Photo Credit: dudeiwantthat.com
Dr. Brenda Fairchild
The Wonders of the Neti Pot
As many of you know… I can talk about the neti pot all day. I think this product is one of the greatest inventions of modern times!! Now, I know not everyone loves to see and feel the neti pot doing its job, but it is a wonderful way to naturally rid your sinuses of congestion and infections. And when you are pregnant and not a lot of options as far as decongestants go, this is a wonderful alternative!!
The word Neti means “nasal cleansing” and comes from ancient India. It has been around for over 5,000 years!!! Yoga masters used this technique to help with mediation. They felt they could get to a higher and deeper state of mind. Some yogi’s also believed it helped with mood swings and addictions as well. The neti pot was then massed produced in the early 1970s and has since become a favorite for those of us looking to relieve the sinus pressure naturally!
Benefits of the Neti Pot
- Lessen the time of cold, flu, or allergy
- Relieve the pressure of sinus headaches
- Help reduce pollen from the nasal passage
- Remove mucous
- Allows for easier breathing
- Great for post nasal drip
- Allows for easier breathing
Using the neti pot is pretty simple and oddly satisfying. You can get a simple pot at most of the chain stores. And most come with packets of sodium bicarbonate and sodium chloride. Usually under $20. You can get ceramic to metal ones at health food stores or online. Now, from personal experiences, I highly suggest the packets!! I have tried just plain water, and it did not feel well. But, it is all up to you. I like to use filtered water if I can. I don’t use it all the time, but I try to as much as possible.
How to use the Neti Pot
Add one packet to the warm water and let them mix. I like to start with draining my most clogged nasal passage first. This means the pot is pouring the water into the good side and the clogged side is towards the sink. And let the magic begin!! I use about half the pot per nasal passage. Depending on what is going on with you our your child, the nasal mucous could be green or yellow which could be an infection to clear which could be allergies. When in doubt, call your primary physician. If there is a bad infection, there may be some blood mixed in. When you have done one side, gently blow your nose. You want to rid the body of the mucus, which is inflammation. I always tell my patients “better out than in!” You will instantly feel the pressure release!!! It is amazing!!!
I start to use the neti pot at the first sign of a cold coming on. I will do this 3-4 times a day if it is really bad. And use that over the course of 2-3 days if need be. It really cuts down the time of the cold or allergy. And can help you get some sleep at night due to your breathing better!
Other recommendations to follow the neti pot. Get Adjusted!!! It helps with aligning your body and helps with draining your sinuses as well. Watch your dairy, gluten, wheat, and sugar as they can be inflammatory. Stay hydrated with water. Get Sleep and make sure you are getting you vitamin D!
By Joseph Fairchild
’Tis The Season
It’s so hard to believe the holidays are upon us, isn’t it? Thanksgiving 2019 has come and gone, and 2020 is just around the corner.
What comes to mind when you think of the holidays? Is it holiday traditions handed down or developed over the years? Memories of holidays past? People you have loved and lost? Delicious food you enjoy each year? Seeing people you don’t see very often?
One thing many of us associate to the holidays, regardless of faith or upbringing, is giving. While a source of joy in many respects, it can also cause frustration or resentment. It seems that every time you turn around, someone somewhere is asking for a donation or gift. What to do? While the answer isn’t quite so simple, here are a few ideas:
- Just say no: It is ok to say no. Co-workers or well meaning friends and family want to exchange gifts, and we don’t want to seem cheap or miss out on the fun. At the same time, we participate – sometimes begrudgingly- though we are really just “going through the motions.” When you give or participate, doesn’t it feel much better when it’s done from a place of enthusiasm instead of compulsion? This isn’t to say don’t join in the activities – just re-consider the gift exchange piece of it. Maybe you can plan a weekend away or nice meal out and enjoy relaxing time together instead.
2. Be mindful about your approach: give some thought to they causes that are most important to you. Which organizations match your personal values? Who is doing the work you want to support? Reserve your giving to those charities.
3. Research the organizations you plan to donate to: this is especially important if you plan to donate a sizable amount (and only you can decide what sizable means). Established charities can provide annual reports upon request (they may be available on their website). These annual reports show how much the organization received, and how they use their money. Be wary of organizations that don’t invest most of their money in program expenses- those expenses used to provide the actual services to end users.
4. Involve your family: our children often amaze us don’t they? Even those times it seems like they are not paying attention, they watch us closely. Why not teach them by example? Some children are so inherently generous this comes naturally to them.
5. Take a little time to give to yourself, too: for some, this is a struggle and it doesn’t feel quite right. This does not mean you have to buy yourself an expensive gift or go away for the weekend. It means you do something you enjoy, just for yourself, no matter how small, that will bring you joy during the holidays. And guess what? Those around you will feel it too. Isn’t it easier to give something you have in abundance?
Just like over eating or drinking too much alcohol, giving too much can make us sick, too. Please keep this in mind and don’t “give until it hurts.”
- With 20 years experience in the financial industry, Joseph Fairchild loves to help others make sound financial decisions. He is an amazing husband to Dr. Brenda and father to Madelyn.
Cloth diapers are not what our grandmothers once used- a cloth towel held together by pins. Gone are the days of hand-washing and line drying cloth diapers, too. (Unless of course, you choose to do so.)
We are entering a more environmentally friendly generational wave right now, and one trend is coming back with a new style. Keeping disposable diapers out of landfills can help to lessen your carbon footprint, and it can have significant health benefits for your baby. Choosing cloth diapers over conventional diapers is an easy decision when you understand just what it can mean for your baby.
The Benefits of Cloth Diapering
Keeping the chemicals from disposable diapers off of your baby’s skin should be a priority. Sodium Polyacrylate, Tributyl Tin, Phthalates, and Dioxin are only a few of the most common chemicals found in disposable diapers. These are all linked to lifelong health risks such as endocrine disruption, obesity, and cancer.
By choosing cloth diapers, you also lower the risk of diaper rashes and UTI’s because you will be changing your baby more frequently.
9 in every 10 American babies use disposable diapers. This adds up to 27.4 billion diapers in landfills each year.
- Just for the disposable diapers U.S. babies will wear, over 200,000 trees are cut down every year.
- In one year, 3.4 billion gallons of fuel oil will be used to manufacture disposable diapers.
- Disposables generate over 3.5 million tons of waste each year.
- Those diapers can take up to 500 years to decompose.
Earlier Potty Training:
Because cloth diapered babies can feel when they are wet, they want to potty train earlier than those in disposable diapers. They tend to have less bed wetting issues as they potty train and grow, too. It is easier to notice your baby’s bathroom cues when wearing cloth diapers, making the transition to underwear smooth and easy.
Your Bank Account:
Purchasing disposable diapers will cost you over $800 a year per child, but (depending on how many cloth diapers you purchase) cloth diapers can be bought for $5-20 a piece. You can survive with about 25-30 diapers, easily. (It’s even cheaper if you use prefolds and a cover!) These diapers can be reused on siblings, too.
The Selection of Cloth Diapers
It is an overwhelming world to jump into these days! You can choose between:
But don’t shy away because of the choices, you’ll find your favorites as you start trying them out. The easiest will always be an all-in-one, hybrid, or pocket diaper. They require the least amount of work, but all cloth diapers are pretty easy!
Perhaps the pattern options may sway your choice, too. Whales, monkeys, plaid, stripes, ice-cream cones, you name it and you can find it on a cloth diaper. Ruffles and bows? No problem. An attachable dragon tail? Yep. You may just find yourself starting a new obsessive collection!
How to Clean Cloth Diapers
If you are breastfeeding, there is literally nothing to do but toss your diapers directly into a diaper bag, and then wash the contents of the bag every other day (empty and toss the bag in, too). You’ll rinse the diapers on a cold cycle, wash them on a hot cycle with minimal soap, and then rinse them again on cold. You can hang them to dry or toss them in the dryer for convenience.
If you are using formula, or after solid foods enter the picture, you can knock the poop into your toilet before throwing the diapers into the wash.
Learn More About the Risks of Disposable Diapers:
Parents are also not aware of the adverse effects of disposable diapers being in contact with their baby’s reproductive organs 24 hours a day for more than two years and the long-term effects it causes.
Disposable diapers have been implicated by diapering proponents like leak proof polymers, super absorbent polymers, and some scented chemicals which are the key factors for everything from chronic diaper rash, respiratory problems like asthma, liver damage, skin diseases, infertility, and even to cancer.
Continue the research:
There is nothing more eye-opening than becoming a parent. The moment you find out that you are pregnant, it is as if you realize just how dangerous everything is that surrounds you. That soap? Toxic. That packaged food? Poison. The microwave? Death. Suddenly, you throw yourself into learning about the healthiest, safest items possible. This little life you are growing will enter the world completely perfect, and you want to provide an environment full of safe items and positive experiences. There are enough uncontrollable toxins flying around to worry about, make sure that the things you bring into your home don’t add to the list.
One of the biggest fears most new parents experience is SIDS. It is terrifying because the cause has not yet been determined; although, we can look at a pattern of toxic exposures in relation to SIDS occurrences and form our own opinions. While keeping your baby in your room is highly recommended, one thing that is often not talked about is the quality of your baby’s mattress. Toxic chemicals are found in the materials used to make the most commonly sold crib mattresses (and all mattresses for that matter!). Did you ever even think that a mattress could be dangerous?
All crib mattresses have the same overall construction: the core, the padding, flame retardant material/chemicals, and a cover or “ticking,” which may also have chemicals added to make it waterproof. Crib mattresses range from those made almost entirely of petroleum–based products (petroleum = SCARY dangerous) to others made of natural fibers like wool or cotton.
According to Women’s Voices for the Earth:
- 72% of surveyed mattress models use one or more chemicals of concern identified in this report, such as antimony, vinyl, polyurethane, and other volatile organic compounds.
- 40% use vinyl coverings.
- 22% use proprietary formulas for waterproofers, flame retardants or antibacterials, keeping potential health impacts secret.
- 20% of surveyed mattresses offer some “green” components but do not take meaningful steps to ensure products are free of toxic chemicals.
Crib mattress may contain chemicals of concern in any of the four layers. For example:
- Some flame retardants are made with antimony, which is also a contaminant of polyester. Long-term inhalation of low levels is linked to eye irritation and heart and lung problems.
- Vinyl, used as a waterproof cover, relies on many toxic chemicals throughout its production, including cancer-causing chemicals, asthma triggers, and developmental toxins.
- Polyurethane foam, also appearing as “memory foam” or “soy foam,” is made with a potentially cancer-causing chemical, and may emit harmful “VOCs”—volatile organic compounds—in the home. VOC’s can also be found in synthetic latex foam. VOC’s can irritate eyes, nose and throat, cause headaches and some cause cancer.
- Companies that use proprietary chemicals, or refuse to disclose chemical use, make it impossible to determine potential health threats. In the absence of disclosure, assume they may cause harm.
What brand mattress should you go with?
The following companies have been noted to be safe and reliable (this is not an all-inclusive list):
- White Lotus
- Land and Sky
- Natural Mat
- Organic Mattresses, Inc.
- Pure Rest
- Savvy Rest
- Shepherd’s Dream
- Soaring Heart Natural Bed Company
- Suite Sleep
This information is also relevant for all mattresses, not jus crib mattresses.
Take the time to research before you purchase and air your mattress out for at least a week before using it!
Learn more about mattress chemicals and dangers:
Breech births occur in approximately 1 in 25 full-term births, but this statistic is drastically skewed due to the number of mothers who opt for an elective c-section between gestational weeks 37-40 due to their baby’s position.
As a family chiropractor, I see many mothers throughout their pregnancies. I cannot begin to count to number of women who begin to worry about a baby who is sitting in a breech position. The first thing that I remind them is that there is still time! Until labor actually begins, and even throughout early labor, there is time for a baby to change positions. However, I completely understand the state of panic as the weeks fly by and a baby remains in a less than ideal position.
I will cover all of the ins and outs of the Webster Technique and how chiropractors can aid in helping a pregnancy be as uneventful as possible in another post, but today I want to break down breech positioning and the options you have as the mother.
To begin, there are several positions in which a fetus can become situated in utero; the most common being head down in an either left or right occipital anterior position. This means that the baby’s back is facing the mother’s abdomen (complete OA position) or is turned slightly with the back facing the left or right side of the mother and the head looking the other direction. These are commonly referred to as LOA and ROA positions (Left or Right OA). While these are the most common and easiest to birth positions, there are several other options a baby may choose.
A transverse, or side-lying baby is the only position in which is truly unsafe to birth. It can possibly be fatal for both baby and mother; however, a c-section does not need to be scheduled, as a baby can turn once labor begins. When the body begins labor, different hormones are released and both mother and baby work together. This can encourage the baby to turn head down. If baby’s position does not turn as the labor progresses, a c-section will be needed.
A breech baby, one who is sitting upright, presents a whole new level of challenges. There are three breech positions:
• Frank (or extended) breech—legs are straight and feet are up near the baby’s head.
• Complete (or flexed) breech—knees are bent, but feet are above the baby’s bottom.
• Footling breech—feet are below the baby’s bottom.
Most medical birth teams will start discussing the scheduling of a c-section after 36 weeks gestation. Typically, it is recommended to have the surgery between 38-40 weeks gestation, but it seems that most doctors choose never to discuss the most natural option: let labor occur naturally. It wasn’t but a few decades ago that all doctors (and midwives) delivered breech babies. It is known as a ‘hands-off’ delivery, meaning the birth team does not assist the baby as it is born. Pulling, tugging, or rotating a breech baby as it is born can cause severe problems, complications, or even end in death. Due to these risks, most doctors today have never even witnessed a breech birth, therefore will not perform one. It is a sad turn of events, as the risk is so little, and is truly only an increased risk when the birth is interfered with.
Breech presentation can be the effect of a pregnancy with multiple fetuses, placenta previa, amniotic fluid levels in abnormal range, abnormal pelvic conditions, or just a stubborn baby. It can be easy to learn that your baby is in this position, as kicks are felt in the lower abdomen. An ultrasound will also tell you more exact information.
If you are faced with a breech pregnancy and would like to help baby find a better position, there are several things you can do:
Practice Good Posture: Poor posture can encourage poor fetal positioning.
Exercises from www.SpinningBabies.com
Chiropractic Adjustments: The Webster Technique has a high success rate with encouraging babies to find a more ideal birthing position.
Therapeutic Massage: Muscles and tendons control more than one would expect. By using pressure points and massage, the body can be triggered to relax and allow the baby to move easier.
External Version: This manipulation is not recommended until after 34 weeks gestation, but most doctors will not perform the technique until 38 weeks, as they want baby’s lungs developed prior to trying to manually ‘flip’ the baby. This technique does not come without risks, as it can cause the placenta to be torn from the uterine wall, bleeding to occur, and immediate delivery of the baby. While rare, these are possible outcomes and make sure you discuss them with your birthing team.
Of course, there is always the option of having a vaginal breech birth. Finding a doctor who will perform this delivery may not be easy, but it is not impossible. Several midwives will attend breech deliveries, and it is your right to birth your baby as you please. A hospital may have you sign a waiver that you are going against medical recommendations, but it is your birth. You need to feel comfortable with your birth team and confident in your decisions, no matter what you choose.
New mothers often walk in to my practice after giving birth to be adjusted. Pregnancy can do a number on the body, and proper care can aid and speed the healing process once baby arrives. I generally see mothers enter with a heavy infant car seat in one arm and strain across their face. Those car seats are not light, and they only get heavier as baby grows. I love introducing mothers to babywearing and the benefits it can provide for a family. There’s an entire babywearing world out there that can free you from the lugging of a car seat, keep your hands free, and increase your bonding time with baby.
From a chiropractic standpoint, I want to stress the importance of choosing a carrier with an ergonomic design. Not all baby carriers are created equal, in all actuality, the most common carriers have come to be known as ‘crotch-danglers’ because they put significant pressure on the pubic bones, forcing the legs to dangle. These carriers also cause excess stress to the wearer’s back and shoulders, making babywearing uncomfortable. I highly recommend joining a babywearing international group in your area and borrowing multiple carriers before purchasing; however, you cannot go wrong with any of the recommendations from the group.
Choosing to babywear provides the following:
Transition to the World
Babywearing mimics the movements the baby felt in utero. It is a safe and comfortable place for the baby to be. There is little to no overstimulation due to being worn on the chest and close to the heartbeat.
Bonding Opportunity for the Family
While keeping baby skin-to-skin, or close to Mom’s heartbeat has many benefits, babywearing also gives family members a chance to bond with the baby. Babies learn voices, smells, movements, and faces by being worn.
Babywearing helps keep baby happy while also providing two free hands to continue daily tasks.
Environmental experiences stimulate nerves to branch out and connect with other nerves, which helps the brain grow and develop. Babywearing helps the baby’s developing brain make the right connections. The baby is closely involved in the mother and father’s world and is exposed to, and participates in, the environmental stimuli that mother selects and is protected from those stimuli that bombard or overload her developing nervous system. She so intimately participates in what mother is doing that her developing brain stores a myriad of experiences, called patterns of behavior. Babywearing also enhances speech development; baby is up at voice and eye level, and he is more involved in conversations. This all adds up to brighter, more alert, more intelligent children.
According to Babywearing International:
It is very important to understand basic babywearing safety before ever putting on a carrier. As with any baby product, baby carriers can pose potential safety hazards if they are not used carefully and correctly.
Make sure your child’s airway remains open at all times while babywearing. The best way to do this is to keep him or her in an upright position, high enough on your body to monitor breathing and ensure that her chin is off her chest. Babywearing International recommends that infants only be held in a horizontal or cradle position while actively nursing (if desired) and return to an upright or vertical position as soon as they have finished.
It is also important that your carrier provide adequate support for your infant’s developing neck and back. Ideally baby should be held with his knees higher than his bottom with legs in a spread squat position and support from knee to knee although with older babies and toddlers full knee to knee support is not always possible or necessary. An ergonomic carrier (whether a soft structured carrier, Asian-style carrier, sling, or wrap) will provide better support for baby and will be more comfortable for the caregiver as well.
Always inspect your carrier for wear or damage before use examining it for weak spots, loose stitching, worn fabrics, etc. BWI recommends purchasing a carrier from a reputable manufacturer to ensure that it meets all current US safety, testing, and labeling standards.
Practice all carries—especially back carries–with a spotter, over a bed or couch, or low to the ground until you are completely confident. A BWI meeting is the perfect place to learn new skills with the assistance of a Volunteer Babywearing Educator. In most cases it is best to be comfortable with front carries before attempting back carries.
Always exercise common sense while babywearing. Baby carriers are not an approved child restraint or floatation device and should not be used in moving vehicles or boats. Avoid babywearing in situations where it would not be safe to carry an infant in your arms.
As chiropractic care is becoming a more well-known and utilized form of preventative care, it is also drawing in many women throughout their pregnancies. Pregnancy is a time of much discomfort, as the body is changing and causing misalignment and pain for the mother. This is when the term “Webster Technique” begins being tossed around.
Over 30 years ago, Larry Webster DC developed the Webster Technique; he also founded the International Chiropractic Pediatric Association (ICPA) to oversee, promote, and ensure the proper chiropractic care of children, pregnant women, and families as wholes. His technique has become known in today’s society as one of the go-to methods of helping a fetus find the best position in utero. The truth is that the Webster Technique addresses sacral subluxation through sacral analysis, diversified adjustment and related soft tissue release. It was found that many women claimed their unborn children turned into a more ideal birthing position after receiving treatment. This intrigued minds and caused a large amount of talk in the research community.
Due to these observations of breech fetal pregnancies reporting ‘correction of fetal position to vertex following the use of the Webster Technique, the technique was described in its early days as a “breech turning technique” by both patients and chiropractors.’ Since this time though, it has been learned that being called a ‘turning technique’ implies the treatment of a condition, or the intentional focus of care on an unborn malpositioned baby rather than focusing on the correction of sacral subluxation. The name was officially changed to ‘The Webster Technique.’
According to the ICPA, “The Webster technique is a specific chiropractic analysis and diversified adjustment. The goal of the adjustment is to reduce the effects of subluxation and/or SI joint dysfunction. In so doing neuro-biomechanical function in the sacral/pelvic region is improved.
The ICPA recognizes that in a theoretical and clinical framework of the Webster Technique in the care of pregnant women, sacral subluxation may contribute to difficult labor for the mother (i.e., dystocia). Dystocia is caused by inadequate uterine function, pelvic contraction, and baby malpresentation. The correction of sacral subluxation may have a positive effect on all of these causes of dystocia.
In this clinical and theoretical framework, it is proposed that sacral misalignment may contribute to these three primary causes of dystocia via uterine nerve interference, pelvic misalignment and the tightening and torsion of specific pelvic muscles and ligaments. The resulting tense muscles and ligaments and their aberrant effect on the uterus may prevent the baby from comfortably assuming the best possible position for birth.”
NOTE: Not all chiropractors are certified in this technique, and I cannot stress the importance of finding one who has completed the ICPA 180-hour certification program to ensure proper utilization.
Throughout pregnancy, the body adapts to the increase of hormones, weight gain and postural adaptations. These changes increase the risk of sacral subluxation and neuro-biomechanical imbalance. The sacrum, the pelvis and the elaborate network of ligaments, tendons, muscles, and nerves attached and intertwined within this area are all under constant pressure and change during pregnancy. The pelvis and sacrum typically move as one, but as one side (the ilium) is ’rocked’ back and misaligned, it causes the other side to ‘rock’ forward. As you can envision, the pelvis is then tilted. This tilt is linked to:
- Pain the legs
- Tightness in the legs
- Narrowed birth canal
- Severe lower back pain
- Long and painful labor leading to unwanted interventions
This improperly aligned pelvis can also encourage a baby to settle into the breech position late in pregnancy. Because of these risks, it is important that a chiropractor assess the mother throughout pregnancy and adjust accordingly to aid the body as it changes, which also allows the baby to naturally find its most comfortable and best position to grow and be born from.
A properly aligned pelvis and sacrum help the muscles stay loose, allowing the nerves within the pelvic area to send important messages from the nervous system to their proper destinations without interference. The Webster technique does just this; it balances the pelvis properly while reducing stresses to the ligaments that support the uterus.
I have many mothers join my practice during pregnancy with the thought that it won’t be needed once baby arrives. I have several others who call for their first appointment shortly after birth begging for relief of new found pains and problems. It doesn’t take either mother long to understand just how valuable chiropractic care is as a standard of care in a healthy lifestyle.
I have shared much information about care throughout pregnancy here on the blog and within my book, but I feel as though the topic of postpartum chiropractic care is an extremely important topic within itself. I am not just talking about the week after having your new baby, which of course is highly needed, but also the months – and even years for some – after having children.
After giving birth, you may not consider one of your first outings should be to the chiropractor, but once you think about the journey you have accomplished, you may think again. That first visit after birth is wonderful for both mother and baby. Your baby has just experienced quite the ride – no matter how she entered this world. Her positioning within your uterus may or may not have been ideal, the birth process is strenuous, and the world can be a hard place to adjust to. A great family chiropractor is exactly what she needs! I’ll save those details for a future blog, but know that a newborn definitely can and should be seen after birth.
Today, though, I want to talk about YOU… the mother.
As you may (or may not) have realized, your body has changed significantly throughout birth:
- Ligaments have loosened
- Bones have spread
- Nerves have been pinched
- Back Pain has persisted
- Weight has shifted
- Posture has changed
- Balance is different
- Hormonal tides have caused chronic complaints
After giving birth, some of these problems disappear while most linger and new ones arise. The body immediately begins working to tighten the ligaments and realign organs and bones, but it is a process. This can take months, even up to a year to completely occur. And while this is happening, you are altering your body by holding a baby, leaning to breastfeed, survive in a state of exhaustion. To put it mildly, your body is not in its peak performance state.
Seeing a chiropractor immediately after birth grants you the ability to jump start your body’s healing process. Chiropractic care ensures proper blood flow to these tightening ligaments, aligns the spine to allow proper neuron reception and movement, and can alleviate aches and pains.
There are, of course, the most common areas needing adjustment after birth; the pubic bone, sacrum, and lower back. While pregnancy can alter these areas, birth significantly throws them out of place. A good adjustment will ease the body into motherhood with far less pain than a mother who does not get adjusted. Continual chiropractic care throughout the postpartum period speeds the recovery time as a whole, too.
Postpartum chiropractic care can also be responsible for the following:
- Correcting Posture
- Speeding Pelvic Floor Recovery
- Alleviating Sciatica and Nerve Pain
- Aiding in the Prevention of Postpartum Depression
- Relieving ‘New Mother Wrist’ Pain
- Subsiding Headaches
- Providing Comfort for Better Sleep
If you are planning to have more children, it is even more important to help heal your body properly. Future pregnancies deserve a strong foundation and healthy start.
According to the American College of Obstetricians and Gynecologists, “widely accepted, currently-used labor and birth interventions are not necessarily the safest care for women and babies.”
You read that right.
In February (2017), the ACOG released a new committee opinion that common labor and birth interventions should not be used on low-risk pregnancies. If you are currently pregnant and fall into this low-risk category, it is of utmost importance that you educate yourself on these recommendations. It typically takes the medical field years to come up-to-date and follow through reliably.
The ACOG recommends that low-risk pregnant women seek individualized care as opposed to common obstetrics practices. These doctors are trained and capable of handling more intricate pregnancies and are quick to intervene when it is not necessary.
The committee also recommends the following:
Stay home until “active” labor
This is around 6 cm dilated but can be witnessed as a shift in the labor. The mother moves into a more serious role and contractions become stronger and more frequent. Waiting until this time helps prevent an unneeded c-section and other birth interventions (such as pitocin). During this time (and before), a warm bath may help with the pain, as well as relaxation and support.
Keep track of the baby’s heartbeat with a hand-held device.
Skip the constant fetal monitoring, as research has not proven it to be safe for baby. It is also quite cumbersome and interfering with the natural process of labor. By using a doppler (fetal stethoscope), the risk of having a c-section drops drastically, as does the chance of needing forceps or vacuum to aid baby in being born.
Obtain continuous, one-to-one support from a labor companion such as a doula.
Hiring a doula or preparing your partner through a partner-based coaching childbirth class (such as the Bradley Method), reduces the chance of receiving a c-section, accepting pain medication, and
This shortens labor and reduces the likelihood of cesarean birth, use of pain medications, and increases the probability of a positive birth experience.
Drink clear liquids during labor.
Not eating or drinking in labor at the hospital is an outdated practice that can potentially spiral labor into interventions. Using an IV does not support the woman’s body in labor to move as needed. It is now recommended to drink plenty of clear liquid and the committee is currently still researching eating as needed while laboring. I can assure you that eating helps keep energy levels where they need to be, and food should be consumed if wanted.
Avoid a procedure to break the membranes (bag of waters).
Having your water broken does not shorten labor or prevent a c-section. It is an intervention and should be left to break when the body forces it to. If it does not break before baby enters the world, it is perfectly safe and healthy to be born “in the caul.”
Use upright positions and/or move about during labor.
Work with gravity during labor. Laying on your back is the opposite of productive. This increases the intensity of contractions and stretches the length of the labor. Choosing to be upright, moving around will shorten labor time and reduce the chance of having a c-section.
Try various drug-free pain relief methods.
Instead of planning to ‘take the drugs’ once labor begins, understand that a drug-free birth has no adverse effects and includes many benefits for both mother and baby. There are too many techniques to list to handle labor without drug interventions, but some include:
- Breathing Techniques
Use position of comfort and choice when pushing and giving birth.
As previously stated, lying on the back fights gravity, increases pain, and lengthens labor. This can be said for the second stage – or pushing, as well. There are several positions in which help baby move through the birth canal easier, and even aid in preventing tearing. Hands and knees, squatting (shorten birth canal by over 10%!), side-lying, or whatever is comfortable for the mother – that is the best position to push.
Rest and await the urge to push after full dilation.
Couples assume that 10cm means PUSH! The ACOG now recommends waiting to push until the body begins pushing on its own. There is a natural timeframe that the body creates after reaching maximum dilation. This time allows for rest and energy rebuild to effectively aid the body in birthing the baby.
Push according to one’s own urges and preferences.
Gone are the days with pushing for a count of 10 or bearing down and hold the breath to push as hard as possible. These tactics have been shown to cause possible harm and are no longer recommended. Allowing the woman’s body to be its own guide is now understood to be the best way to birth.
Following these recommendations can aid in achieving the birth a mother desires, one with little to no intervention. This is the absolute healthiest way for a baby to enter the world.
While pregnant, utilizing a knowledgeable chiropractor can also provide many benefits for mother and baby. I believe that opening your mind to alternative care and exploring additional birth team members can help make the journey of pregnancy and birth a more positive experience.
Giving birth is an intense experience in which the body pushes itself, causing stress and pains to the mother that can last well after the baby arrives. Even if no immediate pain is felt, there is still need for chiropractic care during the postpartum period.
I often explain to my clients that after having a baby, the body needs time and help to reach its full potential again. So many women complain about things never being the same, or that back, hip, pelvic, or wrist pain intensifies instead of dissipating. Considering all the body has been through during pregnancy: the hips widening, additional weight being carried, a postural shift, hormonal changes, and other ailments, it is easy to understand that the body may be out of alignment. When you then add hours of contractions, pushing, and birth into the equation, it’s clear that one of the first trips out of the house after having your baby should be to the chiropractor.
Did you know?
A woman’s pelvic biomechanics can be altered during birth. As the baby descends, especially if he is posterior (sunny-side-up), the bones of the pelvis can shift and become misaligned.
Chiropractic care can manipulate the pelvic bones, restoring balance and comfort.
Throughout the last few weeks of pregnancy that lead to labor, the following occurs:
• Hormones work to soften the ligaments between the bones in your pelvis which allows for the pelvis to shift, granting additional room for the birth. This can cause soreness in some women. These hormones are not only released to the pelvic region, but the entire body is affected. This means that all ligaments have the opportunity to become looser, weaker, or less effective. This puts you at an increased risk of injury, inflammation, and pain at all joints of the body. These hormones commonly cause instability and abnormal motion of the sacroiliac joint, pubic-symphysis, and other joints that can cause lasting pain.
• Baby drops lower into the pelvis, engaging for birth. This shift or drop can cause further stress on the body, as the mother alters her posture to accommodate this extra weight and different position from baby.
• Braxton Hicks contractions. These are the body’s way of preparing birth, and they can be both positive and negative. If brought on by dehydration, stress, over-working, or exhaustion, the body will not be working as a whole. Maintaining a healthy diet, proper sleep, and daily exercise should help keep Braxton hicks contractions to a beneficial amount.
If birth was difficult or traumatic, the spine and pelvic joints large challenges to overcome.
Once the baby has arrived, a mother’s center of gravity is altered drastically, causing her to even walk differently. Her hormones rollercoaster, and her body works toward nourishing the baby. Holding this new baby can shift the posture and strain the wrist, neck, or back. Failure to restore normal biomechanics may result in permanent health problems in need of medical intervention.
The jury is still out on exactly how long the hormone relaxin can affect the body postpartum. If it is still present, the ligaments of the body will not completely tighten. Research shows that the ligaments begin to re-tighten nearly 8 weeks after giving birth, but the process’ length can be different for each woman, taking up to a year or more. It is critical to work with a qualified chiropractor before ligaments begin to pull back, as it can cause long-term problems if the joints are not properly aligned.
During the postpartum period, chiropractic adjustments speed recovery time, aid the body in normalizing pelvic and spinal positions, and help correct the posture. Seeking chiropractic care within the first two weeks after giving birth may help to prevent headaches, shoulder problems, neck discomfort, muscle tension, lower back pain, sciatica, upper back pain, wrist and elbow pain, and more.