Category Archives: Pregnancy

Fact of the day!

For those of you that don’t know,  I’ve applied to the UBC midwifery program 2 years in a row now.  This year will be my 3rd attempt.  This year they added a new pre-requisite, which I am completing through Thompson River University. The Anatomy & Physiology course I’m taking is absolutely fascinating!  It’s making me even MORE excited and hopeful about the possibility of attending the midwifery program in 2012…wish me luck!

My studies this morning are about the skeletal system, I came across a piece of information which explains the science behind our reassurances: ‘everything is working perfectly together for you to have your baby! your body has amazing capabilities, and knows just what to do to birth this baby!’

This simple paragraph will answer:

How will my body accommodate this baby (which is appearing quite large while I look down on my belly!) in childbirth?

Why do my hips and pelvic area feel sore / achy? (aside from the obvious weight you are bearing, your bones are in fact moving)

And later… Why am I back to my pre-pregnancy weight, but my clothes still don’t fit?

Here’s the magical answer!

“….Joint flexibility may also be affected by hormones.  For example, toward the end of pregnancy, a hormone called RELAXIN increases the flexibility of the fibrocartilage of the pubic symphysis and loosens the ligaments between the sacrum and hip bone.  The changes enlarge the pelvic outlet which assists in delivery of the baby.” (source: Introduction to the Human Body, Gerard J. Tortora & Bryan Derrickson)

That’s right.  Relaxin is the key!  So…relax, your body is accommodating your baby perfectly.

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Music and Birth

Often people are interested in having some music for their birth.  It’s hard to choose though – you’re not sure what state of mind you will be in, or what you will need.  I find the best way to approach planning for your birth is to look for things that relax you, keep you feeling calm and centered.  If you practice yoga you will practice relaxation and breathing techniques that trigger this relaxation.  Many people use hypnobirthing to train their bodies to relax in response to certain verbal cues – this is also very helpful during the birthing time.

I was looking for some music to accompany my yoga to this morning and came across a YouTube video.  I wanted to share this because for some, this would be great to add to your birthing day playlist!

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Event this Tuesday!

Come to the Pomegranate Open House this Tuesday from 6:30pm-9:30pm

 

Pregnant in East Van

I will have Natural Belly Bars on sale for $9 (reg 13.95)

Home Birth kits on sale for $22 (reg $28)

Postpartum Bath Teas on sale for $5 (reg $8.95)

Serious savings at this wonderful community event!  That’s just from Natural Creation – meet and explore the amazing support for growing families in the Vancouver.  Hope to see you there!

Emily

 

 

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Supporting a Mama in Labour

This is just a very simple list.   Many people find the books a bit daunting…they are full of valuable information, but I find this simple list is a good basic  guide to give anyone new to supporting a mama in labour!  I always recommend having a doula as part of your support team as well.

  • massage mama
  • tell mama she looks beautiful / you love her
  • tell mama she is doing well and everything is happening just the way it should
  • offer sips of water / juice between every contraction to keep her hydrated (when mama is in active labour simply putting a straw to her lips and saying “here is some water / juice” is better than saying “would you like some water / juice?”)
  • guide mama’s toning lower if her noises start to become higher pitched – do this by making low noises with her rather than telling her to make low noises
  • use single words with toning that re-enforce what she is doing : “loooow”  ”oooopen”
  • whisper simple phrases calmly that re-enforce what she is doing “good, opening and letting your baby down”, “every wave / contraction / expansion is bringing you closer to having your baby in your arms, good for you”, “breathing through, wonderful”, “softening your body, allowing your body to open”
  • have breath mints / gum on hand – mama’s sense of smell is heightened in labour and you will likely be very close to her!
  • pass off with another support person to eat and relieve yourself – if you’re hungry or waiting to pee your energy is not as calming and supportive as it could be if you take care of yourself first!
  • talk about the baby – sometimes mama can get so caught up in the intensity and hard work she is doing, she may forget what it’s all for!  periodically mentioning how excited you are to meet this baby / find out if it’s a boy or girl / see if it has lots of hair etc. can help fuel her energy if she is getting tired or discouraged

Join our forum for more tips or to ask specific questions about labour support!

Happy Birthing!

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3rd trimester: Simple Optimal Fetal Positioning Tips

*The information and suggestions here should be discussed with your health care provider.  Everybody’s situation is different, and I am NOT a medical professional - please do not use these tips until you have spoken to one.  Thank you.

There are many things that contribute to a smoother and easier labour.  One key component is your baby’s position.

The optimal fetal position:

Occiput Anterior or Left Occipput Anterior (OA or LOA for short).  Occiput refers to the back of the head, so when you are visualizing your baby in your belly visualize the back of the baby’s head facing outward, or toward the anterior of your body.  Your baby would be looking at your back with it’s head down, chin slightly tucked.  This seems to be the best way for babies to apply appropriate pressure to the cervix, helping it dilate, and the easiest way for the baby to move down and out of the pelvis.

Positions that may be more difficult:

Breech refers to a baby that is head up rather than head down.  There are different types of breech presentation; frank breech, complete breech, and footling breech.

Posterior refers to a baby that is head down, but facing your front rather than your back.

How you can help:

Regardless of your baby’s position, there are a few things to be aware of and do in the late weeks of pregnancy to get / keep your baby in a good position:

- hands and knees – doing cat-cow yoga stretch, washing the floor, or crawling around with your toddler!

- sit forward NOT back – any time you are watching TV, reading, or on the computer make sure you are leaning forward so that your belly is hanging forward as much as possible – leaning back on your couch encourages baby’s bum to swing toward your back (not optimal)

- lie on your side rather than your back

- go swimming

- do some art work to represent your vision of your baby in your belly, ready for birth

baby head down

If your care provider discovers that your baby is breech late in your pregnancy, it is a good idea to discuss these options with them,steps 1-3 can be used if your care provider discovers that your baby is posterior:

1 – acupuncture – I personally have found this to be a very effective method, be sure to see somebody that is experienced working with pregnant mamas!

2 – yoga poses - cat-cow stretch, knee to chest and downward dog

3 - positive affirmations

4 - moxibustion – I’ve attached a link to a Vancouver clinic that uses this technique as they have great information about the use and stats associated with moxibustion for turning breech babies.  I personally used this technique while pregnant with my first child to great success

5 – have someone talk to the lower part of your belly and shining a light on the lower part of your belly – the idea is your baby will move toward the noise and light

6 – keep your legs open, not crossed

7 – inverted lying – if your baby is sunken down in your pelvis it doesn’t allow them much turning room, if you do an inverted lying position it floats your baby out of your pelvis allowing it more space to turn.  Place a sturdy board propped against the seat of your couch and lie upside down on it! ( as always talk to your health care provider)

 

Relax and enjoy the last few weeks of your pregnant belly!

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Affirmation: Baby’s Position in Late Pregnancy

My baby moves into the perfect position for a smooth and easy birth.  I trust my body to move in ways that support my baby’s optimal position.

Photo Credit Guillermo Ossa www.colombiafoto.com

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Questions to Ask your Prenatal Health Care Provider:

 

Choosing the right health care provider has the potential to make or break your pregnancy, labour and postpartum experience. It is important to find a provider that is sensitive to you and your family’s needs; you should feel they are considerate, responsible, professional, yet warm. It is also important they maintain a relationship with other health care professionals so you can receive the appropriate care you require.

Most practitioners will provide an initial consultation; use this time to ask important questions to determine if their care is right for you.

What to ask a Midwife:

·What training and experience do you have?

·Can you handle both complications and emergencies?

·Do you have medical back up or a contingency plan for emergency? What will be your role in an emergency? Will you continue to be with me during an emergency?

·What kind of equipment do you carry with you?

·What is your back up arrangement if you become ill or are otherwise unavailable at any point during my pregnancy or the birth?

·Do you have clear protocols and, if so, are these protocols rigid or flexible? For example, what happens if I go into early labour, or if I go past my due date? What if my baby is breech and so on?

·What are your philosophies about birth?

What to ask an Obstetrician (also relevant for midwives):

·What are your credentials?

·What is your cesarean rate?

·What is your episiotomy rate?

·What is the rate of medicated births in your practice?

·How many women in your practice breastfeed their babies?

·Do you usually order medications, IV, enemas, monitors or do you judge each situation individually?

·Are women encouraged to use different positions during labour and pushing?

·What are your feelings on natural birth?

·How much time do you spend with women at prenatal visits?

·Will you be at my birth or will another physician attend (and if so, who will that be)?

·What are your policies for women who go past-due, for permitted length of labour and pushing (or any other concerns or questions you might have)?

Write down the questions that you are most interested in and bring them to your first appointment. Go with your gut. If you feel off about the midwife or Doctor you met with interview another, you have the right to receive the care you want.

Questions taken from: The Complete Book of Pregnancy and Childbirth by Shelia Kitzinger (1993) & The Natural Pregnancy Book by Aviva Jill Romm (2003)

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Doula Statistic

Studies show numerous ways that doulas effect the outcomes of birth and the postpartum period.

A doula presence at the birth decreases the rate of medical intervention:

  • Reduces need for cesarean by 26%
  • Reduces the need for forceps or vacuum extractor by 41%
  • Reduces use of pain medication by 28%
  • Reduces dissatisfaction with birth by 33%
  • Reduces length of labor

6 weeks after birth, mothers who had doulas were:

  • Less anxious and depressed
  • Had more confidence with baby
  • More satisfied w/ partner
  • More likely to be breastfeeding

*These statistics appear in Hodnett E, Gates S, Hofmeyr G, Sakala C. Continuous support for women during childbirth. The Cochrane Database of Systematic Reviews 2003. Issue 3, Art. No. CD003766. DOI: 10.1002/14651858.CD003766.

For more about the research, see http://www.dona.org/publications/position_paper_birth.php

For information on Natural Creation Doulas Click HERE

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