Exercise & Breastfeeding

Mama you did it! Baby is here, this is the time for you to connect with your little one and your new self. It's time for healing, resting and new experiences. Are you breastfeeding? How’s everything going? Are you experiencing breastfeeding issues?  Working with a lactation consultant can make your breastfeeding journey a smoother and better one. 

When to start exercising? 

After the first few months, it is very common to play with the idea of returning to your exercise routine but not sure if you feel ready? Other questions might keep circling your mind, such as will my milk supply suffer if I exercise? Am I making things worse if I don’t do enough exercises? Can I start running? When should I start?

First of all, start when you feel ready!  That being 6 weeks postpartum or 3 months, take your time and listen to your body and your needs. Be comfortable, do not compare your recovery to others as every journey is different. 

Second of all, studies have shown that moderate exercises do not affect milk supply. Most mothers feel better when they get some movement and exercises, bringing more benefits for them and their baby. 

Here are a few tips for you to start: 

• Start slowly and gradually. Simple exercises such as diaphragmatic breathing can be your first movement.  

• Keep hydrated. 

• Go for walks with your baby. 

• Feed your little one or pump before starting the workout to decrease breast discomfort. Also, using a supportive bra can be helpful. 

• Look for postnatal exercise classes near your area. 

• Keep an eye on how you feel after workouts. This can be your guide if you are doing too much so soon. 

• Don’t forget to talk to your healthcare provider before starting any exercise routine. 

If you are experiencing leaking, pelvis pain, lower back pain/discomfort while exercising, our team of chiropractors, pelvic floor PT and massage therapists can help you! Talk to us, we might be able to help! 

Xoxo, 

Dr. Shirley

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

Breastfeeding Through Toddlerhood: A Mama's Reflection

For me, breastfeeding has created a special bond between me and my son and has been an important part of my motherhood. I have been blessed to be able to continue my breastfeeding journey with my little boy who is now over 3 years old. I understand and recognize that breastfeeding may not be the right fit for every family. There are many stresses and challenges that come with breastfeeding and each mother needs to make the choice that is best for her and her family. My heart goes out to all those who have struggled with breastfeeding.

Has it always been easy for us? Definitely not!! Did I think we would still be nursing at this point? Honestly, no, but am happy to still be able to support and comfort him this way.. I had no specific goals or plans beyond a year (after we had success for 6 months). Each mom and baby have different needs and challenges, but for us, this was a realistic goal. Nursing for us has certainly changed and evolved over time.

In the beginning, his tongue tie presented us with some small challenges which improved with laser frenectomy correction and chiropractic care. As he grew and developed, I saw how nursing helped him thrive. Being able to snuggle close with my little guy and nurture him has been so special. From providing nourishment in the early months to easing pains from boo-boos (big and small…and there have been many bumps and bruises along the way) to being his safe place and calming him when upset, knowing I was there to provide comfort and relief has been the most incredible, rewarding experience.

My son has always loved his “milky”—there were days he would nurse over 15 times a day! Some nursing sessions would last well over an hour, especially in the infant stage or before naps. Nursing on demand has worked for us, and I feel it has been my best way to support his needs as he grew. As he grew and was no longer in the newborn stage, feedings decreased and became easier.

After starting solids, he continued to love nursing and would still nurse several times a day. In 2020 when COVID hit, I was thankful I was able to continue sharing the benefits of the immune support from breastmilk. My body did not respond well to pumping and I often struggled to pump enough for more than a day or two supply. Unfortunately, due to COVID, I was laid off from the clinic where I was working. I was saddened to not be able to care for patients, but was relieved when I did not have to pump. Thinking back, I am not sure if we would still be in this breastfeeding journey if I had not been able to stay at home with him in 2020. He continued to nurse several times a day, especially before and after sleeping or for comfort.

The hardest period for us was during teething, which of course comes with its own challenges. At times it was so uncomfortable and even painful! As his latch changed and teeth became a factor, I definitely felt it. I even suffered from pretty severe clogged ducts which thankfully did not result in mastitis, thanks to the help and support from my lactation consultant and friend, Betsy. Thankfully, the times of discomfort didn’t last more than a few weeks and he figured out how to nurse without hurting his mama. I’m grateful that breastfeeding has been helpful for soothing him during these times and providing nutrients to support his growth.

Like most toddlers, my son is an active little guy and has had his share of bumps, bruises, and falls…including 2 trips to the ER and a broken bone. Being able to comfort him through nursing and support his healing has been such a beautiful experience. I am thankful to be able to help him in this way.

Nursing beyond the infant stage is not common in the US. I have also encountered differing opinions from people around me, but my focus is my son and our bond. Many are surprised to learn that it is very common for children to nurse until the age of 4 or 5 in many other countries (the world average is 4 years of age!). The World Health Organization (WHO) recommends breastfeeding through the age of 2. The American Academy of Pediatrics (AAP) previously had recommended 6 months, but now has modified their recommendations to match the WHO to encourage and support nursing through age 2. Of course, this may not fit all families, however, I’m happy to see a shift in our communities to support women and their children. Each child and mother have different needs. Children will wean when the time is right for them.

I have learned so much about motherhood, my son, and myself through our breastfeeding journey. Our bond is so strong and so close, which I know has been enriched from our special time together. Some of the most important lessons have been about patience, especially for myself. I find that I am a lot more flexible and relaxed about life, as each feeding can be so different and his needs ever changing. Have there been times I’ve felt overwhelmed? For sure! While I so enjoy being able to nurse my son, there are times when I may have felt frustrated or being pulled to do something else. Nothing is as sweet as nursing my sweet babe to sleep and knowing he feels safe and secure laying on me. This often has resulted in hours of me sitting, nursing, or rocking my little guy. I have found myself thinking, “I should get up and be productive (with household chores or personal tasks),” or sometimes feeling overwhelmed that he needed me so much…but then I pause and remember: THIS is important! Nothing is more important than me being here for my child and this moment right now. 

I am so blessed to have the support of family and friends, especially my husband, during this journey along with so many wonderful colleagues, including lactation consultants. Without their help, breastfeeding would have not been as successful as it has been, nor would I have had this experience to be able to share with other mothers.

So what now? Only time will tell how long he will want to nurse. He is slowly weaning himself and becoming more independent. Some days I think this may be the day when instead of asking for his “mama milky” the moment he wakes up, he instead, rolls over, climbs out of bed, and starts chasing the cat and continues non-stop the rest of the day. But come bed time, he’s asking for his mama and his “milky.” I have been blessed to be able to still give him his “milky.” My heart is so full with love and pride that I’ve been able to support my little one both physically and emotionally through nursing these past few years. I know there will be a day when he doesn’t want or need his mama the way he does now. Until then, I’ll soak up the sweet moments we have and I will always treasure our special time together.

Postpartum Healing

Mama, your body has done one of the most remarkable things it could ever do - grow another human being! After waiting for 9 months, you are excited to be home with your baby and focus on them for the next few months. But don’t forget that you also need care.  

Your labor and delivery might have been smooth and easy, or long and hard. You experience a vaginal birth or had to undergo a cesarean. You labor for only hours or a few days. No matter what your birth experience looked like, your body has gone through some trauma and it needs to heal and recover. 

The fourth trimester is a very crucial period for a mothers' recovery. During the postpartum period your body will experience numerous changes starting from healing after giving birth to experience constant hormonal swings. Healing can take weeks to months, and that's okay. 

Remember, recovery can look different for each mama. It can be longer than expected, but that’s ok. It is your journey and only yours!

Essentials

Here is a list of a few essential things you’ll want to start buying during your pregnancy to make your postpartum recovery as easy and smooth as possible. 

• Maxi pads. 

• Ice packs. 

• Witch hazel pads. 

• Peri or squirt bottle. 

• Nursing bras. 

• Cotton underwear. 

• Nursing pads. 

• Stool softener. 

• Heating pad. 

• Sitz bath. 

Treatment/Care

In most cases, it takes up to a year to fully recover from childbirth. Acupuncture, chiropractic care and pelvic floor physical therapy can help speed the healing process and increase a healthy postnatal recovery. 

• It is ok to ask for help when needed. If you have the support, don’t be afraid to use it. 

• Make an appointment with a pelvic floor PT if you are experiencing pelvic pain, leakage, abdominal pain. 

• Go to birth circles in your area. Talking to other moms can be therapeutic. 

• Talk to your chiropractor about your physical discomfort. We can help and guide you to start your postpartum recovery. 

• If having breastfeeding issues, talk to a lactation consultant. 

• Get a massage when possible. You deserve it!

• Talk to a therapist specialized in postpartum. 

Quality time with your newborn is an important part of the journey, but don’t forget that your body needs healing as well. If you are experiencing discomfort after birth, let us know, we can help!

Mamas, do not hesitate to reach out! 

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.

5 Tips to Prepare for Postpartum

There is so much emphasis on nurseries and “must haves” for baby, but what about for you, mama?  Giving birth is an incredible event and postpartum is no joke.  I am currently 39 weeks pregnant with my third baby, preparing for another postpartum experience.  With each baby, I have learned more about my needs and the needs of my family during this sacred time.  For this baby, we have bought very few things and while we have everything we need, we didn’t even bring out everything from storage.  We have spent much more time preparing for postpartum.  Here are 5 things I am preparing for this postpartum period:

Prepare to Rest

Are you familiar with the term “lying-in” period?  The lying-in period is a time for you to rest and bond with your baby after birth.  I have seen a few different suggestions for this:

·      5-5-5 Plan: 5 days in the bed, 5 days on the bed, 5 days around the bed.

This means: 5 days totally in the bed, meaning you should only be doing activities that can be done from your bed (feeding your baby, reading, napping, sleeping, watching tv, LOTS of skin to skin, etc.).  5 days on the bed, meaning majority of your time should be in the bed, but you can start moving around more.  The suggestions I have seen are 30 minutes up for every 2 hours in bed.  5 days around the bed, meaning no big outings!  Try to stay close to home, close to your bed, resting!

Sadly, our culture in America does not set us up for this and I did not honor the lying in period as I wish I would have after the birth of my older two children.  With this baby, I do plan to give the 5-5-5 Plan a try.  It is going to take lots of help and preparation, which is where the rest of my list stems from J  

·      1 Month or 40 Days (6 Weeks) of lying-in:

1 month (or 40 days/6 weeks) of staying in or close to the home resting as much as you can while feeding your baby, napping, sleeping, and lots of skin to skin!

Prepare to Heal

Whether you had a vaginal birth or a cesarean birth, please give yourself time and space to heal. 

·      After birth, the space between your anus and vagina (the perineum) will be sore and can typically take 3-6 weeks to heal.  Some people experience tearing of various degrees and will also be healing from tears.  Try using a perineal bottle (plastic bottle) with warm water and patting the area dry instead of wiping.  There are special ice packs (either purchased on your own, from the hospital, or in your homebirth kit) for the perineum or you can make your own “padsicle” using witch hazel, aloe vera, and herbs.  (Google “padsicle” and a ton of recipes will come up!).  Herbal sitz baths can also be lovely and those can also be used to create your own padsicle as well!  Earth Mama has an organic clean sitz bath that can be found online and in many stores!  I was gifted Earth Mama sitz bath and I have some homemade padsicles in my freezer ready to use in the coming weeks!

·      If you had a cesarean, your cesarean scar will be most sore the first few days after birth, but the soreness can last for a few weeks.  Be sure to follow your providers recommendations on caring for the incision and signs of infection to look out for.  Tips that no one told me after my cesarean birth are to hold the incision gently with my hand when going from sitting to standing, rolling in bed, coughing, sneezing, etc.  This helped tremendously with pain once I found it!   Once the scar is healed (typically around 6 weeks postpartum).   You can begin doing some cesarean scar mobilization.  Check out my cesarean scar mobilization video here. 

·      General aches and pains postpartum are common and can last anywhere from a few days to a few weeks.  Contact your care provider if you have any concerns about aches and pains you are feeling! 

o   Aches and pains in neck, back, or other joints:  if you can’t get to your chiropractor or they can’t get to you, you can try the following things:

§  Heating pad (or ice) on the affected area- whichever feels best!

§  Improve your posture when holding baby, breastfeeding/chestfeeding, and sleeping

o   Uterine pains aka “afterpains”: the uterus grows so much during pregnancy and contracts and relaxes postpartum in order to go back to its normal size.  Afterpains may feel like period cramps or may be stronger like labor contractions.  If you have given birth before, it is likely that your afterpains will be stronger.  Nipple stimulation (breastfeeding/chestfeeding and pumping) causes uterine contractions so you may notice an increase in afterpains when feeding your baby or pumping.  A heating pad may help relieve the discomfort from afterpains. 

·      There are a lot of changes that can happen to the breasts postpartum.  If you are breastfeeding, you should not be experiencing any pain with breastfeeding.  If you are, please please please reach out to a lactation consultant!  Engorged breasts can be common during the early postpartum period and be quite painful!  Engorged breasts tend to feel hard and the skin may also be warm.  Try feeding your baby or hand expressing some breastmilk.  You may find comfort in using a warm compress along your shoulder/above your breasts or below your breasts before expressing milk.  Breastfeeding is all about supply and demand so it can be a little dance between relieving engorgement and stimulating more milk production.  The more milk you express, the more milk your body will make.  Avoid wearing a tight bra if you are experiencing engorgement.  If you do not plan to breastfeed or discontinue breastfeeding, you may also experience engorgement.  It will resolve in a few days, however you still would want to avoid clogged ducts (that could potentially turn into mastitis) so I also would suggest reaching out to a lactation consultant.  Overtime, your body will stop making milk if you don’t breastfeed or pump. 

·      Constipation is common postpartum.  There are various factors that play a role in this: weak abdominal muscles, pain medications that you may be on, dehydration, and nerves (it is common to be afraid to poop postpartum!).  Try eating nutrient high-fiber dense foods and drinking lots of water.  It’s not a bad idea to keep a stool softener around, too.  If you are breastfeeding, be sure that what you are taking is safe for breastfeeding!

Prepare to Nourish Yourself

This is one thing that my husband and I really did right before the births of our first two babies.

·      Meal trains are a great way to organize home-cooked meals delivered to your door by loved ones.  They can be created on Facebook pages, emails, or even by the Meal Train website!  You can set one up for yourself or have a friend take the lead.  Be sure to tell your loved ones if you have any food sensitivities or allergies. 

o   Note:  this option may not be the best if you or your family members have food sensitivities, unless your loved ones are versed in cooking to accommodate those.

·      Crock pot meals.  Have you seen New Leaf Wellness?  This takes meal prepping to a whole other level.   This blogger has a meal plans that provide a grocery list, recipes, and labels for freezer Crock Pot meals.  All of the ingredients go into a labeled freezer zip-lock bag and frozen until used.  Pick out a meal the night before, let it thaw, and put it into your Crock Pot to have a nice hot meal in 6-8 hours.  For me personally, this was the best thing I did to plan for postpartum.

o   Note:  this will save you time and money in the long run, but requires a lot of time to prepare.

·      Freeze meals, soups, and stews ahead of time.  During the last couple of months leading up to your guess date, make a little extra of what you are cooking every once and a while and freeze half.  Chili’s, soups, stews, and bone broth are great to have on hand.  You can also do this with homemade breads (banana bread), egg casseroles, pot roasts, etc.  Look into proper preparation to freeze each of these and be sure to label everything with the freeze date.   

o   Note:  this option is great for those who meal plan!

·      Stock up on favorites.  If there are household favorites (think almond butter, Rx bars, coconut oil), grab some extra at the store leading up to your guess date so that you don’t run out in the first month or two postpartum.  Think about what quick snacks you would like to have on hand, especially if you are planning to breastfeed. 

Preparing for this postpartum period, we did a mix of our favorite Crock Pot meals from New Leaf Wellness and freezing meals ahead of time!  My goal was to have 30 meals + muffins and pancakes for quick breakfasts in the freezer before baby came.  I haven’t done a count lately, but we will see what we have before he or she does arrive :)

Prepare to Say “Yes” to Help

Things I am planning to say “no” to during my lying-in period?  Laundry, housework, and cooking meals.  We will have anywhere between 15-30 meals in our freezer that my husband can pop into the crock pot or into the oven to ensure our family has nutritious meals to enjoy. 

I am planning on letting friends and family come over and play with my “big kids” and help out with household chores. 

Prepare Your Postpartum Team

Remember how I said America does not set us up for a lying in period postpartum?  Depending on how your labor and birth went, how your baby is doing, and how breastfeeding/chestfeeding is going, you may need to leave the house for appointments or finding yourself looking for referrals.  I suggest building your referral list during pregnancy.  Some people to consider having on your postpartum team (outside of your midwife/OB and pediatrician):

·      Chiropractor

·      Pelvic Health Physical Therapist

·      Lactation Consultant

·      Pediatric Dentist (in case of tongue/lip tie)

·      Craniosacral Therapist

·      Postpartum Doula

·      Mental Health Therapist

Wouldn’t it be amazing if there were providers that came to your home?  Fortunately, in Cleveland, there are a few pediatricians, chiropractors, and lactation consultants that will come to your home during the immediate postpartum period. 

Here are a few:

·      Primrose Newborn Care:  Dr. Madden is a neonatologist that does newborn well-baby medical home visits

·      MamaBird Hendry: Madison is a breastfeeding educator offering in home breastfeeding support! 

·      Cleveland Chiropractic and Integrative Health Center: yepp!  Our office provides in-home care for mamas and babies after birth! 

How are you preparing for postpartum? 

Xoxo,

Dr. Candace

Questions on preparing for postpartum?  When Dr. Candace returns from leave, she will be offering custom consults on prenatal support, labor support, and postpartum preparation.  Send her an email to get on her waitlist.

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.

Tummy Time: An Important Activity for Baby’s Functional Development

Tummy time has become a popular phrase and well-known activity in the parenting world. So, what is tummy time? Tummy time simply involves laying your baby on their tummy while they are awake. This exercise promotes their optimal strength and healthy development.

We are born with primitive reflexes which help us to grow and develop optimally. These primitive reflexes develop in utero and aid in the birth process. After birth, these reflexes allow for muscle flexion motions by the nervous system and allow for basic, fundamental movement. Examples include palmar and plantar grasp, rooting, suckling, startle reflex, and other spinal cord reflexes.

As baby grows and hits developmental milestones, primitive reflexes naturally become inhibited within the first few months to one year after birth. During an examination, a pediatric chiropractor or pediatrician test these reflexes and monitor your baby’s growth and development. Presence or absence of reflexes at certain stages of growth may indicate functional issues.

Tummy time is important because it helps baby develop extensor muscles and postural muscles, which helps with natural inhibition of primitive reflexes. Babies who do not spend enough time on their tummies will often skip (or hit milestones too soon) or delay steps in hitting growth and functional milestones involved in brain and motor development. These delays or skipped milestones can lead to poor coordination, muscle imbalances as a child and adult, delayed language development, and even abnormal immune response. Brain imbalances can also result in abnormal development of sensory processing due to a delay in the expansion of higher brain centers. By activating certain movements with infants and children, you can help their nervous systems develop for optimal health and function. Tummy time is one of the most natural and beneficial exercise to encourage baby’s proper growth.

A healthy, functioning spine and nervous system means a healthy brain and body. When a baby is born, their spine is in a c-shape due to the fetal position in the womb. As a child achieves developmental milestones through tummy time, rolling, crawling, standing and eventually being upright and walking, their spine develops natural, healthy curves. The first curve to develop through functional growth and movement the cervical curve in their neck. The neck is a delicate and very important region of the spine because it primarily supports the head, controls nerve and blood flow to and from the brain, and is important for balance/center of gravity. Also, the brainstem can be hindered or experience abnormal pressure if the neck is not functioning properly or has been injured in the birth process. An absent or abnormal cervical curve can lead to interference in the communication between the brain and the body, as well as predisposes a person to decreased range of motion, headaches or other pain, premature spinal degeneration, and pain in their head/neck/spine as an adult. Proper functioning of the spine and nervous system helps prevent joint dysfunction and other issues as baby grows and into adulthood. Tummy time is one of the first natural exercises performed by an infant that helps to develop a natural and healthy neck curvature. 

When can you start tummy time for your baby? Once a newborn’s belly button has healed from the umbilical connection and the stump falls off, you can introduce the tummy time position. Between one and two months, it is normal to observe your baby hold their head up and comfortably raise their head approximately 45 degrees while on their tummy. You will also see them turn their head and eyes to sound and follow objects, as well as recognize faces and smile spontaneously. 

It is best to attempt tummy time when your baby is well rested and fed, to avoid irritability and fussiness. Also, give them time to digest their milk, approximately 30-45 minutes post feeding, to avoid excessive spit up. We recommend starting slow, with 1 – 2 minute intervals throughout the day, and increase gradually based on your baby’s comfort, happiness, and ease. 

To get the most out of your baby’s tummy time, be creative! Try different positions and activities to make it fun and optimize their experience. Always supervise your baby, to ensure their safety. Babies love interacting with mirrors, so place a small safety mirror in front of them and watch as they discover themselves. You can also place fun toys or play mats in front of them to stimulate their curiosity and make tummy time engaging. For babies who struggle or are fussy during tummy time, try placing your baby on their tummy with a rolled-up towel, nursing pillow, or tummy time pillow under their arms/chest, so they have more support and a better view of the world. Laying your baby on your chest is another good method; infants love being held (especially skin to skin) and looking at your face. This also helps them develop their social-vagal nerve. You can also hold your baby across your thighs face down while you massage their back, this can double as a soothing activity before nap time. 

Laying your baby on an exercise/stability ball (holding them for support) is another great variation; the movement of the ball helps stimulates the brain to further enhance their development and challenges balance. Holding your baby and/or baby-wearing is another variation of tummy-time that can help them strengthen their spine and develop functional curves.

If your baby does not seem to enjoy tummy time, gets fussy, or they seem uncomfortable, it could indicate that they have stress or restrictions in their spine and interference in their nervous system. This is common from the birth process and/or other life events. A trained pediatric chiropractor can assess for and address this concern with gentle care. Pediatric chiropractic care is beneficial for optimal growth in babies as it may help with any developmental delay that may be present by changing the tone of the nervous system to the relaxed parasympathetic state – which allows for growth and healing. Gentle, specific adjustments performed by a trained pediatric chiropractor, ensure that a child’s spine and nervous system are able to function and communicate without interference.

At Cleveland Chiropractic and Integrative Health Center, we love caring for babies from birth through every stage of development to ensure they grow optimally and function their best.

Sciatic Pain + Chiropractic

According to research, sciatica symptoms are so common that 40% of the people are affected by it. Most cases can be mild and resolved on their own. However, when symptoms do not subside, it can cause weakness, chronic pain and radiating symptoms that get worse with time. 

What is sciatica? 

Sciatic nerve is a nerve that travels from the lower back, along the hips and posterior leg. Pain can be caused by inflammation, pinching, irritation or compression of the nerve around the lower back. Symptoms can be experienced along these areas commonly with the radiating pain down the to buttock and leg. 

Mostly, people will experience sciatica pain along one side. Symptoms can be shock/shooting pain down, weakness/numbness down the leg, pain down the hip. Pain can range from mild to severe depending on location and how bad inflammation is. 

One of the most common causes of sciatica pain can be due to irritation, bulging or herniated or a vertebral disc. Another common symptom is caused by what is called “ piriformis syndrome”. When there is irritation or spasms of the piriformis muscle it can put pressure on the sciatica nerve causing pain and weakness down the lower extremity. These symptoms usually do not pass the knee.

Common symptoms: 

• Pain radiating down buttock, leg, feet

• Lower back pain

• Numbness/weakness down leg or feet

• Sharp/burning sensation back, sacroiliac joint

• Pain when sitting or standing

• Inability to put weight on leg

How can chiropractic care help?

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 a person to move around. 

Chiropractic care can help tremendously in alleviating and relieving lower back and sciatica pain.  Chiropractic adjustments are safe, effective and gentle.

Here are a few positions and exercises recommended for to help alleviate tightness and improve muscle/ligament stability and joint mobility: 

• Apply ice/heat

• Pigeon Pose

• Lunges (Progress to lizard)

• Seated figure 4 

• Cat/Cow

• Hip Thrust

• Straddle stretch
  

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! 

Xoxo, 

Dr. Shirley

(216)952-3830

Giving Birth During a National Forumla Shortage

During the last week, I have had an increasing number of patients with estimated due dates in the next few weeks express their concerns about the national formula shortage.  People that have had babies in the last two years have had a number of concerns, but wondering if they will be able to find food to feed their baby is one I don’t think any of us would have imagined. 

According to the 2018 CDC Breastfeeding Report Card, 83.2% of birthing parents started out breastfeeding/chestfeeding.  A number this high shows that most birthing parents want to and are trying to breastfeed/chestfeed.  By 3 months postpartum, only 46.9% of birthing parents were still exclusively breastfeeding/chestfeeding.  Exclusively breastfeeding/chestfeeding means they are only giving their baby breastmilk (including donor milk).  Partial breastfeeding/chestfeeding means that the parents are supplementing with formula or foods. 

I absolutely respect and honor the choice of any parent that chooses not to breastfeed/chestfeed their child, but based on the statistics, the majority of birthing parents do want to.  If you do WANT to breastfeed, here are some things to consider:

·      While some people have an easy time breastfeeding/chestfeeding and don’t really need any help, many do!  It really does take a village. 

·      One of the most common reasons parents stop breastfeeding is perceived low milk supply.  Please visit with a lactation consultant and your pediatrician to determine if your baby is not gaining weight and you do have low milk supply.  A breastfed baby will drink the same amount of milk at 4 weeks old as they will during the rest of their breastfeeding journey as the composition changes.  Formula fed babies needs increase as the composition of formula does not change with age.

·      Find an IBCLC, CLC, or other breastfeeding educator while you are pregnant that you can reach out to once your baby has arrived.*

o   There are IBCLC’s at the hospital and while some are great, some are not.  AND everything changes once you come home and your milk comes in. 

·      Take a class while you are pregnant!  If you are local to Cleveland, we have Liz Homes that teaches classes at our office! 

·      Find a support group that you can attend once your baby arrives.  We are starting a peer-led perinatal support group this summer!  We would love for you to join us- this is for patients and non-patients!**

·      Build you support team now.  Providers (besides IBCLC/CLC) to consider: chiropractor, lip/tongue tie specialist, craniosacral therapist, and mental health therapist.

·      Get your pump during pregnancy and be familiar with it if (or when) you need to use it!

If you do NOT WANT to breastfeed, here are some things to consider at this time:

·      Work with your baby’s pediatrician to find the best plan for you and your baby.

·      Do not stock pile.  It is suggested to have 12-14 days of formula on hand at a time.

·      Dr. Madden at Primrose Newborn Care has been collecting unused, unopened, and unexpired formula and giving it to families who cannot find formula.

·      Consider European formula, like Hipp Formula.  It is a little pricier and may take a few extra days to get, but is great quality.

·      Consider donor milk from a milk bank.

I am sending you love during this difficult time and wishing you all the best on your parenting journey!

Dr. C

*Lactation Resources:

·      Breastfeeding Essentials Class with Liz: next class June 4th 2-4pm. Reach out to our office to sign up!

·      Madison “MamaBird” Hendry

·      Love and Wellness Lactation

·      Northeast Ohio Breastfeeding Medicine

·      Fruit of the Womb Perinatal Services

·  Primrose Newborn Care (offers baby feeding consults, including breastfeeding, pumping, choosing formula, and supplementing).

**We would love you to join us on August 13th from 9:30-11am for a peer-lead Perinatal Support Group.  Dr. Candace will be leading the first one and they will be held monthly at the office. 

Sun Safety Tips for Your and Your Family

Spring is just getting started and before we know it summer will be here. Now is a great time to start preparing for summer…especially being in the hot summer sun! Sun exposure is important and has many health benefits, but it’s important to understand safe sun exposure practices. Most people know that the best way for our bodies to get Vitamin D is from the sun, but what many don’t know is that if we don’t have the right nutrients, not only are we not able to convert the sun’s rays into Vitamin D but we are also more likely to get sunburn. Due to changes in hormones, pregnant and postpartum women tend to react differently to sun and not tolerate heat the same. Recognizing these changes and practicing safe, smart habits is beneficial. It is also important to practice safe sun exposure for infants and children.

So what can you do to prepare for the summer sun for you and your family? Check out the list below for tips on how to stay safe in the sun naturally:

1.    Eat a lot of fat! That’s right—fat helps with sun exposure! Diets rich in healthy fats such as coconut, avocado, fish, nuts, and seeds can protect the skin from sunburns. Fatty acids nourish and protect the skin, help with sun absorption, and are important for calcium function. Calcium and Vitamin D work together to help support many normal body functions including bone health, cell function, and immune function. Being able to properly absorb the sun’s rays and make Vitamin D helps the immune system be more balanced and our cells are healthier. You can supplement with Vitamin F to help your body get enough of the essential nutrients it needs to convert the sun’s rays and avoid burning. Making sure you have plenty of Vitamin F weeks before sun exposure may help improve sun absorption and conversion to Vitamin D.

2.    Get plenty of calcium! Calcium is essential for your body to absorb the sun’s rays and convert it to Vitamin D. Without enough calcium, the rays from the sun stay in the first few layers of our skin and overtime turn the skin tough and leathery. Consuming plenty of calcium and healthy fats help with the absorption and processing of the sun’s rays. Calcium is vital for optimal cell function and immune health. Good sources of calcium include green leafy vegetables, grass-fed dairy, and some fish. Taking a quality calcium supplement may be important to insure you are getting enough of this vital nutrient.

3.    Stay hydrated! Drinking plenty of water is helpful and something your body needs more of and craves when it’s hot. If you’re sweating a lot, make sure to replenish your minerals by drinking electrolytes. A simple way to do this is to add Himalayan sea salt to your water. Coconut water and electrolyte drinks such as NOOMA, LMNT, and Ultima are good options as well.

4.    During pregnancy and postpartum, changes in hormones affect how your body metabolizes foods and converts the sun’s energy to vitamin D. In addition to hormone changes, increased blood volume and circulation play factors in this process as well. You may notice that you are more sensitive to the sun and overheat easier. You may need to decrease your time in the sun and avoid being in the heat, especially for prolonged periods.

5.    Enjoy the morning sun. Afternoon sun is often too intense for us and our bodies. Historically, we would have been out in the morning and evening. Starting in the morning will help your body buildup exposure and can start your day with an opiate boost which can give you energy and put you in a good mood.

6.    Only get as much sun exposure as your skin is ready for. Work your way up to being in the sun for longer and longer periods of time. Be sure to monitor how long you are out in the sun, especially on cloudy or windy days at the beach or while in the water. Due to our skin feeling cool due to the water and breeze, we may not notice how much sun exposure we are actually getting. If you have been wearing sunscreen, you may need to re-apply throughout the day.

7.     Closely monitor children’s time in the sun. While it is very important for babies and kids to outdoors and exposed to the sun, their skin is much more sensitive. Pay attention to how much time they have been outside and in the sun. Provide them with shade or put on light clothing to minimize exposure, especially early on in the season.  

8.    Seek shade! If you are outside for a longer period of time than your body is ready for, find shade. If you aren’t going to be near a shady spot, cover up with a light shirt and wear a hat.

9.    Use a natural sunscreen. Most commercial sunscreens have toxic ingredients that may affect hormones or cause other health issues. Opt for a more natural brand such as Badger, All Good, Think Sport, or find a natural handmade option. You can even make your own using natural ingredients. Coconut oil, carrot seed oil, zinc oxide, and other herbs and oils have natural SPFs. If you’re going to be outside for only a short period of time, try not to wear sunscreen. Overtime, you can build up tolerance to being outside in the sun and not needing to use as much sunscreen, if you need any at all. Be aware that everyone’s body and skin types vary; before changing your skincare or SPF routine, consult with your doctor.

10.  Remember: Regular sun exposure is the most natural way to get enough vitamin D. To maintain healthy blood levels, aim to get 10–30 minutes of unprotected (no sunscreen and not wearing long sleeves or pants) in the midday sunlight, several times per week. People with darker skin may need a little more than this. Your exposure time should depend on how sensitive your skin is to sunlight.

11.  Keep yourself cool with a spray bottle. Misting yourself can help cool down your skin and keep your skin hydrated. You can even add 5 drops of peppermint oil to your spritzer bottle to enhance the cooling effect. (Note: If you are pregnant or nursing, talk to your healthcare provider before using essential oils)

12.  If you get sunburned and you have a spot that is taking a long time to heal, watch it. Try not to get burned in the same place over and over. Watch your moles for any changes and be sure to have anything suspicious checked out). You can make natural ointments using aloe, witch hazel and coconut oil to help with healing if you do get burned. The aloe and witch hazel promote healing and hydration while the coconut oil helps provide moisture (and also helps with healing).

Being in nature in the sunlight is one of the best things we can do for our body, mind, and soul. Incorporating these helpful tips can help you and your family enjoy more time in the sun and less time recovering from sunburn or overexposure. So get out there and enjoy the radiant sun responsibly!

Motherhood and Mental Health

It is common for many women to feel sad, overwhelmed, anxious and stressed throughout their pregnancy and even after the baby is born. Pregnancy and a new baby can bring out so many emotions. Depression and anxiety that happen during pregnancy or during the first year of a baby being born are considered medical conditions. Wait, what? Yes! This is a real thing!

For the past few years, mental health awareness has been growing. Even celebrities and athletes are advocating for mental health and how to help. So this is why I wanted to take some time to address mental health and motherhood.

Being a mom is not an easy task. Even harder if you don’t have a support system that can help you navigate through these times.

How common are anxiety and depression during prenatal and postpartum period?

Researchers believe that depression is one of the most common problems women experience during and after pregnancy. According to a national survey, “ About 1 in 8 women experiences postpartum depression after having a baby.” You may feel like you are the only person in the world  who is having these thoughts or feelings but know that YOU ARE NOT ALONE! Depression and anxiety during or after pregnancy can happen to anyone.

Are there treatments for depression and anxiety?

Yes! There are treatments such as counseling or “talk therapy” that can help you feel better, reduce your symptoms and even make them go away completely. There are options available out there. You can always find the treatment that works best for you. 

What else can I do besides therapy?

Some mothers say that sometimes talking to other parents that are going through similar situations helps them to feel better and makes them feel like they are not alone. Other activities you might try are:

• Be with others

• Connect with other moms

• Join a prenatal yoga class or baby and me class

• Make time for yourself

• Do things you enjoy

• Be realistic with your expectations (mama, you don’t have to be perfect. Know that you are doing great!)

• Ask for help at home

There are many ways out there available for you that might help through the tough times. Early detection is important for you, your baby, and the rest of your family. Don’t be afraid to ask for help. You are only human!

We need to fight and overcome that big stigma about mental health being something to hide from. There is a growing number of people experiencing a decay in their mental health and society is becoming more aware of finding ways to respond to our needs. But we still need to keep advocating for ourselves and find something that makes us feel happier and better.

Mama, know you are not alone! If you need help, talk to us! Our office has an extensive list of resources that we can share with you!

With love,

Dr. Shirley

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

When to See a Chiropractor Postpartum

A common question our pregnant patients ask is “when can I or when should I come in after baby is born for my postpartum check-up.” The simple answer is: when you are ready. While getting checked soon after giving birth is recommended, that may be a different time for each woman. Some may want to get checked on their way home from the hospital. Others may need to rest and heal for a few days or weeks. Some choose to do a lying-in period at home for several days or weeks. Typically, our patients know when they are ready to be checked (whether sooner or later); this is also something your chiropractor can discuss with you. You can also contact your chiropractor after baby is born to go over any concerns and determine when would be best for your postpartum check.

So why would mom need to be checked after giving birth? Don’t all the issues from pregnancy go away after baby is born? Short answer: no! Here are some common reasons to be checked postpartum:

1.      Sacrum/pelvis may shift during labor: giving birth is not easy! It is a whole-body effort. Whether a woman has a vaginal birth or a cesarean, her pelvis and sacrum experience stress and can shift. Especially during vaginal births, position and stress can strain muscles and ligaments of the low back and pelvis region. Joint restriction and discomfort postpartum is common and adjustments may help improve position and movement and reduce pain and tension. Long or difficult labor can even rotate or dislocate the coccyx/sacrum (tailbone).

2.      Neck/back pain: Some women may have experienced neck and back pain during pregnancy; often this persists postpartum. Some women who may not have had pain or tension during pregnancy may develop issued postpartum from labor/birth or from the changes of caring for their new little one. Nursing and feedings may strain neck and back muscles. Sleep is disturbed and may cause aches and pains.

3.      Pelvic floor check: Every woman postpartum should have their pelvic floor assessed. Your chiropractor can help identify issues or imbalances and recommend/referral pelvic floor physical therapy at the appropriate time (and it may be sooner than 6 weeks postpartum!)

4.      Diastasis assessment: EVERY woman (yes, every) will develop diastasis recti (separation of the front abdominal muscles (aka rectus abdominis)). This slowly heals in the weeks following giving birth. Various factors including breastfeeding, previous injury or weaknesses (especially in the core), pelvic floor dysfunction, back pain, and scoliosis can affect the severity and timeline of healing. Your chiropractor can assess the degree of the separation, begin care for the back, pelvis, and supporting soft tissue, and recommend safe, healing movements/exercises at the appropriate time. Pelvic floor physical therapy is also essential to help heal diastasis recti. Your chiropractor can refer you to a pelvic floor PT as part of your postpartum care.

5.      Nursing support: While breastfeeding is normal and natural, it is not easy! Many women and their babies struggle at first (and some have issues that develop months later). Chiropractic care helps with alignment and optimal function of the nervous system which may help with posture/comfort while nursing and appropriate hormone regulation for milk production. Your chiropractor can also help identify tongue and lip ties and make appropriate referrals/recommendations for treatment and support which can help baby and you reach your breastfeeding goals.

6.      Nutritional support: Postpartum nutrition is very important, especially for nursing moms. During pregnancy, essential nutrients may have been depleted to support baby’s growth. Postpartum is a time for healing. Your chiropractor can provide information about optimal nutrition and help identify nutritional deficiencies. Certain foods, herbs, or supplements may be beneficial to help with specific needs for healing as well. Your chiropractor can make recommendations and support your healing.

7.      Soft tissue care and support: During pregnancy soft tissue changes and stretches. It undergoes even more stress and change during labor. Following up with a chiropractor postpartum may help reduce soft tissue tension and help with the healing process. Your chiropractor can also identify weaknesses and imbalances in your neck, back, core and other parts of your body and provide recommendations for healing (and when to safely start certain movements or exercise).

Being a mom can be amazing yet challenging. Your body goes through so many changes and has different needs, especially postpartum. Be sure to take time for yourself and take care of yourself. At Cleveland Chiropractic, we are here to support you throughout your motherhood journey. We understand that every mom is postpartum, albeit at different stages or phases of healing and progress. Remember: healing takes time. Be patient and give yourself grace. You are doing a great job, mama! Remember, we are here for you when you need us.

In health,

Dr. Abbey

(216) 952-3830

http://clechiropractic.com

Chiropractic Benefits for a Colicky Baby

An infant spine can get restricted during the stress of birth. Baby pushes through the birth canal adjusting their flexible bones. This process, even though natural, could even cause slight restrictions in the baby’s spine and cranial bones. If there is enough irritation in the spine, it can present as colics, latching and/or breastfeeding issues, sleeping difficulties, torticollis, digestive issues such as acid reflux, diarrhea and constipation.

Constant crying and fuzziness is quite common for infants, especially during the first three to four months. Babies will often cry when they are hungry, tired, or because of a wet diaper. However, if it continues to cry even when you have fed them, comforted them and changed their diaper, they might be colicky. 

A colicky baby can be defined as a healthy baby that cries for prolonged times for no apparent reasons, and it seems difficult to comfort. 

Common colic signs can be presented as:

• Constant crying w/o comfort

• Baby looks like it is in some sort of pain (screaming)

• Having hard time to sleep 

• Constant gas/bloating

• Having constipation or diarrhea 

• Arched back

Certain body restrictions, foods and feeding habits can cause the baby to experience stress in their bodies. 

Chiropractic Care Benefits for Colicky Babies: 

• Release joint restriction

• Reduce muscle tension

• Increases nerve function

• Improve joint mobility

• Boost immune system

Chiropractic adjustment can be very helpful. When the restrictions in the joint are released, it boosts the child's body to  work properly when performing daily activities such as eating, digesting, sleeping and moving around. 

It is always recommended to rule out any underlying conditions that can be the cause of your baby’s discomfort. If your baby is experiencing any of these symptoms, reach out to us! We can always let you know if chiropractic care is right for your baby or we can guide you to the right provider. 

In health, 

Dr. Shirley

http://clechiropractic.com

216-952-3830

Q & A: Craniosacral Therapy with Dr. Shirley!

Have you been wanting to learn more about Craniosacral Therapy? Both Dr. Shirley and Jessy offer Craniosacral Therapy sessions.

In this interview, Dr. Shirley answers questions like:

• What is Craniosacral Therapy?

• Who can benefit from Craniosacral Therapy?

• What does a first visit look like?

• What do subsequent treatments look like?

• How do children benefit from Craniosacral Therapy?

Craniosacral Therapy appointments can be scheduled online! Watch the interview below :)

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!

Recognizing and Treating Tongue-Tie: What Every Parent Should Know

Every year, many babies are born with tongue and lip ties. Early diagnosis and treatment is recommended for young children to support optimal growth and function while helping to avoid long-term side effects.

Seeking chiropractic care can be an important part of care and rehab following tongue tie and lip tie revisions, helping to ensure proper alignment and function of the tongue, mouth, head, neck, and the rest of the Deep Front Line (DFL) anatomy train which includes the diaphragm, spinal stabilizing muscles, hips flexors, and intrinsic knee and foot muscles!

What is a tongue or lip tie?

Tongue tie (or ankyloglossia) is an unusually short, thick, or tight frenulum (the band of tissue that connects the bottom of the tongue to the floor of the mouth). For many instances of tongue tie, a lip tie is also present. Similarly, to tongue tie, a lip tie is when the band of tissue that connects the upper lip to the gums is too tight, short, or thick. Ties are congenital issues. When an embryo is growing in the womb, the tongue and the floor of the mouth fuse together. Over time, the tongue separates from the floor of the mouth. Eventually, only a thin cord of tissue, the frenulum, connects the bottom of the tongue to the mouth floor. As an infant grows, the frenulum usually thins and shrinks. In children who are affected by a tongue tie, the frenulum remains thick or attached to the tongue tip and does not recede, which makes it difficult to move the tongue.

What are the signs and symptoms of a tongue or lip tie?

There are several signs and symptoms for babies with ties.

Signs and symptoms commonly seen in tongue tied infants include, but are not limited to:

·        Clicking while nursing

·        Colic

·        Difficulty nursing (including not able to finish sessions)

·        Excessive drooling

·        Excessive spitting up

·        Fussiness

·        Gagging

·        Gassiness

·        Hiccups

·        Milk blisters

·        Mucous in stool

·        Poor latch or suction

·        Reflux

·        Restricted tongue movement

·        Sleeping with mouth open

·        Slow weight gain

·        Stiffness or back arching

·        Torticollis

·        Uncomfortable or fussy when in a car seat

·        Weight loss

Note: these signs/symptoms may also be associated with other issues or dysfunctions. Consult your healthcare provider if your baby is experiencing any of the issues listed.

Signs and symptoms commonly seen in mamas of tongue-tied babies include, but are not limited to:

·        Bruising on or around nipple

·        Breasts frequently not feeling emptied after nursing sessions

·        Clogged ducts

·        Engorgement

·        Flattened or creased nipple after nursing session

·        Mastitis or inflammation of breasts

·        Overactive or delayed milk ejection

·        Pain (during or after nursing)

·        Supply issues

·        Uncomfortable or unnatural feeding positions

Why do babies need to be evaluated and diagnosed for ties?

If you think your child may have a tongue and/or lip tie, they should be evaluated, diagnosed, and given care as soon as possible. There are several pediatric specialists who can evaluate and diagnose ties including lactation consultants, pediatric dentists, chiropractors, ear/nose/throat (ENT) specialists, pediatricians, physical therapists, and occupational therapists. Tongue and lip ties can affect an infant’s ability to properly nurse/feed, swallow, breath, and even self-soothe. If the tongue cannot move in a full and functional range of motion, it is unable to properly shape the hard palate (roof of the mouth) which also plays a critical role in normal feeding, movements, and overall growth and development. Unaddressed ties may even have long-lasting affects including speech delays or impediments, challenges with normal movement or functional development, vagus nerve interference, behavioral issues, head and neck tension, headaches, TMJ dysfunction, crowding of teeth, and sleep disorders.

How is it treated?

Once a tongue tie has been properly diagnosed, often the next step recommended is to have it revised (or “clipped”). The procedure is typically very quick and minimally invasive.  Modern techniques with laser revisions are quick, effective, and often babies sleep through the procedure! Babies usually can nurse immediately following the correction. Your baby’s revision specialist will typically recommend follow up care including consulting a chiropractor or craniosacral therapist along with home care to help with the healing.

Follow-up care: Chiropractic Care and Craniosacral Therapy

Following the revision, it is beneficial to consult a chiropractor and/or craniosacral therapist (or ideally both!). These practitioners help ensure proper alignment and function of the surrounding areas as well as teach you stretches and retraining exercises, so full functionality is returned as soon as possible. It is also beneficial to schedule an appointment with a lactation consultant to ensure there are no other challenges interfering with optimal nursing.

Many may not think of utilizing chiropractic care for tongue tie treatments and post revision care. Everything in the body is connected; when restriction is present due to a tethered tongue, it often leads to restriction and tension of the surrounding muscles and fascia of the Deep Front Line (DFL). This may result in abnormal movement and positioning of spinal segments, affecting the nervous system and other motor patterns or functional development. Checking and maintaining proper movement and function of the spine and related soft tissue may result in faster healing and more optimal functionality not only of the tongue and the surrounding muscles, but the entire body as well.

Craniosacral therapy may help reduce stress and tension in the body and remove interferences to the cranial bones and nerves caused or related to tongue tie. The restriction not only affects the tongue but can also limit motion of the cranial bones which can affect proper shaping of the head, including molding the hard palate. When the cranial bones are unable to move optimally, flattening of the skull can occur.

We can help!

At Cleveland Chiropractic, our chiropractors are trained to recognize the signs and symptoms of tongue and lip ties, collaborate with lactation consultants and specialists to diagnose and revise the ties, and help support a child’s healing and function through specific adjustments and craniosacral therapy. If you have any questions about how we may help your baby, call our office or schedule a consultation. 

In health,

Dr. Abbey