Finding Balance: Natural Ways to Manage Stress During Pregnancy

Congratulations on your pregnancy! It's definitely an exciting time, but it can also be stressful. From adjusting to physical changes to preparing for the arrival of your little one, it's important to prioritize your mental well-being. While stress is a normal part of life, managing it is crucial for both you and your baby. Let’s explore some natural ways to help you find balance and reduce stress during your pregnancy journey:

1.     Prioritize Self-Care:
As a mom, it's easy to put everyone else's needs before your own. However, taking care of yourself is just as important (if not more!). Self-care includes making sure your basic needs are met including eating enough nutrient dense foods, staying hydrated, getting enough rest, and taking care of your body. Make self-care a priority by setting aside time each day for activities that bring you joy and relaxation. Whether it's taking a warm bath, practicing gentle yoga, reading a book, or enjoying in a hobby, these moments of self-care can help alleviate stress and recharge your mind.

2.     Incorporate holistic bodywork:

Holistic care including chiropractic, acupuncture, pelvic floor therapy and/or physical therapy, massage, and craniosacral therapy can be very beneficial during pregnancy not only to relieve stress but also to optimize body function and reduce overall tension in the body. Your provider can also help you identify areas of stress and tension in your body and give you advice for ways you can safely and effectively manage it during your pregnancy. Our providers are trained in prenatal techniques and help our patients to reduce stress through these care options.

3.     Establish a Support System:
Seek out friends, family members, or support groups to share your thoughts and concerns. Being surrounded by loved ones who understand and support you throughout your pregnancy can make a world of difference. Sometimes, just having someone to listen can make a huge difference in how stressed you feel. While family and friends are an important part of mental health, professional support can be important, too. You can also seek out local pregnancy support groups; there are several in the area who meet in person and/or virtually. Please reach out to your us (or your other healthcare providers) if you need resources or additional support.

4.     Connect with Nature:
Spending time outdoors in nature can provide a calming effect on your mind and body. Take a leisurely walk in a local park, practice deep breathing exercises the soothing sounds of nature, or simply sit and enjoy the beauty around you. Being in nature has been shown to reduce stress levels and promote a sense of calmness. Even though the weather is getting colder, being outside is still important and beneficial…just be sure to dress for the weather. Also, be mindful of your balance and physical changes due to pregnancy. Wearing proper footwear is important to avoid unnecessary slips and falls.

5.     Practice Mindfulness and Meditation:
Mindfulness and meditation are powerful tools for managing stress during pregnancy. Taking a few minutes each day to focus on your breath and be present in the moment can bring about feelings of calm and relaxation. Consider incorporating guided meditation apps or attending prenatal yoga classes that incorporate mindfulness techniques to help you find inner peace.

6.     Get Moving:
Regular physical activity is beneficial not only for your physical health but also for your mental well-being. Engaging in gentle exercises such as walking, swimming, or prenatal yoga can release endorphins and boost your mood. Be sure to consult with your healthcare provider about suitable exercises for your body and stage of pregnancy, and listen to your body's cues during exercise sessions.

7.     Create a Relaxing Environment:
Your surroundings can greatly impact your stress levels. Consider creating a calming space in your home where you can retreat to unwind. Dim the lights, play soft music, and use aromatherapy with scents like lavender or chamomile to create a soothing atmosphere. Taking moments to relax in this space can help reduce stress and promote a sense of tranquility. You can also incorporate affirmation cards and breathing techniques to prepare your mind and body for labor and birth.

8.     Adequate Rest and Sleep:
Pregnancy can bring about a range of physical discomforts, making it crucial to prioritize rest and sleep. Aim for 7-9 hours of quality sleep each night by establishing a bedtime routine. This might include avoiding electronic screens before bed, practicing relaxation techniques, and keeping your sleep environment comfortable and dark. If you experience discomfort when sleeping, trying using pillows and support when sleeping on your side.

Remember, managing stress during pregnancy is about finding what works best for you. Incorporate these natural approaches into your daily routine and be open to exploring additional strategies that resonate with you. Trust yourself and the incredible journey you're on. Remember, you have the power to make positive changes for your health and well-being…and your baby’s, too! Please reach out to us or your healthcare provider for any additional support you may need. You've got this, mama!

In Health and Blessings,

Dr. Abbey

www.clechiropractic.com

216-952-3830

@clechiropractic

Swelling During Pregnancy

Pregnancy comes with many changes for the body, as can be expected. While new and often different, most changes or symptoms are not of concern, but can be uncomfortable or unpleasant. A common symptom we hear about from our patients is swelling, especially in the legs and feet and later during pregnancy. Swelling can also happen in hands and arms and other body parts. While this is common, it does not have to happen! So why does swelling happen? During pregnancy, there is increased blood flow to support growing baby. Also, pregnancy hormones affect the flow of fluids and make soft tissue more relaxed which can slow flow of blood and lymph fluids. As baby grows, baby’s position can put more pressure on the vessels and lymphatics in the lower abdomen (especially in certain positions) and limit fluid flow, especially from the legs and feet. Prolonged standing or sitting can make swelling worse.

So what can you do? Here are a few tips that may help reduce swelling and help you be more comfortable:

1. Stay hydrated! Drink plenty of water and eat high water containing foods (raw fruits & vegetables, broths, etc).

2. Boost minerals/electrolytes: try coconut water, electrolyte powders such as LMNT and Earthley, or adding a pinch sea salt and/or maple syrup to citrus water to help your body get enough essential nutrients to prevent fluid retention.

3. Get moving! Moving your body is important for fluid flow. Try doing ankle rocks back and forth or on a low step (use a hand rail for balance if needed). Lifting your feet helps to move fluid back up your legs and prevent swelling. Light exercise such as yoga may help as well.

4. Soak feet or swim: Water helps the body to move body fluid due to the gentle compression. Swimming adds beneficial movement to help with fluid flow. Salt water or Epsom salt add needed minerals for the body and can help reduce swelling.

5. Rest! Listen to your body. Take breaks as needed. Be mindful not to sit rounded or on your tailbone which interferes with fluid flow from your legs and feet. Laying on your side using pillows for support as needed is a better position. Sitting/rocking in an old-fashioned rocking chair may help, too!

6. Massage your legs and feet: Start from your feet and massage up your legs. Loosen tight areas including your ankles to get fluids moving. Using a magnesium lotion along with your massaging such as the Good Night lotion from Earthley can be very soothing and relaxing.

7. Get body work! Chiropractic, acupuncture, craniosacral therapy, massage, and physical therapy may all help address issues that can limit fluid flow in your body. All these care options may help reduce tension in the body and encourage optimum fluid flow. Your provider can also recommend specific tips for your body as well.

8. Be mindful of your diet: Making sure your body is getting plenty of protein and fats is essential, especially during pregnancy. Limit highly processed foods. Consult a nutritionist to learn more about what you can do to balance your diet and limit swelling.

9. Try compression gear: If you are experiencing swelling and will not be able to get much movement or do some of the other previously recommended options, compression socks or clothing for your legs may help minimize the swelling, especially if traveling. If you are experiencing swelling, let us help! Share this information with someone you know who may benefit as well.

Be well. You got this!

Dr. Abbey

216-952-3830

http://clechiropractic.com

#clechiropractic #cleveland #ohiochiropractor #prenatalchiropractic #prenatal #holisticcare #swelling

#pregnancy #movement #health #hydration #healthypregnancy

Staying Healthy and Active During Pregnancy

Congratulations…you’re pregnant!! So now what? There is so much focus early in pregnancy for finding healthcare provider, having early tests done, and starting to modify daily life as your body changes due to hormones and growing baby…but what about what to do to stay healthy and maybe even prevent some of the undesirable pregnancy symptoms. Here are a few things you can do to help support a healthy and functional pregnancy:

1. Focus on nutrient dense foods: Consuming more whole foods and high nutrient foods is not only good for you but also for growing baby. The vitamins and minerals in our foods serve as the building blocks for our bodies including essential hormones needed during pregnancy and for baby to grow optimally. What are some high nutrition foods to consider during pregnancy? Grass-fed meats (even organ meats!), local/free-range eggs, fish (salmon is a great option! Keep in mind to avoid high mercury fish), fresh fruits and vegetables (local and organic if possible), nuts and seeds, homemade soups/stews, grass-fed butter (if dairy is tolerated), and coconut oil are great options to incorporate into your diet. It can be challenging to get all the nutrients only from what eat/drink so supplementation may be helpful and is often recommended. Talk to a holistic healthcare provider (i.e. functional medicine provider, naturopath, chiropractor) to learn how to best support your body’s needs

2. Stay hydrated! Yes, drinking plenty of water is important, but making sure your body is absorbing and actually hydrating is essential. Typically, the recommended intake for water is half your body weight in ounces per day. During pregnancy, drinking at least 80 ounces per day is a common recommendation. Even for people who are consuming enough fluids may still feel thirsty or not hydrated. So what you can do? While drinking water is important and beneficial, there are other options for getting fluids to stay hydrated. Fresh fruits and vegetables are full of water and your body actually retains more water than just drinking water alone due to the digestive process which allows for more optimum fluid absorption. Other liquids such as herbal teas (be sure to check with your provider for which ones are best during pregnancy), bone broth, coconut water, and electrolyte drinks are great options for hydration. We love LMNT and Nooma as electrolyte supplements! Electrolytes contain mineral salts which are necessary for the body to properly absorb and retain fluid for hydration and optimally body function.

3. Keep moving! Movement is essential for health, especially during pregnancy. During different phases of pregnancy, movement can feel different and your body may have different needs. Typically, walking and stretching can be done throughout pregnancy. Prenatal yoga can be a wonderful way to incorporate movement, stretch, work on breathwork, reduce body tension, and even add some strengthening. Often during the first trimester, due to fatigue and all the hormone changes, movement and exercise can be challenging. Be patient with yourself and listen to your body. Incorporate movement/walking/stretching that feels right for your body. Stretching is important, but so is strengthening during pregnancy. Working on optimally breathing, core function, pelvic stability, along with general body strength can help keep the body healthy during pregnancy and help prepare for birth. Of course, consult with your healthcare provider before starting any new routines and/or if you are experiencing any pain or symptoms.

4. Manage stress: We all experience stress. Stress is often looked at as a negative part of life, but actually anything that causes our bodies to change or grow is considered “stress” or a stressor (yes, food and exercise can be considered “stress”). Stress, as we commonly think, is more running late, endless errands, traffic jams, overwhelming work loads, family issues, etc. Some of these stresses we can avoid, some we cannot. The important thing to keep in mind is that we cannot or should not avoid all “stress.” We don’t always have control of what we experience but we can do things to help manage our response, so we don’t feel stressed. This is especially important during pregnancy. Unnecessary stress, of course, can cause physiological responses including tension, headaches, and increased blood pressure (all not ideal during pregnancy), but can also affect hormones and the balance of our sympathetic/parasympathetic system (fight or flight/rest and digest). Some ways we can help reduce the stress or tension our body holds include breathwork (think slow deep breaths), walking, journaling, doing things we enjoy, and even talking to someone (working with a counselor or therapist may be beneficial, too!). Talk to your provider if you experience a lot of stress or are having issues/concerns about how your body handles stress.

5. Body work: Our last recommendation (but certainly not least!), consult a professional to help identify tension, imbalances, and dysfunction in your body. We recommend chiropractic, acupuncture, prenatal massage, and pelvic floor therapy during pregnancy…even if there isn’t pain or a “problem.” The body goes through so many change during pregnancy; working with one or a few of these providers can help identify issues/imbalances before they cause problems and recommend ways to maintain optimum function. In addition to identifying issues, body work can help release tension, improve nerve/blood/lymphatic flow, and allow for proper movement and changes (especially in the pelvic region!). Typically, you can seek care for body work at any stage during pregnancy. We are proud to offer chiropractic, acupuncture, prenatal massage, and pelvic floor therapy at our clinic and also collaborate with or recommend other providers in northeast Ohio to help best serve our patients and community. Pregnancy comes with so many changes and often challenges. Having some tools and tips to support your body and growing baby during pregnancy is important. As always, we are here to support you through all stages of pregnancy, including preconception and postpartum.

If you have questions or would like to schedule a consultation, please contact our office at 216-952-3830.

Preparing Your Pelvis for Birth

When it comes to pregnancy, there’s a lot of information and focus on mother’s health (for herself and baby), what to buy for the nursery/baby, and planning for baby…but what about how to prepare for birth itself? Did you know there are things you can do to help feel more comfortable during the 3rd trimester and help prep your body for labor? One of the best things you can do to prepare for labor is to help your pelvis get ready for birth. But you might be thinking: doesn’t this happen naturally? Yes and no. Birth and labor are natural, however, our modern lifestyles can interfere with normal movement and function of our body, especially the pelvis. Prolonged sitting, repetitive movements, muscle tension, joint restrictions, previous injuries, and even stress can interfere with how the pelvis moves and functions and may cause issues during pregnancy and labor. So what can you do? Here are a few tips to help you prepare your pelvis for birth:

1.      Stay active! Movement is essential for healthy pelvic function. Avoid sitting for prolonged periods. Incorporate more movement including walking, swimming, prenatal yoga, and exercising.

2.      Practice better sitting posture and habits: Most of us sit more than our pelvis was designed to sit. While jobs and driving may affect how much we sit, we can modify our sitting posture, making sure to sit up over our sit bones and keep good, aligned posture (think not rounding your back, slouching, or getting “text neck”. Be sure to get up at least once an hour to move and stretch. Try sitting on a balance ball or stability pad or kneeling chair.

3.      Stretch! Yoga and pelvic specific stretches are great ways to keep your pelvic joints and ligaments mobile. Try gentle hip and pelvic movements sitting on a balance ball. Deep squat stretches are very important, too (supported with a ball or small stool are great modifications especially later in pregnancy). Pigeon or modified pigeon stretches help to loosen the pelvic joints and stretch the pelvic floor.

4.      Strengthen! Strength of the muscles supporting the pelvis (including glutes) is important. Squats not only stretch tight tissue but also can strengthen stabilizing muscles for the pelvis. Shin box get-ups and glute hip hikes are great, too.

5.      Get adjusted! Prenatal chiropractic care helps to keep your pelvis moving and identify possible issues or imbalances that may affect pregnancy or labor. Restrictions of the pelvic region not only can cause pain and discomfort but can also affect optimal nerve flow to reproductive organs and lower extremities. Pelvic restrictions can pull on soft tissue and may affect baby’s position. Tension in the body along with nerve interferences may

6.      Get a massage! Massages help to loosen tight soft tissue and can reduce stress and tension in your body.  Not only does this provide relief to sore, tight, achy muscles, but also can loosen the pelvic area and help the body prepare for labor. Plus, it can help relieve stress which may help balance pregnancy hormones.

7.      Try perineal massage: Starting about 4-6 weeks before birth and performing perineal massage at least several times per week may help. This technique may help the soft tissue in that region to prepare for the stretching that occurs during labor which may reduce pain and prevent tearin or the need for an episiotomy. Check out https://hermanwallace.com/blog/perineal-massage-for-childbirth for more information.

8.      Check out Spinning Babies and The Miles Circuit: These resources have wonderful information and stretches to help reduce pelvic tension. They also have information that may help if baby is not in an optimal position for birth. Check out https://www.spinningbabies.com/ and http://www.milescircuit.com/the-circuit.html for more information.

Note: these are suggestions and do not replace specific professional advice. If you are experiencing any pain, issues, or complications during pregnancy, consult your healthcare provider.

Want more information? Be sure to check our Prepare Your Pelvis for Birth class next month on Friday December 2nd! It’s free and open to anyone preparing for birth (you don’t have to be a patient to attend). Contact the office to register.

We’re here to support you at any stage of pregnancy and postpartum. Wishing you all the best as you prepare to meet your new baby!

In health and blessings,

Dr. Abbey

Preparing Your Body for Labor and Birth

Your body is not only preparing for childbirth, but your mind is too! The third trimester might feel the longest and busiest. The idea of labor comes more to mind and it can be overwhelming, especially if it is your first baby. Thoughts about being tired, in pain, finding help or just simply being ready can wear you down. 

Mama, we got you! These ideas will help you to physically and mentally prepare for birth. Even if you check a few of the list, it will help to make you feel empowered and as ready as you can be. You got this! 

Take a Class

Childbirth Class: This is one of the most important things that you can do to prepare for the delivery of your baby. There are a variety of classes available,however  they mostly cover breathing, relaxation techniques, labor positions, pain relief options and more. You will also get knowledge about your body's anatomy and understand the process of body changes, Braxton Hicks, contractions and cervix dilation. During this time you can also connect with your partner and with other mamas out there. Ask questions, connect and learn. 

Breastfeeding Classes: If you are looking to breastfeed, taking breastfeeding classes during your prenatal period is extremely important. It will provide all the information about the basics of how lactation works, what's normal, and how to know your baby is getting enough. You will hear about the most common challenges so you know what to look out for. 

Hypnobirthing Classes: During labor, your body produces a hormone called oxytocin which is the hormone in charge to stimulate contractions and dilation of cervix. When stress hormones are present, such as adrenaline, it can slow labor. Hypnobirthing can help you manage stress hormones and reduce anxiety, which can lead to smoother and calmer birth. 

Self Care

Women’s bodies know what to do at the time of birth - the shape of pelvis, the strong muscles, the hormones and more work together to help bring the baby Earth side. However, during the physiological changes, your body can experience some discomfort and even pain at times. Regular chiropractic care, prenatal massages and pelvic floor PT can help restore movement in your body, making your prenatal period and even birth an easier and smoother one. 

Eat Properly

During pregnancy major cravings increase. Some of those cravings might not be as healthy as we would like them to be. Filling your body with healthy meals is another way to prepare for childbirth. 

Stay Active

Labor can be stressful to your body. Getting regular exercise during pregnancy can help your body to be strong and working properly. It can help decrease pains and aches as well. By creating a routine with your favorite activity such as swimming, walking, prenatal yoga, prenatal fitness classes or going for a run, improves your body strength and stamina. Try to at least do 30 minutes of exercise a day for 4-5 days a week. 

Write a Birth Plan

Labor and delivery can be very overwhelming for you. Your mind is focusing on giving birth to your child. For this reason, you should talk to your birth team and let them know what you would like to do during this time. Whether it is an unmedicated birth, holding the baby right after birth, delaying cord clamping, birthing positions and more. Let them hear your voice! 

Hire a Doula

Creating a support system is essential. Talk to family and friends to help you with house chores, such as cooking, walking the dog, doing the laundry and more. Extra help will never harm you!  If you don't have the help that you are looking for, consider hiring a doula for extra support during labor and postpartum. 

Rest

The months ahead of you will be busy, but wonderful! It is not selfish to make sure you are getting enough sleep during your second and third trimester. It can help with your mood, stress, anxiety and overall health.  Don’t feel guilty for taking naps here and there. Afterall, you are growing another human being!

Ask Questions! 

It is normal to worry and have too many questions. Don;t be afraid to speak up and ask your birth team, healthcare providers, the person who leads your birthing/breastfeeding classes and even your friends! NO question is a silly question. 

If you need support, know our team has a list of resources that can help you to be as ready as you can be for birth. Let us know how we can help!

Xoxo,

Dr. Shirley

Benefits of Swimming While Pregnant: Stay Cool and Comfortable!

Looking for a safe, gentle, effective way to stay active while pregnant and also help reduce pains and tension? Try swimming! Swimming is wonderful all year round, but even more-so in the summer to beat the heat and enjoy being outside. Swimming is a wonderful way to incorporate exercise in your day without aggravating your loosening joints and tight ligaments (reminder: a good goal for most during pregnancy is 30 minutes of exercise a day). In addition to all the fitness-related benefits swimming provides your body and your baby, it is also a great way to offer relief for your tired muscles and joints and may help with other pregnancy pains or symptoms and provide benefits including:

·        Relieving ankle and foot swelling. Submersing your limbs in water helps push fluids from your soft tissue back into your veins (where it goes to your kidneys and then out through your urine). It also can help boost your circulation, which prevents blood from pooling in the lower limbs.

·        Easing back pain: The buoyancy of being in the water takes the pressure off your baby bump and lower back, providing much-needed relief.

·        Improving blood circulation.

·        Can improve cardiovascular health and flexibility as it is a wonderful, low stress form of exercise

·        Reducing morning sickness and nausea: Many women report that the cool water provides welcome relief from nausea and vomiting of pregnancy.

·        Strengthening core abdominal muscles and may help prevents severe diastasis recti.

·        Keeping you cool: It’s challenging to stay cool in the summer, exercising or not, especially due to pregnancy hormones and when sweat glands are on overdrive — but a dip in a cool pool can help, especially when the temperatures soar outside.

·        May improve your labor and delivery experience: Swimming maintains muscle tone and increases your endurance — both of which you’ll be thankful for when it comes time for labor

While swimming is generally a very safe activity during pregnancy here are some tips to keep in mind:

·        Check for water safety. If not swimming in a pool, research the body of water you wish to swim in to prevent water-borne illness. While for the most, part a public beach/lake/river is perfectly fine, you may want to be more cautious with smaller bodies of water, especially those with history of issues or poor water circulation.

·        Swim carefully! Remember, your baby belly can throw off your center of gravity. Be extra cautious when walking on slippery surfaces, including the pool deck, concrete, rocks and in the locker room or clubhouse.

·        Step into the pool or carefully slide in. The impact of jumping or diving into water may be too intense for your loose joints and for baby.

·        Stay hydrated. You are less likely to feel thirsty while swimming. If you are exercising in the water, you still sweat (and can risk overheating). Be sure to drink about 16 oz of water about two hours before your workout and place a water bottle near by to sip throughout the swim session.

·        Fuel up! Regardless of your workouts and activity level, your body needs extra calories to support growing baby and your changing body. Talk with your healthcare provider for specific guidelines and recommendations that suite your needs.

Not sure what to do for water-based fitness? Here are some swimming workouts for pregnant moms

For beginner swimmers:

·        If you only swam occasionally before pregnancy, most gyms with pools offer water aerobics classes, many of which are specifically designed for expectant moms.

·        Considering swimming laps. Complete as many as you can comfortably perform, eventually working up to 30 minutes of swimming three to four days a week. Remember to maintain a moderate pace that doesn’t leave you breathless. (If your head were above water, you would be able to carry on a conversation comfortably.)

·        If the going gets tough, just float...your break will be well-deserved.

·        Use a kick board or raft for upper or lower body exercises.

·        Don’t forget to stretch afterward!

For intermediate and advanced swimmers:

·        If you swam on your own once or twice a week or swam competitively upwards of three times a week before getting pregnant, typically, it’s safe to continue to participate in your regular workouts as your baby bump grows.

·        Be sure to check with your provider to make sure your activity is safe for you and baby.

·        It is important to avoid breathlessness: it decreases oxygen flow to baby!

It is important to be aware of warning signs that it's time to stop swimming:

·        Regardless of your prenatal fitness level, swimming can be hard work — which means it’s normal to experience some aches and pains as you take to the water with your baby belly. Ultimately, you’re the best judge of your limits. So if you experience any sharp pain, shortness of breath, faintness, vaginal bleeding, dizziness, uterine contractions, absence of fetal movements or anything else that just strikes you as not quite right, stop your workout immediately and contact your practitioner.

·        Be sure to consult your practitioner before starting any new fitness routine. If you experience any pain or symptoms, follow up with your provider.

So this summer (and really all year long), be sure to take advantage of all the benefits of swimming…for you and for baby! Stay cool this summer!

Note: If you are going to swim in a chlorinated water, using a vitamin C spray afterward and boosting your Vitamin C are great ways to help neutralize the effects of chlorine on your body.

Preparing For Labor + Birth as a Third Time Mom

I get asked all the time how patients can prepare their body for birth and what things I am doing to prepare my body for my third birth.  This post should not be considered medical advice, but simply things I am doing to prepare for birth that are backed by research.  Please consult your care provider if you are interested in incorporating any of these into your own birth preparation.  

Chiropractic Care

Coming from a chiropractor, this one may be obvious.  Chiropractic care throughout pregnancy is an effective way to prepare your body for labor and birth.  It helps align the joints of the pelvis which allows the uterus to align, helping the baby get into the ideal position for labor and birth.  Webster Technique is a specific series of adjustments that the providers at our office utilize.  When the baby is in an ideal position, it can decrease labor and birth times.

Find a chiropractor that will also give you stretches and exercises that you can do at home to prepare your pelvis for labor and birth!

Acupuncture

Research shows benefits of acupuncture to help stimulate labor and shorten labor times.  It does this by ripening the cervix (softening and opening the cervix).  Acupuncture and acupressure can also help manage pain during labor!  As a provider that also practices acupuncture, my general recommendation for acupuncture near the end of pregnancy is 1-2x/week beginning around 36-37 weeks. 

Dates (the fruit!)

Dates are commonly eaten near the end of pregnancy around the world as part of preparation for labor and birth!  The general recommendation is around 75g of dates (3-4 medjool dates, 6 petite noor dates) per day for 4 weeks before your estimated due date.

Research compared women who ate dates the last 4 weeks of pregnancy and a group that did not. The women who ate dates the last 4 weeks of pregnancy were more likely to go into spontaneous labor, were less likely to have labor augmented, experienced more cervical dilation when admitted to the hospital, and had shorter first stage of labor than those who did not consume dates.

For most people, dates are safe to eat during pregnancy. Take caution if your care provider has advised you to limit your carbohydrate intake and/or if you have been diagnosed with gestational diabetes.

I am not the biggest fan of dates (and the majority of my patients are not either!). I think they are way too sweet and I am not a fan of their texture. During this pregnancy (and my last), I made big batches of bacon wrapped dates and have been eating 1-2 at a time throughout the day.

Perineal Massage

The goal to perineal massage is to reduce perineal trauma during birth.

Benefits of perineal massage during labor and birth:

·      Slightly longer (but normal) 2nd stage of labor- this allows the perineal tissues time to stretch (this is a good thing)

·      Greater sense of control during childbirth- people report feeling more prepared physically and psychologically

Benefits of perineal massage in the postpartum period:

·      Less pelvic floor muscle and anal sphincter damage

·      Less perineal suturing (stitches) needed

·      Less acute and chronic pain

·      Greater sexual satisfaction and sensation

·      Greater likelihood of orgasm

There are no reported risks or adverse outcomes with perineal massage.  This means that it does not “overstretch” the perineal and vaginal opening, there is no increase in postpartum urinary or fecal incontinence, and there is no decrease in sexual satisfaction postpartum

You can begin doing perineal massage around 34-35 weeks gestation.  It is recommended to do daily, however at least 4x/week is the minimum recommendation.  You may want to use a water- based lubricant.

How it’s done:

·      First- wash your hands and trim fingernails!

·      Find a comfortable position to reach the perineum

·      Insert both thumbs or index or middle fingers into the vaginal opening.

·      Inhale and as you exhale:

o   Press toward the back wall of the vagina (toward the rectum) and hold the stretch until feeling a slight numb or tingling sensation.  Continue to breathe through this. 

o   Glide your thumbs or fingers out to the side of the wall of the vagina (remember to breathe!)

o   Repeat this massage in this slow “U” shaped path for up to 5 minutes

Tips for perineal massage:

·      Use a warm or cold pack on the perineum afterward to reduce soreness

·      Increase the pressure you are using as you feel comfortable doing so over the course of a session or over the course of a few weeks. 

Red Raspberry Leaf Tea

Red raspberry leaf tea comes from the leaves of raspberry plants!  It has been used for centuries to support healthy pregnancy and tonify the uterus to prepare for birth.  It is high in vitamins A, B, C, and E and contains many minerals that nourish the uterus and help it contract and relax. 

Research has found that consuming red raspberry leaf tea during the end of pregnancy has been associated with “easier” labors. 

Many midwives and herbalists recommend drinking RRL tea daily (1 cup) around the second half of the second trimester, increasing to 2 cups/day during the mid-late third trimester. 

Xoxo,

Dr. Candace

Our office is now offering a *FREE* Quarterly Preparing Your Pelvis (+ Pelvic Floor) For Birth Workshop!  Dr. Abbey will be leading the next one in September (Friday September 9th at 6pm!).  Registration is available online.

Heartburn During Pregnancy

One of the most common and irritating symptoms during pregnancy is heartburn. This uncomfortable burning sensation in the chest and into the throat can happen any time of the day, however is most common at night when laying down to go to sleep. Heartburn may be caused by pregnancy hormones (progesterone and relaxin) that cause relaxation of soft tissue in the body, including the lower esophageal sphincter which connects the stomach to the esophagus. If the sphincter is more relaxed, this allows stomach acid to travel into the esophagus causing irritation. These hormones also slow down the production of stomach acid which is needed for proper digestion of food and may lead to heartburn. 

Another common reason for heartburn during pregnancy is due to the stomach and diaphragm being shifted up to make room for growing baby. As baby takes up more room in the abdomen, there is less room for the stomach, making it easier for food and acid to travel into and irritate the esophagus. Heartburn is usually the worst during the end of the 2nd trimester/beginning of the 3rd. It typically improves later in the 3rd trimester as baby moves down preparing for birth.

The good news is there several safe, natural ways to help alleviate and may even prevent heartburn during pregnancy:

1.      Get adjusted! Adjustments and manual therapy may help relax the diaphragm and shift the esophageal valve into a more functional position. Also, chiropractic adjustments may help improve function of the parasympathetic nervous system which controls relaxation and digestion. Your chiropractor can also review things you can do at home to help relieve heartburn symptoms.

2.      Change positions: Avoid reclining or laying down immediately after eating. When you do lay down, use pillows to prop your head above your chest and lay on an incline

3.      Drink plenty of water throughout the day. Try drinking small amounts consistently, focusing on more fluids during the first half of the day (drinking too much close to bedtime can lead to more night wakings…and we know these happen enough already!). Also, avoid drinking a lot during meals to prevent dilution of stomach acid and digestive enzymes. 

4.      Drink lemon or apple cider vinegar water to support proper digestion and proper stomach acid levels. Try adding 1-2 tablespoons to a glass of water and drink before or in between meals. This helps increase the acid needed in your stomach to break down food and aids in digestion.

5.      Take probiotics and digestive enzymes to aid digestion. Consult your doctor to identify which ones are best for you and your digestive needs.

6.      Stretch! Practicing diaphragmatic breathing and yoga along with prenatal stretches can help decrease tension around the chest and abdomen. Getting good movement in this area can help take stress and tension away from the diaphragm and stomach, allowing better function and positioning.

Remember: before starting any new routines or supplements, consult your healthcare provider.

You do not have to suffer from prenatal heartburn! Hopefully, these suggestions will provide you with some relief. If you are suffering from heartburn, we may be able to help! Call us to schedule your appointment.

In health,

Dr. Abbey

(216) 952-3830

http://clechiropractic.com

The Emotional and Physical Stress During Pregnancy

April is the month that has been recognized as Stress Awareness Month since 1992. But for the past two years, it seems to be particularly more important to address stress in our lives. For the past two years we have been dealing with tremendous life changes as the world changed as we knew it. It feels good to have a little bit of sense of normalcy back! Today I want to take the time to address how stress can be life changing, especially when it comes to being pregnant or having a baby during a pandemic. 

Stress During Pregnancy

Feeling stressed during your prenatal period can be really common. A lot of changes in your body and your environment are happening. Causes of stress can vary from person to person, but there can be some common causes of stress during pregnancy. A few causes could be: 

• Dealing with physical discomfort such as morning sickness, problem sleeping, tiredness, constipation, body aches and pains.

• Hormones are changing! 

• If it is your first pregnancy, you can stress about what to expect during labor and delivery, and also how to take care of your little one. 

• Did I already say your hormones are changing? 

• Stress at work. 

• And maybe just simply because this is something new for you and new things can be stressful! 

Ways to Help with Stress During Pregnancy

Being stressed is a common reaction of your body to environmental changes. Reaction can be physical, emotional or both! To lead a healthy and low stress lifestyle, it is very important to encourage healthy habits that can improve your well-being. Let’s be honest, we can’t avoid stress but we can try to minimize the stressors that surround us!  

Here is a list of new things you could try during your pregnancy to minimize stress. At the same time, you are able to prepare your body and mind for birth. 

A few things to try could be: 

• There are treatments that can help with your physical discomforts such as prenatal massages, chiropractic care, physical therapy and acupuncture. Know that you have options!

• Join classes where you can connect with other birthing people such as prenatal yoga classes or meditation. It can always help to share your experiences with people that are dealing with the same thing. 

• Take childbirth education classes to learn what to expect during birth. Invite your partner or family member to the classes so you can have that support system at home!

• If the weather permits, go for walks, enjoy the outside. Studies have shown that being active and exercising reduces stress levels and helps regulate hormones such as insulin, cortisol and thyroid hormones. 

People that surround you may help you to release some of the stress as well. Know that it is okay to talk about what is stressing you! Ask providers about resources in the community that may be helpful. Don’t be afraid to accept help when people offer. It takes a village and our village is here for you! 

Do not hesitate to reach out! We are here to help you!

With love, 

Dr. Shirley

Webster Technique | Cleveland Prenatal Chiropractor

We are constantly asked about the Webster Technique! All three of our chiropractors are certified in this technique through the ICPA. Check out Dr. Abbey’s video to learn more about it!

If you have any questions, don’t hesitate to reach out to us!

Schedule your appointment now.

Mentioned in the video:

ICPA

Benefits of Prenatal Massage During Each Trimester

You may know about the many benefits of regular therapeutic massage, how it can help ease pain, relieve tension in the body, and bring the body to a state of deep relaxation— along with many other benefits! Prenatal massage offers that and a lot more, because there is another person involved— the baby!  When massage is given, the birthing person receives the benefits that are then passed on to the baby. Not only do you receive the wonderful benefits of prenatal massage, but babies in utero receive amazing benefits as well!

Check out the benefits you both receive during each trimester. 

1st Trimester Benefits: 

⭐️Reduce anxiety + stress

-A new pregnancy can cause many emotions to come up, nurturing touch from prenatal massage eases stress allowing you to have a mental break.

⭐️Balance hormones & mood

-Fluctuating hormones can cause nausea, headaches and an imbalance in your mood. Prenatal massage helps the hormones get back into alignment. 

2nd Trimester Benefits:

⭐️Relax muscles

-Neck, shoulder, and back muscles can get very tight during pregnancy. Prenatal massage can help loosen those muscles, while simultaneously reducing muscle soreness and tension.

⭐️Fluid regulation

-Towards the end of pregnancy the hands, legs, and feet can become swollen. Prenatal massage can help reduce swelling, improving lymph circulation.

3rd Trimester Benefits:

⭐️Minimize nerve pain

-A growing belly can cause lots of compression on the nerves throughout the body. Prenatal massage can help to relax muscles surrounding the nerve and relieve compression, aiding in pain relief naturally. 

⭐️Improve circulation

-During pregnancy some birthing individuals may reduce their activity level, causing poor blood circulation. Prenatal massage helps distribute nutrients and oxygen throughout your body, benefiting both baby and birthing person. 

Bonus Benefits: 

⭐️Encourage relaxation and renewal

⭐️Connection to baby

⭐️Create length & space in birthing body 

Regular prenatal massages can help your body adapt to the changes that are occurring so that you are as comfortable as possible.

Isis Shabazz, LMT

Isis available for prenatal massage and general massage appointments on Tuesdays, Thursdays, and every other Saturday. Schedule your massage online!

Top 5 Pregnancy Myths Busted

#1. C- section is EASIER than Vaginal Birth: There is often a misconception that because your birth was surgical that it was easier- especially if you scheduled your C-Section. Surgical birth has become very safe and common, so many people assume that the recovery is easy, However, Caesarean birth is still major abdominal surgery and will generally have a longer recovery time. If you experience a C-section, remember to be gentle with yourself and give yourself plenty of time to rest and recover. Not only are you healing from the demands of pregnancy but you are now healing from major surgery as well

#2 C -sections will prevent urinary incontinence: While the statistics show that there is a greater incidence of stress urinary incontinence associated with vaginal birth than with a planned C-section, women who undergo a planned C-section can still experience urinary incontinence. According to a recent study published in the May 2021 issue of the medical Journal Medicine, more than mode of delivery was associated with risk of Stress Urinary Incontinence. For first time mothers, pre-pregnancy BMI, Diabetes, Abortion, Newborn Weight, Use of Epidural Anesthesia and Duration of Second Stage of Labor all were significant factors in development of Stress Urinary Incontinence. An honest conversation with your healthcare provider will allow you to make the best decision for your birth.

Reference:

Gao J, Liu X, Zuo Y, Li X. Risk factors of postpartum stress urinary incontinence in primiparas: What should we care. Medicine (Baltimore). 2021;100(20):e25796. doi:10.1097/MD.0000000000025796

#3 Sex will hurt the first time after birth- While this can be the experience of some women, it is definitely not the norm. Just as before baby, intimacy is more than just intercourse and your biggest organ of intimacy is your brain. Communicate any fears to your partner and make sure that you take physical intimacy slowly. Give yourself enough time to heal and find new ways to be physically intimate along the way. Massages, warm baths, have a good laugh and/or an enjoyable dinner, plenty of time to relax can help. Remember that each woman heals differently after birth and give yourself plenty of time to work your way into a physical relationship. If the above suggestions are not working or you feel something is really off, this would be a great time to schedule an evaluation with Pelvic Floor Physical Therapy.

#4 Labor has to be a painful and awful experience- Watch any shows on television and you will see birth as a painful and tortuous experience. Unfortunately, we are not shown how many labors are a lot of work but can be peaceful and rewarding. There are many childbirth preparations classes available that show that by physically and mentally preparing for a birth, you can have a wonderful experience. Chrissy’s personal favorite resource is Ina May’s Guide to Childbirth by Ina May Gaskin because more than half the book is dedicated to affirming and uplifting birth stories that help combat the negative images of birth that we are surrounded with by society.

#5. Just because your Healthcare Provider clears you for activity at your 6 week check up does not mean everything has to be back to “normal”- Post-partum recovery takes much longer than 6 weeks! Your body is amazing when it grows (and delivers) a human, Post-Partum recovery can take up to a year especially if you are breast feeding. It is never too late to help with post-partum issues. As a physical Therapist, I have helped women more than 10+ years post-partum deal with issues that happened

during or after their pregnancy. If you are struggling with back pain, incontinence, pelvic pain or heaviness, difficulty getting back into an exercise routine or difficulty exercising, schedule an appointment to see Chrissy, our Pelvic Health PT, to help you speed up your healing process

Chrissy Frey, Pelvic Health PT

Tips for Better Sleep During Pregnancy

Pregnant and exhausted? You’re not alone! A woman’s body goes through many changes and adjustments during pregnancy, and growing a human requires a lot of energy.  Many adjustments and changes happen during pregnancy: from changes in diet and physical activity to modifications of daily habits and routines, including sleep positions which can become issues as baby grows. Hormone shifts change body functions including digestion, bladder function, and even how the brain processes. These can all cause issues with restful sleep by affecting the ability to fall or stay asleep. A good night’s rest is not only important for mom, but also for her growing baby.  So, what can be done to help get better sleep? Here are a few tips and suggestions that may help you get more restful sleep during pregnancy:

1.     Get comfortable

Using pillows to support your body while sleeping during pregnancy is definitely recommended! Especially as baby grows and mom’s belly gets bigger, pillows and other cushioning can be very helpful to get comfortable and feel supported during sleep. Try using a pregnancy pillow or body pillow to support under your baby bump, between your knees and even to hug to take pressure off your shoulders and upper back. You can even use a pillow or rolled-up blanket in the small of your back to relieve pressure. If you are experiencing pain in your hips or low back, laying on a foam mattress pad or other cushioning may help take pressure off these joints. Also, make sure your neck is properly supported as well; avoid using pillows that are too flat or too fluffy which may affect normal alignment when you are sleeping. Sleeping on your side is recommended. Most doctors recommend women to sleep on their left side to help with support circulation and organs.

2. Practice Healthy Sleep Habits/Routines

Sleep experts recommend keeping electronics out of the bedroom and avoid using screens before bed. If you must have your phone or smart device in your room, keep it at least three feet from you. Turning off your home’s Wi-Fi at night and/or putting your phone on airplane mode can help decrease EMF waves which can interrupt normal brainwaves and sleep cycles. Try to go to bed and get up at the same time each day to help maintain a healthy, balanced circadian rhythm. Keep your room at a comfortable temperature (not too hot or cold) and use curtains or blinds/shades to keep light out while sleeping, especially if you need to sleep during light hours.

3. Monitor What You Eat and Drink

Some foods such as high acidic or spicy foods may cause heartburn or indigestion, especially during pregnancy. Foods that cause constipation can make it difficult to sleep as well. Some people note that certain foods cause them to have unusual dreams which may disrupt sleep. If you know that certain foods affect your sleep, try eating them earlier in the day. Eating smaller meals spread throughout the day may help with digestion and make it easier to sleep. While it is essential to stay hydrated, try to drink more during the day and not close to bedtime. This can help decrease the number of times you need to wake up to use the bathroom at night. Pregnant women should eliminate caffeine while pregnant; if you are consuming any caffeine, avoid drinking it before bedtime.

5. Take Care of Your Muscles.

It is common for women to experience leg cramps or restless legs during pregnancy, especially in the 2nd and 3rd trimesters. Increased need for minerals along with changes in blood flow or circulation can result in muscles not getting essential nutrients. Before bed, try stretching to improve circulation and decrease tension. Eating foods rich in calcium (such as green leafy vegetables, seeds, and beans/legumes) and magnesium (such as nuts, dark chocolate (try a healthy option like Hu brand), and potatoes or sweet potatoes. Magnesium lotions may support muscle function and relax tension. Mineral supplementation may be beneficial as well; consult your doctor for specific recommendations.

6. Relax Your Mind

If you can’t sleep within 30 minutes, get up and do a non-stimulating activity like reading. If you exercise and have a difficult time falling asleep, you may find that changing the time and type of movement you do close to bedtime helps. Some find that doing slower, more relaxing exercises such as yoga closer to going to sleep helps relax their body and mind. If you do more active exercise, doing your fitness before dinner or a few hours before you go to bed may allow your body more time to relax and prepare for sleep. To calm the mind and relax the body, try incorporating calming practices into your schedule, like yoga, journaling, meditation/prayer, and breathing exercises.

Follow these tips to help get a better night’s sleep for you and your baby. Our doctors and staff are here to support you during your motherhood journey. If you are having issues with sleep during pregnancy, schedule an appointment to ease stress and tension in your body and learn how you can improve your sleep and get better rest.

Back and Sciatic Pain During Pregnancy

During the second and third trimester of pregnancy, your body will go through so many changes. The body’s gravity starts shifting and your posture starts to change, adding more pressure to the joints  and the soft tissue of surrounding areas. These changes can cause joint restriction and muscle/ligament instability in your spine, pelvis, sacrum and hips.  

Common symptoms you might experience during this transition are: 

• muscle tightness 

• soreness

• joint stiffness

• pubic bone pain

• numbness/pins & needles

• sacroiliac joint pain

• most commonly, lower back pain and/or sciatica.

It is very common to experience some of these symptoms throughout pregnancy, even during the first trimester. However, it is not something you have to work through and deal with until you give birth. You have options! 

How can chiropractic care help to decrease pain, discomfort, and improve functional stability during pregnancy?

Chiropractic adjustments are designed to restore normal joint mobility, improve stability and reduce joint restrictions. The presence of joint restrictions, muscle and ligament instability around the lower back, pelvis and hips, can make it difficult for mom to move around. It also can affect baby's ability to move into optimal position during delivery. 

Chiropractors at our office utilize the Webster Technique to establish mother's pelvic balance and alignment during pregnancy.  With a balanced pelvis and spine:

• Spine and pelvic mobility is restored, decreasing pain and discomfort during pregnancy. 

• Baby has more room to move around the womb. Also improves the chance of the baby moving into the correct position before labor, facilitating the delivery. 

• Optimal baby positioning at the time of birth can result in an easier and safer delivery for both the mother and child.

Exercises for Back Pain and Sciatica During Pregnancy

Here are a few positions and exercises recommended for core strengthening and muscle/ligament stability: 

• Pigeon Pose

• Lunges (Progress to lizard)

• Kneeling squats (Beginners)

• Tabletop (Core exercise)

• Cat/Cow

• Hip Thrust

• Straddle stretch

You can also make modifications during your night time. Sleep with a pregnancy pillow, when turning in bed from side to side keep your legs together and get up from your side (no crunches) when getting up from bed. 

These exercises and stretches are beginner friendly. But always consult with your healthcare provider before starting any exercise routine. We can help to create a unique routine addressing your goals and needs!

We can help you. Call us today! 
In health,

Dr. Shirley

drdelgado@clechiropractic.com

(216)952-3830

Prenatal Period- Body Changes, Healthcare and Exercises

During the second and third trimester of pregnancy, your body will go through so many changes. The body’s gravity starts shifting and your posture starts to change, adding more pressure to the joints  and the soft tissue of surrounding areas. These, and the hormonal changes you are going through as well, can increase the chances of joint restriction and muscle/ligament instability in your spine, pelvis, sacrum and hips.  

Common symptoms you might experience during this transition are (but not limited to): 

• muscle tightness 

• soreness

• joint stiffness

• pubic bone pain

• numbness/pins & needles

• most commonly, lower back pain and/or sciatica.

Another common lower back symptom can be caused by irritation to the sacroiliac joint. 

There is weight gain and fluid retention during pregnancy, which can cause aggravation to the joints in your back and pelvis. Sciatica pain can be caused by either the piriformis muscle tightness putting pressure on the sciatic nerve or the growing uterus adding direct pressure to the sciatica nerve at the L4-L5 level. 

It is very common to experience some of these symptoms throughout pregnancy, even during the first trimester. However, it is not something you have to work through and deal with until you give birth. You have options! 

HEALTHCARE

Treatments such as chiropractic adjustment, massage, acupuncture and pelvic floor PT can help you to get back to your pain free self. 

For example, chiropractic adjustments are designed to restore normal joint mobility, improve stability and reduce joint restrictions. The presence of joint restrictions, muscle and ligament instability around the lower back, pelvis and hips, can make it difficult for mom to move around. It also can affect baby's ability to move into optimal position during delivery. 

Chiropractors at our office utilize the Webster Technique to establish mother's pelvic balance and alignment during pregnancy.  With a balanced pelvis and spine, spine and pelvic mobility is restored, decreasing pain and discomfort during pregnancy.  This can help the baby to have more room to move around the womb improving the chances of the baby moving into the correct position before labor, facilitating the delivery. 

EXERCISES

During your body transition through pregnancy, it can create instability in certain areas which can be the root of your pain. Our goal is to prepare and strengthen your body for the development of your little one and delivery. 

Here are a few positions and exercises recommended for core strengthening and muscle/ligament stability. (These exercises and stretches are beginner friendly): 

• Pigeon Pose

• Lunges (Progress to lizard)

• Kneeling squats (Beginners)

• Tabletop (Core exercise)

• Cat/Cow

• Hip Thrust

• Straddle stretch

You can also make modifications during your night time. Sleep with a pregnancy pillow, when turning in bed from side to side keep your legs together and get up from your side (no crunches) when getting up from bed. 

If  you are pregnant or trying to conceive, working with a chiropractor from day one can dramatically improve your body function, giving you and your child the best opportunity for better health. We can help you. Call us today! 

In health,

Dr. Shirley

(216)952-3830

5 Reasons to See a Chiropractor During Pregnancy

Pregnancy is a time of many changes and transitions. While baby is growing, mother’s body is changing and adapting to support the needs of her little one. These new demands, though normal and natural, can cause undesirable symptoms including aches and pains, headaches, nausea and heartburn, fatigue, skin issues, swelling, difficulty with movement, sleep issues, etc. Some of these symptoms may not be completely avoidable, however, natural, conservative care including chiropractic, acupuncture, nutritional support, and manual therapy or exercises may help reduce and relieve them. So, how can chiropractic be beneficial during pregnancy?

1. Ease pregnancy symptoms:

Chiropractic may help ease pregnancy symptoms, such as nausea, heartburn, headaches, swelling in feet and hands, and general discomfort. Through chiropractic adjustments and manual therapy, optimal nerve flow and reduced tension in the body help ensure optimal brain-body communication. If there are restrictions of joints of the spine or soft tissue tension, nerve flow/communication can be interrupted, resulting in dysfunction and unwanted symptoms. Chiropractic care checks for these restrictions and helps

2. Natural Relief from Lower Back Pain:

Data shows that more than 50% of women will experience pregnancy-related low back pain. As the baby grows, the mother’s abdomen grows as well and her center of gravity shifts. Her spinal curves also modify to adapt to growing baby. These changes may put more pressure on joints of the spine, especially the low back and pelvis which can cause pain. Chiropractic care (along with other therapies we offer) may help reduce pain by improving joint mobility and function, reducing stress on the joints, improving spine and pelvic alignment, and decreasing soft tissue tension.

3. Optimal Fetal Position:

The position of the pelvis and sacrum play an important role in how baby is most comfortably positioned in the womb. Chiropractic care assesses mother’s alignment and pelvic positioning, helping to ensure optimal function of the pelvis. This allows baby to have optimal room in-utero, making it easier for baby to move and get into a head down position for birth. Often, babies are in the breech position due to uterine or pelvic/sacral constraints which limit their movement or make it uncomfortable for baby. Proper positioning of the baby may help lower the risk of back labor and/or the need for an unnecessary cesarean. Our doctors are certified in the Webster Technique which is a specific chiropractic sacral/pelvic analysis and diversified adjustment. The goal of the adjustment is to reduce the effects of sacral subluxation/sacroiliac joint dysfunction. In doing so, neuro-biomechanical function in the pelvis is facilitated which benefits both mother and baby.

4. Easier Labor and Birth:

Chiropractic adjustments may help shorten labor and make the birth process easier. If the mother’s spine and hips are able to move optimally and are in proper alignment, and the nerve communication to the muscles of the pelvic floor and uterus is uninterrupted. This may help labor and birth to progress more easily and with less complications. Many moms who utilize chiropractic during pregnancy report shorter labor and less intense labor symptoms. For moms who want a natural, drug-free birth, chiropractic care can help them achieve that goal.

5. Support Overall Health and Immune Function:

The immune system is intricately connected to the nervous system. Proper function of the nervous system is vital for optimal function of the immune system. During pregnancy, a woman’s body is under more stresses and changes, which puts more demand on the immune system. Chiropractors help patients, especially pregnant women, stay healthy and function their best during pregnancy through recommendations for proper nutrition, supplementation, and healthy lifestyle changes, in addition to caring for mom’s neuromusculoskeletal system. All these healthy lifestyle choices can all have a positive impact on mom and baby’s health.

Choosing chiropractic care as part of your prenatal care is a safe and effective option to manage pregnancy symptoms, promote overall health, and function your best while pregnant. Regardless of how far along you are in your pregnancy or what your birth plans/goals may be, chiropractic can help you feel and function your best. Our doctors can share natural and holistic options to help and support you during your pregnancy, playing an important role in your team of prenatal health care providers.

In Health,

Dr. Abbey

Laugh without Leaking

Having a great time with friends laughing about the latest crazy adventures of motherhood? Have you ever laughed so hard that you “peed your pants’? While that is a common expression and experience for many women, it is not “normal.” Many women think that just because they have been pregnant or that they are getting older that urinary incontinence is a normal fact of life that they just have to live with. After all, it happens to everyone, right?

Urinary Incontinence (which is the leaking of urine that you cannot control) is not a normal part of aging or a normal lasting side effect of pregnancy or childbirth. Two of the most common types of urinary incontinence include Stress Urinary Incontinence and Urge Urinary Incontinence. Stress Incontinence is leaking when you are walking, bending, lifting, sneezing, coughing, or laughing. Urge Urinary Incontinence which is the sudden “urge” to urinate even if your bladder is not completely full. Having both of these types of symptoms? That is called Mixed Urinary Incontinence -yes, the “best” of both worlds- leaking with activity and /or feeling of a strong urge to urinate frequently.

Despite these symptoms being common, (nearly 1 out of 3 women have some type of incontinence symptoms during their lifetime) there are many things that can be done to decrease or eliminate incontinence, especially if treated early.

*Lifestyle changes can be extremely effective- looking at behavioral factor and nutrition can decrease symptoms.

*Bladder Retraining strategies- no “just in case” going to the bathroom, keeping a bladder diary for a few days.

*Looking at exercise, movements and lifting patterns- increased intraabdominal pressure can put pressure on pelvic floor muscle causing increased leakage

*Pelvic Health Physical Therapy to address any muscle weakness or tightness in Pelvic floor causing urinary leakage.

If you have these symptoms and are ready to address them, come see our physical therapist, Chrissy, for a physical therapy evaluation. Chrissy partners with each client to develop an individualized holistic approach to help you mange and eliminate your incontinence issues so you have the freedom to laugh as hard as you want- without fear!

Appointments with Chrissy can be scheduled online via our website or by calling 216-952-3830.

"You Deserve Better than the Standard of Care" - Dr. Candace Gesicki

“You will never get pregnant naturally.”

“You had a baby, you’re going to have low back pain and incontinence when you exercise.  There’s nothing you can really do about it.”

“We can’t do any testing until after you have had your third miscarriage.”

“You are pregnant, you are going to have low back pain and pelvic pain.”

“Your thyroid is normal.  Your symptoms are normal.”

“The pain and numbness around your cesarean scar are normal.”

These are all things patients have shared with me in the last month.  And I wish it was just once, but unfortunately, I am hearing stories like these almost weekly. 

It is not the standard of care to order a full hormone panel, thyroid panel, vitamin D, and more before trying to conceive or after a miscarriage, but far too often do I find patients with a hormone imbalance that can be treated with diet and lifestyle modifications (and occasionally medications).

It is not the standard of care in the United States to refer to a pelvic health therapist after having a baby, yet many women experience incontinence, pain with intercourse, and prolapse.

It is not the standard of care to refer to rehabilitation or soft tissue therapy after a cesarean, yet it is a major abdominal surgery.

It is not the standard of care to order a full thyroid panel initially, but far too often I see patients with a TSH in normal range and (extremely) elevated thyroid antibodies.

Conventional medicine has a time and a place, but it is set up to treat symptoms and diseases with drugs, radiation, or surgery.  Conventional medicine providers use the tools that they have to provide treatment.  Their knowledge in alternative or natural treatments is limited.

How does what we do vary from conventional medicine?

We take a functional approach to your health.  We want you to be an active participant in your healthcare.  This does not mean that we never believe drugs, radiation, or surgery is warranted.  We absolutely refer out to specialists and co-manage when appropriate.   

A functional approach is more complex than “this is low, take this”.  We want to find the root cause of what is going on.  Where is your low back pain stemming from?  Why is your testosterone low?

We don’t have the answers to everything, but I can tell you that if we don’t have an answer, we have no problem telling you this and will help you find a referral to someone that might. 

We are here to listen, to support you, and to provide the best care we can because you deserve better than the standard of care.

Sending love,

Dr. C

Rib Discomfort During Pregnancy

Expectant mothers can often experience a number of symptoms throughout their pregnancy. One common discomfort is rib pain . Mother’s body is constantly changing throughout the trimesters, causing weight shifting on her spine and rib cage area. There are different causes that might be giving the mother that very common pain in the ribs. Some of these causes are: 

• The hormone relaxin plays a big part in helping mom’s  abdominal muscles to stretch to accommodate the growing uterus. The rib cage area also is stretched to balance the pressure applied by the growing uterus on the diaphragm. 

• The growing baby’s position often causes some pains and aches depending on their position in the womb. Baby can be transverse, breached, or head down kicking towards the diaphragm /ribs. 

• Baby’s growth causes the mother's body to change posture and center of gravity , where the body starts feeling stress due to the baby's weight. Carrying the extra weight can put additional stress on muscles around the rib cage. 

• Round ligament tightness which pain can be felt in the lower rib, pelvis and lower back area. 

• Indigestion or heartburn adds pressure on the chest, making the area to be sore and painful at times. 

Chiropractic care helps reduce joint restriction and improve mobility, making it easier for the body to function. In combination with targeted stretches and strengthening exercises, posture can be corrected, helping you to function better. 

For more information or to schedule an appointment, give us a call (216)952-3830 or send an email to drdelgad@clechiropractic.com .

Mornings Sickness Tips and Tricks

Many women (in fact, one study suggests up to 80% of pregnant women) experience “morning sickness” as early as 6 weeks.  If you have experienced nausea during pregnancy, you know that the name is very misleading.  For some it is in the morning, but for many it lasts all day or comes about randomly during the day.  It often peaks around 8-9 weeks and for many subsides around 14 weeks.  It may come with some good days, some really bad days, and many days that just feel “blah”. 

Here are some things to try at home:

·  Acupuncture.  Stimulation of acupuncture point PC6 has shown to help nausea in pregnancy.  Your acupuncturist may send you home with “seeds” to stimulate the point after your treatment.  This point is also what is stimulated when wearing seabands!

·  Hydration + electrolytes.  Stay hydrated and consider drinks with electrolytes like NOOMA (use ‘MOTHERSDEN15’ for 15% off!!) or LMNT!  Electrolytes help with morning sickness because they are putting the good stuff back in your body!  Some women find that water doesn’t sit well with them with nausea. 

·  Ginger and peppermint.  Whether you are using teas, foods, or essential oils, both of these have been used for centuries to help with nausea.   

·  Foods.  Track your nausea and notice if you have any trigger foods, or foods that make you feel worse on days that you eat them.  Try eating smaller meals and eating before you get hungry.  Nausea is common on an empty stomach.  For some women, a protein shake or smoothie may be an easier way to get some calories in!  Protein will help keep your blood sugar stable.  Eat what you can, when you can.  Don’t beat yourself up if the thought of eating vegetables makes you sick. 

·  Stay active.  Being physically active can reduce nausea symptoms during pregnancy, even if it is just taking short walks.     

·  Vitamins + supplements.  There are some studies that show taking B6 for morning sickness can improve nausea (without vomiting) in pregnant women!  If there is no relief with B6 alone, after 4-5 days, trying the combination of B6 + unisom may be beneficial (however, unisom can cause drowsiness).

Some women try everything holistic, even medication, and don’t report any changes in their nausea.  If you have any concerns about your nausea, talk to your care provider.  There is a distinction between morning sickness and hyperemesis gravidarum, which is severe nausea, vomiting, weight loss, and electrolyte disturbance. 

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