Natural Ways to Sleep Better During Pregnancy: A Holistic Guide for Mamas-to-Be

Let’s be real—pregnancy can make sleep feel like a distant dream. Between aches, baby kicks, hormonal shifts, and an overactive mind, insomnia becomes an unwelcome visitor for many expecting mothers. As a holistic nurse midwife, I often hear, “I’m tired but I just can’t sleep!”

The good news? You’re not alone—and there are safe, natural ways to support restful sleep during pregnancy. Let’s dive into gentle strategies to help your body relax, your mind slow down, and your whole being settle into deep, restorative rest.

💭 First, Don’t Panic If You're Awake at 3 AM

If you’re managing to function during the day, your body might be getting enough rest even if your sleep feels broken. But if you're feeling exhausted, burnt out, anxious, or moody, it may be time to make sleep a higher priority—right up there with eating well and moving your body.

Pro Tip: If insomnia was a struggle before pregnancy, check in with a holistic or integrative provider to rule out deeper causes like thyroid imbalance, anxiety, or chronic stress.

🌿 Natural Insomnia Prevention: Start with the Basics

Here’s what to avoid 4–5 hours before bed to help you wind down easier:

🚫 Caffeine (coffee, tea, chocolate, soda)
🚫 Heavy meals or processed foods
🚫 Excess fluids (to avoid 3 am bathroom breaks)
🚫 Emotional or intense conversations
🚫 Scrolling social media or news
🚫 Blue light (from screens)
🚫 Vigorous workouts

Instead, opt for calming routines, gentle stretching, and a light snack that balances blood sugar—think gluten-free oatmeal with nut milk, or apple with nut butter.

🛏️ Honor Your Sleep Rhythms

Your body has a natural clock, so give it the rhythm it craves:

• 🕙 Aim to go to bed around the same time each night (ideally before 11pm)

• 🌞 Get sunlight during the day—especially morning light

• 🌚 Keep evenings dim—use amber lights, candles, or salt lamps

• ❄️ Sleep in a cool room (mid-60s°F is ideal)

• 📵 Keep phones and computers out of your bedroom (seriously!)

Need to break up with your phone at bedtime? Check out “How to Break Up With Your Phone” by Catherine Price—your nervous system will thank you.

🧘‍♀️ Make Evenings Sacred: Your Wind-Down Routine

Design a nighttime ritual that feels like a warm hug:

🛁 Soak in an Epsom salt bath with lavender or chamomile oil
📖 Read something soothing—not thrilling
🧘‍♀️ Try 5–15 minutes of Yin or restorative yoga
💨 Do calming breathwork (more on that below)
🎧 Listen to relaxing music or use sleep meditation apps. 🌬️ Breathe Your Way to Better Sleep

When stress is high and your mind is racing, your breath is your superpower. Try these simple exercises:

🌸 Deep Belly Breathing

• Inhale for 4 counts

• Exhale for 4 counts

• Repeat 8 times
  Want more calm? Extend your exhale—inhale for 4, exhale for 6.

🔲 Box Breathing

• Inhale 3

• Hold 6

• Exhale 6

• Hold 3
  Repeat for 5–10 minutes

💨 Forced Exhalation

• Breathe out completely

• Let breath naturally come in

• Repeat for a few minutes

These practices calm your nervous system and help your body switch from “fight or flight” to “rest and digest.”

🪷 Stress Reduction = Sleep Support

Stress and pregnancy go hand in hand—but you don’t have to stay stuck in high gear. Here's how to find your inner calm:

✨ Set boundaries and say “no” when needed
✨ Ask for help (yes, really!)
✨ Take “healing intervals”—short breaks to do nothing
✨ Practice mindfulness, meditation, or yoga - (especially Yin, prenatal, gentle and restorative)
✨ Surround yourself with people and environments that feel safe and soothing

☕ Bedtime Teas & Natural Remedies

Try these gentle, nourishing herbal teas to sip in the evening - many are available in my online holistic apothecary.:

Evening Sleepy Tea Blend

• Chamomile

• Lemon Balm

• Lavender

Steep 1 tsp of each herb in hot water, cover for 15–20 minutes, strain and enjoy. Sweeten with a little honey or lemon if you like.

Magnesium & Calcium

• Take 500–1000 mg magnesium (Natural Calm is a great option)

• Pair with 500–1000 mg calcium if needed

Herbal Support (after first trimester):

• Passionflower – for anxiety-related insomnia

• Chamomile tincture – gentle and safe

• Skullcap, Lemon Balm, or Motherwort – calming nervines

• CBD (from pure hemp oil) – gentle calming (talk to your provider first)

Need more targeted support? Look into flower essences like White Chestnut for racing thoughts, or consult a homeopath or naturopath for customized guidance.

🛌 Sleep Hygiene 101

Let’s set the stage for sleep success:

• Keep your bedroom cool, dark, quiet, and device-free

• Try blackout curtains, an eye mask, or white noise

• Use a supportive pregnancy pillow and comfy bedding

• Avoid work, bills, or screens in bed

• Get a real alarm clock (not your phone!)

🌿 Natural Supplements (Use With Care)

Here are some options to explore—always check with your provider before adding supplements and herbs during pregnancy:

• Fresh milky oat tops tincture – supports the nervous system over time

• Collagen powder (grass-fed gelatin) – mix into evening oatmeal

• Valerian root, St. John’s Wort, Lemon Balm – occasional use only

• Melatonin – best for travel or shift work (not everyday use)

💤 When You Just. Can’t. Sleep.

It happens. When you’re lying awake, try:

✔️ Reverse psychology: Tell yourself to stay awake—ironically, it can help you fall asleep.
✔️ Get up and do something low-key: fold laundry, read, or listen to soft music.
✔️ Write down worries and make a plan for the morning.
✔️ Don’t fight it—rest is still valuable, even if you’re not fully asleep.

Final Thoughts

Pregnancy is a time of great transformation, and your sleep patterns will shift. That doesn’t mean you’re powerless! With simple, consistent habits, a few calming herbs, and a whole lot of self-kindness, you can get the rest your body needs.

Let sleep be your sacred time. You’re not just nourishing your growing baby—you’re replenishing yourself.

If you need more personal guidance, schedule an online video call or a breathwork session with me.

💛 Wishing you deep rest, sweet dreams, and a peaceful journey into motherhood.

Check out my Natural Birth Secrets book 2nd edition as your reference for more information on holistic modalities for all common discomforts and ailments on your entire journey to having a baby - from preconception, through pregnancy and postpartum, as well as breastfeeding and newborn care.

Photo by Megan Hancock Photography

Let Me Help You Create The Happiest Birth Experience Of Your Life...

Whether you're a first time or experienced momma,

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are planning a birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams.

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

• Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

• Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

• Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

• Trust yourself, connect with your body wisdom andcommunicate with baby in belly

• Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

• Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

Holistic Pain Relief in Pregnancy: Your Guide to Comfort & Self-Care

Embracing the Journey of Discomfort✨

Feeling aches in your pelvis, legs, or back during pregnancy can be humbling—but it’s also a powerful opportunity for growth. These sensations invite you to lean into mindful breathing, self-compassion, and deeper connection with your changing body.

Who Can Help (Think Natural Therapists!)

Before diving into self-care, consider reaching out to trusted holistic practitioners:

• Chiropractor or osteopath — reset pelvic alignment

• Massage therapist (deep tissue, Thai, Rolfing) — ease muscle tension

• Homeopath — custom herbal or flower remedies

• Acupuncturist — targeted needle therapy

• Therapeutic yoga instructor — build strength and ease tightness

🌿 Round Ligament & Groin Pain

Sharp pangs in your groin—especially when walking or stretching? Here’s how to soothe and prevent them:

• Rest, then rock: Lie on your back, knees bent, or get on hands & knees and gently rock your pelvis

• Soak & soothe: Warm Epsom salt bath with lavender or herbal blends, followed by Tiger Balm and a hot/cold pack

• Support: Use a pregnancy pillow and maternity belt, like the Bellefit supportwear

• Strengthen: Practice pelvic-floor exercises—bridge pose with mula bandha (root lock) on a yoga block builds core support and tone

🔙 Upper & Lower Back Care

• Upper back: Breast changes can strain your shoulders. Wear a supportive bra and stretch regularly with shoulder rolls.

• Lower back: Weight shift, ligament loosening, and posture changes contribute to discomfort. Try:

  • Prenatal belts (e.g., Baby Hugger)

  • Gentle yoga postures (cat/cow, sphinx, bridge) - I teach this in my online yoga classes.

  • Mindful lifting and posture (tuck in your pelvis, avoid high heels)

🔥 Sciatica Relief

Sciatic pain (sharp, radiating from your back down your leg)? Try:

• Exercises: Hamstring stretches, spinal twists, standing hip openers

• Stay active: Daily walking, swimming, low-impact movement

• Anti-inflammatory diet: Whole foods, turmeric-rich meals, hydration (64 oz+)

• Targeted yoga: Tailored stretches to decompress irritated nerves

Smart Movement & Body Mechanics

• Rest when needed: Lighten your load—delegate more, schedule breaks

• Posture check: Stand and walk with lifted abdomen, tucked pelvis, relaxed shoulders

• Sneakers, not heels: Flat, supportive footwear—barefoot at home feels amazing

• Lift right: Bend at knees, use core support, avoid twisting

• Safety first: Take extra care on slippery surfaces, add non-slip mats

💤 Supportive Sleep & Rest

Comfort while resting is essential:

• Bedding: Firm mattress or board; pregnancy pillow for side sleeping

• Environment: Cool (mid‑60s°F), dark, quiet—blackout curtains, eye masks, white-noise machines

• Rituals: Early bedtime, gentle stretching, warm herbal teas, and peaceful wind-down routines

🧘 Healing Through Breath & Relaxation

Pain often arises from tension. Here’s how to ease it:

1. Deep abdominal breathing – In for 4, out for 4

2. Box breathing – In 3, hold 6, out 6, hold 3

3. Relaxation scan – Tense and release muscles from head to toe

4. Ujjayi breath – Gentle ocean-sound breath awareness

These techniques calm your nervous system and teach your body to relax into sensations, not fight them—a vital skill for labor and beyond.

🛠️ At-Home Remedies for Back Pain

• Massage oil blend: Arnica + St. John’s wort + cramp bark + essential oils (ginger, lavender, or rosemary)

• Heat or ice: Alternate cold packs (first 24–48 hrs) with moist heat (showers, Epsom baths)

• Healing yoga pose: Legs Up The Wall—rest on your back with legs up against a wall or bolster for 10–20 minutes.

• Herbal support: Tinctures like cramp bark, skullcap, St. John’s wort, plus turmeric for inflammation. Reputable brands of the supplements and remedies I recommend include any of those in my online holistic apothecary.

• TENS unit: Safe, drug-free pain relief option (often works well during labor too)

🌀 Supporting SPD (Symphysis Pubis Dysfunction)

SPD can feel intense, but these gentle supports help:

• Chiropractic care + support belts (Bellefit, Baby Hugger)

• Pelvic floor activation before movement

• Gentle repositioning: Keep legs close and move slowly when turning or rolling

• Seek help: If walking forward hurts, backward feels better—consider physical therapy or crutchesTo release stress and trauma energy often responsible for chronic issues, do conscious connected Clarity breathwork and experience miraculous healing and transformation. Also check out Brandon Bays’ book The Journey, and her website. These are all extremely effective mind-body cutting edge methods that have also lead to transformational healing for thousands of people around the world.

🧠 When Pain Persists or Feels ‘Off’

While many aches are pregnancy-related, check in with your provider if you experience:

• Severe, persistent pain

• Fever, bleeding, bladder/bowel changes

• Leg swelling/redness (possible blood clot)

• New or unusual symptoms

Chronic pain solutions may involve mindful emotional work—think The Mindbody Prescription or Clarity Breathwork to release underlying stress and trauma.

📅 Your Personalized Well-Being Plan

1. Gentle movement – Yoga, walking, swimming

2. Core & pelvic care – Strengthen with awareness

3. Supportive gear – Maternity belts, pillows, sneakers

4. Healing tools – Massage blends, heat/ice, TENS

5. Breathing & mindfulness – Your daily reset toolkit

6. Rest intentionally – Sleep earlier, nap strategically

7. Connect & empower – Video guidance or local sessions

📞 Let’s Connect

Need personalized guidance? Book a video consultation with me—we’ll chart a gentle, effective plan tailored to you and your baby.

Pregnancy is a time of profound transformation. Your body is working hard—reward it with kindness, awareness, and nurturing care. 💛
You’ve got this, mama..

Sale

Love Your Birth Course

Sale Price: $337.00 Original Price: $449.00

Photo by Megan Hancock Photography

Let Me Help You Create The Happiest Birth Experience Of Your Life...

Whether you're a first time or experienced momma,

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are planning a birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams.

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

• Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

• Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

• Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

• Trust yourself, connect with your body wisdom andcommunicate with baby in belly

• Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

• Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

---

Check out my Natural Birth Secrets book 2nd edition as your reference for more in depth information on holistic modalities for all common discomforts and ailments on your entire journey to having a baby - from preconception, through pregnancy and postpartum, as well as breastfeeding and newborn care.

Upright Physiologic Vaginal Breech Birth

So grateful to Dr. David Hayes OBGYN @breechwithoutborders for their amazing continuing education workshop to thoroughly review the data and teach skills of attending vaginal physiologic breech birth globally. Some key take aways are: 📣Modern US clinicians and hospitals, and other countries that follow US, where only cesarean is taught and practiced for breech - please get back your skills and follow ongoing current impressive research and guidelines of other western countries where upright vaginal breech birth is being heavily studied and practiced as the norm, as it has been among community out-of -hospital midwives around the world through history.

More & more mamas don’t want c-section and all the risks associated with major abdominal surgery for them, their babies, and future fertility as the only option, and are seeking safe alternatives. Breech presentation occurs at term ~ 4% of the time ,vast majority are called frank with hips flexed, legs extended upward. Sometimes they can be turned head down to vertex presentation, sometimes they can’t and are breech for a reason. It’s very rare for a term baby to stand in the uterus, presenting one or two feet first - which is usually NOT footling (a common misdiagnosis) but complete or incomplete breech - hips flexed, buttocks in pelvis like a frank breech but one or two legs flexed, with one or two feet dropped down. These presentations in healthy pregnancy are fine candidates for term vaginal breech birth. It’s crucial for providers to know when to keep hands off, support mamas own movement and pushing efforts, upright positioning, how to resolve uncommon stuck arms, shoulders and head behind the pelvic bones, monitor baby’s condition, expedite birth and effectively resuscitate baby if needed.

Significantly less invasive maneuvers are required in physiological breech birth in upright positions with improved outcomes for mamas and babies. For mamas, breech birth is often claimed to be easier than birthing babies in head down position, with less injury to pelvic floor muscles and reduced tearing. Those I’ve attended all went well. The trouble and poor reputation associated with vaginal breech birth are mostly caused by unskilled providers, keeping mama on her back, impatience & pulling - which skewed the data of the older term breech trial they still quote. If you have a persistent breech baby know you have options. Get true informed consent!

If you’ve been told that your baby is breech at your mid pregnancy anatomy scan, know that baby is still swimming and it is likely they will be head down by term. If baby is breech later in the third trimester, don’t freak out. There are many ways to gently and lovingly ease your baby into vertex. Since there is slightly greater risk to breech babies born vaginally and by cesarean, and many people do not have providers near them who are skilled to attend them for a vaginal breech birth, it is ideal to try to encourage baby to turn head down.

Towards the end of pregnancy, the baby settles into its favorite position. Ideally, this position is vertex, meaning that its head is down towards your pelvis and its bottom is high up in your abdomen.

Less commonly, the baby is breech (with its head up and its bottom down towards your pelvis).

It’s not always known why a baby is breech at term. Sometimes it has to do with:

• Relationship between the shape of the baby and the shape of mom’s uterus or pelvic bones

• Location of the placenta

• Issues with the umbilical cord

• Excessive amniotic fluid

• Lax abdominal or uterine muscle tone

Labor and birth does carry more risk of complications when the baby’s head is not down towards the pelvis, even though breech is a variation of normal. So, when a baby is breech by the 30th week of pregnancy they should be encouraged to convert to the ideal vertex position. That said, the majority do turn by themselves at the beginning of the ninth month.

What to do When Baby is Breech

If your baby is breech at 30 weeks, consider doing a couple of the following exercises 10-15 minutes 2-3 times each day until your baby turns.

1. Belly massage. Massage your abdomen GENTLY in the natural direction the baby will turn. But stop if you meet any resistance, and never attempt to forcefully turn the baby yourself.

2. Visualization. Close your eyes and imagine your baby with his or her head moving down in your pelvis.

3. Coaxing. Play classical or relaxing instrumental music by your pelvis, so that the baby will turn towards the soothing sound. Or shine a flashlight by your pelvis, so that the baby may move towards the light.

4. Go for a swim. Swim laps and do some handstands in the pool.

5. Pelvic rocking. Shift your pelvis up and down and side to side while on your hands and knees.

6. Act like an elephant. Walk around the house on your hands and feet.

7. Bridges and inversions. If you have an established yoga practice, go upside down with any of the inversions, using props for supportive modifications. Headstands and downward-facing dogs work wonders.

Beginners should start with bridges. To do this, simply lie on your back with your feet flat on the floor approximately 1 ½ - 2 feet apart and your knees bent. Elevate your hips 9-12 inches higher than your shoulders. You can support yourself in bridge with a yoga block under your sacrum.

Alternatively, lie on your front in the same “upside down” position, keeping your weight on your forearms and knees wide, with your bottom in the air. Lying on three pillows or a beanbag chair can help further elevate your hips.

Or, lie bent over the edge of a sofa or top of a staircase with your legs on the floor and your body lying down the sofa or stairs. Support your body with your hands or forearms so that your torso is inclined upside down.

Gently roll your hips side to side while in any of these positions.

Taking homeopathic Pulsatilla 30C will help the above exercises be more successful. Allow 4-5 pellets to dissolve under your tongue 3 times daily for 3-5 days. As with any homeopathic remedy, avoid eating or drinking for 15-20 minutes before and after.

Natural Remedies for Breech Babies

In addition to exercises that help your baby move into the best birth position, there are a few techniques that can be administered by care providers. If you’ve tried the above suggestions without success, look for a practitioner that practices one of the following.

MOXIBUSTION

Find an Acupuncturist or Doctor of Traditional Chinese Medicine who has had success turning  breech babies to vertex with moxibustion. The technique involves burning certain herbs close to the skin at specific acupuncture points.

WEBSTER TECHNIQUE

A chiropractor trained in the Webster Technique can use this sacral adjustment to help facilitate the pelvic alignment needed for your baby to get into birth position.

MANUAL TURNING (External Cephalic Version)

If all else fails, you can opt for having your baby turned manually if the right conditions are met (such as no cord around the baby’s neck or short cord, adequate amniotic fluid, and healthy baby as detected on ultrasound with a normal fetal heart beat). Sometimes this is can be easily done in your birth practitioner’s office at 34 -36 weeks, especially in a woman who has delivered vaginally before, while carefully assessing the baby’s heartbeat. It has a high rate of success in skilled hands and supportive conditions.

Experienced midwives can turn breech babies. Most obstetricians prefer to do it in the hospital, often with medication to relax your uterus, ultrasound guidance, and continuous fetal heart monitoring. But it can safely be done out in of hospital settings while monitoring baby.

Ask for a wedge pillow to support you in a tilted pelvic lift position, or a bed that can be placed at an angle, with your legs higher than your head to help baby out of pelvis. Also, having it down while in deep meditation being supported in a pool of water has been effective and a wonderful experience.

Once the baby is turned to the head down position, stop inverting yourself, wear an abdominal binder at all times to prevent the baby from turning back to breech.

If your baby insists on being breech as you approach your due date, discuss your options with your provider. If they are not supportive of your choices for a vaginal breech birth, find a different practitioner, optimally one who has the essential skills and philosophy of birthing breech babies vaginally when appropriate and safe to do so. You can ask for recommendations at Breech Without Borders.

A baby lying in the transverse position, however, can only be delivered safely by cesarean section.

For more information on having the birth of your dreams, check out my Love Your Birth comprehensive signature prep course Guide to Pregnancy, Birth and Postpartum

If you desire personal guidance, schedule an online or in person coaching call with me.

Gestational Diabetes Screen & Alternatives

Gestational diabetes is rare in the healthy population. Occurring in about 6% of pregnancies, it’s incidence is increasing largely due to the growing obesity, insulin resistance and adult onset diabetes, poor diet and lifestyle habits in the United States. There is much controversy around gestational diabetes, how it is screened for and diagnosed, and whether universal screening improves outcomes as opposed to testing when there are risk factors. If you do have it, however, treatment that includes appropriate actions like maintaining ideal weight, enhancing nutrition and exercise habits does make a significant difference in reducing the serious health consequences for both you and your baby.

In the US, it is standard of care that all women are screened for gestational diabetes at 24-28 weeks of pregnancy, although in some other European countries, only women with risk factors are screened. Screening that is most common involves giving pregnant women a “Glucola” drink that has 50 grams of sugar in the form of dextrose, and then testing blood sugar an hour later. Many holistic providers and the families they serve are concerned about this potentially toxic drink laden with chemicals that may make them feel sick, harm them and their babies, and can be associated with false positives that label them unnecessarily as high risk. This increases stress and angst, leads to more testing, monitoring and potentially other risky interventions. They want alternatives.

While it is within your right to refuse the test, you may want to consider screening for gestational diabetes in another way and discuss your concerns and options with your provider. If your provider is unwilling to work with you on this, consider switching providers to one who will. Although we do not have enough evidence that alternative screens are as accurate as using the more extensively studied Glucola drink to screen for diabetes of pregnancy, alternatives are not to be easily discounted, and may be a viable option in the low-risk healthy population. 

It is recommended according to evidence based care, but you have the right to make an informed decision to decline. The evidence does support screening for diabetes of pregnancy (GDM), as the benefits of accurate diagnosis and treatment outweigh any potential risks of the screening blood test.  Treatment does impove health and birth outcomes, whereas untreated abnormally high blood sugar levels in pregnancy carries substantial risks to mamas and babies. In the early 2000s, the US  only screened those with risk factors, but since the rates of GDM are increasing, and rarely found in those without risk factors, it has become standard to screen everyone. In the UK, only those with risk factors are advised to get the one 3 hour glucose tolerance diagnostic test. There is disagreement on the best screen to use, and what numbers are diagnostic. In the US, standard of care is to use a two step process in which the pregnant mama drinks 50 grams of a Glucola drink made of dextrose and blood is drawn 1 hour later.  Some practitioners and labs use 140 as the cutoff blood sugar level indicating a positive screen others use 135, and some use 130. The lower the cutoff number, the increased number of false positives along with a slight increased ability to diagnose true GDM, whereas the higher the cutoff number the opposite effect can result.  So it depends on the cutoff number your provider and lab uses, each showing different degrees of sensitivity and specificity. Levels of 135-140 are considered normal according to the Mayo Clinic, ADA, ACOG and other highly medical sources.

There is an option for screening for gestational diabetes by home testing. This involves checking your fasting blood sugar at home when you wake up in the morning, and then again 1 hour after eating your usual breakfast, lunch and dinner. While approved for monitoring blood sugar once diagnosed with diabetes, this method of screening is less studied and without clear standards. It is also more cumbersome and costly, as you need to get the supplies to do it, then take the time to get it right and keep records to discuss with your provider at your next prenatal visit. 

I discuss natural alternatives to the chemically laden Glucola drink in my Natural Birth Secrets book 2nd edition….but here are some basic tips if you want a more natural approach.

Alternative Gestational Diabetes Screening Options to Glucola

Starting three days before your appointment, increase complex carbohydrates such as whole grains, sweet potatoes and winter squash.

The meal before the test should only contain protein, vegetables, and unsweetened dairy. A veggie cheese omelet is a great choice! Avoid sweetened foods, fruit, and carbs. If this last meal before the test is lunch or dinner, you can eat a normal breakfast, but avoid carbs or sweets for the rest of the day.

Fresh Test is a new organic alternative that is also said to taste good, with only three ingredients. It has exactly 50-grams of glucose yet is void of unnecessary artificial additives, and is laboratory tested to be virtually equivalent to the Glucola without the unhealthy ingredients. To make your own drink that is most equivalent to Glucola without the chemical additives, dissolve 50 grams of organic dextrose in 8 ounces of water. You will need to do some math. If there are 20 grams of dextrose in 2 Tbsp for example, then you need 5 Tbsp of the powder. You ideally want dextrose, as it is the sugar made from corn that makes up the Glucola drink, and it is most bioidentical to the sugar in your blood called glucose. Therefore, it is the best alternative to screen for gestational diabetes as the standard Glucola drink does, according to the laboratory parameters designed and tested for this purpose.

Another alternative is to drink an equivalent amount of pure corn syrup dissolved in your tea, since the sugar in corn syrup is dextrose. You can find organic non GMO varieties in the health food store, but you still need to do some math, to get 50 grams of sugar total. 

Reputable research indicates that you can instead, eat 28 all natural organic jelly beans or enough that equals 50 grams of sugar, which is studied to be a reliable alternative to the 50 gram glucose beverage. It is not standardized as is the Glucola drink, amounts and types of sugars vary with each product, so you need to do the math and make sure you are eating 50 grams of sugar. The study was relatively small but results can certainly be considered.

Other less ideal options are iced tea, organic Gatorade or a cola drink that has 50 grams of sugar added in the form of added table sugar or dehydrated cane juice (sucrose) - similar to the kind of sugar in jelly beans. They are not a first choice because they are not as extensively researched, the form of sugar is different than dextrose, and thus may have a different effect on your blood sugar levels and test results, designed to screen for diabetes based on your response to dextrose. 

The blood test to screen for gestational diabetes was studied and formulated to test your reaction to ingesting 50 grams of dextrose. Sucrose is made up of 50 % glucose and 50 % fructose. You will need to read ingredients and nutrition labels to use an alternative, an important skill to develop anyway. And you still need to do some math, as the nutrition label might say something like 23 grams of sugar per 8 ounce serving. 

When going for sugars that are not dextrose extracted from corn, you can choose any sugar sweetened drink without added fruit juice. Fruit contains a different type of sugar called fructose that makes the test less accurate as it has a different effect on your blood glucose levels than does dextrose and sucrose. If you can not find or have no time to figure it out and have low risk of gestational diabetes, Snapple 16 oz raspberry peach drink is second choice. Although it is mainly sweetened with sugar (sucrose), it does have a little fruit juice, which again is mostly fructose.

Coconut water is another, but less than ideal option, as it contains sugar in the form of mostly sucrose and glucose, and it does have some fructose as in fruit. ZICO coconut water 16.9 ounces has 20 grams of sugar, so you would need to drink 2 ½ bottles. Honey is another alternative, but it is also not made up of an equivalent sugar - it is sucrose and fructose. Again, you need to read the label. Different honeys have different amounts of sugar per serving size. 

Hopefully there will be more studies on these alternatives, but for now, are listed here to consider with your provider, if for some reason you can not take the dextrose or corn syrup equivalent and you are healthy, with healthy weight and lifestyle, with low risk for diabetes. 

45 minutes before your appointment, eat the jelly beans or drink an amount that equals 50 grams total of sugar, then nothing until the blood test, which will be drawn 1 hour after you consumed the drink or candy.

If you have time, do some form of exercise like taking a brisk walk for 20-30 minutes after drinking, but before the test.

Bring a high protein, whole carbohydrate and healthy fat snack to eat after the test if needed, to keep blood sugar stable. This will help you avoid unpleasant symptoms once your blood sugar drops, like shakiness, lightheadedness, fatigue, anxiety and irritability.

Rest assured, most healthy pregnant women (about 94%) do not have gestational diabetes. A positive screen simply means you need more testing to confirm it or rule it out. And if you do have it, you can learn how to keep your blood sugar normal throughout the rest of your pregnancy and life. 

If you need more guidance,  schedule a coaching call with me.

Be informed, empowered & educated with my online comprehensive Love Your Birth course - prep Guide to Pregnancy, Birth & Postpartum .

I’ve taken everything I’ve learned, trained, and supported women locally for over 29 years in my private practice and I’ve poured all of my love, passion, knowledge, and experience into creating something truly special for you… my new and updated Love Your Birth Guides to Pregnancy, Birth & Postpartum Online Course. Same Beloved Content Plus Added Bonus Videos! Buy Here Now!

They can be used on your mobile device or on your desktop! It’s my most up to date signature Love Your Birth online prep course for the entire journey of having a baby in today’s world, the way you want! And you have an option for direct access to me for your questions and concerns!!

Whether you’re an experienced or new parent, there are hours of videos, workbooks, and PDFs to answer all of your questions. Take advantage…. for a limited-time offer of 25% off -> RIGHT HERE!

The key to a positive birth is feeling confident, strong, relaxed, and empowered during the entire process, with a new mindset and tools regardless of the twists and turns it may take. I give my full heart and all I know in everything I do to support you on this transformative experience of a lifetime.

Tearing at birth

Worried about tearing at birth? If so, you are not alone. Although no guarantees (for example baby can come out with their hand by their head - compound presentation, that can result in lacerations), there are things you can do to help prevent tearing during pregnancy and at birth, even if you tore or had episiotomy previous birth. I have helped many mamas not tear or not tear enough to need stitching repair, despite the most serious of tears last time.

First off, say NO to routine episiotomy, in which the provider cuts your perineum and vagina at birth. It is is not only one of the most harmful, painful and unnecessary routine obstetric procedures, but also can lead to more serious tearing extending to the anus (third degree) and even the rectum (fourth degree). Make sure you maintain excellent nutrition, take in low glycemic foods and drink (especially if previous tear was related to baby’s large size - white four, fruit juices and sugar foods tend to grow bigger babies), avoid toxins like smoking, encourage baby anterior as you get close to term to prevent posterior positioning - I go into all this in more depth in my Natural Birth Secrets book 2nd edition. Research is conflicting about benefit of simple perineal massage to prevent tearing. What is more clear according to the research are devices specifically made to stretch vaginal and perinal muscles. In the last three to four weeks of pregnancy, you can prepare the muscles of your birth canal with one of the researched effective, pelvic floor medical training devices like Epi-no, or Aniball (easier to get in the US) as athletes and dancers stretch before working out or performing to prevent injury. They are like a balloon of sorts, that you insert into your vagina and gradually inflate 15-20 minutes daily, over a period of time to the size of baby’s head. They not only significantly reduce the risk of tearing or episiotomy, they also help you feel more prepared physically and mentally (and get a sense of what it feels like to have your birth canal stretch to the size of baby’s head so you relax into it), they ease childbirth, prevent stress urinary incontinence and been demonstrated to have other important benefits from reduced length of second stage of labor to improved Apgar scores - less fetal distress during the pushing phase. Incorporate the practice into your love making and have fun with it. Many mamas in my practice and midwives around the world swear by them, and urge first timers as well as mamas who have had more severe tearing or episiotomy previously to use them because of their successful results.

At the time of birth, to try to prevent tearing, you can honor the resting phase of labor, between end of transition and before feeling the urge to push. Wait for that powerful instinctual urge to bear down, when the baby descends low enough in your birth canal to elicit your natural fetal ejection reflex, and then use soft blowing breaths, to gently allow the emergence of your baby without forced coached pushing or pushing before you feel the urge, especially just because you are told your’e fully dilated. Gentle grunts to work with your body’s natural urges are not the problem. Avoid birthing positions like lithotomy (lying on your back with legs in stirrups, a flat surface or held wide open) or deep squatting. Use more upward, forward leaning, hand and knees or side lying, standing or dangling high squat positions, and if you are concerned, ask for perineal support by your attendants or have a water birth. I discuss this more comprehensively in my Love Your Birth Online Guide to Pregnancy, Childbirth, Postpartum, Breastfeeding and Newborn Care - mega prep course.

You make plans for the best outcome, then surrender to the journey. Lean into the wondrous intensity of it all.