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Labor Pain: What EVERY Pregnant Woman Needs to Know

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 26th or April 20th.

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Moxa- What? The Skinny on Moxibustion

Moxibustion, or moxa for short, is a technique used by acupuncturists to warm an acupuncture point, needle or an area of the body by burning an herb called mugwort (artemisia vulgaris) over or on the skin.

Indirect moxa describes the use of a moxa pole that looks like a cigar and, when lit, glows like a piece of charcoal.  The lit moxa pole is held about 1? away from the patient’s skin and moved in small circles for a few minutes until the patient says it feels too hot or the skin under it gets pink.  Direct moxa describes the use of a tiny, sesame-seed-sized piece of moxa wool (dried, processed mugwort leaves that has a wooly, spongy quality) placed on the skin over a layer of protective ointment.  The piece of moxa is lit, burning itself out within seconds, creating the sensation of a hot pinprick or just heat at an acupuncture point.

As crazy or foreign as these techniques may sound, they are extremely effective and widely used by acupuncturists all over the world.  Some common uses of moxa include:

  • Reduce the pain and swelling of arthritis, especially when the arthritic joint feels worse in cold, damp weather
  • Relax tense, knotted muscle tissue by warming the muscle and bringing blood flow to the area
  • Reduce the pain of endometriosis, ovarian cysts or garden-variety menstrual cramps by warming, relaxing the uterus and promoting better circulation
  • Encourage a baby in the breech position (feet down rather than head down) to turn by warming a point on the smallest toe with a moxa pole, once per day for 10 days – usually this treatment works best when performed around 34 weeks of pregnancy
  • Direct moxa works extremely well in the treatment of plantar fasciitis and heel spurs, as it can stimulate acupuncture points in eares where it may be too painful to insert a needle
To learn more about acupuncture or to schedule an appointment online please visit http://www.healinghandsnh.com/acupuncture.html or call 603-434-3456
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Birth Your Way

“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.