POSTPARTUM CARE AT HOME: YOUR BREASTFEEDING GUIDE

POSTPARTUM CARE AT HOME: YOUR BREASTFEEDING GUIDE

Congratulations to you and your family on the birth of your baby! You did it!! You are a rockstar, superhero, however and wherever you birthed. Now it is time for some postpartum care. But through it all, do what you can to go with the flow. Tune into your body and your baby’s natural rhythms. Embrace it all as a normal healthy phase of your life as a new mama, shared with mamas around the world since the beginning of time. Try to have fun with it and keep your sense of humor. 

Welcome to the postpartum period, the fourth trimester, a period of healing and adjustment, of getting to know and comfort your baby, and mastering breastfeeding. All your baby needs now is love and breast milk. If you are unable or choose not to breastfeed, consider feeding baby pumped breast milk, or donor breast milk from registered milk banks. Breast milk is the ideal food for your baby, although organic goat milk formula is most similar to human milk and you can discuss best alternative options with your pediatrician. 

The rest will follow naturally, as you learn on the job, take guidance from wise experienced others, and let Baby be your teacher. As in pregnancy and birth, trust your instincts and your heart. But, do not hesitate to ask for help and support as needed. Hopefully you prepared in your pregnancy so that you are well supported during this sensitive time, as it has always taken a village to raise a baby as well as new parents. A postpartum doula is a must if you do not have family and friends to help you. 

Below are some helpful hints to make the next few weeks of breastfeeding easier and more comfortable, so you are more able to heal, enjoy and reflect upon your extraordinary new miracle. The most important advice is to slow down, stay in the moment, try to resist the temptation to do, do, do...and just be, be, be. Trust that you will heal and get into your breastfeeding routine, as you are perfectly designed to do, given the proper care and support.  Do not hesitate to reach out to an IBCLC lactation consultant sooner rather than later if there are breastfeeding issues beyond what your midwife or doula can help you with.

Nutrition for Postpartum Care & Breastfeeding

Maintain at least the same healthy nutrition as you did in pregnancy, especially now for recovery after birth, and during breastfeeding. This will help you to make good quality milk, and nourish your baby as well as yourself. Make sure to eat at least three whole food varied healthy meals and snacks, and even a little bit more than you would normally consume. And keep well hydrated with at least 64 ounces of water daily. 

Traditional foods for the early postpartum weeks across cultures typically include soups and stews with a lot of vegetables, including the starchy ones like sweet potatoes and winter squash, stew meat or chicken, and whole grains like barley and oats. Also, do eat plenty of eggs, seasonal fruits and vegetables. Much nourishment can be added to fruit/veggie smoothies, soufflés, whole grain hot cereals, and breads/muffins like zucchini-apple, banana-date or carrot-raisin, enhanced with almond flour or chopped nuts and seeds, nut milk, and eggs. 

Herbs and Supplements

Make sure to supplement your diet as in pregnancy, with herbs, vitamins, minerals, omega threes and probiotics to complete nourishment not supplied by diet alone. This will aid in your recovery and help supply all of your and your baby’s nutritional needs. Do increase iron foods and take an herbal iron, especially if you were anemic in pregnancy, have low iron stores, lost a lot of blood at birth, gave birth by cesarean, and/or are still anemic. 

Do continue your nourishing pregnancy herbal infusion to your diet but add alfalfa and red clover. You can have a support person make this by:

1. Blending a handful of dried Nettle leaf, a handful of dried Red Raspberry leaf, a pinch of Alfalfa, large pinch of Red Clover, and several Rose Hips. 

2. Add a pinch of Comfrey to help with healing. (optional) 

3. Brew in a mason quart glass canning jar of boiling water 1-4 hours. The longer the brew, the stronger the taste and effect.

4. Strain, and drink plain or lightly sweetened with Rose Hip infused honey and/or a splash of fresh squeezed lemon or lime juice.

5. Enjoy hot or cold, up to 4 cups per day.

 You can make it in larger quantities and store in the fridge.

There are some nice herbal breastfeeding teas like those made by Earth Mama Organics and Traditional Medicinals. Use two bags per cup of tea to get the benefits. You can have your special someone make your own delicious, nourishing combination of herbs that helps with breastfeeding and enhances the nutritional content of your breast milk: 

1. Mix a handful each of dried Chamomile blossoms, Catnip and Blessed Thistle, a pinch each of Fennel seeds and Fenugreek powder or seeds, and a few dried Lavender flowers.

2. Put 1 tablespoon of the mix in a cup, fill with boiling water, and steep for 10-15 minutes.

3. Strain in the glass mason jar, and drink plain or lightly sweetened with Rose Hip infused honey, and a dash of anise. 

4. Drink 1-3 cups daily.

Breastfeeding

Note ways to prepare for breastfeeding and common myths to be busted, as well as  5 essential tips to get the breastfeeding going.

Your newborn baby’s stomach is tiny, like the size of a cherry the first few days, a small apricot at one week, and a large egg at one month of age. Only tiny amounts of milk are tolerated initially. Expect your baby to drink about 1-1 ½ tsp per feed on the first day, 1½-2 ounces by one week, and 2 ½-5 ounces per feed by one month of age. This is just what you have to give. 

The liquid gold colostrum that your breast produces makes no more than a few teaspoons per feed, but when your full breast milk comes in, you will have more than enough to accommodate. Often women have a misconception that they do not have enough milk when they have exactly what baby needs, and they get into a tension and supplemental feeding cycle that actually does decrease supply. 

If you had labor or birth complications, needed epidural or spinal anesthesia, baby was birthed by cesarean or had to be in the intensive care, establishing breastfeeding can be more challenging at first but you can do it. Get help by a certified lactation consultant (IBCLC) as soon as possible if there is any difficulty. Baby-friendly hospitals should all have them on staff, or you can ask your midwife, pediatrician or local La Leche leader for recommendations. If you need additional guidance to boost low milk supply first follow these steps. All you may need to do is keep nice and calm with baby skin to skin and nurse more frequently, avoid formula and glucose water, and do not use pacifiers until your breastfeeding is well established. 

You can increase emptying if needed, which boosts your supply, by using a double electric breast portable Willow pump every 2-2½ hours for 15-20 minutes, but know that a healthy baby is the best breast pump. If you do pump, freeze the milk for later use, like when you need to go out or want a break from a nightly feed. Take herbal combinations like More Milk Special Blend, drink non alcoholic beer or Hops tea and several cups Sesame milk daily. You may need to add increased amounts of the individual herbs like Goats Rue, Blessed Thistle and Fenugreek, 2-3 capsules each up to 3 times per day, or add the tincture of More Milk Special Blend, 2 ml 4 times per day to increase your supply. 

Treating Breast Engorgement

Your breasts will begin filling with milk and can become engorged by the third or fourth postpartum day whether or not you are breastfeeding. Initially, you may notice that your breasts become larger, fuller, heavy, lumpy, slightly tender and warm. They may leak milk and you may notice a short-lived low grade fever. The skin of the breasts may be pulled tight and become shiny, hard, painful and throbbing, and the baby might be less able to grasp the nipple.  

Suggestions to minimize discomfort with breastfeeding include:

• Practice early, frequent breastfeeding (on demand or every 1½-3 hours) without supplemental bottles for at least the first month. The breasts will learn to replace only what baby takes. (This is a good reason not to pump significantly in addition to nursing initially, as breasts will replace that too). Allow the milk to run freely into a bottle from one breast as the baby nurses on the other side. The bottled milk can be frozen for a later nighttime feed your partner can give Baby to give you some needed sleep once engorgement resolves.

• If Baby is having a hard time latching, try manually hand expressing a small amount of milk before nursing. You can also do so afterwards if still uncomfortably full after each feeding.

• Rub Arnica oil gently over breasts, except nipples, then apply a comfortably hot washcloth/compress or stand under a warm shower 5-10 minutes before nursing.

• Gently massage breasts downward while nursing using Arnica massage oil or lotion.

• If you are uncomfortable between feedings, you can let comfortably hot shower water run over your breasts and massage them downwards using a fine tooth comb dipped in soap, or gently hand express just a small amount, or soak your breasts into a sink full of comfortably hot water. If engorgement is severe add 1-2 ounces of Marshmallow root tincture to the water. 

• For severe engorgement, apply cold packs just during the short term period of extreme discomfort. Ideally, make these by defrosting frozen cabbage leaves rolled over with a rolling pin.

• Apply cold compresses of Comfrey (soak washcloths with the tincture and store in the fridge). You can try comfortably hot Comfrey compresses and add Parsley tincture.

• If you are not nursing and need help drying up your breastmilk, drink lots of Sage tea and do not pump. 

Report any areas of increased heat, redness, swelling and severe pain; fever over 100.4 after the first few days; and chills, headache and generalized aches like you have the flu.  

Sore Nipples

Your nipples may be tender or downright sore during the first week or so of getting accustomed to breastfeeding your baby, whether you are a first time mom or have nursed successfully before. You may also feel some pain, usually lasting no longer than one minute, each time the baby latches onto the breast in these early weeks, which lessens as baby nurses. If your baby is improperly sucking, or incorrectly positioned, your nipples can become very sore and the pain is intense the entire feed.

Suggestions to minimize nipple soreness are:

• Remember this pain is temporary as your nipples adjust to normal healthy breastfeeding, and use your tools from labor and breathwork to breathe and relax into the sensations rather than to fight them. This actually helps tremendously.

• Have an experienced person observe for proper positioning, latch and sucking during breastfeeding from the beginning, especially if you have severe nipple pain during the entire feed and your nipples are very sore.

• Release the baby’s suction with your finger before removing the nipple from the baby’s mouth anytime you need to stop the sucking, especially when the latch is shallow.

• Soak nipples in a cup of 0.9% physiologic saline solution, then expose breasts to fresh air 20 minutes after each feeding, ideally in the sun, in front of a 60 watt light bulb, or a blow dryer. Yes, spend some time topless.

• Apply some breast milk to the nipple.

• Avoid synthetic breast creams and nipple shields.

• If mild, massage plain organic Cocoa Butter, Almond oil or Vitamin E onto the nipples after each feeding. If without relief, apply homeopathic calendula cream or herbal salve made with Calendula, Marshmallow,  Aloe Vera, and Chamomile, or Lanolin designed for sore nipples after each feed and gently remove any residue before nursing. Apply pure Aloe Vera gel to the cracks and cuts, as well as Comfrey, but wipe off before nursing so baby does not ingest it. Try several formulas and see what feels best for you.

• Nurse more frequently for shorter periods of time.

• Alternate positions of nursing each feeding to vary pressure points on the nipple.

• Initiate nursing on the least sore side. You can nurse only one breast a day to allow the other to heal, pumping the sore breast to relieve engorgement during each nursing session. Then nurse the alternate breast the next day (pumping the other), and continue this until nipples have recovered.

• Take a daily bath or shower, washing nipples with water only (no soap).

• Wear all cotton bras, avoid tight bras, and minimize the use of breast pads. If breast pads are occasionally needed, use organic bamboo or cotton washables or nontoxic disposable breast pads without plastic, changing when wet to keep nipples dry.

Report to your practitioner if your soreness lasts longer than a week or is getting worse, if your nipples are cracked and bleeding, or severe nipple pain persists during entire feed indicating a latch issue.

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Need more help from me?

Check out my insider’s Guide to the joys and challenges of recovering from birth and getting the breastfeeding in these modern times created by a seasoned holistic nurse midwife who has seen everything! Learn simple tricks of the trade to make the journey to motherhood more holistically healthy and fulfilling.
You will have direct access to me through the Guides and I can help you:

• Help yourself breastfeed healthfully and successfully

• Get the support and guidance you need to answer all of your questions to create a breastfeeding experience you love and treasure forever

• Understand holistic modalities on breastfeeding issues

• Get the support and tools you need for stress reduction

• Answer questions and make informed decisions

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Give yourself this gift a lifetime to have the experience of your dreams, you will treasure forever.

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

My Natural Birth Secrets book 2nd edition has helpful tips as well, and is an excellent resource in adjunct to the Guide.

Becoming The Creator Of Our Pregnancy, Birth and Life

As featured in the Best Holistic Life Magazine….

The biggest act of self-love is to become the creator of our lives, not the victim; to take charge of our thoughts, emotions, reactions, behavior and habits that do not serve us; to take responsibility for our own health and well-being, not depend on others to do that for us. As a holistic nurse-midwife of 27+ years, self-love includes taking back our pregnancies, births, and health of our babies. This takes lots of work. But the reward is divine, sacred , empowering and transformative. You want to shout from the roof tops how incredible your experience was, how it moved you and your partner to tears and opened your hearts, that you DID it, you found your strength in the challenge – in the mountain that you felt too big to climb, and you birthed your baby as YOU wanted to. Your body worked to birth as your heart knows how to beat and your lungs know how to breathe.  You can draw on this power forever as you face other mountains that seem too high.

In the westernized early 1900s, healthy birth was moved out of the homes and normal family life, and taken over by hospital institutions and their providers; it was treated as an illness and stripped of humanity; our ability to give birth and experience it in its intensity, its raw realness and wondrous beauty, surrounded by the support and wisdom of our loved ones was robbed from us. We surrendered our autonomy, and harmful things were done to us in our most intimate areas, at our most vulnerable moments; we trust technology and modern medicine rather than ourselves and our healthy bodies innately wise ability to grow, birth and breastfeed our babies, and our healthy babies’ ability to be born and breastfeed. This caused high rates of birth trauma and worsening health outcome stats for mom and baby as compared to developed countries, among other concerning long term effects.

There is HUGE hope. That depends on YOU. It involves lots of preparing like you are running your marathon, educating and empowering yourself with knowledge; mastering coping and life enhancing techniques to practice so they become habitual; shifting your mindset, getting your modern mind out of the way so you can let you body do its thing; remembering what you forgot; going against your conditioning, going against the grain, your culture, your family and friends who may not understand, and joining a new rapidly growing community who are doing this with you around the world; being very selective about the provider and setting you choose to give birth, and respectfully speaking up for your rights as an autonomous human being. This may involve paying more money, but it’s worth every penny. The outcome is not only a healthy mind, body , heart and spirit for you, but also for your baby and your family, you will all treasure forever. You will have the experience of pregnancy and giving birth beyond your wild dreams, supported as you deserve postpartum – as we have been for thousands of years before. You will LOVE the experience in spite of its intensity and challenges. You will be so darn proud of yourself with a heart bursting with joy and gratitude.

It is SO possible. But YOU must be the change. I recently received an email from a mama who lives in a remote rural area. She had no option for her birth setting and provider other than a small local hospital with an obstetrician with unacceptable, extremely high rates of risky interventions and cesarean. She was inspired by my social media pages, devoured my book. She wanted a natural birth, a special peak life, family-centered experience that is inherent in bringing the new life of your own baby into the world. He said he did not practice that way, never saw natural birth and did not believe in it. She empowered herself further by taking my online course, presented him with her evidence based decisions and choices, and kindly insisted that he honor her wishes, to be there in the background, just in case, to do nothing but let her body go through its natural physiologic process without disturbing it. He finally agreed. She had her beautiful healthy birth and not only was she in heaven, but also her obstetrician was humbled and moved beyond words. What a ripple effect that will have on how he cares for others in his practice. That is how we improve birth and make needed change.

My gift to you to get you started is my free guide to planning your own birth mini course - with video and PDF download. My advice is to prepare like a boss so you can rock you birth in all settings. It takes work, but it is beyond worth it. Here are more resources I have for you. Each are different, and they are meant to be used in adjunct to one another. Many blessings on your journey of a lifetime!

Love Your Birth Course

$397.00

NEW! and IMPROVED, including an extra 20+ BONUS Videos!

Love Your Birth is a holistic, holistic midwife created, doctor recommended, on-demand course to help you birth YOUR way at home, birth center or hospital. Prepare for the most blissful experience from pregnancy to postpartum.

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.

  Value — Priceless :)

  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.

• How to have a homebirth like experience in the hospital.

• 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

Add to Cart

A Walk With Anne - Tips & Insights on Holistic Pregnancy, Birth & Beyond Online Course

$77.00

Take a walk with me, Anne Margolis, where I talk on topics that matter to you on your journey of planning pregnancy, birth, postpartum and beyond.

Over 45 short, sharp video talks, covering:

Planning pregnancy

• What to do

• The preconception appointment

  Pregnancy

• How to find & choose a provider

• When to start prenatal care

• Elective testing

• Pep talk for first trimester feeling sick symptoms

• Group B Strep

• Internal exams

• Preventing late pregnancy panic & birth trauma

• Pep talk for going past due date

• What we can control & when we need to let go & flow

• What happens at the prenatal home visit when planning a homebirth

• How to know if your tub is good for water labor/birth

• Tub temperature, when to set up & get in

• Planning a homebirth & packing a hospital suitcase?

• Dealing with homebirth in apartments or with neighbors close by

• Postpartum prep

  Birth

• Fear of losing control

• Pep talk for second time mama birth fears

• How we can improve birth outcomes

• Why the name Home Sweet Homebirth for all settings

• Handling emergencies out of hospital - at home or birth center

• Need for advocacy in hospitals & why we must be the change

• Soothing nature and labor sounds

• Visual for birth

• Inspiration for your birth

• The huge gift in birth

• Dogs & cats at birth

• When to call your provider in labor - noticing stages & progression

• Early labor pep talk

• Pep talk for on and off or prolonged labor

• The post birth sacred pause

• Dealing with birth ‘mess’

• Planned unattended freebirth

• Some things we learn from animals

  Postpartum

• Preparation begins in pregnancy, what you need to do, what support is needed

• Dealing with emergencies - processing & healing afterwards

• Postpartum illness, depression/anxiety

• Gifts to give your midwife

  Holistic Health and Healing

• What is it?

• Importance of posture & improving it

• Pausing throughout the day

• Tools for hard days

• How to find your inner calm

• Transforming ‘what if’ thinking

• Meditation - why and how

• Self-care non-negotiables

Watch anywhere/anytime, on your PC, laptop, tablet or mobile.

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

Want a comprehensive holistic 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.

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.   

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.

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)!

Lying-In and Postpartum Recovery with Earth Mama Organics

While having a new baby is truly an amazing experience, your new beginning with baby and your postpartum recovery should always begin with rest, healing and self care, also known as “Lying In”. Understanding that our bodies crave healing and support after the miracle of birth is incredibly important.

Throughout history, children were raised in communities. When a woman labored, she was surrounded by friends and family. After birth, she was off duty to rest, recover, and breastfeed, while her tribe cooked, cleaned, took care of the other kids, and ran needed errands. Today, most of us live separated from our families, often experience pregnancy through postpartum more or less alone, and deliver our babies amongst strangers. A friend or a family member might stay with us briefly after our babies are born, but then we’re on our own. Because of this, it’s important to know what steps to take in order to best prepare for your postpartum recovery.

HAVE A PLAN. Make the most of the time you have with your new baby by creating a plan of recovery in advance. Postpartum struggles can be very overwhelming. By having a plan and sharing that plan with loved ones, you are eliminating some or all of the most common postpartum stressors. Earth Mama Organics provides a free downloadable Lying-In Plan, created to help guide expecting mamas through thinking about their own plans for postpartum healing. My online course has an entire module devoted to helping you know what to expect and how to plan for the support you need during this sensitive time.

MEDITATE. Taking time to relax and calm your mind can make a huge difference in our external and internal energies, by sitting or lying in a comfortable position and focusing on your breathing; guiding it to be slow, deep and even (make the inhale to exhale ratio each to a count of 3 or 5 for example) or doubling the exhalation time (inhaling to a count of 3, exhaling to a count of 6) is especially soothing. If meditation isn’t your cup of tea, try to find time to relax in quiet with your favorite book or listen to calming, uplifting music or sounds. Know that it's alright to take a moment for yourself. Your energy and your mental health need nourishment during the postpartum period. 

PREPARE YOUR HOME/RECOVERY SUITE. When the ‘nesting phase’ kicks in, and it likely will, channel that energy into creating a space that is postpartum friendly and unique to you. In the weeks leading up to your labor, gather some or all of your postpartum/newborn necessities and make sure they are in a place that is easily accessible to you when you’re lying in with baby. The last thing you need is to run to the other side of your home to grab a diaper or nipple-balm as soon as you’ve laid down. Make sure your linens are clean and things are where you’d want them, so that you’re ready and able to spend your time healing and connecting with your baby.

SELF CARE is so very crucial during this time. Earth Mama’s line of herbal products are specifically designed to care for women before, during and after pregnancy. These products are made the way herbalists have been doing it for centuries; through infusion. As most of my readers know, I widely support a holistic approach to pregnancy and postpartum recovery, so knowing that these products are made traditionally and are organic, without any parabens or artificial fragrances is reassuring. These processes offer a more powerful concentration of herbs, thus allowing the herbs to really do their jobs.

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The following Earth Mama postpartum recovery care products are formulated to help new mothers to feel their best while connecting with their newborn. These products can be used to treat perineal soreness, lacerations/episiotomy, hemorrhoids, and c-sections as well as a number of other concerns. 

Organic Herbal Sitz Bath These easy to use herbal sachets are made from a combination of organic witch hazel, yarrow, plantain and calendula, and can be used to brew a sitz bath or as a cold compress for immediate relief to the perineal area. Earth Mama suggests mamas should brew, cool, and pour the herbal sitz over a regular postpartum pad, freeze the pad, and then use it as an ice pack for long lasting relief! You can make a bunch in advance and freeze them in a ziplock bag. 

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Organic Perineal Balm provides lasting, cooling comfort down below. Made with organic herbs and oils, this product sits on the surface of the skin, allowing the herbs within the product to stay put and help in the healing process. This product can be used as needed, so be sure to apply it as often as you’d like. 

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Herbal Perineal Spray This touch-free spray serves up quick, temporary symptomatic relief dispensed with an upside-down sprayer, making it easy to apply to those swollen or hard to reach places. According to Earth Mama’s website, leftovers can be used as a refreshing facial toner or after shave spritz which sounds enchanting and refreshing! 

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Organic Skin and Scar Balm This product is made with a nourishing blend of organic herbal ingredients, traditionally used to help reduce the appearance of scars and stretch marks. While stretch marks are all but preventable and genetics are mostly to blame, this balm aids in reducing the appearance of the inevitable - even though I encourage you to embrace these marks of new mama beauty, blessing, strength and wisdom. A little goes a long way and as long as your wounds are closed, this Earth Mama Organic Skin and Scar Balm can be applied up to three times per day.

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Organic Periodic Tea First and foremost, it is important to note that this tea is NOT for use during pregnancy. Originally labeled, “Postpartum Recovery Tea” this tea can be consumed within the first hour after birth. It’s benefits include a reduction in bleeding, cramping, and assistance with the hormone shifts experienced after birthing both your baby and placenta. I find that this tea is best served nice and hot, but you may enjoy it cooled and over ice as well! 

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Postpartum Recovery Time
It’s common to be very active with self-care before giving birth and then feel it’s impossible to balance everything after birth. It’s normal to have anxiety and fear around what might happen if you don’t get it all done and even start talking down to yourself for not 'doing enough.' Take the time to remember that not everyone’s body heals on the same schedule and while one mama may feel normal in a few weeks time, there is absolutely nothing wrong with taking things at your .own pace. If you need regular contact with someone who understands the physical and psychological levels of what is happening to support you through this time, I offer an array of holistic care options for post-partum mamas.

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Postpartum Struggles Are Real

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Statistics show that about 15% of new mommas experience postpartum depression. And 70-80% of us experience “baby blues,” that 2 week period after the baby’s born when we can feel confused, overwhelmed, sensitive and just not ourselves.

If this is you, you’re obviously not alone. Here’s what you need to know: There is no failure in pregnancy, birth and postpartum.

You can move with grace through potential sadness, grief, fear, and anger to embrace and heal from your experience. When you are struggling with feeling overwhelmed and exhausted, depressed or anxious, unconfident and unsure, a holistic postpartum plan can give you back your joy and confidence. You got this. But it takes a village to raise a baby and new parents. Sometimes we just need a little guidance and support - especially in modern times.

I know what it’s like to experience birth trauma and struggle to put it behind me. Or to try to find balance when there’s a new baby in the house - when the idea of “me time” seems like a cruel joke.

After My Own Last Birth I was Sick and Alone

Even as a nurse-midwife, I found myself in a postpartum situation that confused and scared me.

Several weeks after the baby was born, I began to feel like I was over caffeinated. My thoughts were racing, I was extremely agitated, panicked, completely overwhelmed and unable to function. Making decisions felt impossible and I couldn’t sleep. I felt faint, and was losing weight.

I was ashamed and embarrassed. How could I, an expert, find myself in such a state of confusion and intolerable symptoms of anxiety? I didn’t want to ask for help. The people I did ask were unable to treat me, and my husband was confused and worried.

I started to have scary and repetitive thoughts. Noises seemed too loud. Faces seemed too big. What the hell was wrong with me?! I felt like I was drugged. Somehow I suspected my thyroid was off, so I asked my colleague to draw my labs. Then I nearly passed out.

After a call to 911 and subsequent visits to a postpartum stress center, I learned that I had postpartum thyroiditis, an autoimmune condition in which the thyroid initially makes too much hormone, before not making enough.

The diagnosis gave me the confidence to finally accept help. I knew now that I wasn’t crazy. I knew I shouldn’t be embarrassed...but I was at the time. I stayed with my mother, who lived several hours away - near the center - for an entire month. And my husband and friends all worked together to care for my other kids at home.

I had to stop work for an entire year while recovering from my illness. And it took me a number of years to fully heal using a comprehensive holistic approach. My yoga and meditation practice were life changing, but the complete healing happened after intensive Clarity Breathwork sessions. It was the most delicious and miraculous feeling of relief I ever experienced.

The Forgotten Fourth Trimester

Throughout history, children were raised in communities. When a woman labored, she was surrounded by friends and family. She was attended to by the community midwife, often the same person who was there for the births of all the other babies in the area and potentially even her own birth. After birth, she was off duty to rest, recover, and get the breastfeeding, while her tribe cooked, cleaned, took care of the other kids, and did needed errands.

Now, we live separated from our families, often experience pregnancy through postpartum more or less alone, and deliver our babies amongst strangers. A sister or mother-in-law might stay with us briefly after our babies are born, but then we’re on our own.

In the US, women are sent home alone after a few days in the hospital, and maternity leave is shockingly brief. We’re expected to pick up at work right where we left off after just a few short weeks at home with our new baby. Paternity leave is almost non-existent in this country, except for some more progressive family friendly workplaces.

Of course so many of us experience depression, anxiety, worry, and a lack of confidence! This way of viewing motherhood is simply unnatural. You can’t institutionalize the sacred.

But, thriving postpartum is possible. Especially when you go into it with a plan.

How to thrive postpartum

If you’re currently struggling in your “fourth trimester,” here are some tips you can implement right away to take the edge off.

Exercise. Try to make time for whatever type of movement feels good to you. Have someone take the baby while you go to a class. Put her in the stroller and go for a walk. Put on a workout video while she’s napping. Turn on some music that reflects your mood and move your emotions with your body; then turn on something upbeat and dance like noone is watching.

Connect with your community. Join a mommy support group either online or in-person. Reach out to friends and family that tend to cheer you up or make you feel comforted. Ask a neighbor to join you for a walk. Take a postpartum mommy and me yoga class. Don’t be afraid to open up about how you’re feeling. You might be surprised how many people can relate. And make sure to get daily soul nurturing hugs.

Meditate. Taking time to center down can make a big difference in our energy and confidence. Spend quiet time in nature. If you’re not accustomed to meditation, find a guided audio to listen to or just turn on some relaxing instrumental music, get comfortable and focus on your breath.

Nap. Now is not the time to stress about housework. Sleep deprivation leads to depression, anxiety, reduced memory and concentration, weight gain and a host of other health problems. Allow yourself to nap when the baby’s napping. The housework can wait.

Skip the sugar. Regularly eating sweets and simple carbs like breads and pastries puts us through a vicious cycle. Sugar crashes lead to low energy and low moods, which lead to carb cravings. Stick to fresh whole foods - and add more protein and healthy fat for a balanced diet and a balanced mood.

Do what you love. Each day, do things that bring you joy - even if it is for a few minutes at first. Think about what excites you and try to do more of it in your regular routine. Let it be easy and simple. That may be a quiet cup of tea, a visit with your friend, a stroll in the park, a flower or herbal bath in candlelight, watching comedy, getting a massage, doing some yoga. As baby gets older, make taking some time to yourself each day to do these things a non-negotiable like eating, drinking and sleeping.

Seek help. When your sadness or anxiety feels like more than “baby blues,” seek a qualified professional to help you through it. If, like me, you have an undiagnosed medical condition, the suggestions above just won’t be enough.

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 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.

For more info on the Bellefit girdle, check out my blog about it here. Have a Great Postpartum Recovery (with a little help from Bellefit)!

“Anne Margolis was my incredible midwife. She is practical, science-based, and vastly experienced, but most importantly, she’s an awakened woman here to light the path to your most joyful self. Anne is the incredible midwife who taught me, through this process, how to midwife my own patients’ rebirth experience.
Her own educational course is a deep but manageable dive into her accumulated wisdom, packaged for your journey. Forget your childbirth class, and take steps to your most empowering experience. If you are thinking about conception, pregnant, or love someone who is, take it from me that her wisdom is life-changing.Yours in the truth.”

— Dr. Kelly Brogan MD

Excellent childbirth education and preparation in advance are crucial for rocking your birth and postpartum experience, and are major reasons why I created my Love Your Birth course. It is a comprehensive online course that teaches women what they need to know about planning and carrying out the birth that they want in all settings - the hospital, birthing center or at home. It’s a course on how to have a holistic, healthy pregnancy through postpartum - for the body, mind, and soul - and is how I have guided thousands of women and their families in my midwifery practice for over 21 years. It contains a rolodex of my favorite resources with over 200 of the best books, movies and supplies I use personally and professionally with my clients, family & friends. Even diving into a fraction of this list will have you feeling empowered and prepared for conception, pregnancy, postpartum and parenting...It includes resources on improving and even ensuring ensuring healthier pregnancy and birth outcomes than the status quo, and preventing and healing from birth trauma so prevalent in the modern world! I also help you prepare your mindset for such a task, to debunk myths, and to reframe any current ideas or conditioning about pregnancy, birth and postpartum that can use a change in perspective or that are simply incorrect and do serve you. After finishing the course, the idea is that you are now able to create and have the healthy, beautiful and empowering journey through pregnancy, birth and new parenthood that you really want.