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

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.

What is Group B Strep (GBS) - And why should I care?
Group B Strep
 

Group B streptococcus (GBS) is one of the many digestive tract bacteria that live in the body. It can come and go many times throughout a person’s lifetime without it ever causing any issue or illness, and it is not a sexually transmitted infection (STI). Anywhere from 10-30% of pregnant people are “colonized” with or carry GBS in their bodies without ever knowing it.

Due to the close proximity of the rectum, vagina, and urethra, the bacteria can easily migrate from the digestive system to urogenital tracts. This means that there is a possibility that GBS can be passed to the baby during labor. This is rare and happens to 1 or 2 babies out of 100 when the pregnant person is not treated with antibiotics during labor. It is very rare for the healthy newborn to contract GBS, but the chances of them becoming ill may be lower when treated.

Screening for GBS is a part of routine prenatal care and is usually done by taking a vaginal/rectal swab culture between 35 and 37 weeks of pregnancy. You may request to take the test at 38 weeks if you are wanting more time to self-treat. If the test comes back positive for GBS colonization, an antibiotic called penicillin will be suggested/given intravenously when your birthing time begins. If you are allergic to penicillin, another similar antibiotic will be offered in its place.

If you have had a previous child with GBS disease, have GBS bacteria in your urine at any point during your pregnancy, your GBS status is not known when you go into labor, or if you have tested positive for GBS in a past pregnancy, intravenous antibiotics may also be offered/recommended.

One alternative to the universal approach is the “risk-based approach.” This is when you receive antibiotics based on other risk factors such as having a fever or your water being broken for more than 18 hours. Especially if baby is less than 37 weeks gestation. (This is the method currently employed by care providers in the UK.)

You do have the right to decline antibiotic prophylaxis in labor, and taking the watch and wait approach to see if baby develops symptoms and then treating if they do. If you are GBS positive and you decline abx, while there is an overall very low likelihood (approx 2% chance) that your baby will develop early onset GBS infection.

Now that we know a little more about GBS…Let’s talk about your vaginal microbiome!

This information is for you if you are pregnant or trying to conceive, and would like to try to try to prevent or reduce the colonization of GBS and a subsequent positive test. The possible prevention of GBS and the recommendation for antibiotics starts with optimizing your vaginal bacteria from the get-go. It’s up to you, as your care providers are probably not going to give you information beyond what GBS is, and how and why it is treated during childbirth.

By the time you get tested for GBS, it’s already late in your pregnancy. If you happen to test positive, there aren’t many options offered by medical providers besides IV antibiotics. As you can imagine, the suggestion for IV antibiotics can throw a wrench in your plans for staying home during the early phase of your birthing time. Especially if your waters have released before surges pick up. Most likely, you would be asked to come in as soon as your waters released or labor began so that you were able to receive a minimum of one dose of antibiotics at least 4 hours before the birth of your baby.

Urogenital and gastrointestinal infections are often caused by an imbalance in “good” and “bad” bacteria. Certain infections such as UTI, BV (bacterial vaginosis), and GBS… have been said to be caused by the decrease in, or depletion of the indigenous flora Lactobacilli. Studies have found that probiotic therapies containing Lactobacilli strongly inhibit the growth of GBS by increasing the acidity of the environment and that they may be effective in returning the vaginal flora microbiome to a healthy normal state. Another Study has shown Lactobacillus Salivarus greatly reduces the chance of GBS colonization. So adding that probiotic to your normal regimen of Lactobacillus Reuteri and Rhamnosus strains should be even more effective.

With all of this information about GBS, probiotics, and scientific data to back it all up, trying to decrease or prevent GBS colonization during pregnancy seems like an excellent choice for a reduction/prevention wellness protocol — especially if someone is really wanting to avoid IV antibiotics. Another good reason to prioritize your vaginal flora to prevent or reduce the chance of testing positive for GBS is because many people planning for an unmedicated birth will prefer to spend the early phases of birthing time at home to maximize comfort and to reduce the chance of unnecessary interventions at the hospital. Even those birthing in birth centers will have to worry about coming in early for antibiotics if their waters have released before birthing waves begin, and the possibility of facing a transfer of care if their birthing waves “take too long” to begin… putting them in a higher risk category and leading to the suggestion of induction for PROM (Pre-labor rupture of membranes.) This applies to everyone, but more so for those who have tested positive for GBS. Those who test positive don’t usually have the luxury of waiting for their birthing waves to really pick up and get moving, as someone who tests GBS negative might.

For more information on the benefits of avoiding IV antibiotics, Birthful has a podcast all about the microbiome. I highly recommend that everyone listen to this!!

There are many probiotics on the market. Which ones would I want to take if I am trying to reduce or prevent GBS colonization during pregnancy?


Jarrow Formulas is one brand that has been clinically tested, and contains the strains that are believed to be most effective against GBS and other urogenital infections such as BV and UTI. It can be found in many pharmacies and is also available on Amazon (of course - what can’t we find on Amazon these days?) There are a few different formulas, some with more strains and capsules that are vegetarian and non. Here are a couple different product examples. Seed is a symbiotic and has pre as well as probiotic!

 
 

There are other brands on the market, but you want to make sure that if you choose another brand that it contains Lactobacilli strains, specifically Lactobacillus rhamnosus GR-1, Lactobacillus reuteri RC-14, and Lactobacillus Salivarus. You may have to buy a separate Salivarus to add to the other combo.

What else can we do to support gastrointestinal and urogenital health during pregnancy?

  • Limit sugar and processed food intake. These things can feed bad bacteria colonization.

  • Eat a balanced diet and make sure to get enough fruits and vegetables, complex carbs, protein, and healthy fats, and even add in some cultured foods that support healthy gut and vaginal health, such as yogurt, sauerkraut, kefir, and kombucha.

  • Stay hydrated: Drink at least 10-12 cups of water every day.

  • Practice good hygiene and frequent hand-washing protocols.

  • Boost your immune system with vitamins and supplements

  • Reduce stress

  • Other holistic and wellness methods, such as Aviva Romm’s Protocol

Would you try to minimize your chances of testing GBS+ by taking a probiotic during pregnancy? Why or why not? What, if anything, have you done to prevent GBS during your pregnancy?

References

https://www.parishealingarts.com/group-b-strept-gbs/

https://www.acog.org/Patients/FAQs/Group-B-Strep-and-Pregnancy?IsMobileSet=false

https://www.ncbi.nlm.nih.gov/pubmed/19295645

https://www.ncbi.nlm.nih.gov/pubmed/16869901

https://evidencebasedbirth.com/groupbstrep/

https://mommypotamus.com/group-b-strep/?fbclid=IwAR1krNyaLKes844bVRDSaYGzuDXG1xCG-rXNjGVpJDJQL-j5WoTCNsXcd2g

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.

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.





Cervical Exams During Pregnancy?
Photo by Thandy Yung on Unsplash

Photo by Thandy Yung on Unsplash

Let’s talk about cervical exams. To have… or not to have, prenatally?


Well, besides the fact that a cervical exam doesn’t tell us much of anything at all before birthing time actually begins, there are also risks involved.


What are the risks?

  • They can be extremely uncomfortable, especially in the weeks leading up to your birthing time when the cervix is supposed to be high, firm, closed, and posterior.

  • They can give us an unnecessary, false sense of hope or discouragement.

  • An increased risk of infection.

  • Bleeding and cramping.

  • A signal to your body that there is a threat.

  • A chance for premature rupture of membranes, especially if there is a “stretch and sweep”, or stripping of membranes performed. (Sometimes additional consent for a sweep isn’t always obtained first, and is thought of by some providers as “part of the exam” which is unacceptable.)

It’s not uncommon for providers to begin wanting to check the cervix in the last few weeks of pregnancy. Sometimes as early as the 36th week of pregnancy. Usually well-meaning providers are looking for information to share with you as you approach the home stretch. Sometime they are requested because people falsely believe the information is important. Most times this is done out of tradition and routine.

What exactly are we hoping to accomplish by assessing the cervix prenatally?


Let’s ask ourselves a few questions.

  • What is the purpose of the exam?

  • What is it that we are looking for?

  • What are we going to do with this information?

  • Does the information we gather change the intended course of action?

  • If not, then why are we doing it?

 
 
Photo by Jon Tyson on Unsplash

Photo by Jon Tyson on Unsplash

 

If we know that cervical dilation is only a very small part of the equation, what are we expecting to gain by learning of the cervix’s current status — and what the cervix is doing before birthing time even begins?

If we know that the cervix can change very quickly, or stay unchanged for an extended period of time... even during birthing time, what exactly are we able to do with the information before birthing time even begins? There are many other important, and often unmeasurable things at play.

In my experience, a cervix can go from completely closed to 10cm in four hours. In contrast, a cervix has the ability to remain at 3/4cm for a few weeks before birthing time even begins. Both are normal scenarios.


The #1 reason for prenatal cervical checks is pure curiosity, and tradition.


If you would like to know your cervical status in the weeks leading up to your guess date, and before birthing time begins, that’s your choice. Just keep in mind that it doesn’t mean much before labor begins. It ONLY tells you what your cervix is doing at that exact point in time and that’s about it. As long as you are aware that your cervix is not a crystal ball, and will not indicate when your birthing time will begin or how your birth will go in terms of length or difficulty. The cervix has a mind of its own and can be very unpredictable before and even during the early and active phases of the birth process.


Besides, who wants to hear their provider say, “You’re only 1cm dilated.”

ONLY???


The word “only” has a negative connotation when speaking in terms of progress, which is what most people are hoping is going on. It can be very discouraging and counterproductive.


Photo by Nathan Dumlao on Unsplash
 

Your cervix has a job. That job is to do nothing until it’s time to do something!

But it’s not exactly doing nothing. It has a few main functions in relation to pregnancy and birthing. One main function is to keep your baby protected and safe until it’s time to be born. I’d say a cervix that was “only” 1cm dilated before the baby was ready to be born is doing a great job at performing one of its main functions. When the baby and the body are ready, the cervix will assume its other very important function which is to soften and dilate - usually in conjunction with (and not before) a continuous pattern of uterine surges.

For the data driven, here are a few quotes about the underlying mechanisms and functions of the cervix.

“During pregnancy, the primary biomechanical function of the cervix is to maintain the fetus within the uterus. This requires withstanding multiple forces from the uterus, including the weight of the growing fetus and amniotic sac, as well as passive pressure from the uterine wall.”

“The structure of the cervix is integral to the maintenance of pregnancy, keeping the developing baby in utero and forming a barrier to the ascent of microorganisms from the vagina.”

“The function of the cervix from this moment is to retain and protect the growing conceptus. An effective barrier is primarily accomplished through retaining a sufficient length of closed cervix within which the mucus plug can deter ascent of microbes from the lower genital tract. This is aided by maintaining sufficient strength at the level of the internal os to discourage descent of the fetal membranes and conceptus down the cervical canal, which may shorten this barrier and/or dislodge the mucus plug.”

“Throughout the latter stages of pregnancy, the cervix undergoes this process as a result of increased collagenase activity. Labour onset at term is governed by fetal and placental endocrine signalling, which triggers an inflammatory cascade of cytokines, prostaglandins, and oxytocin release. In response to uterine contractions, the already softened cervix begins to efface and dilate as a result of the pressure being exerted either by the fetal membranes and/or the presenting part.”


Your cervix is performing its job - Isn’t that great news?!


Remember…

  • It is your right to refuse cervical exams if you are not comfortable or don’t see a point with having them.

  • You can simply say, “No thank you, I will not be having a cervical exam today.”

  • And if you’re a go-with-the-flow kind of patient, and it makes it easier, you can just keep your pants on if the only reason for undressing during your appointment is to receive a “routine cervical exam.”


Your body, your choice.

ALWAYS.


Have you had cervical exams during pregnancy? Why or why not?



References:

https://www.sciencedirect.com/science/article/pii/S2214854X1530008X

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4459908/

https://evidencebasedbirth.com/evidence-prenatal-checks/

https://www.ncbi.nlm.nih.gov/pubmed/?term=lenihan+antepartum+pelvic

https://www.ncbi.nlm.nih.gov/pubmed/?term=mcduffie+weekly+cervical+examinations


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.

Chiropractic Care During Pregnancy - The Webster Technique
Chiropractic care throughout pregnancy removes interference to the nervous system, enhancing fetal development and uterine function. It also balances the pelvis, eliminating undue tension to muscles and ligaments, enhancing optimal fetal positioning…

Chiropractic care throughout pregnancy removes interference to the nervous system, enhancing fetal development and uterine function. It also balances the pelvis, eliminating undue tension to muscles and ligaments, enhancing optimal fetal positioning. - Jeanne Ohm


What Exactly Is The Webster Technique? 


ICPA gives their definition as, “A specific chiropractic analysis and diversified adjustment for pelvic balance during pregnancy allowing for optimal fetal positioning (head down/anterior) for an easier, safer birth. The goal of the adjustment is to reduce the effects of sacral subluxation and/or SI Joint dysfunction. In so doing, neuro-biomechanical function in the pelvis is improved.”


Throughout pregnancy, the growing body tries to adapt to the weight gain, increase of hormones, and the postural changes that follow. These postural changes increase the risk of sacral/pelvic imbalance at any given time, with or without reason. The bones of the pelvis and the supportive network of ligaments, tendons, muscles, and associated nerves are all under constant pressure and change. The resulting torsion and inflammation of imbalanced muscles and ligaments may then prevent the baby from comfortably assuming the best possible position for their birthing.

McCarron Lake Chiropractic says, “As the baby grows, the center of gravity changes and the back must accommodate for that. This change in the center of gravity, along with the increased weight of pregnancy, can lead to muscles and ligaments that are stretched to the point that they pull the spine out of alignment which can contribute to lower back pain. Chiropractic treatment can put the spine back in proper alignment, which will help the muscles do their job of supporting the lower back and belly.”

Some of the effects of pelvic/sacral misalignment include:

  • Pain/tightness the legs and groin.

  • Lower back pain.

  • Decrease in pelvic diameter/mobility.

  • Longer labor possibly leading to unwanted interventions

Currently, the International Chiropractic Pediatric Association (ICPA) recommends chiropractic care throughout pregnancy to establish pelvic balance and optimize the room a baby has for development. With a balanced and aligned pelvis, babies have a greater chance of moving into their correct position for birth.

So ideally, the best time to begin The Webster Technique is as soon as possible, but by the 32nd week of pregnancy is preferable especially if the breech position is confirmed. And if you’re beyond the 32nd week of your pregnancy, don’t worry! Better late than never. These techniques are gentle, non-invasive, and drug-free.


What can I expect from a Webster Technique Chiropractic Visit?


  • Full analysis of the muscles, joints, and ligaments of the pelvis/spine.

  • Movement screen.

  • Diversified, sacral adjustment with gentle soft tissue release.

  • Recommended treatment plan with exercises and stretches.


Using a combination of myofascial release (similar to a massage) and manual adjustments, your Webster Chiro sessions will use techniques that gently and safely prepare your body for birthing. What an excellent idea!


Sterling Prenatal Chiropractor, Dr. Will Sonak, with 15 years experience specializing in pregnancy, and pediatrics chiropractic care demonstrates a prenatal adjustment and the Webster Technique.

 


Benefits of chiropractic care during pregnancy


  • Decrease in discomforts such as back, hip, pelvic and groin pain.

  • Decrease in Sciatica, and heartburn.

  • Better sleep and mobility.

  • Reduction of tension in the muscles and ligaments supporting the uterus.

  • Reduction of Intrauterine Constraint, creating more space in the pelvis for baby to move freely and engage.


    As a birth doula, I have seen the difference and so have the families I have supported. Along with other wellness modalities, I personally and highly recommend chiropractic care by someone certified in The Webster Technique.


So with all of this, you just may want to consider chiropractic care during your pregnancy. To find a Webster Certified Chiropractor near you, click here. Happy Birthing!

Did you utilize chiropractic care during your pregnancy?

If so, did you find benefit?

Let us know!



References:

http://icpa4kids.com/about/webster_technique.htm

http://pathwaystofamilywellness.org/Pregnancy-Birth/for-many-pregnant-moms-webster-technique-is-the-key-to-a-safer-birth.html

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5779240/

https://www.ncbi.nlm.nih.gov/pubmed/12183701

https://search.informit.com.au/documentSummary;dn=785127118674864;res=IELHEA

https://americanpregnancy.org/pregnancy-health/chiropractic-care-during-pregnancy/

https://www.mlchiro.com/resources/chiropractic-care-during-and-after-pregnancy/



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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.