb back on the bed.”

I would prefer to be anywhere in labor but on a hospital bed; especially if it meant lying on my back. Lying on my back in the supine position increased the pressure on my lower back significantly. Contractions seemed manageable when I moved around and shifted positions.

The monitors beeped and the indicator on the graph climbed and spiked representing the intensity of my contraction. The pressure of the bands felt restrictive and aggravating.

The nurse watched the graph and nodded. “You’re still contracting.” Let’s take a look at your dilation.”

Now the rough part. I needed to scoot down low toward the foot of the bed for a cervical exam.

The nurse waited for the contraction to end but by this point in labor my contractions were much closer together and upon having her fingers perform the exam, I immediately started contracting again.

The nurse removed her hand from the birth canal and pulled the latex glove from the wrist until it was inside out.

The labor and delivery nurse looked at me sternly. “You’re 7 centimeters. You don’t have a tub. You’re going to need the epidural. The anesthesiologist is in the room next door. When he finishes there he’s leaving and you’ll miss your chance if you don’t get it now. Do want me to go grab him.”

My first thought, Really? Seven centimeters, this isn’t as bad as I thought it was going to be. But with her words came a mist of doubt. She must know something I didn’t.

In a less than confident voice I managed, “That’s okay, I think we’ll be fine.”

The nurse didn’t back down, “Listen, I’ve never seen anyone make it through transition without the tub. I’ll send him in as soon as he’s done next door.”

The nurse exited. I knelt down and leaned forward on a birthing ball preparing for my next contraction. I looked over at Neil still slumbering in the chair. I placed my hand on his knee and wiggled it a little to wake him gently.

“Neil, what do you think we should do?”

He grunted, “About what?”

“About the epidural.”

He looked annoyed. “I don’t care. Get if you want. She said you can’t do it without the tub, do you want to risk it?”

I felt betrayed. I stared at him in silence. Why didn’t anyone think I could labor un-medicated. I made it this far without any complaint. Did everyone think I was being difficult? I felt completely alone and vulnerable.

“Well let’s try some of these oils, their supposed to really assist with relaxation. Will you rub this one on my feet?”

Neil opened his eyes again, “I don’t know how to apply essential oils. I’m trying to sleep.” His tone expressed fatigue and irritation.

My eyes stung as I fought back the urge to cry. I stood up and walked over to the bed with my back to him. I leaned on the bed for support.

Neil sighed heavily and raised from the chair for the first time since we arrived. “Where is it?”

I handed him the oil. He let a few drops drip into his palm and then massaged them into my foot while I lay on my side on the bed. He dropped my foot in frustration.

“This is disgusting. You have dust all over your feet from walking barefoot on the hospital foor. Now the oil is turning it into sludge on the soles of your feet.”

“I’m sorry.” Embarrassment and hurt surfaced. In retrospect I’m not sure which emotion dominated. But it was clear that I was annoying the nurse and now I was annoying my husband.

Neil walked back to the rocker and plopped down trying to get comfortable when the nurse re-entered with the anesthesiologist. I don’t recall his name so I’ll refer to him as Dr. Smooth hereafter.

“Dr. Smooth this is Mr. and Mrs. Rasmussen. Mrs. Rasmussen hasn’t decided if she’d like an epidural or not. She’s afraid that she won’t achieve her birth plan goals if she gets an epidural. What advice do you have for Mrs. Rasmussen?”

Dr. Smooth smiled at me with kind eyes. “It’s good to meet you Mrs. Rasmussen. My you have big beautiful brown eyes. Do you mind me asking the origin of your ethnic background?”

“My mother’s family immigrated from Italy in 1938.” Maybe women are just suckers for praise, but this man felt like my new best friend.

“Well that explains it.” He nodded jovially. “Mrs. Rasmussen what’s your first name?”

“Becky” I replied.

“Becky? I once had a girl friend named Becky. She didn’t have beautiful brown eyes like you, if I remember correctly they were green. But she was pretty all the same. I’ve liked the name ever since.”

“Becky, why don’t you lay down on your side for just a moment ,here. I’m going to hand you this clip board with a few forms and we’re going to talk about your concerns okay?”

What could it hurt to talk? Labor pains were surging deeper into my core and this Dr. Smooth provided the best company and the best distraction thus far.

“Becky, I want you to imagine for a minute that your tooth is aching. The throb is deep. Pain is searing up into your sinus cavity. Your head is aching. Your jaw is sensitive to touch. You schedule a dentist appointment and discover that a large molar is cracked and rotting all the way around the nerve. The only way to save the tooth is to proceed with a root canal. Would you do it?”

I imagined myself in the dental chair feeling the throbbing tooth with pain emanating from my uterus. “Of course!”

Dr. Smooth continued, “You’re a smart girl, Becky.”

Now let’s imagine that the dentist suggests the administration of local anesthetic to numb that area of the mouth. He’s concerned for your oral health and wants to ensure you hold perfectly still during the procedure. Would you do that for him?”

“Yes.”

Dr. Smooth walked around to my back side. “You would? That would be a silly thing to feel guilty for, wouldn’t it?” He placed his hand on my back and said, “This will feel just a little bit cold. We’re just washing you with some antiseptic. So you think you could live with yourself if you accepted a little bit of anesthesia?”

“Yes.” His line of thinking made sense, but it didn’t ring true somewhere inside me.

“That’s right, Becky. You’re a good girl, there’s nothing to feel guilty about. You deserve to be comfortable. Just write your name on that line right there giving us consent to help you.”

I felt trapped in a strange sort of way. My heart wanted to resist his instructions but my conscience told me it would be improper to waste this polite man’s time by refusing his services.

I signed the document.

“There you go, sweetheart. That’s all there is to it. Now curl up nice and tight for me. Hold perfectly still. You’re going to feel the tiniest prick.”

Dr. Smooth inserted the local anesthetic between the two vertebrae following it by the larger needle.

He inserted the epidural catheter forming a loop and taping it to my back. “Wallaah!” He pronounced. “You’re among. That wasn’t so bad was it.”

Dr. Smooth winked at me and shook my husband’s hand. “You take good care of her, you hear?”

My husband cleared his throat, “Will do.”

Doctor Smooth left and the nurse looked satisfied. Neil looked satisfied. Why didn’t I feel satisfied?

A few minutes later, my C.N.M. Julie O’Neil arrived. “How are we doing in here? It sounds like you’re getting closer?” Julie smiled brightly. “It looks like you just got an epidural. How are you feeling?”

Julie pulled a chair by my bedside. Do you want to watch some T.V.?

“Sure.”

Julie and I laughed and talked while Neil snoozed in rocker. Every few minutes Julie looked at the external fetal monitor screen. She recommended we place bets on the height and weight of the baby. Julie really brightened my spirits. I felt so thankful to enjoy her company.

When an hour passed, she recommended we find out what was happening inside.

By now it was 9:30a.m. and I could hardly keep my eyes open.

Julie performed a cervical exam and said, “Good news. It’s time to push. I’ll be right back with some assistance.”

I sat up a bit and called to Neil, “Hey, babe. It’s time to push.”

I started to cry. I think it was the fatigue. “I’m too tired. I can’t do this. I just want to sleep.”

Julie re-entered the room. “I heard that. I promise you we’ll let you sleep as soon as you’re done. This won’t take long at all.”

The nurse and Neil helped me pull my legs back into the assisted squat position. I started to protest. “I don’t want to. I’m too…”

My uterus contracted and the urge to push overcame me. I held on to my legs that were being supported by Neil and the nurse and heaved, “I need to push.”

Julie laughed, “I guess you had it in you after all.” Her shoulder length blond hair fell in her face as she tried to get a better view of my perineum.

“Shoot, I forgot a scrunchy.”

When the contraction ended I lowered my legs and rested. I pulled the pony tail out of my hair and said, “Here you can use mine.”

Julie smiled, “Are you sure?” She removed her gloves and accepted the scrunchy. She pulled her hair into a tight pony tail and put new gloves on her hands.

The resting period lasted longer than I anticipated. The pushing stage is also known as the second stage of labor. In this stage contractions are usually further apart allowing the laboring mother to regroup.

Another contraction began. I inhaled deeply pulled back my legs and began exhaling ever so slowly through three long breaths as I bore down.

Twenty minutes (two contractions) later baby number two arrived. She looked beautiful with a mass of thick black wet hair.

Julie said, “You wanted this baby wiped down and wrapped in a blanket, right?”

I nodded appreciative of her recollection of my birth plan.

It took approximately one minute before they handed me my new baby girl and it was love at first sight.

I didn’t communicate my feelings very openly to Neil about his role as coach. I let the feeling of abandonment and disappointment fester inside. I silently held it against him for over a year.

Analysis

-Minor forms of induction can cause latent or long unproductive labors

-Your healthcare professional knows more than you do; even if you don’t like what they have to say.

-The consequence of home induction methods may be more than you bargained for.

In my case it wasn’t worth it.

-It’s best to present your birth plan at admittance and request a room that accommodates your goals.

-Just because your partner loves you the most, it doesn’t mean he’ll be your best coach. Your coach should care about your goals as much as you do. Consider your mom, friend, sister, or a doula.

-The power of suggestion is REAL

-Normal vaginal delivery is less painful than back labor

-The urge to push can be recognized with an epidural anesthetic.

Delving Deeper

Was the birth of baby number two a failure? I didn’t meet my goal. I knew I could deliver baby number two without an episiotomy so on the second birth I focused on my desire to labor un-medicated.

This is a difficult question to answer. At the time I felt like I failed. I lamented a missed opportunity. I felt jipped out of the full experience. I thought my coach failed me.

Over a year later I realized this wasn’t about the failure of a birth plan. It ran much deeper. We as a team we failed to communicate and create a cohesive game plan. The birth itself was a success story with a happy mom, healthy baby, and a much better beginning.

Pregnancy #1 Giana's Birth

2011-06-09T11:47:00.000-07:00

At a routine office visit at 38.5 weeks gestation Karen, a Certified Nurse Midwives in my obstetric clinic, announced that the protein traces in my urine sample were alarmingly high. She feared that my pre-eclampsia state might worsen and develop into eclampsia which is potentially fatal. Eclampsia is characterized by blurred vision, and blood pressures high enough to induce seizures.

Karen sent me to the hospital for non-stress testing with the on call midwife. In the Labor and Delivery unit, Claudia decided to induce labor using Prepidil Prostaglandin E2 Gel; which is a prescription prostaglandin ointment that is applied directly on the Cervix. The presence of prostaglandins in the gel soften and thin the cervix, otherwise known as ripening.

At the end of the ripening period contractions occur. Sometimes they are not strong enough to induce labor on their own and require a follow up of Pitocin IV Administration. At the time I knew that Pitocin could cause strong, erratic contractions resulting in hyperstimulation of the uterus, but I did not know that Prepidil Gel could do likewise. Pitocin IV Administration is the most common form of induction, it may also be referred to as Oxytocin or Pit.

In addition to applying the Prepidil Gel, Claudia stripped my membranes. The stripping or sweeping of membranes involves the provider inserting a finger into the cervix and lifting the amniotic sac of the cervix with a stirring motion. This process irritates or triggers the local release of additional prostaglandins. Additional prostaglandins intensify the ripening of the cervix. The stripping of membranes can be moderately to extremely uncomfortable. It requires that you be at least 2 centimeters dilated and usually results in bloody show or the presence of blood on the caregivers’ fingers.

In my case the contractions began immediately with abdominal cramping similar to menstrual cramps. Claudia instructed me to report back to the hospital for a second dose or application if labor hadn’t initiated within four hours.

I left the hospital optimistic about my body’s ability to perform its proper functions. My husband, Neil, and I went walking, hiking, riding over bumpy roads, etc. Labor was not imminent.

Four hours later we reported back to Claudia in the Labor & Delivery unit. I wasn’t feeling very hopeful that a second dose would prove much more effective.

Claudia applied a second dose and once again stripped my membranes. At this point I should mention that it’s very important to avoid using the bathroom for at least 15 minutes after applying the Prepidil Gel as it is very expensive and needs time to sit on the cervix for maximum efficacy.

Two minutes later. My bowels cramped and I announced, “Claudia, I have to use the bathroom.”
“Is there any possibility you can wait?” she asked.

Cringing, I shook my head.

Claudia sighed, “Okay, do what you have to do.”

I barely made it to the bathroom in time for my bowels to empty what seemed like their entire contents. I sat on that toilet for at least 30 minutes before I dared to stand again.

I changed out of my gown preparing to go home. Claudia informed us that if labor didn’t initiate by seven o’ clock the following morning I needed to return to the Labor and Delivery unit for a Pitocin IV induction.

As Neil drove me home my back ached, my stomach cramped and my swollen appendages throbbed. I headed for the bath tub where I soaked for an hour. My back pain intensified so much that I could no longer stand the pressure of the hard tub against my spine.
Neil lounged on the couch watching an NBA game and I retired to bed.

I curled up in a ball lying on my left side. I felt completely exhausted but I couldn’t sleep. My back hurt so badly and no matter what position I tried I couldn’t seem to relieve it. I tossed and turned for a couple of hours.

Eventually Neil entered the dark room and joined me in bed. We both lay there in silence for what seemed like an eternity. Labor tends to distort our perception of time, which is why I highly recommend keeping a watch on you.

Sometime after midnight I queried, “Neil are you awake?”

“Yeah.” He mumbled as though he were really in a deep sleep.

“I need help. My back hurts so badly. I don’t know what’s wrong with me. Will you please call Claudia?”

Neil climbed out of bed and punched the previously programmed number on the phone. I carefully crawled out of my side of the bed and rocked myself back and forth on hands and knees. I leaned all the way forward resting my head between my elbows desperately working toward some sort of relief.

Then it came…relief. Sweet relief! I experienced a full 45 seconds of relief.

Suddenly the pain gripped me again growing stronger until I thought I couldn’t bare it any longer. I felt nausea sweep over me. “I’m going to throw-up, Neil. I need a bowl.”

This pain was NOT natural! It felt like something was very wrong. In retrospect it seems I experienced a bit of uterine hyper stimulation. I never again in any subsequent pregnancy experienced any sensations as severe as those endured in this labor.

Neil ran to the kitchen and grabbed a plastic bowl in the midst of describing my behavior to Claudia. He handed me the bowl and asked, “Claudia wants to know if the back pain is wrapping around toward the front of your uterus?”

We’d been taught in our prenatal class that you should go to the hospital when your contractions were 3-5 minutes apart. But they also described uterine contractions as a tightening or cramping of the muscles surrounding the abdominal area. This certainly did not fit that description.

I shook my head, “I don’t know. My back pain is so intense it’s overpowering all my other senses. I noticed that it stops hurting for a little bit so I started timing it. If this back pain is labor than the timing from the beginning of one contraction to the start of the next is about 2 minutes apart.”

Neil relayed the message into the phone. Then he nodded his head and said, “Yeah, she normally demonstrates a high pain tolerance. Okay, okay, yeah, okay. See you in a little bit.”

He turned off the phone and directed me, “She wants us to meet her at the hospital right away.”

I released a dull groan as I tried to raise myself to a kneeling position. When I moved one leg forward to get upright my water instantly burst. Nothing could have prepared me for the volume of the gush.

Our childbirth instructor taught us that when the water breaks or membranes rupture it’s like peeing your pants. A steady stream of clear fluid flows from the vagina, only you can’t stop it. What I didn’t know at the time that her description only applied to a high amniotic rupture. A low rupture produces a much more forceful splash. It was like having 10” water balloon pop between my legs. Along with the clear fluid a blood clot the size of a Kiwi dropped and that’s when I lost my calm.

“Neil what just happened? That’s not supposed to happen.” I looked to Neil for clarification. His eyes gave way to his own panic. Everything seemed out of my control. My body went rigid with fear. I stopped breathing deep, calm, oxygenating breaths and resorted to shallow fearful pants.

We hurried to the car with our previously packed hospital bag but forgot the plastic bowl. During our fifteen minute drive to the hospital I felt every acceleration in my uterus and back. I felt every tiny crack in the asphalt as well as the not so tiny ones. My body lurched forward when Neil applied the brakes and intensified my pain severely.

Neil apologized profusely and tried to find the balance between quick and cautious. I thought the fates were against me when we saw orange cones, excavators, and a construction crew providing after hours improvements on the road in front of the hospital.

We waited in the car for the pain to subside and then made a mad dash for the door. I quickly remembered that walking speeds up labor and intensifies contractions. The pain returned halfway across the parking lot. I stopped, wincing at the pain. We waited for my body to give me clearance to begin walking again.

Typically the labor and delivery nurse admits you to Triage, an observation room where they monitor your contractions, effacement, and dilation prior to officially admitting you. Luckily, Claudia called ahead and advised them to admit me upon arrival.

I vomited all over the hospital bed. The nurse gave me a hospital gown to change into and a little pink basin to capture any further projections. I vomited three more times. The basin wasn’t deep enough. In each of the three incidents the vomit ricocheted out of the bowl, all over my gown and back in my face.

As the labor and delivery nurse continually changed my gown she strapped on my external fetal monitors. The external fetal monitor is a monitoring device that uses two belts. One uses ultrasound to measure your baby’s heart rate and the other is a pressure transducer used to measure your contractions. The feedback is printed on a graphical machine to illustrate the baby response to your contractions. The elastic belts are strapped across your abdomen snugly. The extra pressure on my laboring abdomen was more than a subtle discomfort.

As soon as the monitor picked up the whoosh, whoosh, whoosh of my baby’s heart beat, the labor and delivery nurse began prepping me for the administration of an intravenous antibiotic treatment for my positive testing as a Group B Strep carrier.

Claudia arrived 10 minutes later. I don’t think I’ve ever been so happy to see anyone. It must have been the longest 10 minutes of my life. As soon as she entered the room she recognized my back pain for what it was: Back Labor! She quickly gave Neil a tutorial on how to apply Counter Pressure and relieve the pain. She performed a cervical exam and announced that I hadn’t dilated at all since earlier in the day, I was still measuring 2 centimeters! All that pain and no progress, are you serious?

She positioned me upright on the hospital bed with my knees raised and my feet flat. She pressed my knees toward me and downward forcing my tail bone against the back of the bed. I couldn’t believe the difference it made. The pressure was truly a natural anesthetic.
I looked at the clock 12:45a.m.

Our prenatal instructor taught that most first time moms average 12 hours in labor. If this was the beginning I couldn’t imagine how much worse it was going to get not to mention how much longer. The thought terrified me beyond all reason. Little did I know, I’d been laboring all day. I heard the woman in the labor and delivery room across the hall screaming, “Help! Dear, God it hurts, it hurts, it hurts!” The wails coming from her room echoed through the hallway.

I remember thinking if I’m only two centimeters into dilation how long will it take before I start screaming like that lady? “I want an epidural!” I announced.

The anesthesiologist arrived 20 minutes later. He instructed me to lie on my side curled into the fetal position forming an arc in my back. I thought I might cry. He was asking me to give up the counter pressure with the required position change.

I quickly complied. He washed my back with an antiseptic and provided a sterile drape. He then inserted a needle to numb the local site of the injection. He followed the local needle with a large needle intended for insertion between two vertebrae a little above the belly button.

He instructed me to hold perfectly still regardless of whether or not a contraction started. I lay still as the anesthesiologist slowly and carefully guided the needle toward the dural membrane and injected the anesthetic. He informed me that it would take 10-15 minutes before the numbing would take effect. The anesthesiologist then threaded a tiny catheter through the needle and taped it to my back.

Electing an epidural meant I must also receive a bladder catheter. Why hadn’t anybody ever mentioned this part of the procedure? I wasn't emotionally prepared for a physical invasion of my urethra.

Several minutes later I lay partially upright on my back. I could still feel every nerve in my lower body. But something wasn’t right. Breathing required so much effort. My fingers felt heavy and cold. My tongue was tingling. I couldn’t form words and I felt like my head was spinning. I silently thought I’m dying. I’m losing my ability to grip Neil’s hand. He’ll know I’m dead when I can’t hold it anymore. I wonder if I’ll hear the monitors beep in my last moments.
I concentrated with every fiber of my being, “Is the top of my body supposed to be numb?” I managed the question with a leaden tongue.

“What?” Both Claudia and the anesthesiologist expressed alarm.

Apparently the anesthesiologist accidentally inserted the needle with too much of an upward angle shifting the direction of the anesthetic flow upward rather than downward. They quickly flattened the bed and arched me back into the fetal position. The anesthesiologist removed the epidural catheter and began the process anew.

The anesthesiologist connected the syringe to a catheter and placed the syringe in a pump. The pump slowly depressed a plunger that provided a continuous dose of anesthetic. Fifteen minutes later I felt completely comfortable for the first time in several hours.

By this time it was 2:00a.m. I tried to sleep but it was difficult. My body shook convulsively. The shaking came so violently that my body tipped sideways. My husband propped me back up. My legs shook toward the edge of the bed. My vision was blurred. My blood pressure was 199/120. I appeared headed for eclampsia.

Claudia called for a Magnesium Sulfate IV Administration. This chemical stabilizes blood pressures and reduces the risk of cardiac arrest as well as minimizes the risk kidney or liver failure. I could feel the cool liquid trickling through the intravenous entrance of my hand. I fell asleep to this sensation.

Forty-five minutes later I awoke startled by a painful a new sensation. I thought my pubic bone was breaking. I pressed the call button for the nurse. Apparently the epidural numbs muscular nerves such as uterine contractions and cervical dilation, but the anesthesia cannot numb bone nerves. To make matters worse, I couldn’t move or adjust my position to alleviate the pain.

Claudia and the nurse returned.

“My epidural isn’t working.” I mistakenly thought the pain was attributed to an ineffective epidural. Claudia performed another cervical exam at which point she determined I was complete or a full 10 centimeters dilated. I also measured a +3 station which meant my body had been involuntarily working on fetal descent and the baby was beginning to crown. That’s when the pushing began.

My limp noodle legs continued to shake with random convulsions. Powerless and incapable of pulling my legs back into the classic birth position, I awaited assistance. Neil stood on one side and held back my left leg. The labor and delivery nurse, held back my right leg. Neil was stronger and better able to hold my left leg back in a true imitation of the classic squat, but the nurse seemed to master the angle with more comfortable placement. The lack of congruency annoyed me. I wanted to hold my legs back myself. I knew I could manage the symmetry better if I could evenly distribute resistance to both legs, but I didn’t have the arm strength and my legs were under temporary paralysis. They continued to shake, I felt frustrated with the lack of control I held over my body.

I delivered my baby sunny side up. This means she was facing up or occiput posterior. In this position the occiput or back of the baby’s head is toward the mother’s back. In a normal vaginal delivery the baby is born facing downward or occiput anterior. When the baby’s head applies pressure against the cervix with the crown in the anterior position it aids in opening the cervix.

Usually, there is not enough room for the baby’s head to pass through the pelvic chamber without rotating into the anterior position. This explains the extreme back labor pain as well as the feeling that my pubic bone was breaking. It was in essence being stretched to the max.
My birth plan expressed my desire to hold my new infant immediately after delivery and begin breastfeeding. What I didn’t anticipate was the presentation. I thought the nurse or C.N.M would provide a preliminary wipe down before handing me the infant. Not so.

Claudia instantly handed me my new infant dripping in fluids and showing a small amount of residue from the vernix caseosa or white filmy substance primarily comprised of sebum, fatty lipids, cholesterol and ceramide. Prior to birth I read that the function of the vernix is to moisturize the infant’s skin, provide a slippery passage through the birth canal, as well as offer antibacterial benefits.

Some women actually massaged the vernix or “baby cold cream” in to the newborn infant’s skin. On this my first pregnancy, I still felt a little squeamish. Neither my husband nor I were interested in reaping in this particular aspect of mother nature’s rewards. I sheepishly asked Claudia if she could wipe the baby down a little and place her in a blanket. Thus began our first swaddling.

Shortly after the swaddling began, Claudia noticed a contraction on the electronic fetal monitor and urged me to give a good push for the delivery of the placenta. The placenta exited the birth canal with little effort. The slippery and flexible amniotic sac molded much more comfortably through the already stretched vagina than a head and shoulders.

The labor and delivery nurse began rigorously massaging my abdomen in an attempt to expel any remaining placental tissue or blood clots. The aggressive massage initiated post delivery uterine contractions also known as after birth pains. These pains were hardly noticeable as the epidural still rendered full effect. I continued to swaddle and nurse my baby throughout the uterine massage.

Swaddling lasted for approximately 20 minutes while my baby’s umbilical cord slowly stopped pulsating. Our prenatal instruction explained that the cord pulsates much like a heartbeat as it transmits oxygen and nutrients from the placenta to the baby. I looked at the umbilical cord with wonder. The length didn’t surprise me. It measured approximately 20 inches or 50 centimeters long. It was the diameter or thickness of the cord that caught me by surprise. The thickness of the cord measured approximately ¾ of an inch thick or 2 centimeters. The cord initially appeared dark red with firm sinewy and fibrous walls in the places where it hadn’t calcified. As time passed and the cord slowly stopped pulsating, the color eventually faded. The volume of blood slowly filtered into my baby’s body providing her with her normal blood volume levels.

My reading suggested that early cord clamping, tying, or cutting can leave a baby low on red blood cells and act as a catalyst for an early onset of anemia. Other studies indicated that milking or allowing the cord to pulsate for longer periods of time allowed the cord to “milk” stem cells from the placental site. In class we discussed the option of saving your infant’s placenta and umbilical cord in a blood bank. The cord typically stops pulsating between 7 minutes for un-medicated births and 20 minutes for medicated births.

Claudia inspected the placenta to find that both the placenta and umbilical cord experienced extensive calcification. Calcification is a process by which the placenta begins to shut down. It appeared that the calcification had constricted the flow of nutrients to my baby. Claudia suspected that my baby had lost quite a bit of weight in the womb based on the excessive wrinkled skin.

I marveled at all of my baby’s fine, dark hair also known as lanugo. The hair covered the surface of her back, buttocks, and ears. The black hairs culminated at a point at the top of her ear reminding me of Spock from Star Trek. It appeared black while it was still wet with amniotic fluid, but later took on a dark brown appearance. Within a few weeks most of the lanugo fell out.
Following the delivery I felt ravenously hungry and hammered. I couldn’t tell what I wanted most: food or sleep. The only problem was that my husband was asleep in the chair and the R.N. kept forgetting to bring me food. Oh, what I would have done for some fresh fruit or a granola bar!

A couple of hours later the epidural catheter was removed from my back. The process felt somewhat uncomfortable, but not awful. I remained on a bladder catheter for the first 24 hours as they kept me on a Magnesium Sulfate IV for the next 48 hours and monitored my eclampsia. The Magnesium Sulfate most likely saved my life, but it left me feeling groggy and lethargic. It also limited my mobility. I couldn’t shower or use the bathroom. Even if I weren’t connected to a bladder catheter and a Magnesium Sulfate IV pump, I don’t know that I would have possessed the strength and energy to carry out the task anyway.

So what can we take from this experience?

- Labor is not predictable
- All contractions are not equal
- Ruptured membranes can manifest in the form of a trickle or a gush
- Cervical dilation is not an accurate indicator of labor progression
- Counter pressure is an effective natural anesthetic
- Epidural’s do not guarantee universal pain relief
- A laboring woman receiving an anesthetic epidural may not recognize the urge to push
- Most woman do not practice kegel contractions faithfully
- Healthy babies are derived from even the most unpredictable births
- You’re likely to exhibit the same behavior in labor that you exhibit in an argument (we’ll talk about this more in subsequent chapters)

Analysis

Who is responsible for my dissatisfying birth experience? The anesthesiologist? My husband? Our childbirth educator? The hospital? Me? The Midwife?

The Anesthesiologist- The anesthesiologist did not ask me to get an epidural. He just happened to be the on-call doctor when the nurses woke him from a peaceful slumber and told him that the patient in L&D Room #11 wanted an epidural.

It is true that the anesthesiologist made a mistake in the first administration of the epidural anesthetic, but one incident was not the cause nor was it the worst consequence of my birth experience. We all make mistakes, even in our professional careers. We place high expectations on healthcare professionals to meet certain standards of performance, because we trust them with our very lives. Reason and mature emotional intelligence suggests we must accept that it is unrealistic to expect medical professionals to perform every procedure with perfect precision every time.

My husband- Neil was the only person who attended me from the first labor contraction to the last. He also had the least experience of all the other birth attendants. If he’d been a better labor support companion would the outcome have been different?
Expectant moms must remember they are not the only one entering unfamiliar territory. Their husbands are equally as frightened. Many men express their feelings of helplessness while their wife is in labor. One new father said, “I would have done anything to remove my wife from her misery. Even if it meant enduring the pain myself.” The problem is that there isn’t a magic transfer button.

The Child Birth Educator-. The childbirth educator spent a great deal of time emphasizing issues of consumerism or options at birth and terms and definitions related to the birth process. We dedicated many hours to learning how to stop medical staff doctors, nurses, and other hospital staff from botching up our birth experience.

She helped us choose a good provider and learn abdominal breathing techniques. We didn’t learn very many relaxation techniques, but we learned many birth positions to help alleviate pain. We learned much about the text book definitions of the anatomy, pregnancy, and birth, but we didn’t fully understand the role they would play in real life labor and delivery.
The hospital- The hospital did not solicit my patronism. I could have opted for a home birth or free standing birth center. The hospital room was clean and comfortable. The staff was courteous. My quarters were private. The hospital equipment detected and provided treatment for all of my risk factors. Although I must admit the bands of the electronic fetal monitors were terribly uncomfortable.

The Midwife- Claudia was wonderful. I wanted to send her flowers.

Me- I took the initiative to attend a birth class. I opened my mind to new options. I followed my caregivers instructions. I did all of my prenatal toning exercises on a regular basis. It couldn’t be my fault. The reality was that I botched up my own birth experience by not maintaining optimum health.

Many birth classes provide a good service in preparing and educating pregnant couples with techniques prior to the birth of their baby. If we want to look at the larger picture it is important to consider that the number one factor influencing the outcome of the baby is a healthy mother.

Depression in Pregnancy

2011-06-06T07:07:00.000-07:00

Some studies indicate that up to 70 of women experience symptoms of depression during pregnancy. A general feeling of sadness or discontent may not be associated in any way to your attitude about the baby or being a mother. If you're pregnant and struggling with depression you're not alone.

Depressive symptoms in pregnancy are often smaller than a full diagnosis. Often feelings of dissatisfaction may leave you feeling melancholy. It is likely that mood swings, emotional outbursts and other psychological insecurities are a result of the increase of hormones present in pregnancy.

However, depression may be situational and not physiological. Sometimes the stress of pregnancy brings associated depressive symptoms, even when the pregnancy was planned. Feelings of gloominess may intensify if there are complications related to the pregnancy or preparation for the pregnancy. Some common catalysts for the pregnancy blues may include loss of employment, relationship challenges, weight gain, or lack of energy.

Other causes of stress are simply produced by natural changes that pregnancy potentially brings, such as switching to a new house or apartment that better accomodates your growing family. Sometimes these changes create additional financial pressures, which may induce stress and depression, common in pregnancy.

Feelings of cheerlessness can negatively affect a healthy appetite, sleep habits, and exercise routines, which are all important elements of maintaining good mental health in pregnancy.

Treatment
If you are struggling with feeligns of listlessness try the following:

-Remove any unnecessary stress from your life
-Communicate your feelings with your partner and enlist their support
-Ensure you're eating plenty of Omega 3 Fatty Acids, Folic Acid, and plenty of B Vitamins
-Make time for naps if you need them
-Exercise daily even if it's only walking for 15 minutes twice a day

If symptoms of depression persist speak with your clinician to ensure you receive proper prenatal care.

Weekend Givaway

2011-06-03T06:41:00.000-07:00

Exercise in pregnancy is so important and this weekend we're giving away one of our Third Trimester Yoga DVDs choreographed by professional fitness instructor, Ruth Ann Haws.

1 lucky reader will be announced on Monday June 6, 2011.

To enter to win your free Third Trimester Yoga DVD, post a comment below sharing your favorite exercise in pregnancy.

Fruity Yogurt Breakfast Crepes

2011-06-02T07:32:00.000-07:00

2 Eggs Beaten
1 1/2 Cups Milk of your choice (I use coconut)
1 Cup wheat flour
2 TBS oil

Beat all ingredients together. I prefer to use my blender for a whipped batter. Pour 1/8 cup batter into hot skillet over medium heat. Lift sides of pan in circular motion to allow the batter to run wider. Let heat approximately 60 seconds until small bubbles appear throughout. Flip onto opposite side.

Serve with low sugar yogurt and fresh fruit.

Sciatic Nerve Pain in Pregnancy

2011-06-01T06:29:00.000-07:00

The sciatic nerve (also known as the ischiatic nerve) is the largest nerve in the body. The sciatic nerve begins in the lower back, runs through the lower back and extends into the lower limbs. This important nerve fiber provides sensory and motor function to the lower extremities. It also produces sensation to the back of the thigh, lower part of the leg and the sole of the foot. Sciatic nerve pain is a periodic severe pain that occurs throughout your legs.

What causes sciatic nerve pain during pregnancy?

The sciatic nerve lays just below your uterus and continue down to your legs. The cause of sciatic nerve pain is believed to be associated with pressure of the growing uterus on the nerve caused as the baby grows and develops.

How can I treat sciatic nerve pain during pregnancy?

-The simplest remedy is to lie on your side, opposite of the pain. This may help relieve the pressure on the nerve.

-Avoid heavy lifting and minimize standing for long periods of time.

-If you experience pressure while standing, try elevating one foot and resting it on something.

-Get on your hands and knees and do several repetitions of pelvic rocks. This get the baby off the nerve.

-Make swimming a daily exercise routine. This will allow you to exercise and stay fit while allowing the water to support the baby's weight.

-You may experience relief by applying heat or cold to the troubled area.

-Some health care provider may recommend acetaminophen to relieve the pain.

It is important to contact your health care provider if the pain becomes constant, or increases in severity or frequency.

Medicated vs. Un-Medicated Childbirth

2011-05-31T07:28:00.000-07:00

A Word to the Wise

1) Women often feel like there are two types of birth. Medicated vs. Un-medicated. Also termed Interventions vs. No interventions. This is a cultural misunderstanding. Most modern hospitals offer a wide spectrum of comfort measures and medical support without requiring couples to choose one extreme over another.

Generally, the best way to differentiate between a negative and a positive birth experience lies more in how well the couple prepares for the birthing process than what options they choose prior to the onset of labor. Even if a woman plans to accept anesthesia there are great benefits to understanding the process and preparing for every possibility. If you want to narrow it down to two birth scenarios I would label them Prepared vs. Unprepared.

2) Remember the cliché, “Knowing is half the battle?” But still it is only half the battle. Many childbirth educators place too much emphasis on birth options and issues of consumerism and do not provide enough instruction on the actual preparation.

Knowing what choices are available is a good place to start but it’s sort of like picking a vacation destination. You can pick vacation destinations all day long, yet if you want to have a pleasant retreat you need to do your homework, scout out local attractions, schedule your accommodations in advance, (including a flight plan, itinerary), and then pack the appropriate gear. Writing a birth plan without actually executing an exercise, nutrition, and relaxation program is nothing more than a wish list.

Weight Stabilization

2011-05-26T08:55:00.000-07:00

Pregnant women typically gain the most weight during the third trimester of Pregnancy. By the third trimester the anatomy of the fetus has formed and continues to grow and strengthen.

Here are a few reasons why weight gain may be more significant in those last few weeks of pregnancy:

- Increased Blood Volume
- Increased Amniotic Fluid
- Larger Placenta
- Larger Uterus
- Baby Gaining Weight
- Water Retention

Weight gain usually remains steady up to the 38th week of pregnancy. In the final weeks of pregnancy the number of pounds you gain on a weekly basis should lessen. Eventually, it should plateau. You may even lose weight during the last 2 to 3 weeks gestation. Halleluliah!

This is called Weight Stabilization. Weight Stabilization is a good thing, it means that your body is stabilizing. The baby's growth is nearly complete and labor is just around the corner. This is one of the more reliable signs that your body is preparing for birth.

It's important to note that weight stabilization may not occur until the 40th or 42nd week of pregnancy for some women. Which is okay, but often indicates that labor will mostly likely initiate a little later in the pregnancy.

Birthing Methods

2011-05-24T07:22:00.000-07:00

There are so many birthing methods available it can be a challenge for expectant couples to choose the one that is right for them. I wish I could tell you that one is definitely superior over another. However, it's not that simple because the presentation of material is often a reflection of the instructor's opinions and not always an accurate representation of the association with whom they affiliate.

For instance, a Lamaze class today could hardly be recognized by a Lamaze class twenty years ago. If you were to walk into four different Lamaze classes in four different cities in the United States you'd receive similar class outlines but you'd receive four different sets of instructions with four varying opinions on how to handle pain and possibly four unique breathing recommendations. Although, I personally feel that the Lamaze approach to relaxation is weak; I admit that the best class instruction I've observed on the stages of labor was presented by a Labor & Delivery Nurse certified in Lamaze.

If you enrolled in Bradley Classes with the Academy of Husband Coached Childbirth, you'd receive 10-12 weeks of class instruction and a workbook to guide you through the curriculum on schedule. The breathing pattern and contents of the class would be more consistent. However, points of emphasis and opinions on interventions would range from moderate to radical depending on the philosophy of the instructor.

Some Bradley Method instructors spend a great deal of time teaching relaxation exercises each week. While others simply instruct you to do it on your own time and never teach you the basics through practicing during class time.

HypnoBirthing is another alternative that typically focuses on positive affirmations and developing strong relaxation skills in 4-6 weeks of class instruction. They do not claim to take a position on medical interventions. Once again, the actual delivery of your education will depend on the instructor you select.

If you know that it's unlikely that you and your husband will practice relaxation techniques at home on your own time. This may be the best option for you. The majority of the class time is devoted to strengthening your relaxation skills.

Finding an Instructor
A successful birth isn't determined by the method you choose. It's determined by how well you've prepared physically, mentally, emotionally. If you're looking for an instructor in your area you can learn a lot about what their class will offer in a small phone interview. You can locate childbirth instructors in every method using an online directory.

Find someone who emphasizes physical preparation prior to labor as well as emotional relaxation skills. Ensure that their views about medical intervention are flexible so that you don't feel like you're continually hearing that natural is good and medicated is evil.

If you're looking for a birth class that is flexible, convenient, and affordable try out our Birth Class in a Box. Perfectly Prepared is available on our website www.mybirthclass.com or you can find additional products on Amazon such as Labor 101 available for $36.95 for a limited time.

Preparing for Birth Emotionally

2011-05-23T07:15:00.000-07:00

In order to effectively deal with pain in labor pregnant women should evaluate their emotions, fears, and perceptions of childbirth, starting with their earliest memories. Watching birth movies, reading real birth stories, or attending the birth of a family member are great ways to become familiar with labor mentally and emotionally. You tube is a great source for free birth footage with a whole gamet of variety.

It is healthy for women to accept that they cannot control all of the sensations they may experience during birth, but they can control how they perceive and react to those sensations.

Yes, labor is painful but it doesn’t have to be miserable. Once a woman acknowledges this premise she begins to develop a positive mental attitude. Gaining a positive mental attitude allows her to respond favorably to the real thing. It is a key element in mastering the ability to maintain calm controlled breathing.

Ideally, she should practice breathing and meditation exercises daily for several weeks in advance. If a woman can breathe calmly she can relax and her body will perform optimally. If she cannot relax she merely survives labor.

Delayed Cord Clamping

2011-05-19T07:41:00.000-07:00

The umbilical cord is the connecting cord of the fetus to the placenta. This cord normally contains two arteries and one vein which are buried within a protective substance known as Wharton's jelly.

The umbilical cord enters the infant body at the abdomen with the vein continuing inward, joining at the liver. Here the vein splits into two with the left vein carrying blood to the liver and the right vein carrying blood to the heart.

The two arteries contained in the umbilical cord carry deoxygenated and nutrient depleted blood away from the infant.

Shortly after birth the Wharton's jelly that surrounds the two arteries and vein making up the cord initiate a natural clamping that takes place in response to temperature reduction. It begins with a swelling of the Wharton's jelly and then eventually the cord collapses and contracts the blood vessels.

If left alone without any medical intervention this process will take between 5-20 minutes to occur. General obstetric practice in most hospitals impose an artificial clamping as early as 1 minute after delivery.

Following the clamping the cord is cut. The actual separation of the cord is painless as there are no nerves present in the tissue. However, the cord is thick and sinewy and requires very sharp instruments to perform the task.

Current data shows no there are NO adverse affects of delaying cord clamping. Studies indicate that delaying cord blood clamping is beneficial to the newborn because it improves hematocrit, iron count, and reduces risk of anemia.

Reports consistently show that early cord clamping increases incidence of the over production of red blood cells as well as higher risks of neonatal jaundice, both of which are treated with phototherapy.

Most obstetricians are willing to delay the clamping of the cord upon request. If you decide you'd like to delay cord clamping, be sure to include your preference in a written birth plan.

Cord Blood Banking

2011-05-19T06:56:00.000-07:00

The blood that remains in the placenta after the umbilical cord is clamped is referred to as cord blood. This blood is typically discarded after delivery along with the rest of the placenta unless you specifically request its donation to a blood bank or unless you contract a blood bank to store it for you.

Why store cord blood?

Your baby's cord blood is a valuable sources of stem cells with genetically unique DNA. These stem cells may be used to cure or treat serious and even terminal illness within your family. Keep in mind that even though cord blood is rich in hematopoietic stem cells, cord blood banking has become a controversial topic in prenatal medicine because doctors cannot guarantee that stem cell transplant treatments will cure all illness.

There is no denying that stem cell research offers great advancements in medicine and that by storing the cord blood of your infants, you open windows of opportunity for medical break throughs of the future. However, storing cord blood is very costly. If you're interested in cord blood banking you can find services near you through companies such as ViaCord or LifeBankUSA.

In 2007 the American Academy of Pediatrics stated "Physicians should be aware of the unsubstantiated claims of private cord blood banks made to future parents that promise to insure infants of family members against serious illness in the future by use of the stem cells contained in the cord blood."

Most blood banking companies do offer payment plans for their services. If you are considering cord blood banking visit http://aappolicy.aappublications.org/cgi/reprint/pediatrics;104/1/116.pdf for more objective information from the American Academ of Pediatrics.

Headaches in Pregnancy

2011-05-18T07:34:00.000-07:00

Why are headaches so prevalent in pregnancy?

Headaches occur when the brain is not receiving enough oxygen. Your body makes use of 60% of all the oxygen intake and approximately 40% of oxygen intake is claimed by your brain. As the pregnant body grows it requires more oxygen and sometimes fails to send the necessary oxygen to your brain.

Tiny blood vessels and veins surrounding your brain begin to swell when they are deprived of adequate oxygen. The consequence is pain and in some cases blurred vision as different parts of your brain are pressured by the swollen veins and blood vessel. This pressure creates the throbbing or aching sensation within your head.

Possible Causes of Reduced Oxygen to the Brain:
1) Tension in the Upper Back and Neck Musles
2) Lack of Sleep
3) Poor Nutrition
4) Anxiety/Stress
5) Shallow Breathing

Pregnant women ought to avoid pain medication for headaches in pregnancy whenever possible. The medication may reduce the symptoms temporarily, but will not treat the sources of the problem.

Treatment

First, remove any obvious triggers from the above list.

-Take conscious measures to eat well and get adequate sleep. As difficult as it is to get uninterrupted sleep in the latter months of pregnancy, schedule time for short power naps.

-Request that your husband or partner give you short regular massages using a large ball like a volleyball or a small ball like a tennis ball in tense areas.

-Identify stress in your life and determine what can be removed or dealt with in a positive way.

-Practice deep abdominal breathing for at least 15 minutes each day. Inhale deeply, expanding the lungs through the back and all the way down the diaphram. Then realease the breath slowly. The more regularly you practice, the easier it will become to train your body to breathe deeply as a regular practice.

As you increase the fresh oxygen supply to your brain your headaches should subside.

Why Do Pregnant Women Get Swollen Feet?

2011-05-18T01:24:00.000-07:00

Pregnant women often experience swelling of their appendages particularly their hands and feet. This condition is also known as edema which simply put is water retention.

The growing uterus restricts blood flow in some of the major veins responsible for carrying water throughout the body.

Prevention & Treatment:

Pelvic Rocks help get the uterus of your back and release the pressure on major veins and arteries.

Stay Hydrated. Drinking plenty of water helps your body move fluids more efficiently.

Manage your Salt Intake Wisely. Contrary to popular belief salt is not responsible water retention. A certain amount of sodium is necessary to stave off muscle cramps. Salt food to taste avoiding extremes. Choose Real or Sea Salt rather than refined iodized salts. The enhanced texture and tast will reduce the amount of salt you apply.

Stay Active. Regular activity increases circulation and blood flow to all parts of the body. The more sedentary you are the greater you can expect the edema in your ankles, feet, hands, and fingers.

Gentle massage may temporarily relieve the discomfort of edema.

Over Eating During Pregnancy

2011-05-17T06:57:00.000-07:00

There are few things more important in pregnancy than a well balanced diet. It is critical that you provide high nutrition for you and your baby. In years past doctors were a lot more involved in monitoring weight gain in pregnancy. When pregnant women gained more than the averages recommended for gestational schedules they were often placed on restrictive diets and given guilt trips for their carelessness.

Today the opposite is true. Friends and family members can often be heard encouraging newly expectant moms to, "Dish up. You're eating for two now!" Carrying a pea sized fetus hardly merits eating for two! But this is often when eating behaviors change. Perhaps we have swung the pendulum a bit too far.

The challenge is finding balance between over indulgence and insatiable hunger. Which isn't an easy task to manage. Part of the battle is psychological. Pregnant women often behave the way they have been taught to behave and therefore give in to unhealthy cravings and irrational eating habits based on a subconscious idea that such behavior is justified in pregnancy.

Normally disciplined woman may find themselves reaching for snacks high in carbohydrates such as crackers, chips, or pastries. These are extremely poor food choices because they provide little to no nutrition with a maximum number of calories and consequences. Furthermore, they often are the culprit for nausea.

If you're concerned about your weight gain in pregnancy follow these tips when you're having a snack attack.

1. Drink at least 8 ounces of water.
2. Wait at least 10 minutes.
3. Occupy mind and body with an activity unrelated to food while you wait.
4. If you're still hungry at the end of 10 minutes choose a food high in protein or high in fiber.
5. Measure a predetermined amount of the snack food (9 almonds) and put the rest away.
6. Eat slowly and enjoy it.

Following these guidelines will allow you to respond rationally to your body's cravings and help you make wiser decisions related to food consumption.

Waking up with Wrist Pain in Pregnancy?

2011-05-16T09:07:00.000-07:00

Carpal tunnel syndrome may bear it's nasty little head even in the early months of pregnancy. This is a result of increased pressure on the median nerve in your wrist. The increased pressure is a side effect of swollen tissue and increased blood volume that accompany pregnancy. Swelling causes compression of the median nerve and constricts the fibrous bands of the nerve tissue.

Many pregnant women report that the occurence of carpal tunnel syndrome is more prevalent in their left wrist than in their right wrist. This may be due to the fact that pregnant women are often advised to sleep on their left side and therefore some of the blood flow into the left arm is restricted.

The continual pressure builds and eventually inhibits the nerve from its normal expansion which causes some of the following symptoms:

-Wrists may tire or feel pain when using a keyboard
-Sleep interupted by numb tingling sensation in hand and fingers
-Hand may lose dexterity and strength or fumble when performing normal activities
-Sharp shooting sensation experienced in the top of hand or wrist

Treatment

Sleep with your hands free to move, ensure that the weight of your body or head isn't resting upon them during the night. Even though you may sleep predominantly on your left slide shift with small rotations onto your right side.

Although a certain amount of swelling is unavoidable, follow practices that reduce edema as instructed in the article below on swollen feet and hands in pregnancy.

Pubic Bone Pain in Pregnancy

2011-05-12T07:35:00.000-07:00

Pain in the front of your pelvis or in the center of your pubic bone is caused by a condition known as symphysis pubis dysfunction. This condition is brought on by the release of hormone called Relaxin that cause your ligaments to soften and loosen in preparation for birth.

What's Actually Happening

The ligaments loosen and widen the pelvic outlet to create space for the baby's head during delivery. Many ligaments exist in the pelvis but one in particular, the pubic symphysis is attached at the center of the pubic bone. This normally non pregnant, narrow midline cartilaginous joint can create a 2-3 mm gap between the two bones. As it becomes more flexible this connective tissue may widen up to 9 mm.

Think about that! Your little pubis symphysis may be stretched to 3 to 4 times it's pre-pregancy size. The stretching in conjunction with the added strain on the muscles of this area caused by the weight of the baby can create an extremely painful sensation in the front of the pelvis.

The ligament may stretch and widen so much that it eventually becomes unstable and less effective at bearing weight.

Treatment

1. Pelvic floor exercises can help in relieving pelvic pain. These exercises are designed to strengthen the hammock-like muscles which support the pelvic organs. Better control over these muscles could help take some of the weight bearing responsibility away from the pelvic girdle and ligaments.

2. Elastic support belt or the pelvic girdle can help to support your pelvis during pregnancy. This acts just like an ankle or knee brace to keep the joints in place. I prefer wearing a velcro back brace under my belly and around my hips. These are relatively inexpensive at your local medical supply store.

3. Climbing stairs is very painful if you suffer from pelvic pain. It may be advisable to go up and down stairs using your bottom, and lifting yourself up or down each stair with your hands. Bear in mind that it is much easier going down than up!

4. Remember to sit on a chair when getting dressed rather than balancing on one leg.

Why Do Pregnant Women Get Swollen Feet & Hands?

2011-05-11T14:28:00.000-07:00

How to Cure Heartburn in Pregnancy

2011-05-10T07:57:00.000-07:00

There are many over the counter and prescription medicines available for heartburn relief as well as prescription medicines for severe heartburn such as Pevacid, Potonix, and Prolisec. However there are also natural remedies for heartburn may be just as effective and cause fewer side effects.

Most women begin to experience heartburn by the second trimester of pregnancy, even those who have a healthy diet and stress-free lifestyle. Heartburn symptoms occur when stomach acid backs up into the esophagus causing a burning sensation in the chest, stomach or back of the throat.

Prescription medicines for heartburn are designed for those who experience symptoms several times per week. It is important to note that most prescription medicines for heartburn have some undesirable side effects including constipation and/or diarrhea due to high aluminum or calcium salt concentration.

Antacids are designed to neutralize the amount of acid in the stomach, by reducing the production of stomach acid. Some antacids even contain an chemical that coats the wall of the esophagus and reduces the burning feeling or symptom without actually treating it.

The body needs stomach acid to aid in digestion. So when pregnant women take antacids frequently they increase the problem. The stomach recognizes the reduced stomach acid and acid secretions increase to maintain the bodies optimal digestion performance. Thereby stimulating higher levels of acid production.

Natural remedies for heartburn may include fennel and peppermint. Fennel seeds can be seeped in water to create a soothing tea. Peppermint has been used for centuries to aid in digestion. Both Fennel seeds and peppermint have been used by Native Americans and Europeans as natural remedies for heartburn.

Rhubarb is another natural remedy for heartburn and indigestion used by Native Americans. Rhubarb grows wild and is available in some grocery stores. It is similar in appearance to celery, but is reddish in color. It is most effective when eaten raw, although it does a have a slight bitter taste.

Eating a small wedge of raw potato may help treat heartburn by absorbing some of the troublesome stomach acid.

Eating small frequent meals helps the pregnant stomach perform the task of digestion more easily.

Walking each night after your meal will also speed up digestion with minimal acid production.

Overeating, spicy foods, caffeinated beverages, alcohol and even stress can lead to symptoms of heartburn. Some women report increased incidence of heartburn related to tomato based foods, miracle whip, sugar, and complex proteins.

How To Avoid Stretch Marks in Pregnancy?

2011-05-09T07:35:00.000-07:00

Stretch marks are scars in the tissue starting on the inside of the dermis and eventually manifest on the outter layer of the epidermis. Prevention tactics should start below the surface.

As weight increases our body size also expands requiring stretching of the skin. Our skin can take up the expansion to a certain limit owing to the elasticity. After that it starts showing pinkish lines. Once these lines are formed on the surface of the body, it is very hard to get rid of them. There are some simple home remedies that can help you prevent these unwanted lines. Given below are the top 5 tips for preventing stretch marks.

How to avoid stretch marks during pregnancy?

Secret 1 : Take hot water bath. It opens the pores of the skin. It also helps in strengthening the epidermis which further diminishes the appearance of stretch marks.

Secret 2: Massage the vulnerable areas at least once each day. The skin responds best immediatly after hydrotherapy (shower or bath). It's easy to work a quick gentle massage into your daily routine immediately after showering and prior to getting dressed. Pregnancy stretch marks are mainly formed on the breast, lower belly, hips and thighs. You should massage all these areas at least once a day during the second and third trimester to increase circulation to the skin and give it opportunities to stretch and mold regularly. Massaging with an inexpensive oil such as almond oil, grapeseed oil, or olive oil enhances the experience and moisturizes the skin while you're getting ready for the day.

Secret 3: Drink lots of water. Drink at least 72 ounces of water every day. It keeps your skin hydrated & glowing.

Secret 4: Have lots of zinc and vitamin A, C & E in your food. Eat foods rich in Vitamin A and Vitamin C. Add Vitamin E or Grape Seed Oil capsules as a nutritional supplement. These oils restore the collagen of the skin and make it more elastic.

Secret 5 : Use high quality moisturizers. You can choose to apply natural & organic creams. These are a fine blend of natural products that prove fruitful in curing & preventing these scars caused due to pregnancy. Fennel is one of the best supplements available to maximize elasticity.

Avoid any lotion or cream that contains mineral oil!!! If you prefer use natural and organic oils such as tea tree oil, castor oil, vitamin E oil, aloe vera gel, olive oil, almond oil, apricot kernel oil, or shea butter. I personally prefer to slather a generous portion of pure cocoa butter on belly each day after I shower. It only takes 2-5 minutes of moisturizing massage to check Secret 2 and Secret 5 off my list in one step.

How Do You Know It's Twins?

2011-05-07T09:22:00.000-07:00

Does your intuition tell you you're carrying more than one baby? Do you think it might be twins? There are various methods used to help you figure it out. Some of these signs may confirm if you have twins or not.

HcG Testing
The best way to detect if you have twins or not is to test the level of your HcG. HcG stands for human chorionic gonadotropin, it's a hormone that is present in the piss or blood of the ladies 10 days after conception. This hormone is alleged to reach a top in Ten weeks of pregnancy.

Abnormally Rapid Weight Gain
Increased weight gain could also indicate multiple pregnancy. All pregnant women add weight, but ladies bearing twins are bound to deal with increased weight gain. So, if you think that you are putting on more weight than the common, do not retort to weight management supplements. Even the very best of products like Caralluma Burn Appetite Suppressant are not suggested for pregnant women.

Frequent Fetal Movement Early
Another sign of multiple pregnancy is early or frequent fetal movement. Mummies of multiples tend to feel fetal movement more frequently or at a much earlier stage. But several medical experts tend to disagree on the subject.

Doppler Heartbeat Count
Have you learned about the Doppler Heartbeat Count? It is a test that's done to get a confirmation about the presence of twins in the mother's womb. The simple basic is a ladies bearing more than one child will have more than one heart beat. This system is called the Doppler system; it bolsters the sound of a weak heart beat. And, this heartbeat is discernible only after the 1st trimester. In some cases this test can be deceiving as the 2nd heart beat could be a result of raised blood pressure or it might be some back ground noise too.

Ultrasound
An ultrasound test is probably the most effective way to confirm whether you're having twins. This test provides you with images from inside your cervix and thus, leaves you with a decisive confirmation of the number of fetuses you are carrying. Hence if you believe you are carrying twins, ask your obstetrician to conduct an ultrasound test. It will give you the answers you seek. However, do remember that there have been instances of concealed twins as well and so you might be on your way to turning into the ma of two youngsters without realizing it.

AFP Testing
The abnormal AFP ( alphafetoprotein ) test can also detect the presence of twins. It is basically a test done to test birth problems or incapacity in the to-be-born. This test yields high AFP in case of twins.

If you suspect the presences of multiples discuss it with your doctor at your upcoming appointment.

Article Source: http://EzineArticles.com/?expert=Grisel_Blazek Article Source: http://EzineArticles.com/5956708

Curing Hemorrhoids in Pregnancy

2011-05-06T08:56:00.000-07:00

Hemorrhoids during pregnancy can be an annoying, painful and uncomfortable experience, and if not treated correctly the hemorrhoid is more likely to return.

The good news is that there are ways to cure hemorrhoids during pregnancy.

How do Hemorrhoids develop?

Women are more likely to get hemorrhoids during pregnancy, due to constipation and high blood pressure. High blood pressure on the lower half of the body causes the veins to expand and create hemorrhoids.

An increase in the hormone progesterone during pregnancy is another reason women are more likely to get hemorrhoids. Hormone progesterone causes the walls of your veins to relax, allowing them to swell and bulge more easily.

Solution

Over the counter medications such as creams and pills may not be the best treatment, as they can have real side effects and don't have lasting results. Using herbal remedies as an alternative approach, is proven to be a good way to cure hemorrhoids during pregnancy. This is because it is 100% natural, safe and attacks the root cause of the problem.

Some of the more common herbs you can use to help cure hemorrhoids during pregnancy are aloe, birch sap, canlendula, centella, pilewort, horsetail, marshmallow, olive leaf extract, soy, rosehip, tea tree oil and white lily.

These herbs can either be digested or applied using the extracts from the leaf or stem of the herb. Herbs are a great way to help stop inflammation, speed up the recovery and soothe the damaged skin. Many of these herbs will also increase blood flow, strengthen veins and create a better digestive system. This is ideal for treating constipation and promoting better blood flow.
Many medical researchers and natural health specialists encourage an alternative approach to cure hemorrhoids. If herbal remedies are used the right way it can be much less expensive than creams and other medications.

Get in the habit of exercising each day. This will help things move in the bowels and help you avoid getting plugged which worsens the inflammation.

Eat high fiber foods

Use a small stool to imitate the squatting position when you move bowels. This will reduce the pressure on the veins.

Did you know that hemorrhoids are almost identical to varicose veins?? Both can absolutely be treated naturally, using appropriate herbal remedies and short easy exercises. No need for surgery!

Article Source: http://EzineArticles.com/?expert=S.P._Flynn Article Source: http://EzineArticles.com/2114553

How to Induce Labor Naturally?

2011-05-05T07:19:00.000-07:00

If you're on a quest to initiate labor and take matters into your own hands, you're most likely full-term or pretty close to it. I know what it's like to fear the eternal pregancy.

By now pregnancy has lost its novelty- especially if your baby has reached - and passed - his estimated delivery date (EDD). You might also feel exhausted due to the day-to-day aches and complaints regarding pregnancy. I am happy to tell you that there is good news! As long as your professional pregnancy care provider agrees, you can induce your labor naturally and help things along without medical labor induction.

Inducing your labor naturally is a great alternative to using other forms of induction. Most of the natural labor induction remedies don't cause side effects to worry about, your baby's health won't be placed in unnecessary jeopardy, and you won't suffer any ill consequences. Some of the best ways to naturally induce labor are also safe and simple.

Two common ways that you can induce labor naturally are by walking, and sexual intercourse. Some women may feel more pressure when they walk. This is due to the force of gravity and the baby's head descending into the pelvic region. In fact, when many women are in labor, their midwife or health care provider will have them walk to increase or speed up labor. You can do this on your own, before labor even begins.

That doesn't mean that labor will begin the first time you go walking. It means that the baby will continue to descend and engage earlier the more frequently you walk during those last days of pregnancy.

Sexual intercourse is also known for inducing labor naturally. When a woman experience orgasms, the body releases hormones involved in childbirth, among other functions. A group of hormones that stimulate labor to start by ripening the cervix is Prostaglandins. These may be in synthetic form through a medical prescription, but you can bypass the medical alternative and access Prostaglandins naturally. Semen contains Prostaglandins and when you partner ejaculates during sexual intercourse, the Prostaglandins in the semen will help soften and ripen the cervix.

Once again, don't expect an immediate onset of labor after intercourse. Do expect Braxton Hick's contractions and know that each dose of semen is thinning your cervix in preparation for labor. In other words, it acts as a gradual induction.

When women climax their bodies release the hormone Oxytocin. Oxytocin helps the uterus to contract and will strengthen the intensity of your contractions. Therefore, you can see that sexual intercourse helps stimulate or induce labor from hormones released in both the man and the woman. In fact, the medication known as Pitocin is used to induce labor and strengthen contractions and it is a synthetic form of Oxytocin.

Another method of inducing labor naturally is nipple stimulation. Nipple stimulation also releases Oxytocin. Please remember, however, to apply nipple stimulation according to instructions from your midwife or doctor because vigorous nipple stimulation could cause to very strong labor contractions.

Additionally, there are many herbs that have been used for centuries to help induce labor. Before using any herbs, you should consult with your health care practitioner or midwife. Evening Primrose Oil, Blue and Black Cohosh, False Unicorn Root, and Red Raspberry Leaf are some of the most popular herbs that are used to naturally induce labor. Before using any herbs, be sure to let your health care provider know.

Evening Primrose Oil can be very helpful in ripening the cervix due to the Prostaglandins it contains. Evening Primrose Oil is applied by inserting an oil capsule into the vagina. It is extremely important not to use any herbs for inducing labor naturally during the early part of pregnancy, as these can have serious consequences. (Always consult your medical provider prior to following such recommendations)

Finally, one of the safest natural labor inducing remedy is acupressure. Acupressure for labor is among the most studies ones and proven to be safe and effective. Because the technique is simple, this labor acupressure could easily be used at home. Maternity Acupressure is a safe way to get labor progressing.

Article Source: http://EzineArticles.com/?expert=Lena_Leino Article Source: http://EzineArticles.com/707207

Second Trimester Discomforts

2011-05-03T07:26:00.000-07:00

Now that you are through with the first trimester of your pregnancy, you may experience some new discomforts. Although you might find that your nausea is decreasing and your energy is returning on this stage, do not be surprised however if you will experience new discomforts.

Here are some second trimester discomforts and solutions that you need to learn:

Lower Back Pain

During the second trimester of pregnancy, you are likely to experience back pain since the joints in between the pelvic bones start to loosen and soften in order to prepare for the baby to pass through the pelvis during delivery. As your uterus starts to become heavier, you also need to make some adjustments to your posture in order to compensate for that change in your center of gravity. This, therefore, results to back pain which can really be very uncomfortable.

To get relief from this discomfort, try these solutions.

Be conscious of your posture - how you sit, stand, and move. Make sure that your pelvis is tucked in and that your shoulders back when you stand. If your work requires you to sit for longer periods, be sure to take breaks at least every 30 minutes and if possible, slightly elevate your feet when sitting and avoid crossing your legs.

Lift properly. You can do this by placing your feet apart, at least one shoulder's width, and then slowly lower your body with your knees bent, not your waist. As you lift the object, push up not with the back but with the thighs.

When resting or sleeping, lie on the side, with the hips and knees bent. You can place your pillow in between the knees and under the abdomen in order to take some of the pressure off the lower back.

Perform exercises which can help strengthen your abdominal muscles.

Leg Cramps

Most pregnant women experience leg cramps on the second trimester of pregnancy. These occur at night or early in the morning and may interrupt your sleep. Leg cramps may be attributed to inadequate potassium, fatigue, and pressure of your uterus on your legs' nerves. To help you prevent or get relief from this second trimester discomfort, do these solutions.

Perform exercises which can stretch your calf muscles.

If you stand for longer periods during the day, try wearing support hose.

Take regular breaks when your work requires standing or sitting for longer periods. Walk to and fro the office for a couple of minutes before going back to your work station.

When leg cramps occur, try to straighten your knee and gently flex your foot upward. You can also try flexing the toes of your affected leg to relieve the discomfort.

Skin Changes

Skin changes are common second trimester discomforts. These are results of the hormones which are at work in your body during pregnancy. When you enter this second stage, you may begin to notice skin darkening. Although the exact cause is uncertain, this skin change may be associated to increase in the levels of estrogen. You may notice this skin darkening in that area between the anus and the vulva, armpits, neck, inner thighs, around the navel, and even around the nipples. Some pregnant women even experience skin darkening on the face which can get worse because of sunlight exposure. If you experience this problem, avoid getting yourself exposed to too much sunlight. And if possible, wear sunblock with SPF when you go outdoors. Use also an umbrella or a wide-brimmed hat to shield your face from sun exposure. After delivery, your skin may become lighter so there is no need to worry.

Constipation

Constipation is another second trimester discomfort. This occurs due to added pressure and changes in the intestines. If you experience this, you should try eating more high-fiber fruits, vegetables, and grains. Drink also plenty of water and allot some time brisk walking every morning. If you want to take any laxative, be sure to check with your doctor first because some laxatives are not suitable for pregnant woman.

Knowing all these second trimester discomforts and solutions during pregnancy can help you cope with the changes more easily. Keep them in mind and be sure to consider the solutions when you start experiencing any of these discomforts.

Article Source: http://EzineArticles.com/731857

How Can you tell if you are Pregnant?

2011-05-02T07:13:00.000-07:00

There are a number of signs and symptoms to watch for. Chances are you will only experience a portion of the symptoms. Each pregnancy is different, and the same mom to be can experience different pregnancy signs each time she gets pregnant.
Pregnancy symptoms can begin for some mothers immediately after conception. Some pregnancy signs require that you chart your cycle, noting your daily basal body temperature.

Implantation

While a rare minority will experience pregnancy symptoms sooner, typically the first pregnancy signs occur when your baby implants around 8-10 days after ovulation. Implantation causes an increase in progesterone levels, which can lead to higher temperatures giving you a tri-phasic chart. If you temperature remains high for fifteen or more days after ovulation, you may be pregnant. Some women will see a slight temperature drop at implantation. Implantation bleeding sometimes occurs and can be pink, red, or brown in color. You may also have lower abdominal cramps.

Positive Pregnancy Test

The next and best sign that you are pregnant is a positive pregnancy test. Home pregnancy tests measure the pregnancy hormone hCG in your urine. The most sensitive home pregnancy tests will show a positive result when the hCG levels reach 20, which can happen as early as four days before your period is due, or approximately 10 days after ovulation.
False negatives are common when testing early with a home pregnancy test, so I recommend you wait to use one until eighteen days after ovulation to avoid false negatives. The usual recommendation is to wait until 14 days after ovulation before testing. Blood serum pregnancy tests performed by your doctor are much more sensitive. They can detect hCG levels as low as five. If you continue to experience pregnancy symptoms, but your home pregnancy test continues to show negative, you can make an appointment with your doctor to confirm your pregnancy.

Missed Period

One of the most common pregnancy signs is a missed period. For women with a standard 28-day cycle, their period is late if it has not arrived fifteen days after ovulation, or twenty-nine days after the first day of their cycle. Elevated basal body temperatures for 15 or more days will typically accompany the missed period.
Frequent Urination
Frequent urination is a very common early symptom of pregnancy. You may find yourself unable to be away from a bathroom for more than hour at a time, or waking up in the middle of the night to urinate.

Morning Sickness

Morning sickness can begin as early as 2 to 4 weeks after conception. The term morning sickness is something of a misnomer, as you can experience the nausea and vomiting throughout the day. Morning sickness typically is worst during the first trimester, and most pregnant women will have their morning sickness symptoms lessen or subside completely during the second or third trimester.

Breast Changes

Breast tenderness usually begins around 3 to 4 weeks after conception. This can also be a sign of your impending period. Usually the degree of breast tenderness is much stronger with pregnancy than with your period. You may also notice a slight tingling sensation.
Another change to your breasts early in pregnancy is the appearance. Your areolas can become larger and darker.

Fatigue

Fatigue can be an early sign of pregnancy. This symptom is not just being a little tired; it is more like feeling totally wiped out. Your normal daily activities can send you to complete exhaustion.

Body Discomforts

The physical and hormonal changes you experience with pregnancy can cause a long list of body changes that are annoying and uncomfortable. You may experience headaches, backaches, acne, constipation, heartburn, mood swings, constipation, diarrhea, bloating, indigestion, and abdominal cramps.

Food Cravings

Food cravings are a very common pregnancy symptom. Approximately 85% of women will experience some type of food craving during their pregnancy.

Food Aversions

The other side of food cravings is food aversions. They are also a very common sign of early pregnancy. You may find that a favorite food suddenly makes you feel nauseated just thinking about it.

Smell Aversions

A heightened sense of smell may cause some odors to seem stronger than normal when you are pregnant. Some smell aversions can cause food aversions.

Baby Movement

You can feel your baby moving as early as 16 weeks, but for first-time mothers may not feel the baby moving until 20 weeks or more.

Intuition

For some women, they just "feel" pregnant, even though they have had no other signs or symptoms. A mother's intuition is frequently accurate.

It is possible to experience some of the signs and symptoms of pregnancy, yet still not be pregnant. It is important that both you and your baby get under a doctor's care as early as possible. If you think you might be pregnant, treat your body as if you are pregnant until you know for sure. Take a home pregnancy test if you miss your period. If the test shows positive, then you are pregnant. Congratulations!

Elleth Faewen is a wife who has lost three pregnancies, one to stillbirth, one to miscarriage, and one to an ectopic pregnancy. She founded Baby Talk Zone as a friendly online resource for those pregnant, trying to conceive, and adopting. Elleth is currently on the waiting list for IVF. Article Source: http://EzineArticles.com/70487

Home Birth Planning

2011-04-28T09:18:00.000-07:00

Having a baby is a joyous occasion for the expectant parents. While many families choose to experience the moment in a hospital setting, more and more people are choosing to opt for a home birth. One reason for making the choice to give birth at home is to avoid any unnecessary medical interventions that have become common in many hospital births. The act of giving birth is a natural occurrence and unless problems arise there is not usually a reason for medical intervention. Others feel that hospital births take away from the joy of the experience, as soon after the birth, the child is taken away from his or her mother for long periods of time.

The Role of the Midwife

While a return to home births has increasingly become the choice of many expectant parents in the United States, in many countries all over the world, hospital births have never been commonplace. In many countries midwives are primarily responsible for delivering babies. A midwife often develops a special connection with the expectant mother, and in addition to her professional expertise, the midwife may offer spiritual support during the process. A well planned home birth with a registered midwife can be a safe option for a low-risk pregnancy.

Giving birth at home isn't for everyone!

A mother must be a good candidate for home birth before she should consider it as an option. High-risk mothers are not idea candidates for home births. Some factors that would place an expectant mother in a high-risk category include:

Mothers with preexisting conditions, such as high blood pressure or diabetes
Pre or post mature births
Older Mothers
Pre-Detected breech births
No hospital within a reasonably close distance
Women in any of these categories should not opt for a home birth. Therefore good a candidates for a home birth is a low-risk mother who lives in a reasonably short distance from a hospital, in case of complications.

Maria is a writer and womens activist. Her organization Saving Angel helps women detect early signs of pregnancy and assists with the transition into motherhood.
Article Source: http://EzineArticles.com/?expert=Maria_Flavey Article Source: http://EzineArticles.com/5297360

Back Pain in Pregnancy

2011-04-27T14:11:00.000-07:00

Normal and short-term phenomenon

Early pregnancy back pain is a normal phenomenon in this most beautiful period of a woman's life. Most of the expectant mothers witness some degree of back pain during the early phase of pregnancy and this pain generally subsides after about 20 weeks. Backache or spasm, which is reflected by stretching of muscles or burning pain in the left or the right side of the quadrant, is normally the result of the softening of the supporting ligaments and disks due to an increase in the progesterone hormone during the early stage. In some cases, urinary infection during pregnancy can also result in pain in the back amongst pregnant women. The extra weight of a pregnant women's body and the change in her centre of gravity also result in backaches and pain.

Remedies For Pregnancy Back Pain

The most important and safe remedy for the treatment of early pregnancy back pain is exercising. This is mainly because certain medications for back related pain is contraindicated during early pregnancy. Walking, pelvic rocking, bridging (done by lying down on the floor, bending your knees and lifting your buttocks into air), mini-crunches (done by lying down on the floor), bending your knees and lifting your head on exhalation, are good exercises for relief from pack pain during early pregnancy. Pregnant women do these exercises on their own to relieve back pain.

The right body posture and good body mechanics also play an important role in keeping one free of early pregnancy back pain. The right posture for prevention of back pain is standing straight and tall. However, the importance for correct postures is as essential in early pregnancy as before that. However, in late pregnancy, as the uterus becomes big, one tends to pull back her shoulders to offset the additional weight, which results in a back strain. You can reduce this pain during later stages in such a position by frequently changing your sitting position and avoiding standing for long periods.

Adequate rest and sleep are also essential for avoiding or eliminating early pregnancy back pain. You should take proper rest and avoid strenuous activities to avoid it during your pregnancy. You can also do normal yoga exercises to eliminate minor pain. However, if it persists you should consult your doctor and take proper medication for relief from back pain. In some cases of pain in the back, doctors may prescribe physiotherapy for relief. Massages and use of special mattresses are also effective for back pain relief during pregnancy.
Signs of pregnancy are signal of joy for a couple. Back pain during pregnancy is a most common pregnancy symptom.For more on early symptoms of pregnancy and other pregnancy problems information, visit, Pregnancy Back Pain

Article Source: http://EzineArticles.com/?expert=Daniel_Boon Article Source: http://EzineArticles.com/147814

Pregnacy Related Nausea

2010-10-20T08:48:00.000-07:00

Below are some technical highlights Dr. Michel Brown summarized from the New England Journal of Medicine:

Ginger and Vitamin B6 are the most effective, first line remedy for pregnancy related nausea.Randomized, placebo controlled trials have shown effectiveness of vitamin B6 (10–25 mg every 8 hours) in the treatment of nausea and vomiting of pregnancy.

Oral Vitamin B6 has been studied in more than 6,000 patients and controls with no evidence of teratogenicity. In these randomized trials, Vitamin B6 has been associated with 70% reduction in nausea and vomiting in pregnancy.

Randomized, double-blind trials have provided support for the benefit of Ginger in the management of nausea and vomiting in pregnancy.

In four randomized trials with a total of 675 participants, Ginger in capsules (tasteless) was superior to placebo and in two trials, the efficacy of Ginger was similar to that of vitamin B6.
Furthermore, Ginger was not associated with other clinically significant side effects or with any increased risk of an adverse pregnancy outcome. Ginger is considered to be a food supplement and NOT a drug.

Conclusion:A pregnant woman should use Ginger and Vitamin B6 combined in an odorless, tasteless gel capsule as a first-line remedy for nausea and vomiting in pregnancy. If this fails to relieve the symptoms, prescription medications can be considered.

You can read the entire article at http://www.nejm.org/doi/pdf/10.1056/NEJMcp1003896 you can also order Dr. Brown's supplement's from Beute de Maman.

Preparing to Breastfeed

2010-09-29T17:29:00.001-07:00

I love this article. It's a great way to prepare for nursing. It really drives home the point that it only takes 24 hours to go from a little sore to a lot sore. Make sure you're accomplishing a proper latch before you try to be tough.

Check it Out:

http://www.bestforbabes.org/prepare-the-learning-curve-of-breastfeeding/

My Baby has Thrush

2010-09-20T07:37:00.000-07:00

Although much of the new nursing routine is instinctive for your infant nursing is much like learning to dance with a new partner. In the early days mom's nipples may become very tender and sore. Often this is due the baby's mouth being poorly position at the breast. However, occasionally it may be the result of a condition known as thrush.

What is thrush? It is a parasitic fungal disease or yeast infection characterized by whitish spots and ulcers on the membranes of the mouth, tongue, and throat. It can be easily mistaken for milk. Sometimes it appears as cottage cheese. It is important not to touch or wipe these patches away. They may become sore and swollen.

Sometimes babies with thrush will cry when they nurse. They may refuse to eat altogether. A baby with thrush can spread the yeast overgrowth to their mother's breast which can increase nipple soreness. Dr. Sears provides some great tips on how to heal thrush http://www.askdrsears.com/html/8/t083100.asp

SIX WAYS TO TREAT THRUSH
Acidophilus – this is a powder form of the normal bacteria that live in our mouth and intestines. Click on it to learn how to apply it in baby's mouth.
Nystatin – this is a prescription antifungal liquid that you either squirt or paint with a Q-tip in baby's mouth four times a day. Continue this for five days after the thrush has cleared since it can be quite stubborn. It is common for thrush to recur, and more than one course of nystatin is often needed. One good aspect of nystatin is that it is not absorbed from baby's intestines into the bloodstream. Rather, it goes right through baby and out in the stool.
Sterilize bottle nipples or pacifiers – boil them for 20 minutes each day to kill the yeast that may be residing on them.
Wash toys that baby frequently chews on in hot, soapy water every day.
Don't forget to treat mom if breastfeeding – see below.
If the candida is resistant to the standard treatments described above, in consultation with your healthcare provider, try a 0.25 - 0.5 percent solution of gentian violet applied to your nipples twice a day for three days. Gentian violet is effective, but messy. Also, apply a small amount once a day to baby's mouth, but be aware that overuse of gentian violet may irritate the sensitive oral mucus membranes of baby's mouth. Apply Vaseline to baby's lips before using the gentian violet to avoid purple stains.Warning - gentian violet has been used for many years to treat thrush. A recent study done in Australia has linked gentian violet to cancer of the mouth. However, many other professionals around the world believe that it is safe, and continue to recommend it. For this reason, we suggest you use this remedy sparingly, and for as little time as possible.

Labor Pain

2010-08-20T08:29:00.000-07:00

One of the most common mistakes made by childbirth educators is the tendency to understate the pain. Many couples gain a false confidence as they draw near to labor only to find they were poorly prepared for the intensity of the pain. I certainly felt that way in my first labor.

"Pain is inevitable. Suffering is optional." -M. Kathleen Casey

One should never understate pain, rather plan, prepare, and work with it. If you want to achieve an unmedicated birth you must exercise regularly, practice relaxation and breathing techniques, define roles of your birth attendants, and create a strategy with your coach. If you're not willing to commit to regular practice, you'll want to consider the epidural as an alternative coping tool.

Non-Alcoholic Strawberry Dacquari

2010-08-17T10:02:00.000-07:00

3/4 Cup Fresh Strawberries
1/2 tsp liquid stevia
1/2 cup Strawberry Daiquiri Mixer
2 Cups Ice
1 Cup Water

Blend until smooth. Absolutely Delicious.

Peach Colada

2010-08-17T09:59:00.000-07:00

3 Peaches, cut up with pit removed
2 Cups Ice
1/2 cup canned Coconut Milk or Coconut Cream
1/2 tsp liquid stevia
1/2-1 Cup Water

Blend until smooth. Beat the Heat with this delicious treat! This makes 4 Small Servings or 2 Large Servings

Benefits of Water in Labor & Birth

2010-08-17T09:33:00.000-07:00

The use of water during labor has been studied and documented sufficiently to determine that there are many known facts. Few medical professionals fear that a baby will drown when born in water although it is widely accepted that babies must be lifted to the surface promptly to initiate their first breath. The cord continues to pump oxygen into their bloodstream after birth, however, the amount of oxygen decreases each minute that follows the delivery. Many hospitals have adopted specific policies and codes regarding how soon the baby should be removed from the water. Many hospitals do no permit water birthing. The reason has more to do with the expense of liability and insurance regulation than professional preference.

Here are some of the benefits of a water birth:

Water has a relaxing effect on mother and baby

Water displaces gravitational pressures of contractions

Water reduces the need for pain relief

Water softens the skin on the perineum prior to birth

Find out what the policy is on water birth in the hospital where you plan to birth your baby. Even if you can't deliver your baby in water, you can still enjoy all of the above mentioned benefits until it's time to push.

Notice the cord visible from under the towell to the exterior of the tub? This is a doppler or external fetal monitor that allows my birth team to listen to the baby's heart beat continuously or intermittently as your provider requires. I am holding the monitor in place without the discomfort of bands secured on my abdomen.

Exercising the Birth Muscles

2010-08-17T09:23:00.000-07:00

Energy follows thought. Concentrating on birth muscles increases awareness, circulation, and brings movement & control to those areas.

Using breath control intensifies the muscular development. Using proper breathing during muscular contractions changes the mechanics of the exercies. You can use the breath control simultaneously with the contraction and relaxation of the muscles. By using them together you can tone in a unique way that allows you to practice the way you want to perform in labor. Contract the pelvic floor muscles deep inside as you draw the breath inside your body. Release the pelvic floor muscles as you slowly exhale with perfect fluid control.

Practice this technique in various positions. Some positions to consider:

Taylor Sit (cross-legged)
Cat Pose (Knees spread wide kneel on floor bend over and lean forward on elbows)
Hugging Rest (Kneel down and hug a supportive pillow, bean bag, or cushion)

All of your stretching and breathing practices will come in hand when labor begins!

Relaxation Exercise for Labor

2010-08-13T19:56:00.000-07:00

Although there aren't very many ways to "simulate" labor practice at home, never underestimate the power of relaxation exercise. You must first learn to how to be calm in the calm if you want to successfully be calm in the storm. To begin you must be aware. Ask yourself the following questions.

How well do I control my thoughts?
Is my self talk positive?
Am I effective at self-medicating?
Am I generally up tight?
Do I have a high pain tolerance?

Now ask yourself:

How would I like to be?
What would I do differently?

Be honest with yourself. Lay down. Get comfortable. Imagine your favorite place in the world. Take note of the temperature and just control the environment in your mind for 20 minutes. Band all distracting thoughts. Stay completely focused on filling your mind with intended imagery.

When you get good at controlling your environment mentally in a quiet room. Practice the exercise in a room with mild distractions until you master your ability to stay focused. Eventually, allow others to be present and learn to tune them out.

Twenty minutes of focused relaxation is more powerful than 1 hour of R.E.M. Sleep. It's worth it. If you think your too busy or tired--you can't afford to not do it.

Withholding Food & Drink in Labor?

2010-08-12T09:41:00.000-07:00

There is a wide range of policy and practice on this topic varying from hospital to hospital. Find out what the policy is at the hospitals near you. Read more here. http://www.cleveland.com/healthfit/index.ssf/2010/08/hospital_policy_of_withholding.html

Pregnancy Related Nausea

2010-08-12T08:35:00.000-07:00

The most common concern of women in their first tri-mester of pregnancy is pregnancy induced nausea AKA morning sickness. The most effective solution is nutrition, but I've listed a few additional tips:

1) Avoid food with flour and sugar
2) Eat small meals
3) Wear Bio Bands (Usually under $15)
4) Get fresh air
5) Use Peppermint oil for aromatherapy
6) Try Ginger Chews/Hard Candy or Preggie-Pops

Preggie-Pops are lollipops made with all natural ingredients including herbs and peppermint. They can help settle an upset stomach.

MyBirthClass recieves The New Parent Guide Seal of Approval

2010-08-12T08:29:00.000-07:00

The New Parent Guide recently recognized MyBirthClass with their quality Seal of Approval. You can read more in this article. http://www.pressreleasepoint.com/node/495790

Our Demo

2010-08-12T08:05:00.000-07:00

I've received a few requests for a demo of our product. We've considered streaming as an option, but haven't gone that route yet. However, you can take a peek here.

Benefits of Breast Milk

2010-07-30T09:52:00.000-07:00

Breast-fed infants take in more than just nutrition with their mother's milk. The American Academy of Pediatrics call breast-feeding "the ideal method of feeding and nurturing infants." Like a magic elixir, the milk promotes the nursing infant's general health, growth, and development, while significantly decreasing the risk of infection. Breast-feeding has also been related to possible enhancement of cognitive development. It protects the nursing infant against a slew of diseases, including diarrhea, lower respiratory infection, otitis media, bacteremia, bacterial meningitis, botulism, urinary-tract infection, necrotizing enterocolitis, sudden infant death syndrome, insulin-dependent diabetes mellitus, Crohn's disease, ulcerative colitis, and allergic diseases. And, of course, there is evidence that mothers' milk protects against lymphoma and carcinomas.

Several studies indicate that breast feeding may induce an infant's immune system to mature more quickly than that of a formula-fed child. For example, breast-fed babies produce higher levels of antibodies in response to immunizations. And animal studies indicate that the intestines develop faster in newborns that nurse on mother's milk.

For these reasons the Academy of Pediatrics has some strong recommendations:

-Human milk is the preferred feeding for virtually all infants, including premature ans sick newborns.
-Breast-feeding should begin as soon as possible after birth, usually within the first hour.
-Newborns should be nursed whenever they show signs of hunger--increased alertness or activity, mouthing or rooting.
-No supplements (water, glucose water, formula, etcetera) should be given to breast-feeding newborns unless for medical reasons. Pacifiers should be avoided.
-Breast-feeding provides ideal nutrition. It is all an infant needs for optimal growth and development for the first six months.

Breast feeding also helps mothers. Nursing contracts the uterus and results in less postpartum bleeding and less menstrual blood loss over the months after delivery. Nursing women return to their pre-pregnancy weight earlier than those who don't nurse. Nursing improves bone strength (leading to fewer hip fractures in postmenopausal women) and reduces the risk of ovarian cancer and pre-menopausal breast cancer. Finally, beast-feeding is one of the best contraceptives going. It delays the resumption of ovulation in nursing women.

Despite these benefits, there are some situations in which breast-feeding should be avoided. A mother can pas harmful drugs and active infections to her child through breast milk. TB and HIV are prime examples. And infants who inherit a condition called galactosemia should not be breast-fed. Their inability to process one of the sugars in breast milk could lead to mental retardation. --P.R. Discover Magazine

What is an Episiotomy?

2010-07-30T09:41:00.001-07:00

An episiotomy is a small incision in the tissue between the vagina and the anus just prior to delivering the baby's head. The purpose of the incision is to enlarge the birth opening during the pushing stage of labor. It's purpose may be to keep the perineum from tearing or to hasten the delivery.

Many doctors do routine episiotomies on every patient. Others evaluate the need before making the making the incision. Some doctors will massage and stretch the perineum to avoid the need for an episiotomy.

You can decrease your chances of an episiotomy by stretching the tissue in the weeks prior to birth by doing squats, sitting cross legged, toning the kegel muscle, and massaging your perineum with olive oil or grapeseed oil.

What is an Ectopic Pregnancy?

2010-07-30T09:33:00.003-07:00

Ectopic means "Out of Place!"

In a normal pregnancy, the fertilized ovum descends into the fallopian tube and eventually into the uterus where it implants and begins development. Unfortunately, on occasion the body doesn't do it's job quite right and in a very small percentage of cases the fertilized egg develops in the tube. In some exceptionally rare cases the egg can implant in the abdominal or pelvic area outside the womb.

Women who experience early signs of sharp or dull pain in the abdomen, vaginal bleeding, weakness, dizziness, neck or shoulder pain, or headaches should consult their doctor. Failure to identify an ectopic pregnancy can result in excessive hemorrhage or death of the mother.

2010-07-30T09:33:00.001-07:00

Post Partum Essential - The Belly Bandit

2010-07-29T12:41:00.000-07:00

You can learn more about this product by visiting their home website. But I've also attached a link to their press. http://www.bellybandit.com/press_celebrity.aspx Honestly, these pregnant celebrities know that stretched out swollen abdomens don't just snap back into shape on their own.

I didn't know about this on my first baby, hence a missed opportunity. But I was ready with baby number two and the difference was amazing. It helped cinch my loose hips back together again as well...only I didn't know there was a belt specifically designed for this purpose so I just used a super strength Velcro back brace from a local medical supply store. It cost $20.00 but probably wasn't as ergonomical or comfortable as this hip tummy trimmer.

Pressure Point Induction

2010-07-20T13:41:00.000-07:00

Some pregnant women report an almost immediate response of uterine contractions in relation to pressure application on specified points. When applied properly there may be a feeling of tenderness or sensitivity. But as always the efficacy of acupressure varies from case to case.

Bladder 32 pressure point to induce labor: The depression between the crease of the buttocks and the spine is the location of this pressure point. This point is midway between the dimple in the buttocks and the spine. You can find it by tracing up one of the mother's finger width's above the top of the buttocks crease. You should feel a small depression where the point lies.

Hoku pressure point to induce labor: This is the point that is in the webbing between the thumb and the index finger. The point where the bone of the index finger connects should be pressed with light pressure and massaged firmly to stimulate labor contractions. Press on an angle underneath the bone that connects with the index finger. This may also act as a natural anesthetic to pain in labor.

The Trapezius Muscle: This is the muscle that connects the shoulder and the neck. The pressure point is located about an inch or so below the highest point where the muscle connects with the neck. The soft spot there is where the pressure is to be applied at intervals. Press this tender spot intermittently to start uterine contractions

Spleen 6 Pressure point to induce labor: This point is located on the inside of the ankle between the Achilles tendon and the ankle bone. Knead this area for at least a minute. Experts claim it propels the baby’s head down into the mother’s pelvis.

Additionally, approximately 5 centimeters above the ankle bone is a pressure point, which, when massaged may help to strengthen contractions that may yet be weak and ineffective.

Pros to Pressure Point Induction: May quicken or intensify labor

Cons to Pressure Point Induction: May result in an uncomfortable false labor

Lollipops in Labor

2010-07-20T13:21:00.000-07:00

Many women anxiously seek alternative methods of labor induction during pregnancy. Unfortunately, most of these home remedies aren't very effective. Why? Because your body isn't just being stubborn to annoy you. It has a very complex network of hormones and muscles that need to balance properly for a happy and healthy birth.

Labor doesn't have a lever like a light switch that you can simply flip on and off on a whim. But if you're contracting and you want to test whether or not it's false labor there's something you can do.

The roof of your mouth has a very sensitive pressure point that responds by stimulating uterine contractions. It also induces relaxation. Which is a fantastic combination!

Some doulas recommend pressing the roof of your mouth with your tongue. Others suggest using your thumb and sucking it to apply a little more pressure. I recommend lollipops.

Pick your pop. Dum Dums are great! Besides coming in a great assortment of flavors, they're small and can fit into the smaller region in the roof of your mouth. But eventually your Tootsie Pop or Blow Pop will fit snugly as well. This is a great way to soothe yourself while you're lounging in the tub, laying on your side, or awaiting a cervical exam.

So regardless of whether or not you can successfully initiate labor by triggering the pressure point on the roof of your mouth, you should induce some more effective uterine contractions as well as a stronger ability to relax.

Eat Cinnamon in Pregnancy & Postpartum Recovery

2010-07-14T10:34:00.000-07:00

I found this technical abstract by the USDA Agricultural Research Service very interesting. It's supportive of statements made by Dr. Oz in his book You on a Diet. So if you're trying to avoid gestational diabetes or pregnancy induced obesity read more. The verbage is a bit technical so I've bolded the pertinent points for your convenience.

But make sure you do more than just read the article, add a dash of cinnamon to your salads, cereals, desserts, smoothies, and warm drinks. Afterall, cinnamon is an appetite suppressant!

Technical Abstract: In Western countries, over consumption of fat and/or refined carbohydrates are leading causes of insulin resistance, obesity, and the metabolic syndrome. Some nutritional factors, including many polyphenols, may be beneficial in counteracting insulin resistance associated with the metabolic syndrome.

We have shown that cinnamon and polyphenols in the aqueous extracts of cinnamon counteract insulin resistance in in vitro, experimental animal, and human studies. The objective of this study was to determine the effects of cinnamon on insulin resistance, glycogen synthesis, and body composition using an animal model of the metabolic syndrome, the high fat/high fructose-fed rat. Four groups of male Wistar rats (n=10) were fed for 12 weeks with (i) High Fat/High Fructose diet (HF/HF) known to induce insulin resistance, (ii) HF/HF diet containing 20g cinnamon/kg of diet, (iii) Control diet, and (iv) Control diet containing 20g of cinnamon/kg of diet. Insulin resistance was documented using the hyperglycemic clamp, with significant decreases in the glucose infusion rates in rats fed the HF/HF diet. Addition of cinnamon to the diet led to a return of the glucose infusion rates to the values of the control rats. Consumption of the HF/HF diet also led to significant accumulation of mesenteric white fat that was not present in animals consuming the same diet with added cinnamon. In addition, cinnamon added to the diet led to significant increases in liver and muscle glycogen, especially in animals fed the HF/HF diet. These results demonstrate that cinnamon improves insulin sensitivity with the metabolic syndrome and suggest that these effects are related to less accumulation of mesenteric fat and enhanced liver and muscle glycogen.

Project Team
ANDERSON, RICHARD
PARK, JAE
SCHOENE, NORBERTA

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Human Nutrition (107)

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Chromium and Cinnamon Effects on Insulin Sensitivity

A Study to Determine the Effects of Cinnamon on Blood Glucose

Last Modified: 07/13/2010

How to Regain Bladder Control Related to Pregnancy?

2010-06-30T07:42:00.000-07:00

According to Dr. Katie Bowman, an expert in biomechanics, (http://mamasweat.blogspot.com/2010/05/pelvic-floor-party-kegels-are-not.html) urinary incontinence isn't necessarily caused by pregnancy even though pregnancy increases strain on the bladder.

The weakening in that area seems to affect both women and men with age. She explains that pelvic floor weakening occurs from a slack in the muscles due to the sacrum moving anterior or into the bowel.

The muscle should be supple like a trampoline. If you exercise your pubococcygeous muscle (Kegel) without compensating in your glutes, you can pull the sacrum even further forward and worsen the problem.

The solution? Evenly align the sacrum by toning both the anterior and posterior sides of your pelvic floor muscles. Kegel regularly, but SQUAT often.

Preparing Nipples for Nursing

2010-06-30T00:17:00.000-07:00

At one time it was believed that women should prepare their nipples for nursing by rubbing a rough towel on them from side to side or brushing them vigorously with a dry toothbrush. The good news is: Those days are long gone.

It is now recognized by La Leche Leage International that no preparation is necessary to avoid sore nipples. The best prevention for nipple soreness is correct positioning and latch-on of baby.

-Wait to latch until the baby's mouth is wide open
-Ensure your baby's mouth completely covers the nipple
-Check that your baby's lips are curled outward
-Ask a lactation specialist to observe the latch (forget modesty and discretion it will save you hours of pain for weeks to come)

How to Handle Back Labor?

2010-06-30T00:08:00.001-07:00

1. Pelvic Rock--A lot
2. Get in the bath tub and use buoyancy to relieve the pressure
3. Ask a nurse, Douala, or midwife how to squeeze the ischial spines at the hip joint to give counter-pressure a truly amazing natural anesthetic
4. Walk to open the pelvic inlet and help the baby move through more rapidly
5. You may want a lower back massage with tennis balls. (This didn't work for me, my back was to sensitive to the pain since the uterus is fastened to the back and my baby was occiput posterior.)

The (Labor) Coach's Manual

2010-06-29T23:52:00.001-07:00

1. Pay attention to her physical position help her get comfortable
2. Pay attention to her physical relaxation, guide her through relaxing her face and hands. Make sure she is not arching her back. Tell her to give in and let the contraction work for her.
3. Praise her sincerely
4. Let her overhear you tell the hospital staff or birth team how amazing she is
5. Ask the nurse where you can go to get her a drink, ice chips, or a snack
6. Hold her hand
7. Caress her hair
8. Tell her she's beautiful
9. Tell her how much you love her
10. Let her know the contraction won't last much longer. (Contractions are usually less than 2 minutes long)
11. Relate the pain with progress--"You're getting closer!"
12. Dim the lights
13. Walk with her
14. Put a cool damp cloth on her forehead
15. Remind her to breathe deeply and exhale slowly
16. Encourage her to close her eyes
17. Talk in a slow low voice to calm her
18. If she holds her breath encourage her to groan or growl low to relieve the pressure
19. Suggest she sit backwards on a birth stool or toilet to give counter pressure and allow the perineum tissue to relax

Is Ultrasound Safe in Pregnancy?

2010-06-29T23:36:00.001-07:00

American Foundation for Maternal & Child Health show findings of adverse relationship between ultrasound and fetal health. ACOG does not recommend regular or routine use of Ultrasound.

Government officials recognize it may be harmful and should be used sparingly. Geneticists agree that it raises questions about it's potential of mutating genetic DNA and increasing the rate of cancer and congenital malformations.

Excessive use of ultrasound usually results in lower birth weight.

To date there is no medical evidence that any deformities are caused at birth as a result of the use of ultrasound. However, pregnant women should think twice before engaging in unnecessary, excessive, or recreational ultrasound. It is possible that cell mutation caused by ultrasound radiation may have long-term results that show up later in life.

It is wise to minimize ultrasound usage to doctor specifications and discard frivolous peeks at your baby.

Labor Augmentation via Prepidil Gel

2010-06-29T23:16:00.000-07:00

What is Prepidil Gel? Prostaglandin E2.

Even though I'm not an advocate of any form of induction unless its a life threatening situation for mom or baby, that doesn't mean I practice what I preach. Prepidil is a fairly safe induction technique. When used in conjunction with Pitocin it reduces the rate of Cesarean section. Another advantage that it has over some of the less favorable induction techniques is that its strength can be reduced by wiping it off the Cervix if the body reacts adversely.

Unfortunately, the fast absorption of prostaglandins by the cervix does not allow your birth team to completely reverse the effects. It is very expensive and doesn't always work.

In some cases the gel works a little too effectively and sends the body into powerful expulsive contractions that can cause uterine hyper-stimulation. Serious complications rarely arise from the use of Prepidil Gel; however, expect more painful and erratic contractions than those occurring in a spontaneous labor.

The best source of prostaglandins for cervical ripening comes when you slip into something sexy and and coerce your husband into finishing what he started 9 months ago. Only engage in sexual intercourse when the bag of waters remains intact.

Regular exposure to male semen on the cervix acts as a natural and healthy ripening agent. Begin regular sexual activity at 36 weeks gestation.

How to Choose the Sex of Your Baby

2010-06-29T22:57:00.000-07:00

The most important thing you can do is determine the time of ovulation by using an accurate ovulation kit.

-If you want a boy you must time conception as closely as possible with prime ovulation

-If you want a girl you must time ovulation three full days prior to ovulation

The smaller faster Y carrying sperm (boys) are favored for conception during ovulation. The slower more durable X carrying sperm (girls) can make there way through an acidic environment.

Other useful tips for conceiving a boy:

Ensure that the dad-to-be wears loose fitting jockey shorts
Keeps the the family jewels cool and avoid hot showers
Avoid caffeine
Deep penetration during male climax to get fast swimmers close to the cervix
Keep the moms body alkaline (lots of veggies avoid flour, milk, and refined sugars)

To conceive a girl reverse the instructions:
Dad-to-be can take warm showers
Stay shallow during ejaculation
Have mom-t0-be load up on foods that increase acidity 24-48 hours priort to timing conception

Squatting Position for Birth

2010-06-29T22:30:00.000-07:00

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Twelve years ago when I sat in a birth class learning about birth in the squatting postion, I wasn't completely convinced it was for me. It seemed uncomfortable, awkward, and maybe even a little barbaric. But as years passed and I became a childbirth educator myself I became intrigued by the ancient wisdom of cultures past and present benefiting from squatting during birth. I made it a goal to birth my own child in the squat.

Baby number five was an assisted squat. The C.N.M dropped the lower end of the bed so that I could sit at the edge of the hospital bed with my tailbone scooted to the ledge and my legs resting on the lowered portion of the bed. It amazed me how comfortable pushing could be without the exertion of holding up my legs. Not to mention gravity working in my favor to drop the baby.

During the birth of baby number seven I crawled onto the hospital bed and turned around to face the C.N.M. The nurse raised the back of the bed to offer support from behind. Then she raised the bars on the side for me to hold. There on the hospital bed I squatted flat footed completely covered in my modest hospital gown. Three pushes later baby James arrived.

In the squatting position the perineum stretches more efficiently and the stretching of the tissue occurs with optimum alignment. It's easier to apply proper techniques such as chin down and curved back when you birth in the natural position.

When a woman squats the gravitational force is so effective there is no pulling or prodding to get the baby to move through the birth canal. It simply drops and turns on its own. All the clinician needs to do is catch.

How to Handle a Labor Contraction?

2010-06-29T22:06:00.000-07:00

Labor Rehearsal Exercise

1.Hold Perfectly Still-Moving or Jarring the body can be painful during a contraction
2.Meditate-Choose a specific image or mantra to keep your attention
3.Abdominal Breathing- Fill your lungs with deep oxygenating breaths
4.Lay Limp-Loosen every muscle in the face until it hangs, the rest of the body follows
5.Coach should keep his hands off her back- The uterus is fastened to the back and extremely sensitive to extra weight, even gentle massage.

There aren't very effective labor simulations. It's difficult to imitate such a dramatic and powerful experience. However, many childbirth educators will use the ice test.

In this simulation the pregnant woman holds a bag of ice in her hands for as long as possible. The discomfort of the ice directly in the hands allows her to practice the five recommendations above.

The ice is removed from the pregnant mom's hands at intervals. Allowing her to relax and prepare for the next "contraction" simulation.

The ice labor rehearsal is most effective at involving the coach in establishing check points.

How to Labor Quickly?

2010-06-29T21:56:00.000-07:00

One of the most feared predicaments of a first time mother is a long labor. The best way to avoid a long labor is to wait for nature to initiate labor on its own.

Naturally occurring or spontaneous labors are statistically much shorter than induced labors. When your baby and your body are fully ripe the body performs much more efficiently.

A soft ripe cervix opens without resistance. Contractions are powerful and progressive. Every part of the body works with a synergistic power to do the involuntary and instinctive work of labor.

Admittedly, I've only enjoyed one completely spontaneous labor. The others I buckled under the pregnancy emotions and pleaded with my provider to strip my membranes to initiate the labor process.

My spontaneous labor was two and a half hours from start to finish. The five labors induced by membrane separation took 12-48 hours. Labor contractions began slowly like a crock pot gradually building intensity. My first labor initiated with the use of an induction tool called Prepidil Gel. The C.N.M applied the Prepidil Gel at 10:00a.m. and my baby was born at 3:35a.m.

It is very typical for women to experience short labor under three hours in a naturally occurring labor. Regardless of whether your labor is long or short contractions are very good for your baby. They improve circulation and prepare your baby for respiration.

Even though you may feel big and weepy toward the end, remember that patience s a virtue. If you can wait it out the experience will be so much better for you and your baby. I promise pregnancy won't last forever!

Not All Calories are Created Equal

2010-06-29T13:09:00.001-07:00

When pregnant it is important to increase caloric intake. But it is just as important to know how much to increase calorie consumption and how.

During the first half of pregnancy a 200 calorie increase is sufficient to nourish your body and your growing baby. So let's take a look at 200 calories.

1 Cup of Milk (200 Calories)
1 Yoplait Yogurt (190 Calories)
1 Side Salad with Light Salad Dressing (220 Calories)

That's not a lot of food. It certainly isn't enough to satisfy some of the crazy cravings that pregnant women experience. Unfortunately, someone coined the phrase "You're eating for two!" which gave pregnant women the idea that they really could justify eating whatever they want.

The result: Lots of moms gaining excess weight in pregnancy
Increased Incidence of Toxemia

By the second half of pregnancy it is okay to increase your calorie consuption another 300 calories for a total increase of 500 calories per day.

But remember to pay attention to what you're eating. Not all calories are created equal. Your body does three things with calories

1. It Burns Them (If you're active and using everything you eat)
2. It Stores Them (Think Thighs, Hips, Double Chin)
3. It Flushes Them (Removed as waste)

Many high fiber foods such as avocados are high in calories, but also very high in Fiber. This fiber drags wastes out of your intestines and in the process removes itself. In the end (no pun intended) you may lose more calories than you ate.

So if your pregnant, hungry, and watching your weight, the higher fiber foods you eat, the better.

Braxtion-Hicks Contractions

2010-06-23T09:14:00.000-07:00

The uterus is a hollow reproductive organ that houses the baby during pregnancy. Dr. Bradley referred to this muscular organ as the baby box. The muscle fibers of the uterus run both vertically and horizontally.

During the early months of pregnancy the uterus begins to practice or exercise its ability to contract. These small warm-up contractions are most commonly known as Braxtion-Hicks.

Most of the time pregnant women can't feel the tiny contractions. However, as pregnancy advances the contractions become increasingly regular and increasingly strong. By the 39 weeks gestation most women recognize some cramping or tightening sensation in the lower abdomen.

Because the uterus is fastened to the spine. The contractions often begin in the back and wrap around the front of the belly in a forward motion. Occasionally, Braxton-Hick's contractions begin at the top and work their way down the uterus.

Typically, Braxton-Hicks contractions are painless or mildly uncomfortable during a first time pregnancy as the uterus is already tone and doesn't require hard contracting to prepare the body for labor. As the uterus stretches it never returns to it's pre-pregnancy size and condition. In subsequent pregnancies, it inevitably experiences a loss of tone.

Braxton Hick's contractions are notably more powerful and sometimes painful in subsequent pregnancies. There isn't anything you can do to eliminate pre-labor tightening. They are absolutely essential to restoring tone and strength to the uterus. But you can supplement your diet with Red Raspberry Leaf Capsules from your local heath foods store.

Red Raspberry Leaf is a completely safe uterine super food. Just as cranberries are good for your kidneys and fish is good for your brain, red raspberry leaf nourishes the the uterus.

Stretch Mark Prevention

2010-06-22T09:12:00.001-07:00

Stretch marks often emerge on a woman's body during the final weeks of gestation. Sometimes it may seem as though they popped out overnight. Stretch marks may appear on the lower and upper abdomen, breasts, hips, buttocks, and thighs.

It seems that the retail industry makes a big business of women who want to remove their stretch marks. Unfortunately, most women encounter disappointment after disappointment searching for the miracle stretch mark cure. It can be very expensive trying to reverse the tissue discoloration resulting from pregnancy stretch marks.

What you should know is that the underlying cause of stretch marks is hormonal changes in the body that result in low levels of elasticity and collagen in the layers of the dermis. The obvious cause is the rapid growth or stretching of dermal tissue over the body. This can be caused from either or growth spurt or a protruding belly.

It is much easier to prevent stretch marks than to remove them. But before you begin slathering cocoa butter or any other miracle cream on your abdomen keep in mind that stretch marks first occur in the deeper layers of the dermis. Once small tears begin to seperate in the the deeper tissue, they gradually manifest themselves on the outside layer of skin or epidermis. This is precisely why stretch marks are so difficult to repair--the scarring is so deep.

I won't discourage you from moisturizing the skin on your abdomen, but don't spend a fortune doing it. Combining a few drops of olive oil, fennel oil, and Vitamin E oil provides a fantastic rejuvenation for the outer layer of the skin.

What I encourage all pregnant moms to do is absorb stretch mark prevention nutrients on a deeper level. Ensure that you're getting healthy oils in your daily diet. Supplement your meals with flaxseed oil, grapeseed oil, fennel capsules, or fish oil capsules. Choose a high quality fish oil as many are contaminated with mercury. Typically wild Alaskan Salmon or Cod Liver Oil are good choices.

Fetal Heimlich Maneuver

2010-06-21T10:25:00.000-07:00

A natural act that as the baby is born, the mother's intact perineum presses inward below the baby's ribcage causing mucous to be forced out of the baby's mouth and nose.

In this video you'll notice that the baby experiences a final rotation just prior to exiting the cervix. In live birth with a naturally or spontaneously ocurring labor the uterine muscles, including the cervix will maintain enough strength to gently squeeze under the infant sternum. This allows the baby to expel any amniotic fluid remaining in the mouth or esophagus. Please keep in mind that the cervix actually fits more tightly around the baby's head. Especially during the crowing stage of labor.

My Birth Plan

2010-06-21T10:17:00.000-07:00

Mother: Becky Ann Turley Rasmussen
Father: Neil James Rasmussen
Mother’s DOB: 12/28/1978
Last Menstrual Cycle: 9/6/2008
Due Date: 06/12/2009
Insurance Provider: Select:Care + ID: 800561011
Birth Team: Mt. Timpanogas Woman’s Health Care/Midwives
Blood Type: O+
Allergies: Penicillin
Group B Strep Test: Positive
Gravida: 8
Full Term: 7

Labor Preferences:

Natural Delivery Without Anesthetic
Availability of Jetted Tub & Birthing Ball

Second Stage Labor Preferences:

Assistance with modesty given the family members in attendance
Reminder Squatting or Kneeling Position for Pushing
Perineal massage if necessary to avoid tearing
Request gloves to feel baby’s descent

Preferences for Baby:

Wavier of Eye Prophylaxis
Wavier of Hepatitis B Vaccination
Wavier of Vitamin K Shot
Delay cord clamping until pulsating discontinues
Immediately breastfeed baby with skin to skin contact
I Would like to nurse & massage the vernix into the baby’s skin immediately following birth

*Notice pertinent information first. If you have allergies or complications related to your pregnancy they should be listed at the top.

Most of your concerns should be addressed in the weeks prior to delivery. As you initiate discussions with your provider you should have a good idea of what to add or subtract from your birth plan. The shorter your birth plan is, the more your birth team will work to accomodate the items listed.

Standard Birth Plan

2010-06-21T10:07:00.000-07:00

What's Wrong With this Birth Plan?

Birth Plan for Jane Mary Doe
Due Date: 1/25/10

Patient of Dr Baby Guider

Scheduled to deliver at Medical Center
12/12/2010

Dear Dr Doe and the Medical Center Staff:
I look forward to sharing my upcoming birth with you. I have created the following birth plan to help you understand my preferences for my upcoming labor and delivery. I fully understand that in certain circumstances these guidelines may not be followed, but it is my hope that you will assist me in making this the experience I hope for. If you have any questions or suggestions, please let me know.
Sincerely,
Jane Doe

Labor

I would prefer to avoid an enema and/or shaving of pubic hair.I wish to be able to move around and change position at will throughout labor.I would like to be able to have fluids by mouth throughout the first stage of labor.I would prefer to keep the number of vaginal exams to a minimum.

Monitoring

I do not wish to have continuous fetal monitoring unless it is required by the condition of my daughter.

Labor Augmentation/Induction

I do not wish to have the amniotic membrane ruptured artificially unless signs of fetal distress require internal monitoring.I would prefer to be allowed to try changing position and nipple stimulation before Pitocin is administered.

Anesthesia

I do not want any kind of anesthesia offered to me during labor, though would like it available if I specifically request it.Custom note regarding use of an epidural

Cesarean

If my primary care provider determines that a cesarean delivery is indicated, I would like to obtain a second opinion from another physician if time allows.I would like my husband present at all times if my daughter requires a Cesarean delivery.I wish to have an epidural for anesthesia If my daughter is not in distress, my daughter should be given to (blank) immediately after birth.

Episiotomy

I would prefer not to have an episiotomy unless absolutely required for the baby's safety.

Delivery

I would like my husband and/or nurses to support me and my legs as necessary during the pushing stage.I would like a mirror available so I can see my daughter's head when it crowns.Even if I am fully dilated, and assuming my daughter is not in distress, I would like to try to wait until I feel the urge to push before beginning the pushing phase.I would like to have my daughter placed on my stomach/chest immediately after delivery.

After Delivery/Post Partum

I would like to cut the cord myself.I would like to have my daughter examined and bathed in my presence.If my daughter must be taken from me to receive medical treatment, my husband or some other person I designate will accompany my daughter at all times. I would like a private room if available.After the birth, I would prefer to be given a few moments of privacy to urinate on my own before being catheterized.I would like to donate the umbilical cord blood.

Breastfeeding

Unless medically necessary, I do not wish to have any bottles given to my daughter (including glucose water or plain water).I do not want my daughter to be given a pacifier.

Photos

I would like to make a video recording of labor and/or the birth.

Other

My birth attendants are my sister-in-law, Jennifer Doe, and my husband, John Doe. I would like them to be present during labor and/or delivery.

This Birth Plan contains a lot of unnecessary information and outdated requests.

-There is no need to introduce additional birth attendants

-Many hospitals aren't equipped to donate cord blood, ask in advance

-It's unnecessary to mention film documentation, everyone does it

-Nobody shaves pubic hair or gives enema's without consent anymore

On the positive side

-This Birth Plan is fairly easy to read because of short paragraphs and bold headings

-Preferences are clear

-Allows room for flexibility

The two biggest mistakes expectant couples make when writing a birth plan are

1. Making it too long with inclusion of unnecessary or outdated information.

2. Writing it in letter format.

Working Together During Pregnancy

2010-06-21T09:57:00.001-07:00

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Becky is great at creating a learning environment where couples can grow together. She has a way of teaching you to work together -both before, during, and after birth. And she was exactly what we needed to have the birth experience we hoped for."

Jenny & Elijah Nielson --Naples, Florida

How to Choose a Childbirth Class?

2010-06-21T09:52:00.000-07:00

"When we initially began our birth class we were expecting our first baby as students on our way to law school and a PhD. We never could have guessed how much there was to learn in a prenatal class. Becky shed light on the sensations I was experiencing in pregnancy and prepared us for the most life changing event of our lives; the birth of our beautiful baby girl."

--Emily & Tyler Gibb

New York, NY

Preparing for Birth

2010-06-21T09:47:00.000-07:00

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1. Taking my childbirth education class put me back in control. It taught me that not only could I have a baby without medication, I could make choices regarding much of my care as well. After experiencing natural childbirth I also discovered that I was able to recover much more easily than I did after my medicated births.

2. My childbirth class taught me the importance of a healthy diet and exercise, but did it in a way that was attainable - not overwhelming. That started me on the right path to see that I really could achieve an unmedicated childbirth and work to do so. The benefits of that choice are great. This is education I would recommend to every expectant mother and her coach!

3. Taking my childbirth education class put me back in control. It taught me the importance of a healthy diet and exercise, but did it in a way that was attainable - not overwhelming. That started me on the right path to see that I really could achieve an unmedicated childbirth and work to do so. I learned how to make choices regarding much of my care as well. After experiencing natural childbirth I also discovered that I was able to recover much more easily. This is education I would recommend to every expectant mother and her coach!

Erik & Cheryl Dunne
American Fork, Utah

Better Birth

2010-06-21T09:42:00.000-07:00

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I have had 5 pregnancies. 2 epidural/pitocin deliveries, one c-section, and 2 natural deliveries.The fact of the matter is that without us going through your birthing classes, I would have NEVER attempted to go natural!

I had already tried once before, and failed. (I didn't even have a desire with my previous 2 pregnancies). I loved how you taught us to educate ourselves. I still remember one of our 'homework assignments' was to find out the pro's and con's of using pitocin during labor. I was shocked at what we found! I had used pitocin in both my previous labors and was surprised at how little I knew about a drug that I so readily agreed to!

I also loved that we created a birth plan! It was great for Mike and I to talk about what we did and did not want during our birthing experience before I was in labor, and to discuss it with my Dr. My recovery was so much faster because I could actually feel when I wanted to stop pushing!

The relaxation techniques I learned during your classes helped me to focus during labor. I have had a subsequent pregnancy, and that was without drugs also! There isn't even a question in my mind which birthing experience I enjoyed more! If I am privileged enough to experience birth again, I will definitely choose natural! Thank you for imparting your knowledge of natural birth, and enabling us to enjoy a birth experience we've always wanted!

-Mike & Jenalee Gardner
Saratoga Springs, Utah

Which Birth Class is Best?

2010-06-21T09:35:00.000-07:00

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Before MyBirthClass both my husband and I were nervous about how the birthing process would go. We had no idea what to expect and did not even know where to start. I heard about the this class from a friend and thought that learning about the natural childbirth way would be a great way to start.

After our first instruction both Kevin and I were amazed by how much we didn’t know. I loved learning how to take care of my body and prepare it for childbirth. Becky was great at making us comfortable, answering our questions, and providing resources so that we could learn everything that we needed to know. She not only knew how to answer our questions using resources, but she had been through childbirth before so I knew that I could trust what she had said.

Our classes were group classes, of course, and it was exciting to be around so many people who were anticipating the arrival of a baby. Becky was great at leading the discussions and questions, helping all of us to learn what we needed to in order to have a successful labor.

While the class I took from Becky was a natural birth class, she taught it in a way that helped me to become confident as a mother and make decisions for myself. There was no wrong way, but the best way was what I chose for myself and for my baby. My birth did not go as perfectly as I planned, but because of all that I had learned I was much more comfortable making decisions and being in charge (as much as you can be) of how my labor went.

Right around two o’clock in the afternoon my water broke, but it being my first pregnancy, and not having it break in one large gush, I did not realize that it was my water breaking. I thought I had finally lost all ability to hold my bladder. It was pretty funny actually. I called my mother, pretty worried, and she laughed on the other line as she told me to pack up my baby bag and get Kevin, my husband, and head to the hospital. It was 3 weeks before my due date, so Ethan’s arrival was definitely not expected.

We arrived to the hospital and sure enough my water had broken and I was dilated to a 3. However, I was not having any contractions. On top of that, earlier I had learned that I was positive for Strep B so I would need to get the antibiotic. The doctor’s wanted to start me on petocin and while I was hesitant, I allowed it. As expected, an hour later the contractions picked up and were coming steadily. Soon after that, not knowing how long it would take for my labor to continue, I was very nervous that the pain would only get worse and I decided to get an epidural. About 2 hours after my epidural, just after midnight, Ethan arrived. While I did not go natural and not everything went as planned, I still had a positive experience because of everything that I had learned in Becky’s class. It really is true that the more knowledge you have, the less scary an unknown situation, like childbirth, will be.

My second chlidbirth went more smoothly. I felt like I was able to relax more and to concentrate on controlling the pain. I was able to stay at home for most of the labor and because I was calm, the pain was very manageable. Kevin was even able to help me this time using some of the partner techniques that we had been taught in Becky's class.

-Ann Arbor, Michigan

What Prenatal Class Should I take?

2010-06-21T09:12:00.000-07:00

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"Every couple should take it upon themselves to become educated on the process of labor and childbirth and learn what they can do to work with it, not against it. As we took a childbirth education class from Becky, the scales of darkness fell from our eyes, and we learned that childbirth is a natural, normal, healthy, magical process--NOTa mystery of misery and woe."

-Marianne & Joshua BeutlerClarkesville, Tennessee

Childbirth Class Testimonial

2010-06-21T09:09:00.000-07:00

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Becky Rasmussen was a highly competent and effective birth instructor. Thanks to her course, I was armed with the knowledge necessary to be in control of my birth experience and make to best choices for me and my baby throughout the pregnancy, birth, and postnatal periods. Her role as a birth instructor contributed heavily to the wonderful birth experience I had with my first baby.

-Janet & Daniel Hausen (Jaxon 4, Jonas 1)Marseille, France

Testimonial

2010-06-21T09:04:00.001-07:00

Taking the class from Becky gave me an opportunity to get an alternative perspective to the traditional childbirthing approach (doctors and hospitals). I liked knowing all the options that are/were available to me as a pregnant women. It allowed me to be more involved> in my own labor and delivery and have better discussions with my O.B. during my doctor visits. I also found the relaxation techniques and exercises to be very beneficial.

-Matthew & Rachael Haney

MyBirthClass Launches Perfectly Prepared

2010-06-21T08:43:00.000-07:00

A Birth Class in a Box! Intorducing convenient, affordable, non-combative prenatal education.
http://www.pressreleasepoint.com/node/495790

Protein in Pregnancy

2010-06-21T07:41:00.000-07:00

Experts agree that your need for protein significantly increases during pregnancy.

Why? Protein i s molecular compounds of amino acids, also known as the body's basic building blocks.

These amino acids are necessary for development of all new cells, especially those of a developing fetus. For the duration of pregnancy, we recommend an increased protein consumption of a minimum of 60 grams per day.

Women having twins or a multiple pregnancy need even more. However, it is important to note that protein is available through a variety of sources. As you increase your protein intake be careful to ensure that not all of your protein is derrived from animal products. You can obtain some of the most easily assimlated proteins from whole grains, beans, legumes, and nuts.

Protein is required for the physical growth and cellular development of your baby. It is also required for the placenta, amniotic tissues, and reproductive organs. Let's not forget that a pregnant woman's blood volume increases by 50% during pregnancy, and protein is needed to produce new blood cells and circulating proteins.

Protein is most critical in the last trimester of pregnancy. Your baby's brain development progresses the most rapidly during the eighth and ninth month of gestation. Protein is the primary nutrient essential to healthy brain development.

As you make the transistion into Postpartum Recovery protein will play an important role in healing. Protein will also increase the quality of nutrition for lactation. Add an additional 20 grams of protein to your non-pregnancy diet. Protein is utilized to produce breast milk and nourish the growing baby. Altogether, pregnancy and lactation significantly impact protein demands.

Lentil Ratatouille

2010-04-12T10:08:00.000-07:00

2 Tbs olive oil
4 cups diced eggplants (2 medium sized)
2 cups chopped zucchini (2 medium sized)
1 cup chopped red bell pepper (1 medium sized)
1/2 cup chopped onion (1 medium sized)
2 garlic cloves, minced
2 Tbs dried basil leaves
1/4 tsp salt
1/4 tsp pepper
1 can (28 ounces) Italian-style par-shaped tomatoes, undrained
2 cups cooked lentils

Heat oil in skillet. Sautee eggplant, zucchini, bell pepper, onion, and garlic in olive oil about 4 minutes, stirring occasionally, until veggies are still crisp but tender.

Stir in remaining ingredients except lentils, breaking up tomatoes; reduce heat. Simmer uncovered about 10 minutes to blend flavors. Stir in lentils. Cook until warmed through.

Sprinkle with Parmesan Cheese if desired.

Tortellini Florentine

2010-04-04T15:30:00.000-07:00

1 (16 ounce) package tortellini
2 TB Olive Oil
3 Cloves garlic minced
1 TBS Fresh Basil
1 pint plain yogurt (2 cups)
26 ounces of your favorite Spaghetti Sauce
16 ounces spinach, finely chopped
1 cup mozzerella cheese

Saute garlic and Basil in olive oil in large cookie pot. Add yogurt and simmer for a minute. Add spaghetti sauce, spinach, and cheese. Heat through.

Meanwhile heat a large pot of water to boiling. Add tortellini. Boil 3 minutes. Drain water and toss in Florentine Sauce.

Serve with a side of Caesar Salad. Delicious!

Chinese Chicken Salad

2010-03-31T09:18:00.000-07:00

1 lb chicken marinated in teriyaki sauce, grilled, & sliced thinkly
1 head Romaine Lettuce or Arugula
1/2 head of cabbage
1/2 head of purple cabbage
2 cans mandarin oranges
4 large carrots sliced
1 cup slivered almonds
2 TBS sesame seeds

3 ounces Litehouse Honey Mustard Dressing
1 package ramen noodles, crunched

Toss all ingredients together. Coat Dressing over Salad and top with crunched ramen noodles.

Apple Spinach Salad

2010-03-31T09:17:00.000-07:00

1 lb mixed greens and spinach
3 lbs apples finely, diced
3/4 cup pistachios

Chocolate Shake

2010-03-31T09:13:00.000-07:00

2 whole bananas
1/2 tsp vanilla
1 TBS raw honey
2 cups rice or almond milk
2 TBS cocoa powder (I prefer ghirardelli)
3 cups ice

Blend ingredients until smooth. Add additional ice if necessary. Add additional sweetener to taste.

Coconut French Toast

2010-03-31T09:09:00.000-07:00

1/4 cup whole wheat flour
1 tsp nutritional yeast
Pinch of cinnamon
Pinch of nutmeg
1/4 tsp sea salt
1 cup coconut milk
6-7 slices whole wheat bread

Mix dry ingredient in small mixing bowl. Stir in coconut milk. Dip both sides of bread into mixture. Cook over medium heat on non-stick griddle. Cook until golden brown. Approximately 4 minutes on each side.

Tropical Smoothie

2010-03-31T09:02:00.000-07:00

1 ripe banana
1/2 cup fresh or frozen pineapple
1/4 cup shredded coconut
1 1/2 - 2 cups water or coconut milk
1 cup ice

Blend until smooth. Add more ice for desired consistency. If you like it sweeter add 1 TBS pure maple syrup, honey, or agave nectar.

Fruit Flavored Water

2010-03-31T08:59:00.000-07:00

2 Pears, peeled and cored
2 Apple, peeled and cored
3 Cups water
1 TBsp pure maple syrup, honey, or agave nectar

Blend all together until completely smooth. This is a geat way to hydrate and improve mood. Ensure fruit is ripe and sweet.

Tapioca & Fruit Pudding

2010-03-31T08:54:00.000-07:00

1 banana
1/2 cup frozen raspberries
2 1/2 cups coconut milk
3 TBsp quick cooking tapioca
1 tsp vanilla

Combine banana, raspberries, and coconut milk in blender. Blend until smooth. Pour into a saucepan and add the tapioca. Alow tapioca to stand in mixture for 10 minutes. Cook on medium heat, stirring constantly, until mixture reaches a rolling boil. Remove from heat and stir in vanilla.

Allow mixture to cool for 20 minutes until thickened. Stir occasionally and serve.

Raspberry Smoothie

2010-03-31T08:52:00.000-07:00

1 ripe banana
1 cup frozen raspberries
1 cup ice
2 cups almond milk

Add all ingredients to blender and blend until smooth.

Strawberry Salad

2010-03-31T08:49:00.000-07:00

1 package Spring Mix greens
1/4 cup sliced almonds
1/4 cup craisins
1/4 cup red onion, finely chopped
8 oz strawberries, sliced thinkly

Toss all ingredients together and evenly coat with the dressing below.

Strawberry Vinaigrette Dressing:
5 large strawberries
1/8 cup balsamic venegar
1/8 cup raw honey
1 1/4 cup coconut milk

Combine ingredients in a blender and blend until smooth. Chill to thicken.

Orange Smoothie

2010-03-31T08:46:00.000-07:00

2 Oranges, peeled
1 banana, peeled
1/2 tsp vanilla
1 cup apple juice
2 Tbsp honey
3 cups ice

Place oranges in blender first, followed by other ingredients. Add ice last and slowly waiting for mixture to liquefy. May add a little water or pure juice to create desired cosistency.

Oriental Vegetable Soup

2010-03-31T08:41:00.000-07:00

6 cups water
1 large onion, diced
2 rib celery, chopped
1/4 head cabbage, chopped
1/2 head bok choy, chopped
2 cups broccoli florets
1/4 head cauliflower, chopped
2 medium zucchini, diced
1 large potatoe, diced
2 large carrots, cut in match stick
2 cups bean sprouts
8 oz mushrooms, sliced
1/2 lb frozen peas
2 TB beef bouillon
1/2 tsp Spice unter Zip or red chli peppers

Combine everything but peas in large stock pot. Cook until vegetables are tender. Add frozen peas just prior to serving.

Vegetable Cocunut Rice

2010-03-31T08:38:00.000-07:00

4 Cups Brown rice, steamed
1 cup coconut milk
1 can corn, drained
2 cups carrots diced
1 onion, fiely diced
2 TBS Chicken Bouillon
2 TB pure maple syrup
2 cans black beans, drained and rinsed

Sautee vegetables in cocnut milk and add remaining ingredients. Let simmer until most of liquid absorbs into vegetable and mixture thinkens.

Whole Wheat Pancakes/Waffles

2010-03-31T08:36:00.001-07:00

2 1/2 cups whole wheat flour
2 1/2 tsp baking powder (avoid aluminum brands)
1/4 tsp nutmeg
1/2 tsp cinnamon
Pinch sea salt
2 TBS applesauce
1 1/4 cup coconut milk
1 tsp vanilla
1 1/2 cup water
1-4 TBS pure maple syrup

Combine all ingredients in mixing bowl. For fluffier pancakes blend in blender. Cook over medium heat on a non-stick skillet.

Peanut Butter Granola Bars

2010-03-31T08:32:00.004-07:00

1/3 cup melted butter
½ cup honey
1/3 cup peanut butter
1 egg beaten
½ tsp vanilla
½ cup coconut flakes
4 cups homemade granola (from previous recipe in breakfast section)

In large mixing bowl combine butter, honey, peanut butter, eggs, and vanilla. Gently fold in coconut and granola. Pour mixture into greased cake pan. Bake at 350 degrees for 30 minutes. Remove from oven and cut into bars. Let cool and remove from cake pan. *Optional* Drizzle melted chocolate chips over the bars in squiggles before removing from pan.

Hummus

2010-03-31T08:32:00.003-07:00

1 lb chick peas/garbanzo beans (soaked overnight and cooked on high in crockpot for 3 hours)
4 cloves garlic, minced
3 lemons juiced
2 very heaping TBS Tahini
2 tsp sea salt
¼ cup water
½ cup extra virgin olive oil

Press all ingredients together in a food processor. Serve warm or chilled with tortilla chips, with wraps, pita bread, or on sandwhiches.

Salsa Bean Dip

2010-03-31T08:32:00.001-07:00

2 Red Bell Peppers, finely chopped
2 Yellow Bell Peppers, finely chopped
1 Green Bell Pepper, finely chopped
1 Can corn
1 Can Black Beans
1 Can Black Eyed Peas
2 TBS olive oil
Juice of one lime
1 bunch fresh cilantro
Salt to taste.

Combine all ingredients. Stir gently. Serve with high fiber tortilla chips.

Mango Salsa over Fish Filet

2010-03-31T08:29:00.002-07:00

Serve over 1.5 lbs Salmon or Tilapia filet

Sautee fish in skillet or grill with:

4 TB butter
2 TBS lemon juice

1 can black beans
4 tomatoes, finely chopped
1 onion, finely chopped
3 cloves garlic, minced
2 jalapenos, seeded & finely chopped
1 yellow bell pepper, finely chopped
2 mangos, peeled and chopped
½ cup cilantro

Blend butter and lemon juice and spread evenly over fish filets. Bake uncovered at 350 degrees farenheit for 10 minutes. Meanwhile combine all other ingredients and toss gently. Serve over cooked fish with rice.

Honey Baked Chicken

2010-03-31T08:29:00.001-07:00

4 Boneless skinless chicken breasts, cut into thin tenders
½ cup butter
½ cup honey
2 TBS honey mustard
¼ tsp salt

Combine butter, honey, honey mustard, and salt. Spread over chicken in baking dish. Bake covered at 350 degrees farenheit for 1 hour. Baste every 15 minutes.

Picante Dijon Chicken

2010-03-31T08:28:00.002-07:00

6-8 chicken breasts
1 ½ cups salsa
2 TBS Dijon mustard
1 TBS honey

Bake in covered dish at 375 degrees farenheit for 1 hour. Serve over rice.

Mandarin Lettuce Wraps

2010-03-31T08:28:00.001-07:00

2-3 Chicken breasts, diced finely
8 oz mushrooms, chopped
2 Carrots, chopped
½ head cabbage, chopped
2 T vegetable oil
2 garlic cloves
6 water chestnuts
2 T soy sauce
1 TBS teriyaki sauce
1 tsp sesame oil

1-2 Heads of Green leaf or Romain Lettuce

Indian Tandoori

2010-03-31T08:27:00.004-07:00

Indian Tandoori
2 pounds of beef, chicken or lamb, cubed
2 cups plain yogurt
¼ cup garam flour
½ tsp chili powder
½ tsp tumeric
2-3 fresh green chilis
4 TBS vegetable oil
1 Whole dried red chili
1 tsp cumin seeds
1 tsp curry powder
3 cloves garlic, minced
Salt to taste
2 TBS fresh cilantro

Blend all ingredients. Pour over meat of choice and bake covered at 325 degrees farenheit for 1 hour.