prenatal massage

Empowering Yourself for the Journey: A Guide to Prepare for Your Birth

Preparing for the birth of your child is an exciting and empowering experience, but it can also be overwhelming. There are so many things to think about and prepare for, and it's normal to feel a little unsure about what to expect.

I know how important it is to feel confident and prepared for birth. That's why I've put together this guide to help you prepare for this incredible journey in an intimate and respectful way

  • Educate yourself: Take the time to read books, attend childbirth classes, and talk to other moms about their experiences. The more you know, the more empowered and confident you'll feel.

  • Create a birth plan: A birth plan is a document that outlines your preferences for labor and delivery. It can include things like pain management options, who you want in the room with you, and how you want to handle unexpected situations. Creating a birth plan can help you feel more in control and prepared for the big day.

  • Find a supportive care provider: Your care provider can make a big difference in your birth experience. Look for someone who listens to your concerns, supports your preferences, and encourages you throughout the process.

  • Practice self-care: Taking care of yourself during pregnancy is essential for a healthy birth. This can include things like getting enough sleep, eating a healthy diet, and practicing relaxation techniques like yoga or meditation.

  • Consider hiring a doula: A doula is a trained birth professional who provides emotional and physical support throughout labor and delivery. Having a doula can help you feel more supported and confident during this incredible journey.

  • Pack a hospital bag: Make sure you have everything you need for your hospital stay, including comfortable clothes, toiletries, and any items for your baby.

  • Prepare your support team: Talk to your partner and any other support people about their role during labor and delivery. Make sure they know what you want and how they can best support you.

Preparing for birth is an intimate and respectful process that requires time, attention, and self-care. By finding and knowing what works for you, you can feel confident and empowered as you embark on this incredible journey. Remember, you've got this!


In health,

Dr. Shirley

Feeling Great After Baby's Arrival: How Chiropractic Care Can Benefit Postpartum Moms

First, congratulations on your new bundle of joy! Being a new mom can be both exciting and overwhelming, but it's important to remember to take care of yourself as well as your baby. Postpartum can bring a variety of physical changes and challenges, and chiropractic care can be an excellent way to address some of these issues. 

One thing that often goes unnoticed during the postpartum period is the toll that pregnancy and childbirth can take on a woman's body. Your spine and pelvis go through a tremendous amount of changes during pregnancy, and the process of childbirth can put even more stress on these areas.

This is where chiropractic care comes in. Chiropractors are trained to identify and correct restrictions in the spine and joints, which can alleviate pain, improve mobility, and promote overall wellness. By receiving regular chiropractic adjustments, new moms can experience a variety of benefits, such as:

  • Relief from back and neck pain: The weight gain and changes in posture during pregnancy can cause a lot of strain on the back and neck, which can lead to pain and discomfort. Chiropractic adjustments can help realign the spine, reduce inflammation, and alleviate pain.

  • Improved breastfeeding: Breastfeeding can be challenging, especially if you're experiencing pain or discomfort in your neck, back, or shoulders. Chiropractic care can help alleviate these issues, making it easier for you to breastfeed comfortably.

  • Faster healing: Childbirth is a major event that can take a toll on your body. Chiropractic adjustments can help speed up the healing process by improving circulation and reducing inflammation.

  • Better sleep: As a new mom, getting enough sleep is crucial. Chiropractic care can help reduce pain and tension in the body, making it easier for you to fall asleep and stay asleep.

  • Improved mood: Postpartum depression is a real concern for many new moms. Chiropractic care can help promote the release of endorphins, which can improve your mood and overall sense of well-being.

It's important to note that chiropractic care is a safe and gentle form of healthcare that can be tailored to your specific needs. If you're experiencing pain or discomfort during the postpartum period, chiropractic care can be a game-changer for new moms during this time. By alleviating pain, promoting healing, and improving overall wellness, chiropractic care can help you navigate this incredible, but challenging, time with more ease and comfort.

In health, 

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.

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!