mindful pregnancy

Pain During Pregnancy: Pelvic Area, Groin, Legs and Back

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Pain During Pregnancy: Pelvic Area, Groin, Legs and Back

Experiencing pain is humbling, and it can be a chance for personal growth. It can be an opportunity to practice techniques that will help with labor, birth and life beyond. Techniques like breathing, mindfulness, befriending and relaxing into intense sensations. Prevalent societal attitudes that include fear, numbing, medicating or escaping symptoms of discomfort as opposed to being with them, surrendering, welcoming, honoring them, listening to and finding meaning and beneficial purpose in their messages. Pain provides a chance to learn patience, acceptance of normal bodily changes associated with pregnancy, and how to prioritize, delegate, let go of activities of overwork or those that create increased stress, and allow others to help.

For pregnancy related aches and pains in the groin, back, or legs, it is recommended that you consult a reputable chiropractor or osteopath who can successfully relieve strained muscles and correct a spine or pelvis that is out of alignment. Other helpful professionals include a massage therapist (especially deep tissue, shiatsu, rolfing and Thai) who can do wonders to release tightened painful or aching muscles in spasm , a homeopath who can suggest a safe natural remedy to effectively treat your specific symptoms, or an acupuncturist skilled at directing needles on the trigger points. Therapeutic yoga can be helpful to reduce tension, increase strength and flexibility of responsible muscles,

Pain in the Groin

Sharp but short lived pain in the groin area that can sometimes travel down into the legs is either related to the stretching of the round ligaments that hold and support your growing uterus within your abdomen, or to the pressure of the uterus or baby on local nerves. This sort of pain usually occurs while walking or movement, and can be enough to stop you in your tracks.

For relief from round ligament pain, stop to rest, bend your knees onto your abdomen while lying down, or get on your hands and knees and rock your pelvis inward and outward. Take a very warm bath with Epsom Salts and a few drops of Lavender or Olbas herbal combination, followed by applying Tiger Balm then a hot or cold pack, or heating pad.

To minimize strain on these ligaments: 

  • Take frequent breaks

  • Use full body or pregnancy pillows under your uterus and between your legs when lying down on your side

  • Roll on your side, transition through your hands and knees to use your arm, leg and core muscles when getting up from a supine position

  • Apply gentle pressure to the area when laughing, coughing, or sneezing

  • Consider wearing a maternity support garment -like Bellefit’s prenatal support wear.

  • Practice your kegel (those you use to stop the flow of urine) or even more comprehensive and effective, yoga mula bandha or root lock exercises, daily to strengthen your pelvic floor muscles that help support your uterus. Get out your yoga mat and do a modified bridge pose, supporting your sacrum on a yoga block. In this position it is easy to practice your mula bandha, by placing another yoga block between your thighs. While inhaling, tilt your pelvis up toward your face as you slowly squeeze the block and draw your entire pelvic floor upward and inward, starting from its center. Hold as long as is comfortable, then release and return to resting your sacrum on the block as you exhale. Let the breathing be smooth, relaxed and deep as you do this. It takes practice but you will get it. Start with 25 twice per day, and work up to 50 twice per day. Once you get the hang of it, you can do it in many positions, anywhere, anytime. You will also notice other benefits like easier birthing, reduced tearing, less urinary incontinence, better sex, improved exercise performance and yoga practice, and if done on a deeper level, enhanced overall well-being. 

Back Pain

High backache in pregnancy is related to breast enlargement and heaviness, which may produce strain in compensating back muscles, especially if your breasts are not well supported. Wear a well-fitting, comfortable and supportive wire free maternity bra that lifts your breasts upward and inward. Do shoulder rolls and arm exercises that tighten and release your upper back muscles, and get a regular back massage.

Aches and pains in the lower back are related to several factors: 

  • Pressure of your growing uterus or baby on the nerves

  • Stretching of the ligaments that connect the sides of the enlarging uterus to the lower back

  • Hormonal relaxation and increased mobility of your joints, especially in the pelvis

  • The shift in the center of gravity from your expanding belly, which leads your pelvis to tilt forward and your back to arch, straining the back muscles

The problem is made worse by excessive weight gain, prolonged walking or standing, frequent bending or lifting with poor posture and improper body mechanics, ill fitting or high heeled shoes, and weak or separated abdominal muscles or weak back muscles. Wear Bellefit’s prenatal support wear, or try Baby Hugger for more extensive support. They provide wonderful relief of lower abdominal pressure and aching back from weak or stretched abdominal muscles after several pregnancies. It is also helpful for Diastasis Recti.

Diastasis Recti (belly muscle separation) can sometimes cause back pain. More significantly, it can impact pregnancies as lax abdominal muscles do a poor job of supporting the uterus. Sometimes this causes the baby to take on a suboptimal position. This is a normal physiologic separation that takes place during pregnancy for most women. The effort made to correct it postpartum is mostly cosmetic as there are rarely any major medical issues associated with mild separation, especially when the separation is less than 3 finger widths. You can certainly do yoga and can learn corrective exercises to strengthen these muscles as well as bring them together. 

Sciatica pain is caused by pressure of the enlarging uterus or baby on nerves that pass through the lower spine into the legs. This pain can travel from the back or thigh all the way down to the feet or toes. It can be severe and associated with other strange sensations like tingling or numbness.

REMEDIES

Watch your weight gain. Remember, under normal circumstances, you only need to gain 3-6 pounds during the first trimester and ½-1 pound per week thereafter, for a grand total of 25-35 pounds. The following strategies should be sufficient to maintain ideal weight throughout your pregnancy:

  • Regular moderate exercise (like brisk walking, cycling, swimming or dancing) for at least 30 minutes 5 days per week.

  • Practicing yoga postures modified for pregnancy, aimed specifically to help with your specific location of pain. Good examples are spinal twists, hamstring stretches and hip openers for sciatica; or down dog, forward bends, cat/cow, puppy, bridge, plank, triangle, sphinx, cobra, thread the needle and spinal twists to stretch and strengthen lower back. 

  • A healthy diet high in fresh organic fruits, vegetables, whole grains, nuts, beans, seeds, tempeh, whole organic eggs, beef, chicken or turkey, wild Alaskan salmon, and whole fresh raw goat or sheep dairy.

  • Reduced intake of sugar, white flour, refined vegetable oils and partially hydrogenated fat, refined processed and deep fried foods.

  • Consumption of at least 64 ounces of filtered, spring or well water daily, between meals (at least 20-30 minutes before or 2 hours after eating).

Make sure you are eating enough calcium (found in whole dairy foods—ideally goat or sheep, sardines, wild caught salmon, ground sesame seeds/tahini, and dark green leafy vegetables excluding spinach) and magnesium (abundant in fresh green vegetables, apples, wheat germ, seeds, and nuts). You also need sufficient vitamin C, D, E , and B complex easily absorbed from a well-balanced whole food diet as well as natural prenatal supplements to provide needed nourishment not obtained by food alone. If you have inflammation, especially if your pain is more chronic, you may benefit from anti inflammatory diet and supplements adapted for pregnancy. Load up on the tumeric in your cooking!

BETTER BODY MECHANICS FOR PAIN REDUCTION

Know your pregnant body’s limits and pay attention to what your symptoms are telling you. Take frequent breaks or rest periods if you need to be on your feet for prolonged periods of time. Cut down on nonessential burdens in your life and be clear about your priorities. It is OK to say “no” or to leave the housework, pile of papers and long ‘to-do’ list for tomorrow, or better let most of it go, and/or delegate to someone else. Don’t be afraid to ask family or friends to help with chores or child care, or treat yourself to hired help and healthy take-out meals.

Avoid fatigue by making sure you are getting extra needed sleep by going to bed earlier, sleeping later, or taking naps. Rest on a firm supportive mattress or use a bed board, and sleep with pillows positioned to straighten your back and alleviate strain or pulling. Some women find the floor or a futon helpful. Use full body or pregnancy pillows for additional support.

Pay deliberate attention to your posture, especially when standing or walking, by lifting your abdomen up and in (bringing pelvic bone towards breast bone and using your muscles to corset your ribs inward), tucking your pelvis slightly up and in to minimize the arch in your lower back, and relaxing your shoulders down. Even when sitting, take care not to slump by using your abdominal muscles to lift up and keep your back straight. Sit on harder, more supportive chairs. Even better, ditch chairs and squat with your pelvis supported on a yoga block or your heels supported by a wedged yoga blanket. Use an ergonomic work station or standing desk, resting alternate feet on a foot stool while standing for extra relief on your back muscles. The foot stool will also come in handy during labor and life as a mom. 

Walk barefoot while home, and wear supportive, well-fitting comfortable flat or rocker bottom shoes when out. Save the high heels until after the baby.

Avoid heavy lifting. Spread out grocery store purchases into several bags and take more trips carrying a lighter load instead of a heavier one all at once. Better yet, ask for help.

Watch your body mechanics by using your stronger stomach, arm, and leg muscles not your weaker back to lift, pull, or push something. Instead of bending at the waist or lifting abruptly, bend at the knees with a broad base and lift carefully. Instead of reaching for an object, come closer to it. Turn and twist more slowly and with caution. If a particular action feels even a bit uncomfortable, STOP!

Take extra precautions during activities requiring balance and walking on wet, icy or slippery surfaces. Remember your sense of balance is changed, your gait is more awkward and you have an increased tendency to fall. Use a non-skid floor mat in the bath and shower.

If you can not tolerate your usual exercise routine, do regular but more gentle exercise. Take a prenatal dance class, gentle yoga, or a pregnancy exercise class. A good instructor can help you maintain proper posture, and learn how to strengthen your abdominal, back and extremity muscles. Swimming is another option, as it allows you to get great exercise without any weight on your back.

Put on a maternity support garment like Bellefit before you start each day, especially if you were out of shape before the pregnancy or have poor abdominal muscle tone after several children, if you are overweight, carrying a big baby or twins, or on your feet a lot. Many specialty stores stock lightweight maternity girdles with soft elastic fronts and an adjustable belt if you are looking for alternatives.

STRESS REDUCTION FOR PAIN REDUCTION

Emotions greatly influence nerve and muscle interaction. Try to put yourself in a more positive, joyful and calm state by reading uplifting books, watching movies and listening to podcasts that inspire or make you laugh, and spending time with those who bring out your finest moods.

Stress leads to increased muscle tension and pain. Although easier said than done, limit your stress and inner tension, and increase feelings of calm by taking a “healing interval” a few minutes several times each day. Sit quietly with your eyes closed and think and do absolutely nothing, meditate, practice breathwork or pray. Do regular yoga (especially Yin, prenatal, gentle and restorative), practice progressive muscle relaxation techniques (yoga nidra), QiGong, Tai Chi, or take a walk outside in nature. Read these recent blog posts on natural remedies for stress and ways to manage your emotions.

The following breathwork exercises are simple to do and can be done any time and place. For example, while traveling, waiting in line, resting, before rising in the morning and going to bed at night, in the bath, on the toilet, or whenever you feel stressed or triggered. 

When all is otherwise healthy and well, throughout all the exercises, practice embracing, relaxing into and even magnifying intense sensations without the mental story about them. Can you make friends with discomfort and pain, instead of trying to escape, numb or fight it? Is there something that they can teach you? Get curious about all of their details, including the borders or edges, and parts of you that feels good, or does not have unpleasant sensations. Yes there are remedies to help alleviate pain. But you will be amazed how effective this practice is, and how much it will help you to better cope with childbirth, as well as with the pain that is an inevitable part of being human. It is the suffering from the pain that is optional, so you can choose not to suffer.

Sit up straight but comfortably, with your eyes closed, internally keeping your gaze between your eyes, or open and focused on a nonmoving distant object or place. You can do this reclining, as long as you are not likely to fall asleep - the point is to be conscious throughout. While breathing be mindful, and just observe and release any muscle tension working your way slowly from head to toe. Practice Ujjai breathing. Breathe at the pace and depth that feels right for you, but by inhaling through your mouth or nose, directing the breath into the back of your throat which makes a sound like ocean waves (it is a calm, slow, and smooth circular version of gasping on inhale and fogging a mirror on exhale). This is meditation, combined with the benefits of breathwork.

Breath Awareness

Start with being more conscious about your breath, and simply focusing all of your attention on your breathing. Get curious about all the details of your sensations as you inhale and exhale, without trying to change anything. Notice what you are currently seeing, hearing, smelling, feeling, tasting. Just watch without judgment. This brings you to the present and is deliciously relaxing. 

Deep Abdominal Breathing

  1. Exhale slowly with an audible sigh, releasing all muscle tension, especially in your jaw and breathing diaphragm muscle. 

  2. Inhale slowly through your nose for a count of 4. Imagine a pump expanding your abdomen, and lower back, down to your pelvic floor, causing you to inhale. Allow ribs to expand with air, then inhale air into your upper chest towards your collarbone and shoulders.

  3. Exhale slowly through your mouth for a count of 4. Release effortlessly, in the same order you inhaled, returning to baseline, your abdomen, ribs, then upper chest. With each exhalation, try to let go and relax even more.

  4. Repeat this cycle a total of 8 times or at least a few minutes. You may need to play with counts, using a count of 3 or maybe even 5 or 6. But keep the counts of inhale the same as the counts of exhale.  

  5. Then extend, or double the exhale. For example, if you are inhaling to a count or 3, exhale to a count of 6, or if you are inhaling to a count of 4, exhale to a count of 6. And repeat this cycle for several minutes.

Triangle Breathing

Inhale for a count of 3 or 4, exhale to the same count of 3 or 4, then pause for the same count of 3 or 4, while consciously and deeply relaxing your diaphragm muscle of respiration, as well as all other muscles.  Repeat for several cycles or a few minutes.

Box Breathing

Another great breathing technique that disengages your conscious attention from thought and relaxes the nervous system, and can be done any time, is box breathing. With this exercise, you add a timed pause between each inhalation and exhalation. 

  1. Set a timer for 5-10 minutes.  

  2. Inhale deeply into your belly as above for a count of 3.

  3. Hold without tension for a count of 6.

  4. Exhale to a count of 6 while consciously relaxing more and more.

  5. Hold again without tension for a count of 3. 

  6. Repeat until your timer chimes. You may love this so much you will want to do it longer.

Breathing In Varied Ratios

Play with the ratios and counts of inhalation, exhalation and the pauses in between them. For example, exhale slowly through your mouth with an audible sigh. Inhale slowly through your nose for a count of 4, hold for a count of 7, then exhale through your mouth for a count of 8. Repeat for a total of 8 cycles. 

Forced Exhalation Breathing

One more breathing exercise to try is forced exhalation: 

  1. After a normal breath, try squeezing as much air out as possible using your intercostal muscles.

  2. Next, allow the breath to come in naturally and deeply, but automatically. 

  3. Repeat the cycle for several minutes or as long as you like.

See what feels best for you in each situation. Make these sorts of deep breathing and breath awareness practices, meditation and authentic yoga a regular part of your daily routine, even for 20-30 minutes. 

Practice abdominal breathing as much as possible so it becomes habitual. This is the ideal form of breathing, as opposed to rapid shallow breathing. Do this by imagining a pump expanding your abdomen and lower back, which causes you to inhale. The pump then releases effortlessly, which causes you to exhale. Then there is a natural pause until you need to inhale again. 

If you need video instruction, take my breathwork online course.

Don’t hesitate to schedule a session with me if you need more guidance with mastering breathwork and experiencing its transformative power.

Conscious Relaxation

Notice habits of increased muscle tension, especially around your upper back, shoulders, neck, forehead and jaw, and make an effort to release these tightened muscles while doing slow deep abdominal breathing. Ask someone to massage these areas or treat yourself to regular massage therapy.

It would be very beneficial to you if you could learn how to relax the muscles that are tensing up. It is an essential skill for labor and can be used in any stressful situation. Set aside a 10-15 minute time slot, like during one or two of your “healing intervals,” to focus on releasing all of your muscles:

  1. Get into a comfortable position.

  2. Breathe slowly and deeply while thinking about relaxing each muscle from your head down to your toes.

  3. Visualize feeling heavy and limp like a rag doll, or like your napping dog or cat.

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 with breath work and awareness, meditation, imagery and visualization, progressive muscle relaxation, yoga, and self mastery over your thoughts and reactions to difficulties.

Minimize time online, especially addictive stressful apps, social media and computer games.Try to stay away from things, sounds and people that agitate your mind and raise your internal tension, and instead surround yourself as much as possible with calm centered people, things and sounds that inspire, relax and restore you to inner peace and serenity. 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.

Become conscious of anxiety provoking, tension causing thought patterns that are not serving you, and literally stop them. Shift your attention to something more positive like slow deep breathing, and ultimately change your inner mental state. You have the ability to alter your attitude and reaction to stressful life experiences with more health enhancing responses. For example, you can surrender to and totally accept unpleasant events over which you have no power, or you can view them as a wake-up call, an opportunity for personal growth and redirection. And you can always try to focus as much attention as possible on the present moment, literally without letting your thoughts wander into magnified past or imagined future.

For more information about this and other great ways to improve your physical and emotional well-being, read Natural Health, Natural Medicine by Dr. Andrew Weil, Practicing the Power Of  Now by Eckhart Tolle, Loving What Is by Byron Katie, and Prescriptions for Living by Dr. Bernie Siegel.

While it is not only helpful to express your troubling feelings to a sympathetic trained ear, it is  more effective to move these emotions through your body with Femme, Ecstatic Dance or Journey Dance and release them through conscious connected breathing type of breathwork. It is also critical to develop skills of self-mastery and empowerment.

HOME REMEDIES

Reputable brands of the supplements and remedies 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.

When your back hurts, allow time to rest and get into a position that eases the pain. Some women find stretching or pelvic rocking helpful. Take slow deep breaths in through your nose and out through your mouth, and focus on releasing your tense muscles head to toe. Most often pain from muscle spasms heals with rest, excellent self care and time.

One of the most pleasant ways to relieve backache is a massage to the painful area, with arnica oil, mixed with a dropperful each of St John’s wort topical oil, cramp bark and lobelia tinctures. Massage the mixture lovingly into your deep muscle, ligament and joint aches and strains. Try any of the following and regularly use what works best for you: Essential oils of Ginger, Juniper, Cinnamon, Lavender, Marjoram, Chamomile, Lemon Balm/Melissa, Wintergreen, Spearmint or Rosemary can be diluted within it, alone or in combination. You can also apply Comfrey ointment, rubs of Tiger Balm, or Olbas herbal combination. Chinese herbal Zheng Gu Shui can also help, or any product that contains these soothing herbs. 

After the massage, apply locally a  hot or cold pack, heating pad, hot water bottle, herbal infused hot or cold pack, or try moist heat using a hot damp towel or packs from a hydrocollator (what the professional chiropractors, massage and physical therapists use). Take a hot shower or soak in a very warm Epsom Salts bath for ½ hour with a few drops of any of the above essential oils or add a wonderful Swiss Olbas herbal combination.

Some find that ice packs or cool compresses helps to relieve the pain, especially during the first 24 hours after an injury. For acute spasm and inflammation of your back muscles, apply an ice pack off and on for the first 12-24 hours. Once the pain begins to subside, apply moist heat. Complete rest in positions that feel best are essential for the first 1-2 days. Sometimes the only tolerable position is lying flat on your back on the floor with your buttocks up against a bed or chair and your legs raised at a right angle with your calves resting on the mattress or seat, or lying flat on your yoga mat in Legs Up The Wall, Viparita Karini. Props like yoga blankets, bolsters or blocks make postures more accessible, passive, comfortable and restorative. In this case, use them to support your lower back and head, and elevate your hips. Legs Up The Wall is done lying down flat on your back with your buttocks all the way to the wall, or elevated on a folded yoga blanket, bolster or block. Let your legs rest straight up the wall for 10-20 minutes. It is also a great opportunity for practicing quiet meditation, focusing on slow deep breathing and inner gazing between your eyebrows. A lavender infused eye pillow adds to the yummy relaxation effect.

Use a TENS unit, which relieves back pain of pregnancy, and can also help in labor.

Take a dropperful of Cramp Bark tincture every hour x 4, then 2-4 times per day for no more than a 1-2 weeks, and 1-2 dropperfuls each of St. John’s Wort and Skullcap tinctures 1-3 times daily for several weeks. You can also take Ginger to reduce inflammation and pain 500-1000 mg once or twice per day until you feel better. Place 4-5 pellets of homeopathic Arnica 30c under your tongue every hour while awake, every few hours the next day, then 3-4 times per day for a week. Discontinue topical BenGay or Tiger Balm, if it lessens the effect of your homeopathic remedy. 

Chamomile, Lavender or Lemon Balm tea are good options for relaxation and helping to soothe tension related pain.

It is currently considered medically OK to take an occasional dose of acetaminophen (Tylenol), or an occasional ibuprofen (Advil) in the first or second trimester only. But it really is less toxic to avoid these medications which are not as benign as we have been led to believe. Do avoid other drugs before consulting with your practitioner, since many are not safe for use during pregnancy (including aspirin, certain muscle relaxants, and anti-inflammatory medications). Instead, try a turmeric latte for its inflammatory benefits, and Curcumin (turmeric) is researched as being as effective as many common over the counter analgesics.

Avoid hot tubs and whirlpools because getting your body to such high temperatures without allowing you to sweat to cool your body down may not be safe for the baby. 

For SPD (Symphysis Pubis Dysfunction):

This can happen when the ligaments and joints connecting the bones of the pelvis become so lax that the pelvic bones go easily out of alignment. It can create very intense pain, especially in the pubic area, and a sense that the pelvic bones are breaking apart even though this is extremely rare and they are really not.  

Typical general advice usually given to women includes avoiding activities like strenuous exercise, prolonged standing, vacuum cleaning, stretching exercises and squatting. Women are also frequently advised to: 

  • Have regular chiropractic or osteopathic care.

  • Brace the pelvic floor muscles before performing any activity that might cause pain using your mula bandha (yoga root lock), and stabilize your pelvic bones with a support belt or belly band. You can also use a belly support garment called Baby Hugger, which uses straps and Velcro over the shoulders and under the belly to use the shoulders to assist in carrying the weight of the baby. This prevents the baby from resting entirely on the pelvis. I joke that the Baby Hugger is Industrial Grade Lingerie, especially when paired with thigh high compression stockings, but I can attest it is helpful for SP pain.

  • Rest the pelvis.

  • Sit down for tasks where possible.

  • Avoid lifting and carrying. 

  • Avoid stepping over things. 

  • Bend the knees and keep the legs 'glued together' when turning in bed and getting in and out of bed. 

  • Place a pillow between the legs when in bed or resting. 

  • Avoid twisting movements of the body. 

  • Avoid straddle movements especially when weight bearing. 

  • When rolling over in bed, go belly DOWN, not UP. 

The sign I look for that means there is a true separation and not just inflammation and pain (tenderness to touch) is walking backwards is easier than walking forwards. 

If the pain is very severe, you may benefit from physical therapy. Using elbow crutches will help take the weight off the pelvis and assist with mobility. Alternatively, for more extreme cases a wheelchair may be considered advisable. 

It is usually recommended that women with SPD give birth in an upright position, with knees slightly apart, and it is often suggested that a woman tie a ribbon to both legs to ensure that the gap never exceeds her maximum comfort zone. 

Practices such as placing the feet on the provider’s hips during delivery, stirrups, and interventions such as forceps should be avoided in the delivery room if at all possible, as they can strain ligaments further and cause long term problems. If stirrups must be used, for example during suturing, great care must be taken to move the legs in symmetry, maneuvering them gently into position.

It doesn't always get worse with birth, so I have learned not to be fearful about it and to use hands/knees, side-lying with knees together or upright. Avoid squatting, lunging and pushing on one’s back.

For those with any sort of chronic musculoskeletal pain in which serious causes have been ruled out and none of the natural or allopathic remedies help, get to the root cause and avoid getting dependent on pharmaceuticals and surgery unless absolutely necessary. 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. 

To 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.

As always, if you need more guidance, schedule a consultation with me.

Remember that not all aches and pains can be blamed on pregnancy. Consult your practitioner if:

  • The above suggestions do not help.

  • The pain is different than usual, or is severe, persistent, or continuous.

  • Pain is associated with other unusual symptoms like fever, chills, changes in bowel or bladder habits, vaginal bleeding or leaking of water-like fluid.

  • You experience regular pelvic pressure, uterine hardening or cramping.

  • You have a local area of increased pain, redness, swelling, and redness on your leg.

  • Normal movement becomes difficult.

  • You have a history of serious back problems, injury, or surgery.

Prenatal & Mindful Hatha Flow Yoga Class Series Online Course
$147.00

This course has 16 yoga classes plus bonus material:

  • Seven ~ 60-80 minute Prenatal Yoga classes

  • Seven ~ 60-80 minute Mindful Hatha Flow Yoga classes

  • A soothing Gentle Slow Flow Yoga class

  • A Restorative Yoga class for deep relaxation

  • Bonus videos of an hour Live more advanced Vinyasa Class, shorter breaks of yoga anywhere anytime, use of props - like the wall, a chair, yoga blocks, yoga belts, yoga blankets and bolsters to enhance your practice, and practicing with your baby or pet.

The prenatal yoga 7 class series will invite you to grow, strengthen, focus, train and enhance your mind, body, heart and spirit. Discover for yourself the calming, healing and transformative power of yoga - intentional meditative movement with breath. Classes begin with meditation made simple using breathwork, gradual warm up, increasing difficulty as well as yoga play, gentle cool down, and end with restorative practices in deep relaxation. They are slow flowing, with space to explore specific poses but are meant to challenge you. Classes are different each session, with classical fundamental alignment based asana fused with modern postures and their many modifications and varied creative transitions. The classes are taught with modifications for pregnancy, incorporate positions for positively influencing baby’s position and active birthing as well as those to relieve common discomforts in pregnancy. They also are fused with meditative, breathwork and visualization techniques and tools for coping with and easing sensations of labor and birth, which will transform your childbirth experience with regular practice.

The seven classes are there for you to practice a different class each day of the week or according to your own frequency, then start over again from the beginning of the series. Each class ranges from on average 60 minutes to 80 minutes, and they build on each other; following the sequence from class 1 onward is advised if it is your first time taking the series or are a beginning practitioner. Classes are mindful, at a slow safe pace, gentle but challenging, so that you build strength, flexibility & agility. They start with the basics but are for all levels, and beginners too are welcome! If you are not pregnant, you can use the prenatal classes as beginner classes, just modify as needed and use any mention of pregnancy and labor as it pertains to any labor of your own life. The need to relax into intensity and the multiple benefits of yoga practice pertain to everyone. Or simply take the general Mindful Hatha Flow Yoga Class Series online course.

Once you hone your skills, you can take the Mindful Hatha Flow 7 Class Series that follows, doing your own modifications as needed - for pregnancy or wherever you are on your yoga journey, or simply start them after you are recovered postpartum. They also build on one another and can be practiced successively until you are ready to mix and match and create your own classes and practice schedule.

Additional videos are included to enhance your practice with use of the various props, as well as a soothing gentle slow flow class and a restorative yoga class for deep relaxation (great for evening!), shorter breaks of doing it anywhere and anytime, and a live bonus video of a more advanced class.

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Introduction to Clarity Breathwork Online Course
$47.00

Clarity Breathwork is the most empowering, transformative experience I’ve ever been through in my entire life.

Clarity Breathwork uses breath as a powerful medicine, which releases trapped trauma energy, psychic pain and stress that is stored in your body - without having to talk or think much about it.

It is a direct path to more energy and vitality, lasting inner calm and joy, better health and enhanced relationships.

What's Included:

  • Welcome and Overview

  • Breathing Exercises Companion Guide

  • About Clarity Breathwork

  • 15 x Breathing Exercises with step-by-step videos demonstrating each technique

  • BONUS VIDEOS:

    • Introduction to Breathwork Positions

    • Breathwork Positions with Yoga Props.

Add To Cart

Bladder Infection During Pregnancy and Beyond: Natural Remedies

Bladder Infection During Pregnancy and Beyond: Natural Remedies

Bladder infection is one of the most common ailments in all women. Also known as cystitis, lower urinary tract infection, or UTI, it can occur more frequently from bodily changes during pregnancy.

Prevention and prompt treatment of early symptoms are the safest courses, as the untreated infection can spread to the kidneys and then blood stream, and cause serious illness as well as preterm labor. Simple bladder infections can be treated successfully with natural remedies, and thereby avoid overuse of antibiotics and the cycle of multiple antibiotics. 

Early warning signs of a UTI include feeling an urgent and frequent need to urinate but only a little comes out; burning during and after urination; cloudy, odorous or blood tinged urine; pelvic pressure and aching or cramping in the lower abdomen. Some women feel exhausted and unwell, while others do not notice much symptoms at all.

Frequent trips to the bathroom (especially at night) is common in the first and third trimester of pregnancy from the pressure of the growing uterus and baby on the bladder, and isn’t necessarily due to infection.

Other predisposing factors in bladder infection besides pregnancy include:

  • Sexual and hygienic practices that bring bacteria from the bowel towards the urethra

  • Frequent or traumatic sexual intercourse

  • Use of public whirlpool baths or hot tubs

  • Bubble baths

  • Perfumed soaps

  • Use of the contraceptive diaphragm in some susceptible women

  • Coffee and other caffeinated drinks

  • Dehydration

  • Cigarette and alcohol addiction

  • Diabetes

  • Menopause

  • Urinary catheterization

  • Kidney diseases and other illnesses

To Prevent and Treat Bladder Infections

HYDRATION

Drink at least 64 ounces of fluids daily between meals mostly during the day (at least 20-30 minutes before or 2 hours after eating) to dilute the urine and increase the force of flow. Filtered tap or spring water, herbal tea, soup broth, some citrus drinks, and unsweetened cranberry juice is best. The last two help acidify the urine, discouraging bacterial growth.

You can limit intake of fluids and natural diuretics, like juicy fruits and vegetables, during the evening to minimize waking in the middle of the night to urinate. 

In the third trimester, recline on your side for a bit before going to bed. This relieves the pressure of your uterus on the major vessels and thus allows the increased fluid that has been trapped in your lower body during the day to return to the heart and kidneys, allowing you to urinate this additional amount out before sleep.

Urinate as soon as you feel the urge, or at least every 2-3 hours while awake, as bacteria grow more easily in concentrated urine held back.

DIET

Eat a well-balanced whole food diet with lots of:

  • Fresh organic fruits and vegetables

  • Whole grains

  • Nuts, nut butters and milks

  • Seeds and their products like tehina

  • Beans, organic tofu and tempeh

  • Organic whole eggs

  • Turkey and chicken

  • Beef, lamb, and wild game

  • Organic fresh raw whole milk—ideally goat and sheep

  • Wild Alaskan salmon

  • Organic cold expeller pressed extra virgin olive, coconut oil or goat butter as your primary cooking fat

  • Fermented vegetables and products like kombucha and live culture organic yogurt

Avoid highly processed refined white flour sugary foods laden with chemicals and unhealthy refined vegetable oils and partially hydrogenated fats, as they weaken the immune system and are harmful to your health. Also avoid irritants such as alcohol, caffeinated drinks, spicy foods, red and black pepper, food colorings, sugar, cigarettes and alcohol. Make sure to take your vitamin and mineral supplements so you get the needed nourishment not supplied by diet alone.

Reduce stress and strengthen your immunity by following the general steps in a recent blog about natural remedies for the common cold.

HYGIENE

Always wipe from the front (vagina) towards the back (rectum), ideally using plain unscented toilet paper. Wash the rectal area with water and soap or hypoallergenic wipes after a bowel movement until clean. 

Wear all cotton underwear or no underwear and avoid tight synthetic clothing, as bacteria thrive in the moist heat created by this practice. If you need to wear panty hose stockings, use those with a 100% cotton crotch. Likewise, change into dry clothing after swimming and sweat-inducing exercise.

Change sanitary pads and tampons frequently, at least every time you go to the bathroom. Use the organic brands of tampons and/or pads or a menstrual cup instead.

Avoid bubble baths, perfumed soaps and bath oils, as they can change the delicate acid base balance and cause inflammation of the urethra. Even colored toilet paper and certain laundry detergents have been known to aggravate UTIs in sensitive individuals.

Women who get frequent bladder infections and use the diaphragm may need to be fitted for a smaller size or one with a less rigid rim, or switch to a different contraceptive. Some women react to the spermicide used with the diaphragm, as well as with sponges, condoms and foam and may need to consider alternative methods.

Avoid traumatic sexual or anal intercourse and repeated episodes of sex in a short time. Have a tall glass of water before intercourse to dilute and flush out possible bacteria. Urinate and wash with cool water afterwards, as sex may transfer bacteria from the bowel forward towards the urethra (the tube where the urine comes out).

Drink strong Nettle leaf Infusion every day to strengthen the kidneys if you are prone to UTIs. To prepare your own herbal infusion of Nettles:

  1. Steep a handful of the dried herb in a quart of boiling water for at least 4 hours.

  2. Strain to a glass canning jar.

  3. Add a splash of lemon or lime juice, fresh mint leaf or a dash of honey to taste (optional).

  4. Drink 1-3 cups daily. 

At the First Suspicion of a UTI

Reputable brands of the supplements and remedies I recommend below 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.

In addition to upping your hydration, drink 8 fluid ounces of UNSWEETENED cranberry juice every 2 hours, which has been studied to prevent bacteria from adhering to the bladder wall, acidify the urine making it hostile to the causative bacteria, and effectively treat bladder infections. You can make your own by using cranberry juice concentrate diluted in water or other juices to reduce the sour taste, or by adding powdered cranberry as directed to your smoothie, apple sauce, yogurt or oatmeal. OR take encapsulated powdered cranberry 800-900 mg or the studied brand Cranactin 1-2 capsules every 3-4 hours with plenty of water until symptoms resolve. Dr. Aviva Romm reports the most success with a Cranberry-D-Mannose supplement, 2 capsules twice per day. If you are prone to frequent UTIs or are going on a honeymoon get-away weekend with your partner, you can take ½ dose of any of the cranberry supplements daily and drink extra water for prevention.

Take 500–1000 mg of Vitamin C with bioflavonoids every 4-6 hours for 3-5 days or until a few days after you are better, but limit dose to 500 mg daily in the past 36 weeks of pregnancy.

Eat a bulb of fresh garlic cloves daily. You can make it delicious by sautéing them in olive oil, salt, pepper and a dash of parsley. If you prefer raw garlic, eat several cloves twice a day. You can crush it into your salad, or cut it and swallow as a pill. Eating it with parsley reduces the odor. Another wonderful option is to take New Chapter’s Garlicforce, a capsule of mild tasting supercritical fresh organic garlic, 1-2 capsules daily as directed with 8 ounces of water per capsule until the UTI resolves. Garlic is a powerful natural antibiotic that safely kills unwanted germs while preserving flora that normally resides in the body.

To boost your immunity, fight infection and reduce inflammation, take Gaia’s Echinacea Supreme, 1-2 dropperfuls in juice or water every few hours, and then three times daily for a week after your symptoms resolve. 

Take Marshmallow Root as directed if you need to soothe the pain of inflammation in your urinary tract. 

Drink even more fluids (up to 14 glasses a day, or a glass of water every ½ to 1 hour) to further dilute the bacteria and flush them out. Try drinking 2 tablespoons of apple cider vinegar with juice 3 times daily to acidify urine and kill bacteria. 

Drink a cup every half hour of barley water with lemon juice. To make this concoction, simmer a handful of whole barley and cut pieces of one lemon in plenty of water for 40 minutes, strain off and drink daily. 

Take a high colony count mega probiotic (2-4 capsules twice daily until symptoms resolve, then continue with 1-2 capsules per day) to increase the amount of normal bacterial flora to offset the imbalance which created infection. This is especially important if your gut microbiome has been disrupted from antibiotics.

Homeopathic remedies are very safe in pregnancy, and when you get the correct remedy to your particular symptoms, they can help your body to heal quickly and naturally on its own. Start with a common effective remedy like Cantharis 30c; take 3-5 pellets under your tongue every few hours for the first day, but if no relief, you may need a different remedy. An excellent reference is Everybody’s Guide to Homeopathic Medicine by Dr. Stephen Cummings MD and Dana Ullman MPH. If you need more personalized support, consult your professional classical homeopath. You can also drink Weleda’s Sarsaparilla tea at least twice per day.

Take a daily bath or use a sitz bath to direct the healing where it is most needed, and add to the warm water a few drops of essential oils of bergamot, lavender, and/or sandalwood. Use the mixture in your peri-bottle to wash yourself after urination, squirting your genitals towards the back while on the toilet. Both the sitz bath and peri-bottle will come in handy postpartum as well. 

Get extra rest and keep warm with additional clothing or blankets as needed to avoid feeling chilled.

If You Are Passed the First Trimester or are NOT Pregnant

Take a short course of encapsulated extract of Uva Ursi while temporarily stopping the cranberry which blocks its effect. Dosage recommendations are 1-2 capsules, 400-800 mg tablets, or 1 dropperful of liquid tincture 3-4 times per day up to 3-5 days. You can also make your own herbal infusion by adding a handful of the leaves of Uva Ursi to a glass canning jar filled with water, brew for a few hours, strain and drink. Dr. Aviva Romm advises drinking it hot or cold ¼-1 cup every 4 hours, increasing the dose depending on the severity of your symptoms. For bladder pain, spasm, and cramping, she recommends 1-2 dropperfuls each of Cramp Bark and Wild Yam tincture every 2-4 hours the first 24 hours, then every 4-6 hours for the next 24 hours. You can also take oil of Oregano 1 capsule three times daily to treat the infection.

When to Call

Consult your practitioner if you do not notice improvement by 24 hours, and full resolution of symptoms within 3-5 days, after following the above suggestions or if you start to feel ill and develop such symptoms as:

  • High fever

  • Shaking chills

  • Sweats

  • Muscle aches

  • Marked weakness and exhaustion

  • Low back or flank pain

  • Severe abdominal pain

  • Headaches

  • Nausea and vomiting

  • Increased burning pain or persistent blood in the urine

Under these circumstances, you may need antibiotics for a more serious infection. Always contact your practitioner if you feel consistent cramping, contractions, or hardening of the uterus (over 4 per hour), lower back ache or pelvic pressure, or bleeding or fluid leaking from the vagina, as these may be signs of labor.

Healthy nonpregnant women may wait 48 hours of trying the natural remedies before reaching out to a professional, if the burning pain is slight, the frequent urination is mild and there are no other symptoms.

Ideally get a urine culture before treatment, to not only confirm or rule out a urinary tract infection, but also to determine what organism is responsible and what antibiotic it is sensitive to. If you must take antibiotics, take the full course even after you feel better. Eliminate sugar intake and take probiotics, 2 capsules twice daily for a week after your finish the antibiotics, to restore the balance of healthy bacteria in your body, prevent a vaginal yeast infection and minimize stomach upset. And continue to follow the above suggestions.

Do another follow-up urine culture after you complete the natural treatment or prescription medication, and every trimester if you are pregnant or have a history of recurrent UTIs, to make sure the infection has been successfully eradicated and does not recur (which can happen, even though you do not feel symptoms).

As always, if you need more guidance, schedule a consultation with me.

Love Your Birth Course
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I’ve taken everything I’ve learned, trained and supported women with locally for over twenty years in my private practice and I’ve poured all of my love, passion, knowledge and experience into creating something truly special for you ... LOVE YOUR BIRTH!

10 core video modules with 13+ downloadable resources and packed with over 20 new BONUS videos and resources:

  • Health In Pregnancy

  • Preparing The Mind

  • Testing Procedures

  • Anatomy and Physiology

  • Labor Coping Techniques

  • Birth Preferences

  • Guidance For Dads And Partners

  • Postpartum - the 4th trimester

  • Breastfeeding and Newborn Care

  • Meditation, Breathwork, Visualization and Relaxation

    NEW! Over 20 Newly-Added BONUS Videos Where I Answer the Most Common Questions I am Asked, and Discuss Hot Topics Relevant to Your Journey.

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    The videos include discussions about such topics as:

  • What to do when family and friends not supportive of your choices.

  • Supplements in pregnancy.

  • Prenatal yoga.

  • VBAC (Vaginal Birth after Cesarean).

  • Kids at birth.

  • Friends and family at birth.

  • Ideal Candidates for homebirth.

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  • More on the placenta.

  • How to deal when things don’t go as planned, and so much more!

The key to a positive birth, is feeling confident, strong, relaxed, and empowered during the entire process, regardless of the twists and turns it may take.

Photo Credit: Megan Hancock Photography

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Interested in learning yoga? I created online class series for pregnancy and another for all.

Prenatal & Mindful Hatha Flow Yoga Class Series Online Course
$147.00

This course has 16 yoga classes plus bonus material:

  • Seven ~ 60-80 minute Prenatal Yoga classes

  • Seven ~ 60-80 minute Mindful Hatha Flow Yoga classes

  • A soothing Gentle Slow Flow Yoga class

  • A Restorative Yoga class for deep relaxation

  • Bonus videos of an hour Live more advanced Vinyasa Class, shorter breaks of yoga anywhere anytime, use of props - like the wall, a chair, yoga blocks, yoga belts, yoga blankets and bolsters to enhance your practice, and practicing with your baby or pet.

The prenatal yoga 7 class series will invite you to grow, strengthen, focus, train and enhance your mind, body, heart and spirit. Discover for yourself the calming, healing and transformative power of yoga - intentional meditative movement with breath. Classes begin with meditation made simple using breathwork, gradual warm up, increasing difficulty as well as yoga play, gentle cool down, and end with restorative practices in deep relaxation. They are slow flowing, with space to explore specific poses but are meant to challenge you. Classes are different each session, with classical fundamental alignment based asana fused with modern postures and their many modifications and varied creative transitions. The classes are taught with modifications for pregnancy, incorporate positions for positively influencing baby’s position and active birthing as well as those to relieve common discomforts in pregnancy. They also are fused with meditative, breathwork and visualization techniques and tools for coping with and easing sensations of labor and birth, which will transform your childbirth experience with regular practice.

The seven classes are there for you to practice a different class each day of the week or according to your own frequency, then start over again from the beginning of the series. Each class ranges from on average 60 minutes to 80 minutes, and they build on each other; following the sequence from class 1 onward is advised if it is your first time taking the series or are a beginning practitioner. Classes are mindful, at a slow safe pace, gentle but challenging, so that you build strength, flexibility & agility. They start with the basics but are for all levels, and beginners too are welcome! If you are not pregnant, you can use the prenatal classes as beginner classes, just modify as needed and use any mention of pregnancy and labor as it pertains to any labor of your own life. The need to relax into intensity and the multiple benefits of yoga practice pertain to everyone. Or simply take the general Mindful Hatha Flow Yoga Class Series online course.

Once you hone your skills, you can take the Mindful Hatha Flow 7 Class Series that follows, doing your own modifications as needed - for pregnancy or wherever you are on your yoga journey, or simply start them after you are recovered postpartum. They also build on one another and can be practiced successively until you are ready to mix and match and create your own classes and practice schedule.

Additional videos are included to enhance your practice with use of the various props, as well as a soothing gentle slow flow class and a restorative yoga class for deep relaxation (great for evening!), shorter breaks of doing it anywhere and anytime, and a live bonus video of a more advanced class.

Add to Cart
Mindful Hatha Yoga Class Series Online Course
$127.00

This course has 14 yoga classes plus bonus material:

  • Seven ~ 60-80 minute Level 1 Yoga classes

  • Seven ~ 60-80 minute Mindful Hatha Flow Yoga classes, building to Level 2

  • A soothing Gentle Slow Flow Yoga class

  • A Restorative Yoga class for deep relaxation

  • Bonus videos of an hour Live more advanced Vinyasa Class, shorter breaks of yoga anywhere anytime, use of props - like the wall, a chair, yoga blocks, yoga belts, yoga blankets and bolsters to enhance your practice, and practicing with your baby or pet..

The classes are for all people able to take them. Part one of the series will invite you to grow, strengthen, focus, train and enhance your mind, body, heart and spirit. Discover for yourself the calming, healing and transformative power of yoga - intentional meditative movement with breath.

Classes begin with meditation made simple using breathwork, gradual warm up, increasing difficulty as well as yoga play, gentle cool down, and end with restorative practices in deep relaxation. They are slow flowing, with space to explore specific poses but are meant to challenge you. Classes are different each session, with classical fundamental alignment based asana fused with modern postures and their many modifications and varied creative transitions. Classes are taught with modifications as needed. They also are fused with meditative, breathwork and visualization techniques which will transform your experience and life with regular practice.

The classes are there for you to practice a different class each day of the week or according to your own frequency, then start over again from the beginning of the series. Each class ranges from on average 60 minutes to 80 minutes, and they build on each other from Part one to Part two; following the sequence from class 1 onward is advised if it is your first time taking the series or are a beginning practitioner. Classes are mindful, at a slow safe pace, gentle but challenging, so that you build strength, flexibility & agility. They start with the basics but are for all levels of experience, and beginners too are welcome! You can use the initial classes as beginner classes, just modify as needed and use the tools and techniques as they pertain to your own life. The need to relax into intensity and the other multiple benefits of yoga practice pertain to everyone.

Once you hone your skills, you can take the Mindful Hatha Flow Part 2 Class Series that follows, doing your own modifications as needed - for wherever you are on your yoga journey. They also build on one another and can be practiced successively until you are ready to mix and match and create your own classes and practice schedule.

Additional videos are included to enhance your practice with use of the various props, as well as a soothing gentle slow flow class and a restorative yoga class for deep relaxation (great for evening!), shorter breaks of doing it anywhere and anytime, and a live bonus video of a more advanced class.

Add To Cart

Natural Newborn Care

Congratulations! Having a new baby in the house is such an exciting and wonderful blessing. But, it can also be overwhelming, especially if this is your first or if you’re trying new things with this baby. Below are some tips to help guide you through this special time.

Feeding

Breast is best for you and your baby, but it is a learning process.  Allow a few weeks for the both of you to become pros. Get help from your midwife or lactation consultant as soon as possible if you are having difficulty. Some excellent resources are pediatrician Dr. Jack Newman’s website and his international center, as well as kellymom.com. General suggestions to ease the process are:

  • Nurse baby on demand or every 1-½ to 3 hours while you are awake. If the baby has a 4-6 hour stretch in the middle of the night, let baby sleep.

  • If baby is too sleepy to nurse this often in the beginning, try to rouse by  unswaddling and undressing, a diaper change, a gentle back rub, or a cool washcloth on the baby’s forehead.

  • Nurse one side each feeding. Start the next session on the other breast.

  • Alternate feeding positions between side lying, cradle and football hold.

  • Burp baby as needed if appears gassy during and after feeding.

  • Do not give baby glucose water or common formula, especially while you are trying to get the breastfeeding going. Breastmilk alone, including the ‘liquid gold’ initial breast milk colostrum, is adequate nutrition and hydration for at least the first six months when all is well. The water or formula fills up their tiny stomach so they nurse less, which makes you produce less milk, and the bottle’s teat confuses them and can impair their ability to suck on your nipple. If there are issues and you do need to supplement, pumped or donor breast milk from certified mild banks is the choice method of feeding. If you must give formula, go for the organic brands that most closely resemble breast milk. Use a dropper to the side of baby’s mouth, supplemental nursing system or slow flow nipples that are more similar to the breast.

  • Avoid smoking, alcohol and drugs while breastfeeding. Always consult your practitioner before taking any medications or herbal preparation.

  • Limit caffeinated beverages to no more than 1-2 cups per day.

  • To calm a screaming baby that is too upset to nurse, try:

    • Changing the diaper

    • Burping baby

    • Swaddling baby in a blanket

    • Giving baby a warm bath

    • Cradling or cuddling baby close to your chest

    • Rocking

    • Singing

    • Swinging

    • Talking softly to baby

    • Giving baby a gentle back massage

    • Taking baby for a walk or car ride

    • Holding baby in a position that allows application of slight pressure on his or her abdomen

    • If all else fails, give baby to your partner, take 30 minutes, and try again.

Sleeping

Babies sleep about 18 hours per day.  Place your baby on his or her back, or side to sleep, with baby’s back supported by a rolled receiving blanket.

Bowel Movements and Voiding

Babies have greenish-black, sticky stool for the first few days. This is called meconium.  Breastfed babies’ stool will then become golden-yellow, soft, and seedy-looking. Once your full milk comes in and replaces colostrum, your baby will have 1-4 stools and 6-8 wet diapers in a 24 hour period. Change the baby before each feeding to prevent diaper rash. For a reddened diaper area, use homeopathic calendula, zinc oxide or herbal diaper cream, A & D ointment,  Desitin cream plain or with zinc oxide. French green clay is excellent for diaper rashes. Use talcum free baby powder. Place baby on an absorbent pad and allow periods for baby to be diaper free, or read up on elimination communication - training baby to poop and pee on the potty! 

Cord Care

Keep the cord stump dry by folding the front of the baby’s diaper down. Squeeze a saturated cotton ball of alcohol or hydrogen peroxide to the cord stump three times per day to keep it clean. Open a capsule and apply powdered goldenseal herb or herbal combination cord powder around the base. The cord stump should fall off by itself within 8-12 days after the birth. 

General Care

Wash hands before handling the baby.

Bathe baby with mild natural soap and water, and wash the baby’s hair with a gentle tear-free natural shampoo several times per week (ideally every day – they love it).  

After the first 24 hours and the baby’s body temperature stabilizes, dress him according to the temperature as you would dress. 

Best to file than cut long nails with scissors, so baby does not scratch her/himself.   

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Take the baby for a daily outing, but keep the baby away from crowds and people with contagious illnesses.  

Wear your baby. Experiment with a few baby carriers and see which one you and baby like the best.

Add to your collection The Baby Book by William and Martha Sears, as it is a wonderful “must have” comprehensive reference and guidebook to the baby’s first two years of life and virtually every aspect of care.

If you had antibiotics or baby was born by cesarean, take extra precautions to restore baby’s microbiome (healthy balance of flora).

Safety

It is State law and safe practice that babies ride in car seats every time that they travel in a vehicle. 

Always make sure that the baby is not unattended on changing tables, beds or other high places.   

If the baby sleeps in bed with you, make sure baby is in a sleeping pod or baby lounger, and that the bed has a guard rail. Do not keep pillows, stuffed animals or extra blankets in the baby’s sleeping area.

Danger Signs

Contact your pediatrician immediately if:

  • The baby becomes listless, will not nurse, is inconsolable, has high pitched screaming, or behaves in an unusual way.

  • The baby does not urinate within the first 24 hours, or voids less than 6 diapers per day after your milk is in.

  • The baby has no bowel movement for 48 hours, or has more than 10 watery green, foul-smelling diarrhea diapers per day.

  • The cord starts to smell bad or has pus oozing from it and the area around it becomes red and swollen.

  • The baby’s temperature is below 97 degrees or above 99 degrees when taken under the baby’s arm.

  • The whites of the babies eyes become yellow or the skin color becomes a yellow or tan tinge.

  • The baby’s skin turns blue or white, especially the trunk or around the mouth.

  • Projectile vomiting.

For more tips on newborn care and breastfeeding, read my Natural Birth Secrets Book 2nd edition and take my online course. Need more personal guidance? Schedule a consultation with me.  Many of the reputable brands of remedies I recommend are available in my online holistic apothecary.

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For extra support in relieving common aches and pains, wear an abdominal binder. like Bellefit. They make postpartum support girdles that mamas really love. I have a holistic approach to life, including healing after pregnancy and birthing. Nothing replaces abdominal toning and exercise for restoring muscle strength and tone - which I encourage for all mamas as soon as they feel up to it postpartum. Nothing replaces touch, slow deep abdominal breathing, and a 'love your postpartum body' perspective that I promote.  But I have found many mamas simply feel comforted by this support garment, especially early postpartum and temporarily as needed....to be used without forfeiting abdominal toning and strengthening exercise, breathing well and touch. 

I have found Bellefit supportive garments to help like they use belly binding around the world such as in Indonesia. They do aid in early postpartum healing and provide support many mamas feel comforted by. I deal with human beings and the reality is many postpartum mom's struggle with body body image, feel frustrated that getting back to themselves takes longer than expected. Being into holistic health and healing includes being sensitive to real human struggles - the mind, body, heart and soul of each person and their unique situation. Having helped countless women with these issues after having a baby as a midwife, I have found many still love that binding and feel better with this support, and ability to fit into their pre-pregnancy clothes comfortably and sooner than they would if they went through a C-section or natural childbirth recovery without it - especially when they have to dress up and fit into a certain favorite outfit for a special occasion or wedding not long after having a baby.

Have a Great Postpartum Recovery (with a little help from Bellefit)!





Natural Measures for Treatment and Prevention of Headaches

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Natural Measures for Treatment and Prevention of Headaches

Nearly everyone gets a headache at one time or another. In fact, headaches account for more doctor’s visits than any other health condition. The tension headache is the most common variety, which usually begins in the early afternoon or evening, and feels like a steady tight band around your head. The pain can sometimes radiate up your neck and the back of your head.

Headaches are common in pregnancy, as well as before your period, related to the effects of the changing hormones within your body. However, many women claim that pre-existing headaches like migraines often improve when they are pregnant. 

On the rare occasion, a headache can be caused by a serious health problem, especially when persistent, severe, or following an injury. If you are pregnant and developing high blood pressure, a headache could be a sign of a potentially dangerous condition known as preeclampsia, which must be prevented ideally, and addressed promptly by your provider. However, in the majority of cases, a headache signals your body’s reaction to a variety of stresses, such as: 

  • Overwork

  • Emotional upset or worry

  • Muscle tension

  • Too much time on the computer or smart phone

  • Not enough sleep

  • Too much sleep

  • Eye strain

  • Improper posture

  • Teeth grinding

  • Strong sun or bright light

  • Irritating stimulation like too much noise or a strong unpleasant smell

  • Feeling too hot or too cold

  • Stuffy rooms

  • Fluorescent lighting

  • Motion sickness

  • Nasal or sinus congestion

  • Infection

  • Low blood sugar 

  • Poor diet or overeating

  • Sensitivities to certain foods

  • Exposure to toxic substances like tobacco, alcohol, caffeine, certain drugs and medications, chemicals, food preservatives, gases, fumes, insecticides and even household products

Headache Prevention

Minimize time online, especially addictive stressful apps, social media and computer games. Avoid things (like certain agitating movies, blasting hard rock or rap music and the news), and people (like those who are angry, stressed out, negative, down, fearful, critical or demanding) 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 you, cause you to feel at ease, and restore you to inner peace and serenity. For some, this means being around nature, beautiful art, soothing music, or close family and friends.

Learn how to recognize early sensations of emotional and muscular tension so that you can: 

  • Get out of the stressful situation for a few minutes until you are feeling more calm.

  • Do some stretching and exercise activity like dancing to release the built up tension and move emotional energy through the body.

  • Practice slow deep breathing, meditation, QiGong, Tai Chi, yoga (especially Yin, prenatal, gentle and restorative), progressive muscle relaxation techniques (yoga nidra), or prayer.

  • Take a walk outside.

  • Use natural light as much as possible, or lamps and dimmer lighting when indoors when indoors

  • Take a relaxing bath with a few drops of lavender oil.

  • Watch a funny movie or video.

  • Read these recent blog posts on natural remedies for stress and ways to manage your emotions.

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Get in the habit of reducing inner tension and increasing feelings of centeredness and calm by taking a “healing interval” for a few minutes several times each day using any of the above mentioned techniques or the following breathing exercises. They are totally safe, easy, without side effects, and are extremely health-enhancing natural tranquilizers, especially if you do them often. They disengage conscious attention away from thought and outside stimulation and relax your nervous system.

The following breathwork exercises are simple to do and can be done any time and place. For example, while traveling, waiting in line, resting, before rising in the morning and going to bed at night, in the bath, on the toilet, or whenever you feel stressed or triggered. 

Sit up straight but comfortably, with your eyes closed, internally keeping your gaze between your eyes, or open and focused on a nonmoving distant object or place like where the floor meets the wall. While breathing be mindful, and just observe and release any muscle tension working your way slowly from head to toe. This is meditation, combined with the benefits of breathwork.

Breath Awareness

Start with being more conscious about your breath, and simply focusing all of your attention on your breathing. Get curious about all the details of your sensations as you inhale and exhale, without trying to change anything. Notice what you are currently seeing, hearing, smelling, feeling, tasting. Just watch without judgment. This brings you to the present and is deliciously relaxing. 

Deep Abdominal Breathing

  1. Exhale slowly with an audible sigh, releasing all muscle tension, especially in your jaw and breathing diaphragm muscle. 

  2. Inhale slowly through your nose for a count of 4. Imagine a pump expanding your abdomen, and lower back, down to your pelvic floor, causing you to inhale. Allow ribs to expand with air, then inhale air into your upper chest towards your collarbone and shoulders.

  3. Exhale slowly through your mouth for a count of 4. Release effortlessly, in the same order you inhaled, returning to baseline, your abdomen, ribs, then upper chest. With each exhalation, try to let go and relax even more.

  4. Repeat this cycle a total of 8 times or at least a few minutes. You may need to play with counts, using a count of 3 or maybe even 5 or 6. But keep the counts of inhale the same as the counts of exhale.  

  5. Then extend, or double the exhale. For example, if you are inhaling to a count or 3, exhale to a count of 6, or if you are inhaling to a count of 4, exhale to a count of 6. And repeat this cycle for several minutes.

Triangle Breathing

Inhale for a count of 3 or 4, exhale to the same count of 3 or 4, then pause for the same count of 3 or 4, while consciously and deeply relaxing your diaphragm muscle of respiration, as well as all other muscles. Repeat for several cycles or a few minutes.

Box Breathing

Another great breathing technique that disengages your conscious attention from thought and relaxes the nervous system, and can be done any time, is box breathing. With this exercise, you add a timed pause between each inhalation and exhalation. 

  1. Set a timer for 5-10 minutes.  

  2. Inhale deeply into your belly as above for a count of 3.

  3. Hold without tension for a count of 6.

  4. Exhale to a count of 6 while consciously relaxing more and more.

  5. Hold again without tension for a count of 3. 

  6. Repeat until your timer chimes. You may love this so much you will want to do it longer.

Breathing In Varied Ratios

Play with the ratios and counts of inhalation, exhalation and the pausing in between them. For example, exhale slowly through your mouth with an audible sigh. Inhale slowly through your nose for a count of 4, hold for a count of 7, then exhale through your mouth for a count of 8. Repeat for a total of 8 cycles. 

Forced Exhalation Breathing

One more breathing exercise to try is forced exhalation: 

  1. After a normal breath, try squeezing as much air out as possible using your intercostal muscles.

  2. Next, allow the breath to come in naturally and deeply, but automatically. 

  3. Repeat the cycle for several minutes or as long as you like.

See what feels best for you in each situation. Make these sorts of deep breathing and breath awareness practices, meditation and authentic yoga a regular part of your daily routine, even for 20-30 minutes. 

Practice abdominal breathing as much as possible so it becomes habitual. This is the ideal form of breathing, as opposed to rapid shallow breathing. Do this by imagining a pump expanding your abdomen and lower back, which causes you to inhale. The pump then releases effortlessly, which causes you to exhale. Then there is a natural pause until you need to inhale again. 

Don’t hesitate to schedule a session with me if you need more guidance with mastering breathwork and experiencing its transformative power.

Conscious Relaxation

Notice habits of increased muscle tension, especially around your upper back, shoulders, neck, forehead and jaw, and make an effort to release these tightened muscles while doing slow deep abdominal breathing. Ask someone to massage these areas or treat yourself to regular massage therapy.

It would be very beneficial to you if you could learn how to relax the muscles that are tensing up. It is an essential skill for labor and can be used in any stressful situation. Set aside a 10-15 minute time slot, like during one or two of your “healing intervals,” to focus on releasing all of your muscles:

  1. Get into a comfortable position.

  2. Breathe slowly and deeply while thinking about relaxing each muscle from your head down to your toes.

  3. Visualize feeling heavy and limp like a rag doll, or like your napping dog or cat.

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 work 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. And 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, and/or you can view them as a wake-up call, an opportunity for personal growth, development and redirection. You can 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 emotional well-being, read Natural Health, Natural Medicine by Dr. Andrew Weil, Practicing the Power Of  Now by Eckhart Tolle, Loving What Is by Byron Katie, and Prescriptions for Living by Dr. Bernie Siegel.

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. It is helpful to express your worries, resentments, anger, sadness and other troubling feelings with a sympathetic ear, but more effective to move these emotions through your body and release them through conscious connected breathing type of breathwork. It is also critical to develop skills of self-mastery and empowerment.

Additional Self Awareness and Care

Keep a written record of your headaches to increase your own awareness of situations in your life that proceed your headaches, and make needed changes if possible. Sometimes it’s as simple as:

  • Taking a daily nap or just lying down for a few minutes with your eyes closed in a quiet room.

  • Getting a mother’s helper for the afternoon or morning rush.

  • Making sure you don’t forget to eat breakfast or lunch.

  • Deleting foods with monosodium glutamate and other chemical additives in processed foods.

  • Getting some fresh air or moving away from cigarette smoke.

  • Saying “I’m sorry but I can’t help you this time” when you are overworked.

  • Having your eyes checked and getting new glasses.

Notice your posture when standing as well as when sitting. Make sure your back is straight and lifted using your stomach muscles, your pelvis is tilted forward and your shoulders are relaxed and down. Avoid high heels.

If your headaches are related to awkward posture and chronic muscle straining, you may benefit from osteopathy, acupuncture, and/or the Alexander or Rolfing deep massage technique, in addition to regular yoga practice.

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Pay attention to your diet and don’t skip meals, especially if you are pregnant. Make sure you are drinking at least 64 ounces every day of filtered, spring or well water between meals, at least 20–30 minutes before or 2 hours after eating. Eat enough of a variety of healthy, ideally organic, whole foods like:

  • Fresh fruits and vegetables

  • Whole grains

  • Seeds, nuts, nut butters and nut milks

  • Beans, tofu and tempeh

  • Whole organic eggs

  • Wild Alaskan salmon

  • Limited organic chicken and turkey, beef, buffalo, venison, or lamb

  • Fresh organic raw whole dairy - ideally goat or sheep

Make sure you are eating at least 80 grams of protein daily. Use healthy fats like organic cold expeller pressed extra virgin olive oil, coconut oil and butter instead of refined vegetable oils and partially hydrogenated vegetable fat. Limit highly processed refined white flour foods made with lots of chemical additives, unhealthy fat, and sugar. Avoid coffee, even decaffeinated, and all other products with caffeine, like soda, chocolate, and certain over-the-counter medications. Salt your food to taste with quality mineral dense sea salt.  

Small frequent meals that include fat and protein and fresh whole foods are preferable to fewer large binges, to keep your blood sugar stable. If you are eating a carbohydrate like fruit, a starchy vegetable like corn or potatoes, or a grain, make sure to eat it with a protein or fat like nuts, nut butter, meat or dairy, to prevent the rapid rise, then drop in blood sugar that can cause headaches from eating high sugar and white flour foods. Take your prenatal supplements - including fish oil - to ensure you are getting the additional nourishment you need beyond what healthy diet can provide. Make sure to take iron if you are anemic and prevent constipation so that you are having daily bowel movements to release rather than reabsorb toxic waste that can cause headaches, and trigger migraines. 

Get at least 30 minutes of moderate exercise 5 times per week. Brisk walking, dancing, swimming, cycling, and low impact aerobics are all great choices, especially during a healthy pregnancy.

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Ensure you are getting 7-8 hours of sleep if not pregnant. If you are pregnant, aim for more sleep by going to bed earlier and/or waking later, as well as taking a short daily power nap. Even if you can not sleep, laying down in savasana (the yoga corpse pose) focusing on breath and gazing internally between your eyebrows for 20 minutes will do the trick.

Natural Treatment for Headaches

Reputable brands of supplements and remedies I recommend below 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.

SINUS HEADACHE

If your headache is related to a mild infectious illness or the flu, refer to my post on natural remedies and suggestions for treating infections. This includes sinus infection, which is indicated by:

  • A steady pain in your forehead

  • Pain around your eyes and nose

  • Post nasal drip 

  • Cough with thick sometimes yellow or green nasal congestion

In this case, pay particular attention to increasing your fluid intake and liquefying your secretions with a humidifier or vaporizer during sleep, steam inhalation with essential oils, and nasal douching with a Neti Pot. Use plain nasal saline spray. Strengthen your immune system with lifestyle modification, herbs, supplements and homeopathy. At the start of sinus trouble, put hot wet towels over your upper face for 15 minutes 3-4 times per day, eliminate milk and all other dairy products, and avoid smoking. If your sinus headache is triggered by allergies, take stinging nettle herb in capsules or infusion. You can make your own by steeping 1 large handful of dried nettle leaf in a quart of boiling water for at least 4 hours. 

If the natural remedies in the aforementioned post do not help and your symptoms worsen or do not improve, please contact your practitioner. If your sinus headaches are chronic, they may be due to allergies, which are not covered in this handout. However, osteopathy, acupuncture, homeopathy, and mind/body work can be very helpful, as well as working with an integrative or holistic allergist physician.

MIGRAINE HEADACHE

If you get migraine headaches, which are usually felt as one-sided, severe, throbbing pain, often preceded by an “aura” like visual disturbance and associated with nausea and vomiting, as well as intolerance to light, noise and motion (and many other variant symptoms), there are things you can do to prevent them:

  • Eliminate all coffee and caffeinated products during headache-free intervals.

  • Note what else triggers your headaches and avoid them. Common triggers include:

    • Chocolate

    • Red and white wine

    • Strong flavored aged cheese

    • Processed meats with nitrites

    • Fermented foods like soy sauce and miso, especially with monosodium glutamate

    • Sardines, anchovies, and pickled herring 

    • Artificial sweeteners like aspartame

    • Strong synthetic fragrances in perfumes, body care products and incense

    • Certain medications

Keep a headache journal to help you become more aware of what triggers your migraines, what makes them worse and what makes them better, so you can be more aware and empowered to prevent them or treat them most effectively. You may benefit from doing an elimination diet for 3 weeks, to see what common foods might be responsible. 

At the first sign of a migraine, drink 1-2 cups of strong coffee, take 1-2 Advil (only to be used occasionally in the 1st or 2nd trimester of pregnancy) or Aspirin if you are NOT pregnant. Lie down in a dark room focusing on slow deep breathing. For maintenance, Dr. Adrew Weil recommends to take the following daily over 1 ½ - 2 months to notice your response:

  • Magnesium, 500 mg 1-2x/day

  • Calcium, 500 mg 1- 2x/day

  • Vitamin B2 400 mg daily

  • Coenzyme Q 10, 100-150 mg 1-2 x/day

Get biofeedback training to master your autonomic nervous system and increase the temperature of your hands (a wonderful technique you can use to abort an attack). Do hypnotherapy with a trained professional, to go beyond what is conscious and experience effective healing.

If you are NOT pregnant, take Petadolex’s supercritical freeze dried extract of Butterbur, 50-100 mg 1-2 times per day, that is free of toxic PAs, and Feverfew, at least 100-150 mg, with at least 0.2% parthinolides, or a combination formula of these herbs. Dr. Aviva Romm additionally advises trying either Melatonin 3 mg or 5 Hydroxytryptophan 200 mg every day, ideally taken before bed. It may take several weeks to months to notice the full benefit.

Dr. Weil suggests changing the way you think about your migraines: “View them as electrical storms in the head, violent and disruptive, but leading to a calm clear state in the end. Let yourself have a headache once in awhile. Be with your headache, as it’s a good excuse to drop your usual routine and go inward, letting accumulated stress dissipate. As you come to accept them in this way and see them as serving a purpose in your life, you may not have them as often.”

THE OCCASIONAL HEADACHE

To remedy the occasional headache...

Eat a nutritious wholesome snack with complex carbohydrates, protein, and healthy fat.

Get off the computer or smart phone and get some fresh air.

Lie down in a quiet place with your eyes closed, and take a nap if possible.

Apply an iced or warm pack or a cool or warm dampened washcloth to the area that hurts.

Rotate your head slowly and evenly around in each direction, lift your shoulders high and then  lower them.

Massage your aching muscles - especially jaw, neck, shoulders and temples of your head with Tiger Balm alone, or almond oil blended with a few drops of each or any combination of your favorite essential oils of Chamomile, Vanilla, Melissa, Lavender, Rose, Geranium, Frankincense, Jasmine, Marjoram, Basil, Citrus, Sandalwood, Rosemary, Eucalyptus, Peppermint, and/or Neroli. You can also add them to your diffuser, into your relaxing very warm, Epsom Salt bath by candlelight, in a spray bottle to sprinkle in your space, and onto your pillow if needed.  

Try this healing visualization:

  1. Choose a comfortable spot to sit or lay down for at least 15-20 minutes.

  2. Close your eyes and focus internally between your eyebrows. Block out light with a soothing weighted lavender eye pillow, and mute sound with a noise reducing ear muff headset.

  3. Breathe slowly in from your abdomen, expanding your ribs and lungs up to your collarbone to a count of 3 or 4.

  4. Pause, then exhale to a count of 3 or 4 and release all the tension in your body.

  5. Repeat this cycle a few times, each time releasing more with each exhale. 

  6. Imagine the pain and tension melting away down into the ground, or a spiritual light shining on your head filling you with light and releasing all the tension and head discomfort out into the surroundings. 

  7. Then imagine yourself sitting, reclining, walking or floating on a cloud blissfully in your favorite place, where you feel the most joy and relaxed. Really visualize what it is like to be there, use all your senses. 

  8. When you feel calm and more comfortable, hang out there as long as you want.

  9. When ready to return, transition slowly back to a calm alert state of being. 

Visualization is amazingly effective, if you really open your mind, use your imagination, and practice this self-healing skill on a regular basis.

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Drink a relaxing herbal tea with lemon or lime juice, mint or a dash of honey to taste. Repeat as needed throughout the day. Good choices include Chamomile, Lavender, Lemon Balm, Motherwort, Hops, Skullcap, Catnip, and Passionflower.

Helpful herbs include the following. Try one at a time as indicated and see what works best for you. Tinctures are taken best in a small amount of water or followed by juice:

Ginger, especially effective at the earliest sign of a migraine or daily as prevention. Take 1-2 capsules or 1-2 dropperfuls of the tincture once or twice per day.

Passionflower. You can take capsules with at least 0.8% flavonoids, as directed on bottle 2-3 times per day as needed, or 1-2 dropperfuls of tincture 1-2 times (after the first trimester).

Skullcap tincture 1-2 dropperfuls, capsules as directed especially if your headache is keeping you from sleep.

Chamomile tincture 1-2 dropperfuls. 

Lavender Oil can be taken in capsule form or 1-2 dropperfuls of the tincture if not pregnant.

Lemon Balm in one higher dose for sleep, as directed on the bottle, or in lower doses of 200-300 mg early evening and before bed. This can be quite sedating, so take precautions. 

Motherwort  ½ - 1 dropperful of the tincture no more than every 2 hours, or up to 3 times per day for tension headaches, after the first trimester.

Renowned herbalist, midwife and physician Dr. Aviva Romm recommends Jamaican Dogwood tincture, 15-20 drops every 4 hours up to four times for the occasional severe headache, as well as cannabis (if not pregnant or breastfeeding). You can take the CBD from hemp oil, as it is gently calming, and can relieve headaches without the potential risks of the THC component of cannabis on the developing fetus. Results from anecdotal evidence and preliminary research, although sparse (as is common with most natural remedies in pregnancy), are promising. Make sure it is absolutely pure, and from a reputable source who can recommend proper dosing or from pharmacies licensed to dispense it. It is usually taken as several drops under the tongue. 

In The Natural Pregnancy Book, for more severe tension headaches, Dr. Romm suggests St. John’s Wort (½-1 tsp), Black Cohosh (¼ tsp every 4 hours) and Cramp Bark (½  tsp every 4 hours) alone or in combination. She also advises another herbal medley in adjunct, to support liver and digestive functions, for more mild but recurrent headaches: Dandelion root and leaves, Yellow Dock root, Blue vervain (after the first trimester) and Burdock root. Take any of these tinctures up to ½ tsp alone or in combination 3-4 times per day. 

Definitely get osteopath or chiropractor treatment, to gently restore anything out of alignment.

If you are pregnant and nothing else helps, you can take an occasional Tylenol (acetaminophen) 500 mg tablets every four hours until you feel better. But consult your practitioner before taking any other medication, since many products sold over the counter contain substances that are not safe to take during pregnancy (like aspirin or ergot), and their regular use can actually worsen your headaches.

If you are NOT pregnant, you can use over-the counter medications containing ibuprofen, aspirin, or acetaminophen as directed, if the more natural measures are not effective and you do not have any other health problems that would contraindicate their use. But before reaching for these medications, try 1-2 grams of Curcumin (Turmeric) a natural herb studied to be as effective for pain relief than most of these over the counter synthetic analgesics without their associated potential risk of toxicity.

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

Contact your practitioner if your headache is not relieved by these suggestions and:

  • Persists beyond 24 hours

  • Occurs frequently

  • Is getting worse

  • It is unusual for you or severe

  • It occurred after a head trauma or prescribed medication (like birth control pills)

  • It is accompanied by other unusual symptoms such as a stiff neck or high fever, unexplained vomiting, weakness of part of your body or difficulty speaking, lack of coordination, visual disturbances, dizziness, increased swelling around your face, hands or legs, or sudden weight gain (especially if you are pregnant and/or have high blood pressure)

For those with any sort of chronic headache pain in which serious causes have been ruled out and none of the natural or allopathic remedies help, consider reading the book The Mindbody Prescription By Dr John Sarno, MD. He’s an amazing pioneering physician whose brilliant approach has helped hundreds of thousands of people without drugs, physical measure or surgery. To release stress and trauma in the body that may be responsible and transform your health and well-being, do conscious connected type of breathwork, and open to its miraculous effects. Also check out Brandon Bays’ book The Journey, and her website for more information and her intensive workshops. These are extremely effective mindbody cutting edge methods that have also lead to transformational healing for thousands of people around the world.

Insomnia During Pregnancy: Natural Relief

Insomnia during pregnancy is often related to the other various symptoms, aches, pains and worries commonly experienced in pregnancy.

While insomnia is extremely frustrating at night, if you are managing well during the day, you are probably getting enough sleep and should not worry. Your negative moods, fatigue, poor energy, and overall absence of wellness will let you know when this lack of sleep is taking its toll. Stress reduction and maintaining internal calm are crucial for health and well-being as is getting enough sleep, which is just as important, if not more so, than diet and exercise, so make them among your top priorities.

Please consult your integrative practitioner if this has been a chronic problem for you even before pregnancy, as you may suffer from clinical depression or anxiety, hyperthyroidism, chronic high levels of stress, or other health problems that should be evaluated.

Once more serious conditions have been ruled out, try the suggestions below. Also, consider seeking out a classical homeopath, acupuncturist, hypnotherapist, holistic counselor, or breathwork practitioner who can offer wonderfully effective alternatives to dealing with this problem.

Natural Insomnia Prevention

Many foods, drinks and drugs contain stimulating substances that disturb sleep. For example, coffee, tea, chocolate, and soda that contain caffeine, and certain cold, asthma, allergy, pain and psychiatric medications can all keep you awake. Avoid these whenever possible, especially after 4 pm, and ask your provider about alternative prescriptions. Avoid alcohol as well. Aside from its harmful effect on your unborn baby, it may help you fall asleep initially, but can disrupt your sleep cycle, causing early or frequent waking during the night.

Four to five hours before bedtime, depending on the severity of your trouble falling or staying asleep, avoid the following:

  • Large meals

  • Unhealthy vegetable oils, processed and refined foods, gluten and cane sugar

  • Drinking lots of fluids

  • Vigorous exercise

  • Stimulating or upsetting books, movies, or news reports

  • Performing busy work or frustrating tasks

  • Intense conversations or arguments

  • Electronic media

These activities rev up your nervous system, cause inflammation and blood sugar imbalances, make you feel tense, agitated or excited, and thus interfere with sleep. You do need to stay well hydrated by drinking at least 64 ounces of filtered, spring or well water per day between meals (at least 20-30 minutes before or 2 hours after eating), but try to do get most of your hydration during the daytime.

Do not go to bed hungry. Eat high quality protein and fat at dinner, and a bedtime snack before bed like a bowl of gluten free oatmeal with organic nut milk, avocado and egg, apple and nut butter, or a yummy nutrient dense nut/seed crunch or bar.

Shorten your daytime nap to no more than 20 minutes, or awaken earlier if this is the culprit.

Engage in moderate exercise for 30 minutes 5 days per week during the morning or afternoon (such as brisk walking, dancing, swimming, cycling, low impact aerobics). Regular aerobic activity has many health benefits, as well as helping you feel more energized during the day and sleep better at night.

Honor your body’s circadian rhythms, getting up and going to bed around the same time each day. Make sure you get plenty of fresh air and adequate exposure to sunlight. Weather permitting, try to spend at least 30 minutes outside with nature in the early morning or late afternoon sun each day. At night, keep lights dim. This is why people sleep better when camping - so if you need a reset, spend a week vacation camping!

In the evening, avoid prolonged exposure to blue and artificial bright light. Block out blue light with special glasses and if you must be online, download the free app to minimize blue light on your devices. Ideally, your rooms should be lit by no more than a reading light and amber colored fire like light like calming Himalayan salt lamps. During the day, get out in bright natural daytime light. If you can not go outside, use 150-200 watt incandescent bulbs or full spectrum fluorescent lamps that supply 2,500 or more lux (equivalent to 150-200 watts.) Keep the light within 3 feet of where you are sitting.

Minimize the time you are on the computer and smartphone, especially in the evening. Remove them from your bedroom, as you create an environment within it that is a calming haven for rest and sleep. For help breaking addiction to the smartphone, do read How to Break Up With Your Phone: The 30-Day Plan to Take Back Your Life by Catherine Price. Put anti electromagnetic radiation devices, crystals, including those made from genuine shungite or black tourmaline in your bedroom to reduce EMF exposure. Sleep with an EMR protective blanket. Explore additional resources for more information and other practical suggestions to mitigate EMR exposure, especially in pregnancy.

If you like making lists of what you need to do or buy at the store, do your to do lists during the day. The day is a better time to journal your feelings, or even better, move them through your body with music

 
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PREVENTING INSOMNIA THROUGH STRESS REDUCTION

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 with breath awareness and relaxation techniques, thought control, and cutting down on the added burdens in your life. While easier said than done, this is an important time to be clear about your priorities. If you feel overstressed, which is interfering with your ability to sleep at night and then function during the day, your body is sending you a warning signal to rearrange your schedule 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, or even better, treat yourself to hired help and healthy take-out meals. 

Before going to bed at night, as well as before rising in the morning, periodically throughout the day, in transit, while waiting, and whenever you feel stressed, triggered down or upset, practice the following deep abdominal breathing exercise: 

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

  2. Inhale slowly through your nose for a count of 4. Imagine a pump expanding your abdomen, and lower back, down to your pelvic floor, causing you to inhale. Allow ribs to expand with air, then inhale air into your upper chest towards your collarbone and shoulders.

  3. Exhale slowly through your mouth for a count of 4. Release effortlessly, in the same order you inhaled, returning to baseline, your abdomen, ribs, then upper chest. With each exhalation, try to let go and relax even more.

  4. Repeat this cycle a total of 8 times or at least a few minutes. You may need to play with counts, using a count of 3 or maybe even 5 or 6. But keep the counts of inhale the same as the counts of exhale.  

  5. Then extend, or double the exhale. For example, if you are inhaling to a count or 3, exhale to a count of 6, or if you are inhaling to a count of 4, exhale to a count of 6. And repeat this cycle for several minutes.

These are wonderful natural tranquilizers, especially if you do it often. While breathing be mindful, and just observe and release any muscle tension working your way slowly from head to toe, and then notice what you are currently seeing, hearing, smelling, feeling, tasting. Just watch without judgment…this brings you to the present and is deliciously relaxing. When doing this, sit up straight but comfortably, with your eyes closed, internally keeping your gaze between your eyes, or open and focused on a nonmoving distant object or place like where the floor meets the wall. This is meditation, combined with the benefits of breathwork.

Another great breathing technique that disengages your conscious attention from thought and relaxes the nervous system, and can be done any time (like when traveling, waiting in line, resting, bathing, or on the toilet) is box breathing. With this exercise, you add a timed pause between each inhalation and exhalation. 

  1. Set a timer for 5-10 minutes.  

  2. Inhale deeply into your belly as above for a count of 3.

  3. Hold without tension for a count of 6.

  4. Exhale to a count of 6 while consciously relaxing more and more.

  5. Hold again without tension for a count of 3. 

  6. Repeat until your timer chimes. You may love this so much you will want to do it for longer.

One more breathing exercise to try is forced exhalation: 

  1. After a normal breath, try squeezing as much air out as possible using your intercostal muscles.

  2. Next, allow the breath to come in naturally and deeply, but automatically.

  3. Repeat the cycle for several minutes.

These techniques are simple to do, health enhancing, totally safe and without side effects.

Try to stay away from things and people that agitate your mind and raise your internal tension, and instead surround yourself as much as possible with calm centered people, things, sounds and places that inspire, relax and restore you to inner peace and serenity. 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. Most importantly, make a conscious effort to be aware of anxiety provoking, tension causing thought patterns that are not serving you, and to stop them or shift your attention to something more positive and ultimately change your mental state.

You have the ability to change your attitude and reaction to life experiences to more health enhancing responses. For example, you can surrender to, and totally accept unpleasant events over which you have no power, or you can view them as a wake-up call - an opportunity for personal growth and redirection. 

You can always try to focus as much attention as possible on the present moment, literally without letting your thoughts wander into past or imagined future. For more information about this and other great ways to improve your health and well being, read a recent blog on Natural Remedies and Resources for Stress. While it is not only helpful to express your troubling feelings to a sympathetic ear, it is also essential to develop the skills of self mastery and empowerment.

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Reduce inner tension and increase feelings of calm by taking a “healing interval” for a few minutes several times per day to sit quietly with your eyes closed and think and do absolutely nothing, practicing slow deep breathing, meditation, QiGong, Tai Chi, yoga (especially Yin, prenatal, gentle and restorative), or progressive muscle relaxation techniques (yoga nidra).

A popular relaxation technique is to tense your whole body and then relax each muscle one by one, starting at your head and face, then moving downward, ending up visualizing yourself completely calm, relaxed, heavy and limp like a rag doll or your napping dog or cat.

Consider making yoga, breath awareness, conscious breathwork and meditation a regular part of your daily routine, even if just for 20-30 minutes each morning or evening, in addition to the “healing intervals” throughout your day. 

Focus on the moment and what all your senses are telling you, just watching feelings and thoughts come and go without judgement as if they were flowing with the river. Locate the nearest Zen Center (Zen is NOT a religion and does not conflict with any religion), read Marc Lesser’s Book Accomplishing More by Doing Less, or any book by Thich Nhat Hanh, Pema Chodron, or Shunryu Suzuki to learn the basics of mediation and Zen practice.

 

SLEEP HYGIENE

Develop a regular bedtime relaxation routine such as:

  • Gentle stretching

  • Yin, gentle, or restorative yoga - like spending 10 minutes laying down with your legs resting up the wall

  • Meditation 

  • Gentle breathing exercises

  • Soaking in a very warm bath with Epsom Salts and 5-10 drops of your favorite essential oil. 

  • Reading from a boring, soothing or light drama book before bed

  • Recite a calming mantra if needed as you close your eyes

  • Listen to effective audio programs that actually train your body to sleep, using sleep phones.

  • If noise or lights are keeping you awake, use noise canceling headphones and eye mask combined and/or install black out curtains.

You can create a regular winding down and soothing ritual at night before going to bed, combining a few calming and nurturing techniques like preparing a cup of relaxing Chamomile, Lavender or Lemon Balm tea, turning on some soft tranquil music and lighting a candle, while you take a warm bath with a few rose petals or lavender. Follow this by 5-15 minutes of various restorative yoga poses in silence, eyes covered with a lavender infused eye pillow. Don’t forget to pee just before bed. Read a little inspiration and settle into sleep.

High calcium/magnesium and soothing herbs can help, which include nettle, red raspberry leaf, oat straw, and dandelion greens prepared as infusions. To make an infusion:

  1. Combine a handful each of nettle, red raspberry leaf and dandelion with a pinch of oat-straw.

  2. Add mixture to 1 qt boiling water in a glass canning jar.

  3. Cover and steep for 4-8 hours. 

  4. Strain.

  5. Add fresh lime or lemon juice, mint leaves or a dash of honey to taste (optional).

  6. Drink 1-4 cups daily.

You can make a lovely calming infusion for your evening tea, which is more effective than the ready made teas, by mixing a pinch of each dried herb: chamomile, lavender and lemon balm. Add to 1 cup boiling water, steep covered in a glass mason jar for 15-20 minutes, strain, add lemon, fresh mint or honey to taste, and drink. If you are concerned about drinking too much before going to sleep and needing to get up to go to the bathroom, use capsules or tinctures instead.

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Experiment with essential oils, alone or in combination in your bath with Epsom Salts, and see what will best help you sleep. Add 5-10 drops of the essential oils of Chamomile, Vanilla, Lavender, Rose, Geranium, Frankincense, Jasmine, Marjoram, Basil, Citrus, Sandalwood, and/or Neroli to your evening bath, in your diffuser and onto your pillow if needed. Soak for awhile in the bath, and practice your mindfulness. Let the feel, sound and smell of the water and essential oils ease your tension and consciously allow your muscles to release and relax.

Make sure your mattress is comfortable, you have enough pillows and blankets, the noise is minimum, and the light, temperature and ventilation are adjusted to your comfort level. Use natural bedding to minimize toxic exposure that disrupts sleep. Try sleeping on Earthing Grounding sheets. Many have had much success with using a white noise machine, Dream Pad pillow or pillow speaker, which creates soothing sounds that helps promote sleep. Others like the Dream Pad Pillow or pillow speaker, or find that earplugs and an eye mask help to cut out noise and light they can not control. Create a restful environment in your bedroom and keep all of the things that cause you stress (like computer, smartphone, to do lists, unpaid bills, unfinished work or projects) in other rooms. Get a simple alarm clock without light instead of using your phone, and keep it out of your easy reach or vision while in bed. Or use a Sunrise alarm clock with sunset nightlight.

Many sleep better when the room temperature is cool (in the mid 60s degrees) and they are not hot, by adjusting the thermostat, open a window, use a cooling mattress pad topper or Chilipad. Be sure to make your bedroom as dark as possible.

Ideally, go to bed not much later than 10:00 or 11:00 PM and get up at a consistent time each day. Try not to sleep in more than an hour, even on weekends, to keep within your circadian rhythm. The later you go to bed, the more trouble you will have sleeping, even though you are exhausted.

SLEEP SUPPLEMENTS

Reputable brands of the supplements and remedies 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.

Take 500-1000 mg of calcium and/or 500-1000 mg of magnesium before sleep. Natural Calm is a wonderful powdered liquid magnesium. It is important to understand that individual needs will vary. Some individuals will need more Natural Calm than others. Start with 1 teaspoon daily, and increase your dose up to the point of loose stools. This will be the dose you will need to maintain for regular use. The final amount taken could range anywhere from a 1/4 teaspoon to 3-4 teaspoons. This could be taken all at once or split into 2-3 smaller doses throughout the day. If you get diarrhea, it is a sign that you used too high a dose, and you need to cut it back to the point where the diarrhea does not reappear. Also, some feel better using an equal ratio of calcium to magnesium, others do best taking double the amount of calcium than magnesium, or vice versa.

Try homeopathic Calms Forte if your symptoms are related to stress, refer to books like Homeopathy For Pregnancy, Birth and Your Baby’s First Year by Miranda Castro for a remedy specific to your unique symptoms, or consult with a classical homeopath for more personal guidance. Get a flower essence kit and look for a Bach Flower remedy that fits your particular situation, such as White Chestnut if persistent unwanted thoughts or mental arguments are preventing sleep.

Also, you can try fresh creamy milky oat tops. Take 1 dropperful of the tincture of fresh creamy milky oat tops in its most potent form 1-2 times daily, especially effective when taken over time. 

Add a TBS of all natural grass-fed gelatin Collagen Hydrolysate in a little apple sauce or gluten free oatmeal in the evening, or about an hour before bed.

Other herbs helpful for insomnia for occasional use only are listed below. Try each of the natural remedies for a few nights to see what is most effective. If it is going to help, its benefits should show up within a day or two (unless otherwise specified).

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  • If insomnia is related to feelings of internal stress and anxiety, try Passionflower. You can take capsules with at least 0.8% flavonoids, as directed on bottle 2-3 times per day as needed, or 1-2 dropperfuls of tincture 1-2 times before bed (after the first trimester).

  • Motherwort, ½ - 1 dropperful of the tincture in water or juice no more than every 2 hours, or up to 3 times per day in a period of more acute stress.

  • Skullcap, ½ dropperful twice before bedtime with a 15 minute interval.

  • Chamomile tincture, 1-2 dropperfuls before bed. 

  • Lemon Balm in doses 300 mg early evening and before bed. This can be quite sedating, so take precautions, or try lower doses in effective combination formulas.

  • St. John’s Wort, 1 dropperful of tincture or 300-600 mg of capsules at bedtime.

  • Valerian, 2 capsules of standardized extract or one dropperful of the tincture in juice to help with taste a half an hour before you go to bed..

  • CBD from hemp oil. This is the new rage, as it is gently calming, relieves anxiety and helps with sleep without the potential risks of the THC component of cannabis on the developing fetus. Results from anecdotal evidence and preliminary research, although sparse (as is common with most natural remedies in pregnancy), are promising. Make sure it is absolutely pure, and from a reputable source who can recommend proper dosing or from pharmacies licensed to dispense it. It is usually taken as several drops under the tongue every hour or so in the evening a few hours before bed.

When not pregnant, you can try the following and see what works best for you:

  • Encapsulated Lavender oil - 1-2 80 mg capsules an hour before sleep, is as effective as benzodiazepine medications.

  • Hops - If your sleeplessness is related to muscle tension or poor quality, broken light sleep from feeling stressed. Take 2 capsules of freeze dried extract of Hops at bedtime or a dropperful of tincture twice, ½ hour apart, starting an hour before bed for a nice deep sleep. 

  • Ashwagandha - If you feel burned out, overstressed, exhausted but too wired to sleep, dissolve 1-2 tsp of the powder in your smoothie, tea or warm milk for 5-10 minutes 2-3 times per day, or take 2-3 dropperfuls of the tincture twice daily and before sleep, or 2-5 grams of the capsules daily in divided doses. 

  • Rhodiola - As a tonic herb, take 100-200 mg twice daily (an extract standardized to 2-3% rosavins and 0.8-1% salidrosides). This usually improves anxiety and sleep, but needs to be taken more regularly. Obviously stop it if it is too stimulating and worsens insomnia.

  • Magnolia - 200-400 mg an hour before sleep.

  • Reishi mushrooms - 1 gram (2 capsules) an hour before bed.

  • Kava Kava - A few drops up to a dropperfuls of the tincture or 150 -450 mg of the encapsulated liquid capsules before bed can be taken for occasional short term use only. Do not use if you are taking any substance including alcohol or medications that affect the liver, or you have any liver issues. This is one of my favorite herbs for anxiety and/or insomnia from inner stress and is usually well tolerated and very effective.

  • California Poppy - Also for periodic use only, take 1-2 dropperfuls of the tincture before bed.

  • Melatonin - Best for jet lag and after working the night shift, take under the tongue before bedtime starting at 2.5 mg and increasing up to 5 mg if needed.

Another helpful approach is using natural amino acid supplements:

  •  5-HTP (hydroxytryptophan), 50-150 mg before going to sleep or up to 100-300 mg 2-3 times daily if anxious.

  • L-theanine, 100-200 mg twice daily at lunch and bedtime is also very calming.

  • GABA, up to 500 -700 mg, depending on how much you need to get to sleep.

For more information on using amino acids and increasing them naturally in your diet, read The Mood Cure by Julia Ross. Also read The Chemistry of Calm and The Chemistry of Joy by Dr. Henry Emmons for a more detailed and thorough information on the supplements, as well as wonderful suggestions for what really is most effective in the long term: self-relaxation and visualization exercises to deal with stress, quiet the mind, and find a stronger sense of long lasting true happiness.

DURING TIMES OF INSOMNIA

When sleeplessness strikes, don’t worry or fight it. Instead, try forcing yourself to stay awake with your eyes open rather than fall asleep, and simply lie there and rest. You may suddenly find yourself waking up in the morning. If you are still up after 30 minutes, turn the light on and read, listen to soothing music, a podcast or a radio talk show, fold laundry or do some other repetitive sedating chore, and then try again only when you start to feel sleepy.

To break an insomnia pattern, set a time 1-2 hours after your usual bedtime and force yourself not to go to bed until then. You’ll probably worry more about how to stay awake that long than about your inability to fall asleep, and you’ll be tired the next day, which should help you fall asleep easier the following night. Each night, move your “later bedtime” 15 minutes earlier until you’ve forgotten about your insomnia altogether. 

If you are having difficulty stopping all the worrisome and anxiety provoking thoughts, write them down with an action plan to deal with them in the morning. Now is the time to get out of your mind and focus on your breathing, practice your muscle relaxation techniques, visualization exercises or meditation and use your skills of self mastery.

Ideally, it is best to avoid sleeping pills on a regular basis, as some can have negative side effects for you and your baby, and they can lead to addiction. Please let your practitioner know if none of the suggestions mentioned above help and you are suffering and at your wits end, as they can prescribe relatively safe medications for occasional use.

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

Want a comprehensive holistic reference guide to the journey of getting pregnant, being pregnant, birth, breastfeeding, postpartum and beyond? Check out the second edition of my international and national best selling book Natural Birth Secrets.

Want a comprehensive holistic reference guide to the journey of getting pregnant, being pregnant, birth, breastfeeding, postpartum and beyond? Check out the second edition of my international and national best selling book Natural Birth Secrets.

I’ve taken everything I’ve learned, trained and supported women and their partners with, locally and internationally, for over two decades in my private practice.I’ve poured all of my love, passion, knowledge and experience into creating something truly special for you …my LOVE YOUR BIRTH online course! It is newly updated with 20+ additional bonus videos discussing key topics you always ask me about…at the same old pricing!This is your key to an immensely positive birth, feeling confident, strong, relaxed, and empowered during the entire process, regardless of the twists and turns it may take.

I’ve taken everything I’ve learned, trained and supported women and their partners with, locally and internationally, for over two decades in my private practice.

I’ve poured all of my love, passion, knowledge and experience into creating something truly special for you …my LOVE YOUR BIRTH online course! It is newly updated with 20+ additional bonus videos discussing key topics you always ask me about…at the same old pricing!

This is your key to an immensely positive birth, feeling confident, strong, relaxed, and empowered during the entire process, regardless of the twists and turns it may take.