By Emily A. Pendergast, L.Ac, MAOM

In China, the first few weeks after childbirth are called “chan ru.” Chan means childbirth, and Ru means mattress. In traditional Chinese culture, women were prescribed bed rest for one month after childbirth. Female relatives would take care of both the new mother and the baby, allowing the new mother to restore her strength and energy. Specific herbal prescriptions were given to help shrink the uterus, stop bleeding, encourage lactation, and return vitality. In today’s fast-paced society, few new mothers have the luxury of resting for a month after childbirth. Most women need to return to taking care of family or work before their bodies have had a chance to fully recover from the birth experience. This can lead to further health issues down the road, and is why acupuncture during the postpartum period is so important. ^[1]

Introduction

It is now recognized that 80% of women experience sadness, anger, or other mood and personality changes following childbirth, known as postpartum depression. This alone can cause increased guilt, worry, and anxiety in women, as they feel they are not “cut out” to be a good mother. Many women are unaware how common these feelings and symptoms can be, or that there is support for them. Acupuncture offers drug-free treatment to women and has the ability to address symptoms specific to each individual woman. Natural treatment is especially crucial for those women wanting to breast feed, as previous treatment for postpartum depression has been through medication. Acupuncture can also be used to help the spouse manage emotional symptoms that they too may be experiencing at this time.

Acupuncture for Postpartum Support

Acupuncture is extremely beneficial in addressing emotional symptoms, whether these symptoms are a result of hormonal changes, concerns or fears that come with being a new mom, lack of support, or other causes; acupuncture can help. Treatment can also help the body naturally regain hormonal balance as well as vital energy that may be lost or changed through the process of childbirth. Nutrition is also an important factor that women should be advised on in order to help prevent, or to help treat postpartum depression. Specific dietary changes can help maintain mood swings, increase energy and vitality, and aid in hormonal balance. Nutritional advice is commonly an integral part of acupuncture treatment.

Studies have shown that women experiencing postpartum depression had significantly higher response rates when receiving acupuncture (69%) over other modalities of non-pharmaceutical treatment (32%).^[2] The acupuncture control group had an intermediate response of (47%).  It is also suggested that acupuncture may help in preventing the onset of postpartum depression.^[3]

Below is list of specific symptoms that acupuncture can address regarding postpartum depression, as well as other accompanying symptoms following childbirth.

Emotional support^[4]:

Overall hormonal balance

Sadness

Anger/irritability

Impatience

Worry

Anxiety

Pensiveness/Over thinking

Stress relief

Fatigue

Insomnia/dream-disturbed sleep

Frequent mood changes

Chest restriction/heart palpitations

Other Postpartum Symptoms

Low back pain

Perineal pain

Headaches

Abdominal pain

Lochial Retention

Lack of Appetite

Mastitis

Lactation support

Conclusion

While a large majority of the female population experience symptoms of postpartum depression to some extent, it is critical that women know they are not alone, and that there is help and support for available for them. The first step is helping women recognize the symptoms, so they know when to seek support.  The next step is providing the support. Acupuncture is one modality that is effective and natural in treating, preventing, and supporting women through postpartum depression.

To Book an appointment with Emily please call (207)451-0769 or book online at http://www.healinghandsnh.com/acupuncture_book.html. Affordable Express Clinic appointments available too.

Sources Cited

Betts, Debra (2006). The Essential Guide to Acupuncture in Pregnancy & Childbirth. The Journal of Chinese Medicine, Ltd. East Sussex, England, p203.

Ignatovsky, Cindi, L.Ac. Postpartum Treatment. http://www.acupunctureatlanta.net/preg.php#postp

Manber R, Schnyer RN, Allen JJ, Rush AJ, Blasey CM. 2004. Acupuncture: a promising treatment for depression during pregnancy. J Affect Disord 83:89-95.

³ Nonacs, Ruta MD PhD. Acupuncture for Depression During Pregnancy. http://www.womensmentalhealth.org/posts/acupuncture-for-depression-during-pregnancy/. Published Feb. 15, 2005.

^[2] Manber R, Schnyer RN, Allen JJ, Rush AJ, Blasey CM. 2004. Acupuncture: a promising treatment for depression during pregnancy. J Affect Disord 83:89-95.

^[3] Nonacs, Ruta MD PhD. Acupuncture for Depression During Pregnancy. http://www.womensmentalhealth.org/posts/acupuncture-for-depression-during-pregnancy/. Feb. 15, 2005.

^[4] Betts, Debra (2006). The Essential Guide to Acupuncture in Pregnancy & Childbirth. The Journal of Chinese Medicine, Ltd. East Sussex, England, p203.

by Shalon Da~Nai Spaulding, LMT
Massage Therapy is beneficial to everyone, especially the expectant mother.  Pregnancy is a time of great change for a woman.  From the continuous changes in her body to the overall transition as she journeys toward motherhood, there is much to process.  It is a time of great joy and excitement, but with that can also come physical discomfort and mental or emotional stress.

Prenatal massage is customized to alleviate the physical discomforts of pregnancy and prepare the body for birth. During pregnancy the center of gravity shifts as the baby grows.  This causes changes in posture, starting at the pelvis and affecting  the neck and shoulders.  Muscular tension and inflammation are common side affects of this shift.  The body produces the hormone relaxin to help joint mobility.  Relaxin causes all ligaments in the body to soften, stretch and weaken.  As a result, women may develop carpal tunnel syndrome, pelvic pain, and/or other joint pains.

Pregnancy affects nearly all systems of the body. Sinus congestion and constipation are often an issue. Breathing and digestion are affected as the baby grows, compressing and displacing organs within the mother’s body.  Skeletal position also changes. As the baby grows, it lifts and widens the rib cage up to 3 inches.  The pelvis also widens to prepare for birth.  All of these changes may affect each mother uniquely, and massage can help ease the ensuing discomforts.

Stress during pregnancy is common, as it is a major life change.  Many practitioners believe that everything the mother feels, the baby also feels.  Stress affects hormone levels within both mother and child, and this can affect fetal development.  The best thing an expectant mom can do for her baby is to stay relaxed and promote feelings of love and well being within herself.
Studies have shown that women who received pregnancy massage not only experienced lower levels of stress hormones and fewer common discomforts, but also had fewer complications during labor and fewer premature births than those who did not receive massage.*
*Journal of Psychosomatic Obstetrics & Gynecology, 20, 31-38

Benefits of Prenatal Massage:
~Reduces stress levels
~Eases back and pelvic pain caused by changes in posture
~Reduces swelling of feet and ankles
~Improves skin elasticity, reducing stretch marks
~Improves sleep
~Improves digestion

~Reduces sinus congestion
~Relaxes and soothes baby

The effects of pregnancy do not end after the baby has been delivered.  The body takes time to shift back to its original alignment.  Trigger points that developed may still cause pain, stiffness and weakness in the muscles.  The body continues to create the hormone relaxin for up 4 months postpartum, and this perpetuates the excessive flexibility and weakness in joints. It can be hard for a new mother to focus on anything but her new child, but it is important to realize that time spent caring for herself enables her to care for her baby in the best way possible.

Benefits of Postpartum Massage:
~Brings the body back to pre-pregnancy alignment
~Helps with tension and muscle pain of the neck, shoulders & low back
~Aids in returning the uterus to normal size
~Soothes digestive trouble
~Energizes and helps to eliminate fatigue
~Balances hormones & sleep cycle
~Decreases stress and the effects of depression

Shalon Da~Nai Spaulding is a NH Licensed Massage Therapist.  She is Certified in Pregnancy Massage and Postpartum Massage.  Shalon also offers labor support techniques and Infant Massage classes.

All practitioners at Healing Hands Chiropractic specialize in prenatal and postpartum care, including chiropractic, acupuncture, reiki, and yoga. We also offer workshops in pregnancy, childbirth, and wellness.

by Jenny Everett King, childbirth educator and prenatal yoga teacher

Because we promote natural childbirth at Healing Hands, some people assume that our practitioners are opposed to epidurals and other pharmacological methods of labor pain relief. This is absolutely not the case. Rather, what concerns us is the idea so prevalent in today’s culture that women need medication for labor pain. We encourage natural pain relief methods because we want every pregnant woman who walks through our doors to know that non-medicated birth is a viable option.

Some mothers who plan to use medication for pain relief do little else to prepare for the discomforts of labor. But women who plan on epidurals for labor and delivery still need other coping techniques. If you go into labor at home, you will still need to cope with contractions during the car ride to the hospital as well as the admission process. Even at the hospital, the window of opportunity for receiving an epidural can be relatively small – typically between four and eight centimeters cervical dilation. Request it before 4cm, and you’ll have to wait until your labor has progressed. Request it at 8cm or more – for most women, this is the most intense part of labor – and you’ll likely be denied because the “pushing” stage is imminent. It’s also a good idea to let an epidural wear off somewhat before pushing begins, so that you can feel your contractions enough to work with them. That means that you’ll probably have some discomfort during the second stage of labor. Additionally, epidurals do not always provide total pain relief. Planning in a scheduled cesarean? In the absence of medical need, it’s unlikely that one will be performed before 39 weeks gestation. But full-term labor can happen as early as 37 or 38 weeks. Every pregnant woman, therefore, needs to prepare herself to deal with labor contractions.

Our childbirth workshops teach several ways to cope with and minimize labor pain, including relaxation techniques, the best positions for labor, massage, counter-pressure, acupressure, and vocalization. We also discuss epidurals at length, so that parents who are interested in them can make an informed decision and know when pain medication may be the right choice.

The other services we offer at Healing Hands, particularly pregnancy chiropractic, acupuncture, and prenatal yoga, are extremely useful for minimizing labor pain, because receiving these treatments during pregnancy can help your baby get into the best position for birth. The worst discomforts women feel during labor are usually due to the baby being in a less-than-optimal position. (The horror stories told to vulnerable pregnant women about “back labor” are really stories of a baby facing backwards for birth!)

Our practitioners welcome your questions about handling labor pain and optimal fetal positioning. For more on coping techniques in labor, please join us for “Love Your Birth” on January 26^th or April 20^th.

Congratulations on your pregnancy!  What’s that?  You’re too nauseated to celebrate?  Unfortunately, this is the reality for many women in their first trimester (and sometimes in the second and third as well).  Nausea, dry heaves, vomiting and heartburn can all eclipse the joy of knowing you’ll soon be a mother.  Luckily, there are tried and true ways to combat “morning sickness” (in quotes here because it isn’t just confined to the morning):

• Try to eat frequent, small meals.  For some women, keeping their stomachs full will considerably reduce nausea, even though it seems counterintuitive to eat while you’re feeling queasy.
• Ginger is a wonderful, readily-available herbal remedy that’s been prescribed for thousands of years by Chinese physicians.  Put a raw slice of ginger under your tongue, chew on a piece of crystallized ginger, drink ginger tea or take ginger capsules frequently throughout the day.
• Trust your cravings!  Avoid the foods/smells that seem to make your stomach lurch and eat the foods you are craving, sometimes those foods will stave off nausea for a few hours.
• Acupuncture can be very helpful for reducing the nausea and vomiting associated with pregnancy.  Pericardium 6, an acupuncture point located about two inches above your wrist crease, on the inside of your forearm, between the two big tendons there is well known for treating any kind of nausea and vomiting.  Some pharmacies sell wrist bands that apply pressure to this point and can be worn all day long.

Still sick after following these suggestions?  Get some help!  Your acupuncturist has other Chinese herbal remedies that may help you, the ND can offer homeopathy and other supplements, your chiropractor can make any necessary adjustments, etc.  Of course if you are seriously ill and cannot keep even water down, you may become dehydrated, so it’s important to seek medical treatment as soon as possible.

Remember that this too will pass and the rewards of parenthood will far outweigh the discomforts of pregnancy.  Hang in there mamas-to-be!

To make an appointment for acupuncture with Christina Wolf, Lic Ac, click here.

TrackBack URL for this entry:
http://nhacupuncture.com/morning-sickness-acupuncture-and-herbal-medicine/trackback/

“What do you think of your body?”

It’s a question that elementary school children have been asked recently, in hopes of shedding light on the body image crisis. But it’s also a question that every woman of childbearing age should ask herself – and most do, albeit unconsciously.

Medical anthropologist Robbie Davis-Floyd writes that a woman’s choices regarding her birth often reveal her deepest beliefs about the abilities of her body, and by extension, her beliefs about nature and technology. A woman who believes that nature has made her body powerful and capable will choose a birth with minimal interventions – a labor that begins spontaneously and is allowed to progress without interference. A woman who believes that technology is superior to nature and that medical knowledge is superior to natural (and often unpredictable) body processes will choose a more “controlled” birth, where the labor process is carefully monitored and perhaps managed by outside influences. Even if the type of birth is not consciously chosen in advance – in fact, it rarely is – these same belief systems are often evident in a mother’s choice of care provider (midwife or OB/GYN) as well as the location for her baby’s birth (home, birth center, or hospital).

Of course, many women begin pregnancy unsure of what they believe regarding medical technology and its relationship to nature. The attitude of today’s average expectant mother could be summed up like this: She wants to believe that a natural, low-intervention birth is safe, realistic, and worthwhile. But by the middle of her pregnancy, she has heard, read, and viewed so many birth horror stories, she is no longer confident in her body’s ability to birth without the “safeguards” of modern medicine. She likely still hopes for a normal birth, but has taken on more of a “wait and see” approach to her birth plan.

Several studies indicate that a mother’s level of satisfaction with her baby’s birth is only loosely related to the choices that were made, but very closely related to the mother knowing she played an active role in making those decisions. A mother who feels pressured to submit to an intervention she would prefer to avoid (or even a mother who feels she was denied an intervention she wanted) is often left feeling very dissatisfied with her birth experience.

Regardless of the decisions she makes, every mother deserves to give birth with confidence in her choices. Just as the physical work of pregnancy reaches its climax with labor and birth, much of the intellectual and emotional work of pregnancy is to be informed and stay confident. Pregnancy and childbirth classes are an excellent way to get information. The face-to-face interaction with childbirth professionals as well as with other parents gives both the mother and her birth partner the chance to ask questions and explore their beliefs about a natural pregnancy and birth. Most importantly, birth classes encourage dialogue between the mother and her birth partner. (This is often a more effective source of communication than handing your husband or boyfriend a copy of the latest pregnancy book and then wondering if he’ll actually read it.)

Prenatal yoga classes offer pregnant women another opportunity to increase confidence in their birth choices, no matter what they are. Yoga’s emphasis on “tuning in” to the self helps a woman build confidence in her intuition. Pregnancy hormone jokes aside, Woman’s Intuition is not cutesy sitcom fodder but in fact a powerful and valuable player during pregnancy and birth. For many women of childbearing age, the value of intuition has gone the way of body confidence: we lost it in early adolescence. Pregnancy is an opportunity to reconnect with both.

Not sure what you want for your birth? Be honest with yourself. Do research. But most importantly, practice tuning in to your deepest thoughts and feelings. With time, you will begin to discover the choices that are best for you and your baby.

Healing Hands Chiropractic offers a number of prenatal care services to help you have the healthiest pregnancy and birth. In addition to pregnancy and childbirth workshops, we offer prenatal yoga, prenatal chiropractic care (including the Webster Technique), prenatal massage, reiki, and acupuncture.

Therapeutic massage has been used for centuries to improve overall health, reduce stress, and relieve muscle tension. Research has shown that pregnancy massage can be very beneficial in reducing anxiety and depression, relieving muscle and joint aches and possibly even improving labor outcomes.

Swedish massage is the recommended prenatal massage method aimed at relieving the usual discomforts brought on by hormonal and musculoskeletal changes in the body during pregnancy. Pregnancy massage may help relax muscle tension and improve lymphatic and blood circulation.

Studies done in the past 10 years have shown that hormone levels associated with relaxation and stress are significantly altered, leading to mood regulation and improved cardiovascular health, when massage therapy was introduced to women’s prenatal care. Hormones such as norepinephrine and cortisol (“stress hormones”) were reduced and dopamine and serotonin levels (low levels of these hormones are associated with depression) were increased in women who received bi-weekly massages for only five weeks. These changes in hormone levels also led to fewer complications during birth and fewer instances of newborn complications, such as low birth weight. The evidence points strongly to maternal and newborn health benefits when relaxing, therapeutic massage is incorporated into regular prenatal care(www.americanpregnancy.org).

Massage therapy also helps reduce the collection of excess fluid in the joints and soft tissues that leads to edema, or swelling of the joints-like your ankles.

Many women have also experienced a marked reduction in sciatic nerve pain during pregnancy when receiving regular massage therapy.

Other potential benefits of prenatal massage:

• Reduced back pain
• Reduced joint pain
• Improved circulation
• Reduced edema
• Reduced muscle tension and headaches
• Reduced stress and anxiety
• Improved oxygenation of soft tissues and muscles
• Better sleep

Healing Hands Chiropractic in Londonderry, NH offers a full spectrum of prenatal services. These services include: Prenatal Chiropractic Care using the world renowned Webster Technique, Prenatal Yoga, Pregnancy Massage and Reiki, Acupuncture, and Celebrating Your Pregnancy and Honoring Your Birth classes with our childbirth educator, Jenny Everett King.

Healing Hands Chiropractic is located at Landmark Crossing, 25 Nashua Rd., Suite F2, Londonderry, NH 03053. Phone: 603-434-3456 Web: http://www.HealingHandsNH.com

Massage Therapy: http://www.healinghandsnh.com/massage_hours.html

By: Alyson Adams, L.Ac., Dipl. O.M.