Throughout pregnancy, women are consistently seen by their care providers.  However, after having the baby they are lucky to have a two-week follow up appointment with most only having a six-week follow up appointment.  An OB nurse practitioner who I spoke with recently said she feels badly for her patients that she sees at their six week check-ups.  “I’m supposed to be checking their physical recovery from birth,” she said, “but they all come in here crying and I just don’t have time to give them the support they need.”

Enter the postpartum doula!  Postpartum doulas are knowledgeable professionals who assist families during the critical period immediately after the birth of their baby.  They “mother the mother” and offer physical, emotional and informational support to the family, as well as practical help.  The doula’s expertise in mother and baby care enables her to assist with postpartum comfort measures, breastfeeding support, non-judgmental guidance in infant care techniques, information on normal postpartum restoration, and family emotional assistance through this major transition.

These doulas provide essential support during the modern postpartum experience, a time when many mothers today feel uninformed, isolated and anxious.  Traditionally, the postpartum period was a “nesting period,” when a new mother was attended to by other experienced mothers.  They helped take care of her and her family, so that the mother could focus on the vital tasks of postpartum recovery, emotional adaptation to great change and getting to know her precious little one.

Today few families have such support, and frequently become exhausted and overwhelmed by the immense work of becoming parents.  Postpartum doulas gently guide and support families through this transition so that they may get off to the best start with their new baby.

ACTION PLAN:

Instead of focusing on changes that need to be made with our healthcare system, I’d like to focus on societal changes that we can instantly start working on now -on an individual basis.

So, what can you do?

If you are pregnant:

1. Complete a Postpartum Plan which can help you draft a list of postpartum resources that are available to you:   http://www.dona.org/resources/doula_practice_postpartum.php
2. Hire a postpartum doula, to find one in your area, click here: www.dona.org
3. Call your insurance company now to find out if they will cover postpartum care and if not, if your Flex Spending Account will.
4. Line up friends and family to cook meals and deliver them to you.  If your friends are lousy cooks, hire a personal chef like The Dinner Goddess in Epping (http://www.thedinnergoddess.com/) or check out some meal registry sites like www.mealbaby.com
5. Search out places to meet other new moms, like the La Leche League meetings at Healing Hands, Mom & Baby Yoga or Music classes and other Mommy & Me groups.   www.meetup.com is a great place to find people!   Include these ideas in your Postpartum Plan so you have them written down once the baby arrives.

If you have a new baby:

1. Ask for help!  People always ask if there is anything they can do to help – take them up on it!  Say “Yes, please come hold the baby so I can shower.”  Or “Please cook me a pot of soup.”
2. It’s not too late to hire a postpartum doula if you need to.  To find one in your area, click here:  www.dona.org
3. Reach out to other new moms.  Get out of the house at least a few times a week.  See #5 above.
4. Remember you are not alone.  Motherhood is hard and is better when you are getting the support you need.
5. Push aside the thank you notes, step over the laundry basket and GO TAKE A NAP!

Darcy Sauers is a certified postpartum doula and the owner of Dover Doula (www.doverdoula.com) in the Seacoast area.  As a member of both the Seacoast Doula Group (www.seacoastdoula.com) and Great Bay Doulas (www.greatbaydoulas.com), she is passionately committed to helping new moms find the support, resources and information that they need. Darcy is very happy that moms in Southern NH are lucky to have such a wonderful prenatal and postpartum resource in Dr. Jess and Healing Hands Chiropractic.  Please do not hesitate to contact Darcy with any questions at darcy@doverdoula.com or 603-988-5945.  For more information on the postpartum period and local resources and events for new moms, follow her on Facebook (https://www.facebook.com/#!/profile.php?id=100000200069253)

The post What is missing from our care for women having babies? appeared first on Healing Hands Chiropractic Manchester, NH.

In honor of May and mothers who experience depression, I want to discuss the benefit that massage therapy can have.  Unlike drug treatments that medical doctors might prescribe, massage has no negative side affects to a mother or nursing baby.  It is gentle, safe and effective.  Women who receive massage therapy during pregnancy have less pain and lowered stress levels.  This translates to the fetus’ and the infant’s stress hormones are also reduced.  We can continue these affects after birth with postpartum massage  and infant massage.

Massage for moms helps to reduce pain and trigger points developed during pregnancy, allowing her body to quickly transition back to its pre-pregnancy state.  It aids in the balance of hormones, which play an important role in depression.  Massage can help regulate sleep and induce relaxation.  Without proper rest it is very hard for the body and mind to heal.  Fatigue is a contributing factor to depression.  And most beneficial is the ability of massage therapy to reduce the stress hormone cortisol which puts stress on all body systems.  Taking time to receive massage gives Mom time for herself, where she can be nurtured with healing touch and be able to offer more nurturing care to her new child.  Infant massage can help to lessen the effects of postpartum depression.  Through massage a mother learns to calm the discomforts of the infant from digestive issues and colic.  Massage has the same affects on baby as they do on the mother, balanced hormones, reduced stress levels and enhanced sleep.

A relaxed baby means a baby that cries less and therefore a relaxed mom.   Performing infant massage enhances the bond between mother and child.  Communication becomes clearer because mom can learn to identify the body language and other cues their baby uses to express themselves.  With this understanding she will have more confidence in her new role as a mother.  Shalon Da~Nai, LMT is Certified in Prenatal and Postpartum Massage Therapy.  She offers one on one Infant Massage classes to parents and caregivers.
All appointments and classes can be scheduled online at ShalonLMT.com or http://www.healinghandsnh.com/massage-therapy/massage-therapy-online-booking/

Links

www.postpartum.net

http://www.medscape.com/viewarticle/471895_4 for research on Massage/infant Massage for postpartum

To reach the Postpartum emotional support group  call 603-663-8927

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How do you know if you need a detoxification?

·         Poor appetite, but crave junk food

·         Feel congested, heavy or constipated

·         Your mind feels cloudy, or spaced out

·         Abdominal bloating

·         Always tired, even after a good night’s sleep

The class includes the following:

1.      A complete Dosha Evaluation, which is a way to discover your unique constitutional type

2.      Guided meditation on Friday and Sunday

3.      Documentation on what to eat during a detox and a list of activities & routines that will assist in the detoxing process

4.      As well as a complete at-home detox kit.  This detox kit includes two gluten-free kitchari packs of food for the weekend, tulsi cleansing tea and massage oil.

Price

Only $50, including the class, at-home detox kit with meals, 2 guided meditations and take home guides.

Details

The dates are Friday November 19^th from 6-7:30p for the class and to hand out the at-home detox kit.  Then the class meets back on Sunday from 11am-12pm for a group discussion of how the detox process went, how to make small Ayurvedic changes into your daily life and will be closing with a guided meditation and relaxation.

RSVP at our front desk or call 603-434-3456.  Only 10 spots are available!

The post Ayurvedic Pre-Holiday Weekend Detox Class at Healing Hands Chiropractic appeared first on Healing Hands Chiropractic Manchester, NH.

• Nasal Breathing. It provides maximum respiratory efficiency, and will leave you feeling calm and relaxed.
• Hydrate! Drink 1/2 your body weight in ounces per day for 2 weeks, EX: 140lb, drink 70 ounces of water (9 glasses) per day. Sip warm water/room temp. throughout day.
• Take time after a run to check in with yourself. Cool down, jog at a relaxed pace or walk, let your run settle in to your body. Stretch, allowing excess lactic acid to be flushed into your bloodstream and eliminated from your body.

Yoga for Athletes Class w/ Amy Cooper, CYT meets every other Saturday at 9AM at Healing Hands Chiropractic Family Wellness Center: 156 Harvey Rd., STE 2, Londonderry, NH 03053. To reserve your spot in class please call 603-434-3456. Discount packages are available and can be used in any of Amy’s other classes as well (All Levels Yoga, Candlelight Yoga)http://www.healinghandsnh.com/yoga_meditation_hours.html

The post Yoga Tips for Runners appeared first on Healing Hands Chiropractic Manchester, NH.

1. Independent Childbirth Educators work for you. We are not obligated to support anyone’s procedures, or to ensure that our material agrees with hospital policy. That means you get unbiased, research-based information, not someone else’s agenda.

2. We’re specialists. Independent Childbirth Educators specialize in birth, not medicine. Hospital classes are often taught by medical professionals with secondary training in birth education.

3. You get the tour anyway. Many people choose to take classes at the hospital where they plan to deliver, because the class includes a tour of the maternity ward. However, most hospitals offer these tours apart from a childbirth series as well.

4. We trust your body. The fact that you are pregnant is excellent evidence that your body works, and works well. You deserve to get your information from sources who recognize this simple fact.

5. We have a wide demographic of students. You won’t just get the perspective of parents who have chosen the same care provider, hospital, or birth method that you have. You will have the opportunity to hear about other choices and get information on options you may not have considered. Fellow expectant parents are a great resource!

6. We recognize birth as a whole-person experience. We discuss the emotional and spiritual aspects of pregnancy and childbirth, not just the physical process.

7. We understand natural medicine. We can give you unbiased, well-researched information that you may not get from a mainstream source, including facts about vaccines, attachment parenting, and natural solutions for common pregnancy and birth concerns. (Healing Hands Chiropractic Family Wellness Center has practitioners on-site who treat sciatica, heartburn, breech presentation, and post-dates pregnancy, among other things.)

8. We support conventional medicine when it’s used appropriately. We’ll tell you honestly about situations where there may be a need for it, and when it’s just part of the protocol. Most importantly, we’ll help you know the difference.

9. We know that birth is an experience you help create and not something that just happens. Independent Childbirth Educators give you the tools to make the decisions that are right for your birth, your family, and your baby. We don’t teach you our way, we help you determine your way.

10. We LIKE birth! Independent Childbirth Educators know that giving birth can truly be enjoyable. We didn’t get into this field for the paycheck; we got here because we recognize (and have often experienced) the inherent power, mystery, and beauty of giving birth. Birth is not some arduous, joyless trial to overcome, but a once-in-a-lifetime opportunity for ecstasy and empowerment. Wouldn’t you prefer to learn about birth from someone who will teach you how you can enjoy it?

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Prenatal & Postpartum Yoga Teacher / Pregnancy & Childbirth Educator

It’s a quiet Monday morning, and I’ve returned from a weekend professional workshop absolutely determined to reestablish a consistent yoga practice. After feeding the kids breakfast, I  turn on the least guilt-inducing children’s programming I can find, vacuum the worst of the dog hair out of my practice space, unroll my mat, and promise myself that the next hour is my own time.

Five sun salutations into my practice, my 2-year-old wanders in and announces, in one simple word (which may or may not be in the dictionary), that he needs his diaper changed.

While changing him, I do my best to stay tuned into to my breathing and my body. But really, who takes a full, cleansing, energizing inhalation while handling a dirty diaper? It’s just a bad combination.

Before children, I was the perfect yogini. No, not really. But I had a consistent one-and-a-half to two-hour meditation, asana and pranayama practice five or six days a week, and a dedicated yoga room in the house. Then my morning practice gave way to morning sickness, and the yoga room became the office so that the office could become the baby’s room. While I continued to teach and attend classes, my own personal practice disintegrated.

To my surprise, the event that brought me back to the heart of yoga was the culmination of the factors that had distracted me in the first place: giving birth. At no other time in my life have I felt so completely present, so in tune with my body, so inherently certain of a higher power, as I have in the moments of giving birth to my children. But a regular asana and pranayama practice? I’m still searching for that.

Traditionally, children and household responsibilities have been considered incompatible with the ascetic lifestyle of a yogi – and for good reason. Hours of asana and meditation simply do not mesh with the demands of responsible early parenting. However, I believe that this necessary adaptation is the perfect illustration of what yoga is really about.

Yoga is not about hours of poses and breath work. It is not about sitting to meditate uninterrupted. Are these tools useful and important? Absolutely. But they are just that: tools. Asana, pranayama, and meditation are a means to an end, not an end in themselves. The end goal is absolute presence, mindfulness, complete awareness. Yoga offers everyone the tools to adapt to and cope with stress, adversity, and disappointment. It helps us to keep perspective, to remain conscious of the “big picture” in the midst of daily distractions. The ability to maintain perspective is valuable to every person on the planet, especially parents of young children.

After changing the diaper, I return to my mat. No sooner have I come into Paripurna Navasana than both kids enter. My four-year-old begins playing on the floor next to me, while my two-year-old climbs into my lap. After several admonitions that “Mommy needs some time for herself,” accompanied by creatively incorporating a 25-pound child into several seated asanas, they return to the TV. Eventually, the background music for my Savasana is not devotional chanting but the theme song to Caillou.

In Mama & Baby Yoga later that day, I found myself explaining to a new student, “Don’t expect to practice all the poses in a single class.” Invariably, at least one mom is sitting on the floor nursing, or changing a diaper. Babies simply take priority over asana. Class does not end with a traditional Savasana (total relaxation), but rather a guided breathing time to promote relaxation and mindfulness.

As a parent and as a yoga teacher, I am not entirely convinced that mothers are meant to “let go completely,” the instruction so commonly heard at the end of yoga class. Mothers of young children, particularly breastfeeding moms, are not wired physically nor emotionally for complete detachment. Understanding and accepting this deviation from traditional yoga guidance is fundamental to offering women a yoga practice relevant to their lives.

All yoga classes at Healing Hands Chiropractic are designed to help you make yoga a part of your everyday life, not just a series of poses you do once or twice a week. Our personalized approach is rooted in our commitment to help you start yoga from where you are (and not from some place you think you “should” be). This applies to women at all stages of life, from pregnancy through menopause and beyond.

*

In honor of Mother’s Day, Healing Hands Chiropractic is offering a special discount on yoga class packages during the month of May: Buy one package, get the second at 50% off. This is a great opportunity to share your love of yoga with a mother, sister, or friend. Call 603-434-3456 for details, or stop by the front desk after your next class.

Please join us Saturday, May 22^nd, from 12 to 3 pm, as we honor women of all ages at our Women’s Day of Wellness. This enriching afternoon will include complimentary chair massage, reiki, yoga, and refreshments. We will be accepting donations to benefit Elliot Hospital’s Postpartum Depression Taskforce.

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Recent research studies demonstrate there may be a link between gluten (a protein found in wheat, rye, barley and other foods) and infertility. According the National Institute of Health, nearly two million people in the United States alone suffer from Celiac disease, the condition that inhibits the body from properly digesting gluten, while an additional 30 million Americans suffer from intolerance to gluten (1). This intolerance has been known to cause stomach distress and an array of other symptoms. Celiac disease, which is considered an autoimmune condition, causes the body to attack the healthy tissues in the digestive tract when exposed to gluten, causing damage and preventing the absorption of nutrients.

So what does this have to do with infertility? A review of literature from a Medline search “reveals that patients with untreated celiac disease sustain a significantly delayed menarche, earlier menopause, and increased prevalence of secondary amenorrhea” (10). All of these can affect normal reproductive cycles by causing changes in hormones as well as ovulation, and limit the length of time fertility can be established. If left untreated, patients with celiac disease can incur higher rates of miscarriage, fetal growth restriction, preterm birth and low birth weight, since the mother, and therefore the fetus, is unable to absorb the vitamins and minerals needed to support vital growth and development (3,4,6,9).

Women are not the only ones whose fertility may be affected by gluten intolerance. Dr. Shelia Crowe, a medical doctor and a professor in the division of gastroenterology and hepatology at the University of Virginia explains, “For men, problems can include abnormal sperm – such as lower sperm numbers, altered shape, and reduced function. Men with untreated celiac disease may also have lower testosterone levels.” She continues to add, “Of course, for both men and women, how often a couple has intercourse affects fertility. If someone feels lousy from untreated celiac disease, infrequent sexual activity may be contributing to the problem. One study from Italy suggests that sexual relations occurred less often when one partner had active celiac disease compared with couples in which the partner’s celiac disease was being treated” (3,2).

The good news about celiac disease is that patients can be tested and easily treated for it. To get tested your medical doctor will order a blood test called the tissue transglutaminase (TTG or IgA test) to see if your body is producing antibodies to the gluten. To confirm a diagnosis s/he then may decide to order a biopsy. With a biopsy, a small portion of your intestinal tissue is removed and evaluated for celiac-related damage (2,7,8). Treatment includes avoiding and removing foods from the diet that contain gluten. For support, details, and more information, check out www.celiac.com and www.celiaccenter.org.

Although gluten may play a significant role in fertility issues, it is not the only cause. If you are having problems conceiving, suffer repeated miscarriages, or have other reproductive health issues, please consult your medical doctor for evaluation. If you are thinking about becoming pregnant or are having fertility issues, co-treatment with a chiropractor who is trained in gentle techniques for mother and baby may also be beneficial. Chiropractic is a wonderful health care modality that safely and precisely aligns your spine. This allows important messages from your brain to travel down your spinal cord and lets all your organs – including reproductive organs – receive the messages they need to function at 100%. Healing Hands Chiropractic has two chiropractors on staff who are trained in working with pregnant women, as well as an acupuncturist, massage therapist, reiki practitioner, yoga teacher and childbirth educator – all of whom specialize in pregnancy and fertility issues. Please call our office at 603-434-3456 or book an appointment online to see if one of our services can benefit you.

1. http://consensus.nih.gov/2004/2004CeliacDisease118html.htm

2. http://consults.blogs.nytimes.com/2009/12/21/the-varied-symptoms-of-celiac-disease/?ref=health

3. http://consults.blogs.nytimes.com/2010/02/03/can-foods-contribute-to-infertility/?partner=rss&emc=rss

4. http://articles.mercola.com/sites/articles/archive/2000/08/06/wheat-miscarriage.aspx

5. http://articles.mercola.com/sites/articles/archive/2001/01/21/celiac-disease-part-one.aspx

6. http://articles.mercola.com/sites/articles/archive/2010/02/23/can-foods-contribute-to-infertility.aspx

7. www.celiac.com

8. www.celiaccenter.org

9. The Lancet (www.thelancet.com) July 29, 2000;356:399-400

10. Gynecol Obstet Invest 2001;51:3-7

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Recently I asked a group of mom friends, “What do you wish you had known about parenting before your baby was born?” Here are just a few of their responses:

• That when your child is born, especially first children, the whole world shifts (it’s a bit like the way it shifts when someone dies – only the outcome is more positive) and it’s normal to feel like everything’s tilted, like in those V8 commercials, for awhile until you adjust to the HUGE change that just happened.

• You will scare yourself by how much you worry about your baby, and while you will continue to worry more now than you ever did before you were a parent, the scary-obsessive worrying will subside enough that you feel halfway normal again.

• I wish someone told me how crazy my hormones would make me! Everything made me cry the first few weeks. Commercials, cards in the mail, looking at my baby sleeping, being home alone with the baby for the first time.

A common thread runs through these responses as well as many others I received, namely, a feeling of being completely overwhelmed. Perhaps more than anything else, what characterizes the early weeks (and often months) of parenting is a feeling of being in WAY over your head!

I can remember taking my daughter home from the hospital, amazed that the staff would just let us walk out the door with such a tiny, vulnerable life. When I thought about the fact that my husband and I were the two people in the world ultimately responsible for her, I was terrified. I see this same fear reflected in the face of nearly every new mom I work with. It’s there regardless of age, income, or relationship status. It’s there in women who have had years of experience with small children. It’s there in the families who have spent years trying to conceive as well as those who were shocked to learn they were pregnant. To an outsider, this kind of fear in a new parent may be concerning. New parents often feel like they have no idea what they are doing! However, personal and professional experience alike have shown me that this feeling is a fundamental part of becoming a parent. Just like the intense sensations of childbirth, the majority of the time, the emotions of the early parenting weeks are normal, natural, and healthy.

For the mother, physical recovery from pregnancy and birth are a lengthy process. Her body must literally transition from “pregnant” to “parent.”  The uterus takes weeks to return to its non-pregnant size, the joints of the hips may take weeks to mend, the uterus bleeds daily as the placental site heals. In the meantime, her breasts go through dramatic and amazing changes to provide continued nourishment for her baby. All of these processes are generated by sharp changes in hormone levels, which affect the emotions as well as the body.

Partners also experience their share of strong emotions in the weeks following birth. Many have just witnessed the person they love most endure the difficult, ecstatic, life-changing journey that is birth. But more than the that, the profound responsibility of having a child can weigh heavily on fathers in particular. It is crucial to remember that partners go thought their own transition  to becoming a parent, and like any change, emotions may be mixed. Anatole France writes, “All changes, even the most longed for, have their melancholy; for what we leave behind us is a part of ourselves; we must die to one life before we can enter another.” Many parents experience a sense of loss over their lives prior to having children, and why shouldn’t they? The days of sleeping late (or a full eight hours), of acting spontaneously, of leading a self-determined existence are long gone. If feelings of loss surface, it is important to acknowledge them personally, to have a support network of friends and family, and to speak with a professional counselor if the feelings become overwhelming.

What do new parents need to thrive during the major transition of the postpartum period? First, the basic needs must be met: adequate fluids, nutritious food, and as much sleep as possible. (Of course, it’s highly likely that no amount of sleep will feel sufficient!) In addition, the whole family needs support from other responsible, understanding adults, who can help with cooking, cleaning, and baby care on occasion. It is helpful if parents recognize in advance that the postpartum period is challenging for everyone, and that feeling overwhelmed or fearful does not mean you are a bad parent. A support group of other new parents can help normalize these feelings, as well as offer friendships with other mothers and fathers at the same life stage. And of course, help keep the whole family healthy with natural wellness care! Planning for the changes inherent in the postpartum period will help the whole family thrive during the amazing journey to parenthood.

Healing Hands Chiropractic offers many treatments to build health during pregnancy and postpartum, including Webster Technique chiropractic care, Mother Massage®, Mama Prenatal and Mama & Baby Postpartum yoga, and a free weekly support group, Mommy Connection. We partner with Elliot Hospital’s Postpartum Depression Task Force to raise awareness and offer emotional support to new families.

The post Life After Baby: Thriving in the Journey to Parenthood appeared first on Healing Hands Chiropractic Manchester, NH.

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.

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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.

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