Vaginitis: Natural Prevention and Treatment

Vaginitis: Natural Prevention and Treatment

Just about every woman is susceptible to vaginitis, or vaginal infection, at some point in her life. But not every vaginal symptom is related to an infection. Sometimes it is simply a sign of normal changes in a woman’s cycle or pregnancy. Other times it is related to temporary inflammation, local irritation or other causes. There is much to learn about your vagina and keeping it healthy and feeling well.

Discharge changes in response to the changing hormonal environment throughout the menstrual cycle. For example, women notice an increased amount of clear to cloudy, odorless, slimy egg-white discharge around the time of ovulation to help the sperm reach and fertilize the egg. The hormones of pregnancy also cause an increase in normal vaginal discharge, as well as an alteration in the acid/base balance of the vagina. This can lead to an imbalance of normally occurring microorganisms, and thus increase one’s susceptibility to vaginal infections (especially yeast).

The normal reduction of hormones during breastfeeding, and more dramatically after menopause, cause the vaginal walls to become thinner and dryer. This makes the area more prone to becoming sore (especially during sexual intercourse), irritated, and prone to yeast infections. Allow time for the normal increase in vaginal secretions during sexual arousal before penetration, and use all-natural water soluble lubricants or Astro-glide. Menopausal women may want to consider the option of bio-identical all-natural hormonal vaginal cream.

Possible Culprits for Vaginitis

The vaginal area is sensitive and can easily become irritated (look red, burn, and/or itch) for a variety of reasons. Most commonly, this is from substances within a new product that you or your sexual partner are using, such as:

• Detergent, fabric softener or bleach

• Chemically scented body soap or bath oil, powder or lotion

• Douches, deodorant vaginal sprays and perfumes

• Tight clothing

• Synthetic underwear or pantyhose

• Colored or perfumed toilet paper

• Conventional pads and tampons

• Vigorous and frequent sexual intercourse (more than 3 times in 24 hours)

• Foreign objects in the vagina such as contraceptive devices, spermicidal cream, foam, jelly and medication applied locally, dildos and vibrators

• Bubble baths, hot tubs, and prolonged or frequent immersion in a swimming pool

• Hanging out in a wet bathing suit

• Horseback riding or cycling

Eliminate these irritants one by one to see if your symptoms improve. Buy a mild natural detergent without bleach (such as those made for infant clothes), or use an extra rinse in your laundry cycle. Use corn starch rather than talc-based powder to keep dry. Buy white unscented toilet paper, and avoid perfumed toiletries and feminine hygiene products. Try using a menstrual cup or go organic and green with your pads and tampons. 

Bacterial overgrowth is another common cause of vaginal infections that is often associated with frequent sexual intercourse and other factors that upset the normal balance of the vaginal flora (such as routine douching and medications like antibiotics, steroids, hormones) and results in an overgrowth of organisms like gardnerella. It occurs in all women, even those in a mutually monogamous relationship, as it is not believed to be sexually transmitted. 

Bacterial vaginosis should be treated with prescription medication in pregnancy as it has been implicated in premature rupture of membranes, preterm labor and uterine infection postpartum. It carries risks for all women, namely increased susceptibility to other more serious sexually transmitted and genital tract infections, as well as reproductive disorders from ectopic pregnancy and fertility issues, to pelvic inflammatory disease. Men generally do not have symptoms, same sex partners can absolutely have symptoms, but all partners should be treated simultaneously so they do not reinfect their spouse. A vaginal antibiotic is a short term band-aid that may or may not work and recurrence is common, so it is important to follow the prevention and natural treatment suggestions below for a more effective long term solution.

A vaginal infection caused by trichomonas protozoa is most often sexually transmitted when there is more than one sexual partner. However, less commonly it can be caused by anal-vaginal contact, sitting on a dirty wet toilet seat or being splashed with dirty toilet water, use of communal baths or hot tubs, and sharing moist contaminated clothing, washcloths or towels. 

This type of infection also needs treatment in pregnancy as it has been associated with complications similar to bacterial vaginitis. Your sexual partner should be treated simultaneously to avoid recurrences in you, even though he may be without symptoms. If you have a trichomonas infection, you should be screened for other more serious sexually transmitted infections, and protect yourself by having a mutually monogamous sexual relationship, abstinence from intercourse or at least by using latex condoms (with spermicide containing nonoxynol-9 if you want to prevent pregnancy as well).

Vaginitis Prevention

Unless you have an actual vaginal infection or are prone to one, you should avoid routine douching (especially in pregnancy), as it washes out the natural secretions and organisms that normally reside in the vagina. Further, it alters the delicate acid-base balance there that actually protects you from infection. The only exception is if you are NOT pregnant and treating an actual confirmed infection, or are prone to recurrent vaginal infections and nothing else is working.

If you are pregnant, you can certainly acidify your system by drinking unsweetened cranberry juice diluted in other fruit juices to reduce the sour taste, or add a scoop of cranberry juice powder to your smoothies, oatmeal or yogurt. You can also take powdered cranberry juice concentrate in capsule form, like Cranactin (1 capsule twice daily). Combine 1 Tbsp of apple cider vinegar, juice of ½ fresh lemon and honey to taste in a cup of hot water and drink several cups daily. 

Calendula cream or diluted tincture, or aloe vera gel, applied morning and night helps strengthen vaginal tissues, heal minor abrasions, relieve pain and discourage infection. You can spread some of the gel onto a menstrual pad and wear it throughout the day.

Change tampons and pads at each bathroom visit, and do not leave in for more than 8 hours at a time. Avoid tampons during scant menstrual flow and a vaginal infection. Or switch to menstrual cups.

Wear cotton crotch stockings, loose clothing, and organic cotton underwear changed daily. Even better, skip the underwear altogether and go panty- free, especially during sleep, to allow for air circulation and to keep the area dry and hostile to infectious organisms. As soon as practical, change out of wet bathing suits and sweaty clothing.

You and your partner each need to wash the genital area daily with a mild soap, rinse and dry well. Always wipe yourself from the front (vagina) towards the back (anus) to avoid contamination from the bowel. Avoid painful or abrasive sex, and sexual practices that involve the anal/rectal area.

Don’t share unwashed bathtubs, towels, washcloths, contraceptives or douching equipment. Avoid reinfection by not reusing washcloths, towels and underwear that have not been laundered. And don’t sit on public toilets - either squat or put paper on the seat before sitting. 

Maintain health and general resistance to infection by eating a nourishing and wholesome diet that includes:

• Lots of fresh organic fruits and vegetables

• Whole grains

• Beans and tofu

• Nuts, nut butters and seeds

• Organic whole eggs

• Turkey or chicken

• Beef, lamb, wild game

• Fresh raw organic whole dairy—ideally goat or sheep (avoid dairy if you get recurrent yeast infections)

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

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

• Organic cold expeller pressed extra virgin olive and coconut oil or goat butter for cooking

Minimize highly processed foods laden with refined white flour, sugars, refined vegetable oils and partially hydrogenated fats, as well as products with food dyes, chemicals and preservatives. If you are prone to recurrent vaginal infections, you many find the best results by completely avoiding sugar, simple refined carbohydrates, fruit juices, dairy and alcohol.

Eat more fresh garlic (a few cloves daily sautéed, baked or crushed into salads or added to cooked vegetables) and Asian mushrooms (like shiitake and maitake) to boost your immune system. Take a good all-natural food-based multivitamin, mineral and probiotic supplement to ensure you are getting full nourishment beyond what is supplied by diet alone. Limit exposure to harmful chemicals and toxins (this also includes those found in drugs, cigarettes, food, water, cosmetics, toiletries, and household products).  

Be sure to get enough sleep, and exercise 30 minutes 5 days per week. Good options are brisk walking, dancing, cycling, swimming or low impact aerobics. 

The mind, body and heart are intricately connected and when out of balance, dis-ease can result - physical or emotional. You can create more joy by doing more of what you love, and create more inner calm and peace of mind with several daily “healing intervals” or breaks during the day to calm and center yourself, which will enhance your health tremendously. Use such techniques as meditation, breathwork and/or prayer. 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. Make a conscious effort to improve your emotional state and reaction to stress, surrounding yourself as much as possible with people, things, sounds and  places that inspire, relax and restore you, while limiting exposure to things and people that agitate your mind and create negativity. 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. 

Natural Treatment for Vaginitis

If you develop an unusual change in the amount, color, consistency or odor in your vaginal discharge with itching, burning and/or soreness, you may have a vaginal infection. The following natural remedies are quite effective against vaginal infections and are often safer (especially in pregnancy). They can certainly be used in the early stages of your symptoms without having to know the responsible organism. Many of the treatments mentioned below can be adapted to your sexual partner. 

It is best to avoid intercourse and oral sex until the vaginal infection has cleared up, as the area is uncomfortable, irritated and needs time to heal. And it is possible to pass the infection to your partner unless you are using condoms. 

Wash the genitals after urinating and after sex as the associated fluids can aggravate the situation (squirt yourself from to back with a peri-bottle filled with warm water and any of the herbs or herbal combination mentioned below). Wash undergarments in hot water, disinfect tubs, and soak your diaphragm, douche equipment and sex toys in vinegar.

If you are not pregnant, while reclining in the empty bathtub, use a vinegar douche once daily until the symptoms improve for 7-10 days. You can make your own by mixing ¼ part apple cider vinegar with 3/4 part warm water in a reusable douche bag. A douche of cranberry juice concentrate (one tablespoon to one quart of water) is also very effective to acidify the vaginal environment and discourage growth of infectious organisms, as is a solution of pure all-natural grapefruit seed extract as directed. If the acidic applications are too irritating, try douching with 2 Tbsp baking soda to 1 cup water instead. A douche of 1 ½ Tbsp Tea Tree oil to 1 cup warm water 2–3 times per day is a very effective anti-fungal, as are the Tea Tree oil vaginal suppositories.  

If you are prone to recurrent yeast infections, especially after sex, antibiotics or a known trigger, you can use a lower dose vinegar douche once to ensure the vagina is mildly acidic and hostile to unwanted bacteria. To make the douche, combine 2 Tbsp of apple cider vinegar, white vinegar, or pure lemon juice with a pint of warm water. Again, routine douching for general hygiene is not recommended, as it is actually harmful and increases risk of genital tract infection.

If you are pregnant or simply prefer not to douche, you can acidify the vagina with vaginally inserted ActiGel, Vitanica vaginal suppository, or you can put a few cups pure apple cider vinegar in your bath water or ½ cup vinegar in a warm sitz bath. Either way soak for 15-20 minutes several times a day. Another effective option for is to apply 600 mg of encapsulated pharmacy grade Boric Acid suppositories inserted high in the vagina for 1 to 2 weeks (although ideally not during pregnancy).

Add Aveeno powder (oatmeal), or a few drops of the essential oils of Calendula, Chamomile or Lavender to the bath water and sitz bath to help soothe symptoms of itching and irritation, and to the peri-bottle of water for use after the bathroom. You can also add tea tree, sandalwood and/or thyme oil to help fight the infection.

Restore your gut and vaginal flora. Take a multi organism high colony count probiotic for women orally as directed, that includes the strains Lactobacillus reuteri and Lactobacillus rhamnosus. A reputable brand is Green’s First Probiotic for Women. You can also place 1-2 capsules high in the vagina in the morning and before going to sleep for 2 weeks. If you are not pregnant, a few live culture tablets can be dissolved in one quart of water to be used as a douche once daily for a week, then every other day for a week, then twice weekly for a few more weeks (you can alternate this with your vinegar douche).

Apply plain live-culture yogurt to the affected areas and vagina as needed to help relieve itching, inflammation and restore the normal bacterial environment in the vagina. Put a few Tbsp of yogurt on your finger and smear it inside the walls of your vagina and around your cervix, or use a vaginal applicator to insert the yogurt. Repeat twice daily during an infection and a few times weekly if you are prone to recurrences. You can also dilute 16 ounces of yogurt in the water for a sitz bath. (Yuck! But it works!).

Garlic suppositories are also effective. To use, insert a peeled clove lubricated with olive oil high up into your vagina before bed for a few weeks before bed, and in the morning. You can wrap it in a thin layer of gauze with a tail for retrieval, but it is not necessary as it will eventually come out itself in your discharge. Don’t worry - it can’t get lost or travel further up then your vagina, which is a dead end. 

Wet compresses of Burrows solution can be soothing to irritated skin - apply externally only. Comfrey Root powder, Slippery Elm powder and Marshmallow Root powder, will also soothe dry itchy vaginal tissue, relieve irritated and inflamed tissue and promote healthy skin growth. Goldenseal Root powder is effective for treating the actual infection and enhancing your immune response. You can apply each powder or an equal part mixture directly to the vulva and vagina daily for 1-2 weeks. You can make your own healing compress by mixing 1 Tbsp of any of the herbal powders with 1 cup warm water. Dip gauze pads in to make the compresses and apply. You can also soak a menstrual pad and wear it throughout the day.

Apply healing and soothing salves that contain Chickweed, Calendula and/or Plantain, to relieve itching, reduce inflammation and discourage infection. Also, use topical vitamin E oil to aid healing on itching and sore inflamed skin. 

Some find it helpful to apply fresh bee honey for its anti-fungal properties, and to moisturize and heal tender tissue (sticky!).

You can drink Burdock root, Chickweed and Dandelion root teas, but an herbal combination infusion or tincture is more effective to reduce inflammation and infection. You can make your own by steeping a handful of each Dandelion root, Chickweed and Burdock root into a quart of boiling water, brew covered for a few hours, strain in a glass mason jar and drink 1-2 cups daily. You can add fresh lemon or lime juice, mint leaves or a dash of honey to taste. If you prefer the tincture, take 1-2 dropperfuls each of Burdock root, Chickweed, and Dandelion root tinctures 1-3 times per day.

For any infection, you can always use Gaia’s Echinacea Supreme tincture to kill unwanted germs as well as stimulate your own immune system. Take 1-2 dropperfuls every few hours at the earliest sign of infection. Make sure your diet and multivitamin is sufficient in Vitamins C, E,  B complex, A with mixed carotenoids, selenium and omega threes. 

If you are not pregnant, you can take additional immune boosting supplements: 

• Vitamin C, 1000 mg 3-4 times per day

• Zinc, 25-50 mg every day

•  Vitamin E, 400-800 IU each day

• Vitamin B complex 50 mg three times daily until the infection has cleared.

• If you are prone to frequent infection, you may want to consider daily supplements in addition to a multivitamin to enhance immunity. Good options are New Chapter’s Garlicforce, Oil of Oregano, Olive Leaf, Goldenseal, and Host Defense combination of Asian mushrooms 1-2 capsules each daily, as well as oral all natural Grapefruit Seed extract as directed. If you are pregnant, these remedies and doses are a safer option to combat infection and boost immunity.

For those who have recurrent vaginal infections not helped by these suggestions, at first onset of symptoms and around the time you usually get the symptoms (for example after sex, antibiotics, your period, swimming, certain stresses), apply vaginally as directed RePhresh vaginal gel (up to every three days), or a vaginal Prebiotic.

Natural Treatment Specific For Yeast and Bacterial Vaginosis Infection

Yeast and bacterial vaginosis infections both occur more frequently under the following circumstances:

• During pregnancy 

• After menopause

• With increased stress

• Use of certain medications (such as antibiotics, steroids, and hormones)

• A diet high in simple sugar, refined carbohydrates and/or alcohol

• Frequent or regular douching

• Wearing synthetic tight underwear, thongs, pantyhose, and using conventional menstrual and products laden with toxic chemicals and synthetic fragrances.

• Anemia, obesity, diabetes, and other medical conditions that increase blood sugar and/or alter the normal environment in the gut and vagina, or suppress the immune system.

Limit excess intake of sugars (including fruits and fruit juices), refined carbohydrates (white breads, cakes, and other such products, especially those that contain yeast and gluten), and fermented foods (like synthetic yeast and pickles) until the problem has cleared up. One of my Integrative OB/GYN role models, Dr. Christiane Northrup advises actually increasing certain fermented foods rich in healthy bacteria like miso, tempeh, sauerkraut, kefir, kombucha, kimchi, and plain yogurt for both bacterial vaginosis and yeast vaginitis. You may need to limit or avoid these foods plus others on a regular basis if you are otherwise healthy but prone to frequent yeast infections and follow the yeast free or anti-candida diet, which is very strict and not clear that it makes a difference or worth the trouble. And do a healthy full body detox, like with Bentonite Clay. See a naturopath or holistic nutritionist for additional guidance.

Eat more fresh vegetables (especially the dark green ones, raw garlic and onion, turnips, and cabbage), quality protein, complex carbohydrates (like brown rice, quinoa, kasha and millet), and live culture plain yogurt. 

For vaginal candida, you can take homeopathic Yeast Guard internally, insert homeopathic vaginal suppositories or Yeast Arrest by Vitanica vaginally as directed and apply it externally as well - all safe in pregnancy. Consult a classical homeopath who can prescribe a homeopathic oral remedy specific to your individual symptoms if without relief or you get recurrent infections.

Drink Pau D’Arco tea (3 cups per day), use the superfood powder in cooking, and/or insert tampons soaked in the extract vaginally and change every 12 hours. It has antifungal and antibacterial properties. If you are not pregnant, take Pau D’Arco  500 mg capsules, 2-4 once or twice daily. You can also use it in your douche (1 part strong tea to 3 parts warm water) or douche with ½ teaspoon of Goldenseal powder to 1 cup warm water 1-2 times per day.  

Dr. Aviva Romm advises creating your own herbal suppositories. Although they do take some effort, they are very effective. She also recommends supplements to support your adrenals and stress response, especially if you are getting recurrent infections related to increased stress and overwork so common in modern times.

If all else fails, for yeast, you can use diluted Gentian Violet painted locally for more stubborn cases (yes, it temporarily stains everything bluish purple), or contact your provider for prescriptive medications (ideally after the first trimester of pregnancy). Frequent use of antifungal creams such as Monistat and Gyne-Lotrimin sold over the counter in grocery or drug stores is discouraged for they are not strong enough and can promote the growth of less common yeast strains, leading to recurrent or persistent infections. Your sexual partner will need treatment only if symptomatic or you are otherwise healthy but suffer from chronic or repeated episodes.

Please consult your practitioner if the above mentioned suggestions do not help, your symptoms become worse, do not clear up after 1-2 weeks, or recur frequently. And certainly if you develop:

• Lower abdominal pain

• Fever

• Vaginal bleeding or spotting

• Heavier or more painful periods

• Unusual lumps or sores

• Sexual contact with someone suspected of having syphilis, gonorrhea, chlamydia, warts, herpes or HIV infection

• Bleeding, regular contractions or cramping, low pelvic or back pressure, or leaking fluid with pregnancy

Aside from being uncomfortable, untreated yeast infections are not dangerous, but if they occur close to delivery can increase the chance of newborn thrush and subsequent yeast infection of the breast feeding nipples. 

For those with any sort of chronic frequent infections in which serious causes have been ruled out and none of the natural and allopathic remedies help, consult your provider. If you need more personal guidance, as always,  schedule a chat with me so I can advise you about the best supplements, remedies and dosages specific to your situation.

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

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.

Add to Cart

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

Common Causes of Bleeding in Pregnancy

Featured image: Photo by Sierra St John on Unsplash

--- BEGIN TRANSCRIPT Instagram.com/homesweethomebirth ---

Hi there. I am just going come on and say hello, and I wanted to talk to you about bleeding in pregnancy. It's incredible. A lot of people online, on my social media pages, are asking me about bleeding in pregnancy - and they're freaking out. Of course, they're freaking out. It's scary. I get it. And in my own practice, when people call me and tell me they're bleeding, they’re scared.

I totally get it. 

But what I wanted to do is reassure you that in the first trimester, 25% of women will bleed. And many times, the causes are benign. Like nothing to worry about, easy to treat if needed, or monitor, kind of watch and wait. 

Sometimes the causes are more serious, so definitely if you have bleeding in pregnancy, you can post it on my Facebook group or post it on Instagram, you can tell me about it. But I really want you to check it out with your provider.

Let me go over some of the common things. First of all, I would say about half of people who bleed in the first trimester miscarry. So that means 50%, they're not going to miscarry. A lot of times miscarriages go unnoticed if people aren't tracking their cycles. It's just like, you have a heavier or a late period. But there are people that track cycles and they see bleeding, and that's scary. 

So, the first thing is that when the fertilized egg implants in the uterus, around the time of the missed period, that's implantation bleeding, and that might last a day or two, a little bit of spotting. Nothing to worry about. Okay. 

Also, some people have a little vaginal or cervical inflammation or infection, like a yeast infection, for example. Many infections or inflammation can cause a little bleeding and that's easy to treat holistically. It's easy to deal with. 

Sometimes, first of all, in pregnancy, your blood volume is doubling. You are so vascular. There’s just many more blood vessels in the area.

So that's how come people tell me they have bleeding and I said, did you have sex?, and they'll say, oh yes. Well, that's what it is.

Now, it's not dangerous to have sex, but if you notice a little bleeding after sex, intercourse, that's just a little tiny blood vessel in the vaginal area or the cervix that just broke, and you'll just have a little spotting, a little bright red blood, and then brown the next day or something like that, and then it will go away. 

If you had an internal exam that can cause bleeding. So first of all, I’d question why you're having internal exams, but many times I find that people are having way too many internal exams that are necessary, but that can cause bleeding. A pap smear can cause bleeding. And this kind of bleeding does not endanger the pregnancy. Yes, if you need to have a pap smear in pregnancy, you can absolutely have one, it does not affect the pregnancy. It's just scraping the little cells on the top of where the cervix is. That doesn't go inside the cervix or into the uterus, okay, but that can cause bleeding. I've even had moms that have had varicose veins vaginally, and have noticed some bleeding with that. 

So, these are all sort of innocuous things that can cause bleeding. 

Another is it benign growth, like polyps. It could be uterine or cervical, can cause a little bleeding. They have nothing to do with the pregnancy, it’s just that it's more in engorged, more likely to bleed. So these are just normal, nothing to worry about.

There is something called sub chorionic hematoma. I don't know if you've ever heard of it? I definitely want to hear in the comments your experience with bleeding in pregnancy too, because I want everyone to feel that they're not alone.

I want people to be able to share and to know how common it is to have bleeding in pregnancy. 

A sub chorionic hematoma is kind like a bruise, or like a collection of blood between the placenta and the uterus, and most of the time, the vast majority of times, it's something that might've occurred at implantation or somewhere after that. Most of the time, it just resolves, and does not affect the pregnancy. 

So, if you're in the first trimester, I definitely would check with your provider because there's some basic blood tests that we can do, and sometimes you need an ultrasound.

I'm not talking about routine ultrasound; I'm talking about if we're concerned about something. Sometimes an ultrasound can help us determine what's going on.

Anytime there's bleeding in the first trimester, we want to make sure that it's not an ectopic pregnancy. Ectopic pregnancy is potentially life threatening. It's rare, thankfully, one in fifty pregnancies, twenty in a thousand pregnancies. I've seen it, I've detected it myself, and that's something that we want to detect before it actually ruptures.

So thankfully it's rare. What's more common of the serious is a miscarriage. And a miscarriage is most often related to a pregnancy that's just not meant to be, a chromosomal abnormality in the fetus, and it's sort of nature's way of releasing that. Sometimes it could be a low progesterone and the pregnancy is healthy, so that can be treated with natural progesterone. 

There's so many that are involved, but you know, years ago, before we had all this testing, and people weren't using birth control, and people were having sex, and I would say, just about everybody who gets pregnant will have, in their lifetime, one miscarriage at least. That's how common miscarriage is. 

Once we get the heartbeat of the baby, it's rare. So if you have a fetal heart rate, miscarriage is rare. But anytime there's bleeding again, just check it out. 

Now, in the second half of pregnancy, we start thinking of, we’re not thinking of ectopic pregnancy anymore, or a threatened miscarriage, we are thinking if there is bleeding in the second half of pregnancy, in addition to possible bleeding after sex, or a little inflammation or infection, thinking also about a placenta previa, which means the placenta is implanted partially or directly over the cervix. That is something that we need to watch and monitor, and you do not want to have any internal exam if that happens. And thankfully it's rare, but we just want to make sure that that's not what it is. 

Also, placental abruption; if the placenta is partially separating from the uterus. That can cause bleeding.

Preterm labor; because look, as the cervix dilates, tiny blood vessels will disrupt and cause bleeding. 

In labor; labor, there's blood. You have bloody show and as you dilate you bleed, right? 

So, these are just some of the many reasons that you can have some bleeding in pregnancy, and I just love so many times we just don't find out the reason. All right? And then everything's just fine. 

But it's always better to just check it out. 

So that's what I have to say today. I would love to hear from you your experience with bleeding in pregnancy, whether it's your personal experience, the experiences of your clients, or people that you know, so that all of you will just realize how common it is, and that you're so not alone. Okay? 

And if you found this interesting or helpful share it ok?

Love to you all. Namaste. Have a good afternoon, or day, or evening wherever you are in the world.

--- END TRANSCRIPT ---

Learn ways to calm yourself, and holistic modalities you can do depending on the cause, and so much more….in my Natural Birth Secrets book second edition.

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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

$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

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

Interview With a Family in My Practice on Their Podcast

“Julia and Gino were blessed to have Anne attend the birth of four of their children in the comfort of their home (they attribute Anne for saving Julia's life by detecting an ectopic pregnancy when the doctors did not!), and wanted to share with the community what an amazing midwife, mother, and entrepreneur Anne is.

In this week’s show, Anne discusses her passion for midwifery, what led her down the path of homebirth, the amazing power and joy of giving birth, and how her struggles in life led to her own transformative healing, growth, deeper joy and inner calm.

Anne draws parallels between raising a family and creating a successful in-person and online business, and how she did not set out to write two books or create online courses and coaching sessions, but a conversation with her daughter about joining Instagram changed it all. And then it grew organically.

Since that conversation, Anne has collected more than 97,000 followers on Instagram alone, and more importantly to her, has been able to serve mothers all over the world, including Australia and Europe.”

Source: Entrepreneur, Midwife, Author, and Mother, Anne Margolis with Julia and Gino Barbaro | Jake & Gino (jakeandgino.com)