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..

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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…

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And have a blissful birth wherever you are.

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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. 

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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.

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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.

High Blood Pressure in Pregnancy: How to Prevent and Treat Naturally

High Blood Pressure in Pregnancy: How to Prevent and Treat Naturally

About 6-10% of pregnant women develop consistently high blood pressure. Typically if mild, by itself it’s usually harmless. But, if not monitored or controlled, it can be dangerous, and it may lead to a more serious condition known as pre-eclampsia, which poses a threat to the health of you and your baby.

Always remember that blood pressure varies widely in healthy individuals and is normally sensitive to moment-to-moment changes in activity, posture, nutritional status and emotional factors. It can even be a response to a fear of high blood pressure or being diagnosed with a complication! It is the steady and consistent increase that is concerning.

To Prevent High Blood Pressure In Pregnancy

Regular aerobic exercise involving moderate exertion throughout pregnancy is one of the best ways to maintain health and prevent high blood pressure. Some good options are brisk walking, dancing and swimming. If you are a beginner, build up gradually to the ideal goal of at least 30 minutes 5 times per week. Gentle forms of meditative movement like Tai Chi, Qi Gong, and yoga (especially Yin, gentle, prenatal and restorative) also help maintain normal blood pressure. Below are more tips for preventing high blood pressure during pregnancy.

CONSIDER YOUR DIET

Avoid stimulants such as spicy or peppery foods (including foods with large amounts of nutmeg, mustard or ginger), caffeinated products, nicotine products, cocaine, diet pills, and other stimulant herbs and medications. 

Avoid excessive weight gain. Eat a highly nutritious, high fiber and protein diet to prevent hypertensive disease and to avoid excess weight gain. Avoid foods that are highly processed and refined or laden with sugars, white flour and unhealthy refined vegetable oils and partially hydrogenated fat. Replace with lots of fresh organic fruits and vegetables, whole grains, and at least 80 grams of protein. Healthy protein options include:

• Fish tested free of pollutants or from non-polluted waters, like wild Alaskan salmon

• Tempeh, tofu, beans and seed products

• Lots of nuts, nut milk and nut butters 

• Limited animal protein in turkey, chicken, beef, lamb, and wild game, fresh organic raw dairy, ideally goat or sheep, and whole organic eggs 

• Protein powders

Take your prenatal supplements so you get the nourishment you need for your pregnancy, that is not supplied by diet alone. Especially important are an excellent whole food prenatal vitamin and omega three essential fatty acids.. Be sure to include foods high in Calcium, like raw or cooked greens except spinach, sesame seeds/tahini, salmon and sardines, and dairy. You may need additional Calcium so you get 1200 -1500 mg of Calcium daily. 

Substitute vegetable oils with healthy fats like organic cold expeller pressed extra virgin olive in your cooking. You can salt your food according to taste (a dash of Himalayian sea salt or tamari is best), but avoid excess and processed foods high in sodium. 

Drink at least 64 ounces of fluids each day between meals, at least 20-30 minutes before or 2 hours after eating. Opt for filtered, spring or well water, herbal tea, soup broth, or whole juiced veggies.

Add 1-2 Tbsp of powdered Spirulina to your daily smoothie or take as directed in capsule form. 

Drink strong Nettle, Red Raspberry and Dandelion teas regularly, as well as decaffeinated green tea. When feeling stressed, drink some strong calming Chamomile, Lemon Balm, Lavender , Passionflower, or Skullcap tea. Add honey, fresh mint, juice of fresh lemon or lime to taste.

REDUCE STRESS

Cut down on the stress in your life. This is easier said than done, but this is an important time to be clear about your priorities. If you feel very stressed and pressured and your blood pressure is on the rise, your body is sending you early warning signals to rearrange your schedule and increase your rest periods in order to protect the health of you and your growing baby. Don’t be afraid to ask family and friends to help with chores or child care. Even better, treat yourself to hired help. And be sure to rest on your side three times a day for 30-60 minutes.

Especially learn to master your reaction to outside stress and relax yourself from the inside, which relaxes your blood vessels and lowers blood pressure. Reduce inner tension and increase feelings of centeredness and calm by focusing all your attention on your breath, simply watching all sensations as you inhale and exhale. Also try regular conscious slow deep breathing and a regular breathwork practice, meditation, and/or progressive muscle relaxation techniques (yoga nidra) for a few minutes several times per day, and certainly before coming to your prenatal appointment to have your blood pressure checked. There are many phone apps like Calm and Breathe to help you establish a regular practice.

Before rising in the morning and going to bed at night, while waiting, in transit, and whenever you feel triggered or stressed, practice the any of the following calming breathing exercises: 

3-Part Breathing 

1. Exhale slowly through your mouth with an audible sigh while consciously releasing any and all muscle tension.

2. Imaging a pump expanding your abdomen and lower back as you breathe down deep into your belly.

3. Allow ribs to expand with air, then inhale air into your upper chest towards your collarbone and shoulders 

4. Inhale in this way for a count of 4.

5. Hold for a count of 4 while staying relaxed.

6. Exhale slowly through your mouth for a count of 4, releasing in the same order as the inhale, collapsing/returning to baseline, your abdomen, ribs, then upper chest. This is the ideal form of breathing, as opposed to rapid shallow breathing. With each exhale, let go and relax more. 

7. Repeat this cycle a total of 8 times or for at least a few minutes. 

Once you get the hang of it, play with various types of breathing. Try several minutes of inhaling and exhaling, each to a count of 3, 4, 5 or 6 without the hold, keeping it smooth and even. Then double the length of exhalation. For example, so if you inhale to a count of 3, then exhale to a count of 6.

Box Breathing

To try box breathing, inhale to a count of 3, hold for a count of 6, exhale for a count of 6, hold for a count of 3. Repeat for several minutes. You can also play with ratios, for example:

1. Exhale slowly through your mouth with an audible sigh, while relaxing all muscle tension.

2. Inhale slowly through your nose for a count of 4.

3. Hold for a count of 7 .

4. Exhale slowly through your mouth for a count of 8, releasing and letting go more each time.

5. Repeat this for a total of 8 cycles.

Forced Exhalation

Another great breathwork technique that disengages your conscious attention from thought and relaxes the nervous system is forced exhalation. To do this, after a normal breath try squeezing as much air out as possible using your intercostal muscles in your chest. Then, allow your breath to come in naturally and deeply, but automatically. Repeat the cycle for at least several minutes or as long as you would like. 

These breathwork techniques are simple to do, health enhancing, totally safe, and without side effects. They are all natural tranquilizers, especially if you do it often. If you need more personal guidance, schedule a session with me. 

Life is stressful and always has been, and eliminating all outside stress is not an option. But, you can learn to activate your own relaxation response and quiet your nervous system. Not only with breath awareness, breathwork and relaxation techniques, but also by making a conscious effort to be aware of anxiety-provoking, tension-causing thought patterns that are not serving you. Try to stop them or shift your attention to something more positive and ultimately change your mental state. You have the capability to change your attitude and reaction to your life experiences to more health enhancing responses. For example, you can surrender to and totally accept unpleasant events over which you have no power. You can view them as a wake-up call, an opportunity for personal growth and redirection. Try to focus as much of your attention as possible on the present moment, literally without letting your thoughts wander into the past or imagined future. 

For more information about this and other great ways to improve your physical and mental health and well being, read Natural Health, Natural Medicine by Dr. Andrew Weil,  Practicing the Power of Now by Eckhart Tolle, and Prescriptions for Living by Bernie Siegel.

Avoid things and people that agitate your mind and raise your internal tension. Surround yourself as much as possible with calm centered people, things, sounds and places that inspire, relax and restore you to inner peace and safety. For many, this means being around nature or beautiful art and soothing music.

Make a conscious effort to work on increasing your own feelings of forgiveness, appreciation, love, joy, optimism, and healing, while letting go of anger, resentment, envy, fear, sadness, and negativity. Do not be afraid to seek counseling if you need help with this. 

Do more of what you love, and figure out how to make chores more fun (like doing them while dancing to music or with a friend).

Natural Remedies for High Blood Pressure in Pregnancy

Once you have been diagnosed as having pregnancy induced hypertension (PIH), you will get lots of extra attention in the interest of monitoring how mild or serious your condition is and to protect the health of you and your baby. You will be asked to go to your provider’s office more frequently to check your blood pressure and the baby’s heartbeat, as well as to check for excess swelling, protein in the urine and labs that signal developing complications like preeclampsia.

Periodically take your blood pressure in your own home when you feel relaxed and secure. You can buy an easy to use digital blood pressure monitor. Sometimes, there is an artificial elevation in blood pressure in the office due to anxiety about being examined and having your blood pressure reading be too high.

Continue to use the preventative suggestions, but increase the amount of time you are resting on your side to as much as possible. Depending on your individual situation, you may need to maintain strict bed rest on your side all day – this means no housework or errands – but often this is not necessary. 

Increase the frequency and duration of your breathing and relaxation exercises. Visualize your blood vessels dilating for 5 minutes several times daily, while thinking that your blood pressure is now normal.

Watch comedy. Laughter is extremely healing, reducing internal stress reflected in lower blood pressure.

Be in tune with your baby’s movements. Make sure you count at least 10 moves in 1 hour during the times your baby is most active, which is usually after you eat and when resting.

Take biofeedback training to lower your blood pressure.

Take several warm baths daily with Epsom salts and a few sprinkled drops of the essential oil of Lavender.

TIME TO CONSIDER SUPPLEMENTATION

Reputable brands of the supplements and herbs I recommend include Innate Response, Wish Garden, Gaia, Herb Pharm, Wise Woman Herbals, Pure Encapsulations and Eclectic Institute, or any of those in my online holistic apothecary.

Again, if you aren’t already taking a natural prenatal vitamin and mineral supplement, now is the time to start. Also consider additional calcium and magnesium. Take 500 mg of each in the morning, afternoon and at bedtime. If you experience loose stools, you can experiment with skipping the magnesium dose in the morning. 

Eat more potassium-rich foods found in most fresh fruits and vegetables, for example starchy roots, potatoes, dark leafy greens, bananas, oranges and cream of tartar. And daily take 1000-2000 mg vitamin C up until 36 weeks gestation, then reduce to 500 mg. Also take 400 IU vitamin E and 2-3 mg methyl folate to boost your antioxidants.

Make sure to take at least 300-400 mg DHA/EPA Omega 3 essential fatty acids found in fish oil twice daily. You can take a vegetarian source, but they aren’t as ideal. However, some benefit can be derived from eating 2 Tbsp ground flax seed every day. You can add it to your cereal, salad, baked goods or yogurt. Alternatives are 1000 mg of flaxseed oil taken in capsule form or using 1 Tbsp of uncooked flax oil in your salad or other cold foods twice daily, 500 mg black currant or evening primrose oil each day. 

Eat a bulb of fresh garlic daily. You can make it delicious by roasting or sautéing the whole cloves in olive oil, salt, pepper and a dash of parsley. If you prefer raw garlic, eat 2-4 cloves twice daily crushed into your salad or cut and swallow as a pill with a spoon of honey and a glass of water or citrus juice, which minimizes garlic breath and stomach upset. Another option is to take New Chapter’s Garlicforce 2-8 capsules daily. Infuse your olive oil with garlic, by soaking all cloves from a bulb in 1 cup of olive oil for a few days for delicious and health enhancing meals, used on salads, veggies, beans, sprouted whole grain breads and pastas.

Eat more onions, parsley, fresh beet juice, cucumber and its juice, watermelon and turmeric. Renowned herbalist Susan Weed advises drinking a mixture of the juice of ½ lemon or lime with 2 tsps cream of tartar and ½ cup water once daily for three days. 

Prepare your own herbal infusion:

• Steep up to 1 large handful of dried nettle leaf and/or red raspberry leaf, and dandelion root  in a quart of boiling water for at least 4 hours. 

• Strain in a glass mason jar, and drink several times throughout the day. 

• You can add a splash of lemon or lime juice, fresh mint, or a dash of honey to taste. 

• Drink 2 cups daily.

Take 1-2 dropperfuls of tinctures of passionflower, skullcap, and lavender 1-3 times per day, especially if your increased blood pressure is due to stress and anxiety. Alternately, passionflower capsules can be taken as directed, 2 twice daily. 

Drink Hops tea before bed during the last few months of pregnancy.

If you are interested in more healing herbs specific to your situation, you can take Dandelion (a natural diuretic) and Hawthorn berry (a natural vasodilator). The herbs should ideally be supercritical or encapsulated freeze dried extracts. Take 1-2 capsules of each 2-4 times per day or 1 dropperful of each liquid tincture of Dandelion and Hawthorn Berry 2-3 times per day.  

Herbalist, midwife and physician Dr. Aviva Romm in The Natural Pregnancy Book recommends adding equal parts Cramp Bark, Black Cohosh, and Motherwort after the first trimester, as they relax the nerves and muscles, and dilate the peripheral blood vessels, thereby reducing high blood pressure. Take a dropperful of each tincture up to a few times daily as needed, depending on your blood pressure. But stop if you feel a pattern of preterm contractions (4 per hour or every ten minutes before 37 weeks). She also advises mixing together the following herbal tonic tinctures to support the liver and kidneys, especially to prevent worsening preeclampsia, and taking 1 tsp of the mixture 1-2 times daily: 

• 3 tsp each nettle leaf, schisandra, American ginseng, dandelion root, burdock root

• 1 ½ tsp each passionflower and linden 

For those with any sort of chronic high blood pressure in which serious causes have been ruled out and none of the natural and allopathic remedies help, consider reading the book The Mindbody Prescription By Dr John Sarno, MD. He is an amazing pioneering physician whose brilliant approach has helped hundreds of thousands of people without drugs, physical measure or surgery, and using breathwork, to release stress and past trauma energy while transforming health in a deeper way. Also check out Brandon Bays’ book The Journey, and her website for intensive workshops that are extremely effective mindbody cutting edge methods that have also lead to transformational healing for thousands of people around the world.

If you need more personal guidance, schedule a consultation with me.

Call your provider immediately if you have any of the following symptoms: sudden severe swelling of your feet, legs, hands or face, a severe headache or pain in your upper abdomen or uterus, spots in front of your eyes or blurry vision, dizziness or light-headedness, vaginal bleeding, a sense that your baby is moving less than usual, regular contractions, or your water breaks. 

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