Posts tagged Labor and delivery
Proper Nourishment for Birthing — Important stuff!
 
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Eating and drinking as needed during birth is essential — as the demands of your body require sustenance to perform the task at hand. Optimally, you should enter your birthing time already well hydrated, and keep drinking and nourishing especially during the early phases of childbirth, continuing to lightly snack and hydrate as you wish until baby has arrived.


Did you know that childbirth requires an extraordinary amount of energy? Researchers analyzed 385 studies published in 1990 or later… and that research suggests that the energy and caloric demands of birthing people are similar to those of marathon runners. No kidding. It’s no wonder things can slow down for many people birthing in hospitals who are deprived of nourishment during their birthing times. NPO, or nil per os which means “nothing by mouth” - is a part of standard pre-operative instruction protocols… surgery prep. Unless you are considered high risk due to things such as pre-ecclampsia, or using IV opioid medications during birthing, it should be fine to eat lightly and is even considered beneficial.


The American Society of Anesthesiologists state… (If you’re birthing in a hospital, listen up)

“Without adequate nutrition, the body will begin to use fat as an energy source, increasing acidity of the blood in the birthing person and infant, potentially reducing uterine contractions and leading to longer labor and lower health scores in newborns. Additionally, the studies suggest that fasting can cause emotional stress, potentially moving blood away from the uterus and placenta, lengthening labor and contributing to distress of the fetus.”

The body needs fuel (food) and hydration (water) to keep energized, prevent exhaustion, and for the uterine surges to remain strong and regular. Without these things, it’s easy to become dehydrated, and exhausted.

 

 

What should I eat/snack on during the early phase?

As you’re probably (and hopefully) still going to be at home during this phase, feel free to eat whatever you crave - but it’s best to stick with smaller amounts more frequently as this is easier on your digestive system and won’t cause you to feel sluggish or give you indigestion. Choose healthy, delicious foods that will provide your body with the energy and nutrients needed to maintain strength and stamina. Here are some ideas in addition to your faves.

  • Rice and Beans.

  • Whole grain pasta.

  • Sweet potato (roasted or baked)

  • Quinoa and avocado, or brown rice and an organic egg.

  • Banana or apple slices with nut butter.

  • Whole grain toast with nut butter.

  • Homemade trail mix or granola.

  • Soups or broth.

  • SMOOTHIES!

  • Avocado toast.

  • Oatmeal with fruit and chia seeds.

 

 

What should I eat during the active phase?

As things progress into the active phase, your appetite will begin to naturally decrease. Taking small bites here and there may be all you can tolerate — and that’s fine. You don’t want to overfill your stomach, as nausea can be worsened by doing so. Have a couple options in case you happen to have an aversion to something you usually love the smell or taste of. It’s very common to be repulsed by the things you’ve been craving your entire pregnancy!

Here are a few ideas of things you can prepare for your birthing at home or bringing to your chosen birth center or hospital. Bite-sized portions are ideal. There’s a refrigerator/freezer at the birth center and hospital so keep that in mind. If you care to, or your place of birth does not have a fridge/freezer… you can bring a cooler for all items that need to stay cold. You may also consider this if you have a nice drive ahead of you.

  • Fruit salad - apples, bananas, berries, melons.

  • Veggies - cucumbers, carrots, celery.

  • Nuts and Seeds - cashews, pistachios, sunflower seeds.

  • Nut butter single serve packets (great alone or on the veggies/fruit).

  • Frozen fruits - grapes and berries.

  • Dried fruit or fruit/cereal bars (watch out for added sugar).

  • Oatmeal with fruit and chia seeds.

  • Soup - Miso, vegetable broth, bone broth.

  • Applesauce - the kid pouches are great!

  • Honey Sticks.

  • Jell-O.

 

 

Foods to avoid during the active phase 

  • Oranges or orange juice (acidity).

  • Carbonated fizzy drinks.

  • Foods that are high in sugar and fat (donuts, pastries).

  • Protein and fat together. These slow the rate that your muscles use energy supplied from sugar. (Steak/burgers/fried foods).

 

 

Proper hydration during birthing

Remember to think in advance about your plans for hydrating during the early and active phases of your birthing time. You don’t want to be left with water and ice chips on repeat. It can get old, trust me. And while water is important and refreshing, one can drink too much water and deplete themselves of essential electrolytes which are just as important. And let’s talk about the fact that some find it terribly challenging to eat once the active phase rolls around, so one must get their calories in other ways.

Proper hydration is very important during pregnancy and birthing! Bring your favorite flask or water bottle and drink 8oz per hour. A good rule of thumb is to take a sip between every 1-2 surges. Here are some ideas to switch it up and ensure that you’re giving your body the very best.

  • Water.

  • Coconut Water (add splash of lemon, honey or agave to taste).

  • Infused water - berries, melons, cucumber.

  • Lemon-Lime Labor-Aid

  • Red raspberry leaf tea.

  • Gatorade and other Electrolyte Drinks such as Vitamin Water.

  • Organic Juice Boxes (no added sugar).

  • Gatorade/RRL tea ice cubes.

  • Busca’s Birthing Brew.


    What are some of the things you have planned for early and active birthing time hydration and nourishment? Feel free to share your ideas in the comments!

 

Remember to stay nourished & hydrated — Happy Birthing!

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003930.pub2/full

https://www.asahq.org/about-asa/newsroom/news-releases/2015/11/eating-a-light-meal-during-labor

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Proper hydration during pregnancy and childbirth.
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Proper hydration and nutrition are very important for a healthy pregnancy, birth, and baby - Let’s talk about hydration and some of the things that can happen before or during labor if the body is not properly hydrated.



Since water is responsible for carrying oxygen and nutrients to our cells, tissues and organs, staying hydrated ensures that essential nutrients are being transported to meet the developmental needs of your growing baby and body. Drinking water also helps to preserve an adequate level of amniotic fluid and supports fetal kidney function by facilitating the amount of waste your baby’s kidneys filter.


The American Pregnancy Association suggests drinking at least 10-12 glasses of water each day. Also, If fitness is part of your daily routine, you should also drink an additional glass of water for each hour of light exercise you do. It’s easy to become sidetracked and not realize you haven’t had a glass of water in a few hours. Be vigilant about getting enough to drink. Carry around your favorite water bottle to remind you of your hydration goals.


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During pregnancy, dehydration can cause a host of issues

  • Nausea/Vomiting

  • Fatigue

  • Constipation

  • Restless legs

  • Headaches

  • Overheating

  • Low amniotic fluid (Oligohydramnios)

  • Premature labor

  • Neural and other birth defects


In addition to drinking enough water, limit excess caffeine intake which can also cause increased urine output. Other drinks such coconut water, vitamin water, beet juice, fruit infused waters, nuun tablets, and other electrolyte drinks can help to keep hydration matters in check. Be sure to watch out for the sugar content in certain sports drinks.

 
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What are some of the functions of the amniotic fluid?


  • Cushions your baby (shock absorber).

  • Allows baby to move.

  • Helps baby’s body parts develop normally.

  • Keeps baby’s temperature regulated.

  • Helps prevent infection.

  • Helps keep the umbilical cord floating freely, so that it doesn’t get squished between the baby and the side of your uterus.




Things that can contribute to low amniotic fluid (Oligohydramnios)


  • Premature rupture of membranes (PROM). When your amniotic sac breaks or begins leaking before labor actually starts.

  • Pregnancy extending beyond estimated guess date.

  • Problems with the placenta.

  • Birth defects, especially with the kidneys.

  • Preeclampsia

  • Diabetes

  • High blood pressure

  • Dehydration



*Oligohydramnios is not by itself a cause for concern. However, the reason behind it is important. Medical induction for Isolated Oligohydramnios is not always the answer. In fact, induction for Oligohydramnios is not recommended in the absence of other indications such as Pregnancy Induced Hypertension, Pre-eclampsia, and Intrauterine Growth Restriction (IUGR). 

“There is no evidence that isolated oligohydramnios at term is a risk factor for poor outcomes. However, induction for isolated oligohydramnios leads to higher Cesarean rates.” - Rebecca Dekker, PhD  (Evidence Based Birth)



During labor, dehydration can actually contribute to the very “cascade of interventions” that you may just be hoping to avoid. Here’s how...



You begin labor already dehydrated, or become dehydrated and exhausted along the way.

You possibly develop a fever and/or tachycardia (a fast pulse). 

The uterus may not contract efficiently, slowing labor progress.

An IV or Saline lock is inserted so that you can receive fluids for hydration.

Pitocin may be given to speed things up, strengthen and coordinate the contractions.

If IV Pitocin is being used, continuous electronic fetal monitoring will be started to make sure the baby does not become distressed, in case the uterus becomes over stimulated by the Pitocin.

Movement is restricted because of the monitoring, making it necessary for you to remain relatively still on the bed.

Augmenting the labor with Pitocin, the movement limitation and the need for certain medical forms of pain relief can all increase chances of fetal distress, use of forceps, a vacuum, and having an episiotomy or a cesarean.

Large volumes of fluids given by IV have the potential to overload the system with excess fluids causing Hypervolemia. This can increase the chances of fluid accumulating in yours and baby's lungs. This can mean the baby has increased breathing rates at birth, thus needing extra observation in the nicu. This is called transient tachypnoea or “wet lung”.



It is very important enter your birthing time already well hydrated, to keep drinking especially during the early phases of childbirth, and continuing to hydrate in moderate amounts until baby has arrived. The body needs fuel (food) and hydration (water) to keep energized, and for the uterine contractions to remain strong and regular.




If you were running a marathon, you would not be fasting or limiting the amount of hydration and nourishment needed to keep up with your body’s demands. Labor/birth also require these things to perform effectively. It is no different than any other athletic event where the requirements of the body are increased to meet metabolization and oxygenation demands.


If you are in labor for an extended period of time, you could be in danger of dehydration which can cause other complications such as ketosis. Ketosis is a complication of dehydration, and a lack of carbohydrates (or glucose) for energy in the body. It is the result of the abnormal accumulation of ketones in the blood stream, body tissues and urine.

This can happen when the muscles have little, or no, glucose for energy to be able to function efficiently. Once the glucose supply in the blood stream is depleted, the body starts to break down its fat stores for energy instead. This produces ketones, often causing a fever, body weakness and the muscles to function inefficiently, including the uterus.


During childbirth, we have high-energy needs, and our stores of available glycogen are depleted very quickly. When the body has excessive amounts of ketones it can cause us to feel very weak and lethargic, develop a fever and have a fast pulse. This can also minimize uterine contractile efficiency, and labor can begin to slow down (or stop).



I’ll say this again… HYDRATION IS IMPORTANT!!!



The body requires a delicate fluid balance. Dehydration can occur when a person is not drinking enough or receiving enough IV fluids, and fluid overload occurs when a person receives too great a volume of IV fluids. We should be encouraged to drink enough to stay hydrated, and the use of IV fluids can be guided by the individual’s unique situation, needs, and preferences.

The quality of the water is also important… Are you getting your hydration from the tap? I would urge you to reconsider. If using a tap, please filter your water. This is so important.

 


What are some of the ways you can ensure that you are properly hydrating?

Have you experienced any symptoms of dehydration during pregnancy or childbirth?



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References:

https://www.ncbi.nlm.nih.gov/pubmed/8416460/

https://www.healthline.com/health/pregnancy/how-to-increase-amniotic-fluid

https://www.absopure.com/blog/benefits-drinking-water-during-pregnancy/

https://evidencebasedbirth.com/iv-fluids-during-labor/

https://americanpregnancy.org/pregnancy-complications/dehydration-pregnancy/

https://www.livestrong.com/article/505961-the-effects-of-dehydration-in-pregnant-women-on-the-baby/

https://www.lamaze.org/Connecting-the-Dots/what-is-the-evidence-for-induction-for-low-amniotic-fluid-in-a-healthy-pregnancy



Disclaimer: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only. Northern Star Doula makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this web site with other sources, and review all information regarding any medical condition or treatment with your physician.

NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE. NORTHERN STAR DOULA IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION THAT YOU OBTAIN THROUGH THIS WEB SITE.





Dear Birth Nurse...
 

Dear Birth Nurse,

As I sit here and reflect on my experiences, and encounters with you, I am overwhelmed with feelings of deep appreciation and gratitude. Allow me to elaborate.

Here we stand; in the birthing room of an extremely anxious and excited family, who is about to embark on the journey of a lifetime. You introduce yourself as their nurse, and let them know that you’ll be caring for them. Your nurturing spirit sends a wave of calm over everyone present. 

You then extend your hand to mine. We exchange names. With a smile, you welcome me, a doula, into this space. Your body language and tone assures me that we are teammates. Your support role is very different from mine, and yet here we are on the same team, working alongside one another towards a common goal. The family witnesses this interaction between us, and exhales in relief.  

As time passes, I watch as you care for this family, answer questions, and provide words of comfort and encouragement. I notice all of the ways in which you advocate and act as a bridge between your patient and their provider. Your gentle touch, your smile, and your kindness goes much further than I can express in words. Your laugh, and the way you can bring a joyous and lighthearted energy into the room, is so refreshing, and necessary.

I take note of your ability to sympathize with and honor this particular family’s unique birth experience. I also sense the subtle shifts in your energy, and how you conduct yourself to meet the family exactly where they are. You may have even shared a piece of your own personal story, further humanizing the connections that we are building with every passing moment. It’s Incredible. 

I can see your passion for the important work that you do. And we both know just how important it is. We connect there - on that level. We share several glances throughout, communicating with our eyes, never really having to say a word. We just know.

Early on, I was taught that as a doula, it is crucial to know where my job ends and where yours begins. To exist in that space together and to not overstep that line. I was happy to oblige. But it wasn’t until I was extremely comfortable in my own role that I could fully see yours. It was then that I would meet you at that place where our roles collide harmoniously for the benefit of the birthing family. You serving your purpose, and me serving mine. Both of us understanding.


I see you, dear nurse. On behalf of birth doulas everywhere, thank you for all that you do! Thank you for caring for birthing families. And thank you for graciously accepting us as your teammates. 

Signed,


A grateful birth doula.