Vitamin D deficiency is associated with gestational diabetes and preeclampsia. Vitamin D is well known to support bone growth but it can also improve insulin resistance and glucose tolerance. 40-60% of the U.S. population is vitamin D deficient, including pregnant mothers. Most prenatal vitamins contain only 600IU. The dosage is low because 10,000 IU/day may lead to toxicity. However, recent studies show 1000-4000 IU per day of vitamin D is a preferred dosage for mothers low in vitamin D and taken at this level it has proven to improve blood glucose levels.
I trust my body, and I follow its lead
My belly is filled with love and light
My body knows exactly what to do
I am a strong woman
I feel confident, safe and secure
Each wave brings me closer to my baby
I welcome my baby with love and joy
I will surrender to the wisdom of my body
I am able to overcome any challenges
Relax, breath, open
HOSPITAL BAG CHECK LIST
There is a general misconception amongst women and especially caregivers that induction of labor is convenient and cost-effective. Knowledge about the risks and benefits is key to reducing the steadily rising rate of induction and the cascade effect of interventions associated with induction. Risks associated with induction are the following: a chance of having a cesarean is twice as high, prolapsed cord, infection, uterine rupture and prematurity. A common reason for induction is a “large” baby, however, the American College of Obstetrics and Gynecology (ACOG) states induction for macrosomia (babies weighing over 8#14 oz) actually increases, rather than decreases the risk for cesarean. When an intervention is suggested in order to make an informed decision ask your provider; what is the medical reason, weigh the risks verses benefits and inquire about alternatives.
MEDICAL REASONS FOR AN INDUCTION
• Placental Abruption
• Postterm pregnancy [defined by ACOG as > 42 weeks]
• Gestational hypertension
• Preeclampsia, eclampsia
• Premature rupture of membranes (if certain conditions exist)
• Maternal medical conditions
• Fetal compromise
• Fetal demise
Rights of Childbearing Women…
2. Care consistent with scientific evidence
3. Choose a midwife or physician
4. Choose her birth setting from the full range of safe options
5. Leave her maternity caregiver and select another
6. Information about professional identity and qualifications
7. Communicate with caregivers and receive care in privacy
8. Care that identifies and addresses social and behavioral factors
9. Full and clear information about benefits, risks, and costs of procedures, drugs, tests and treatment
10. Accept or refuse procedures, drugs, tests and treatment
11. Be informed of her caregivers wish to enroll her or her infant in a research study
12. Unrestricted access to available records
13. Maternity care that is appropriate to her cultural and religious background
14. Have family members and friends of her choice present
15. Continuous social, emotional and physical support from a caregiver trained in labor support
16. Full advance information about risk and benefits – available alternatives
17. Freedom of movement-birth in positon of choice
18. Uninterrupted contact with newborn as long as she and her baby are healthy
19. Receive information about benefits of breastfeeding- access to lactation consultant
20. Decide collaboratively with care givers when she and her baby will leave the birth site for home based on conditions and circumstances
*download complete source: www.childbirthconnection.org/rights
Perineal massage is the stretching and massaging of the perineum located between the vagina and anus. Perineal massage works by familiarizing the mother with stretching sensations and includes relaxation techniques that prepare her for a slow, controlled delivery as the baby crowns. The key to an intact perineum is a gentle emersion of the head. The body prepares itself for birth. Physical manipulation of the vaginal tissues is not necessary. Hormones called relaxin help the pelvis open and allow the baby to come down and out. Nevertheless, perineal massage is evidenced-based and research shows if done during pregnancy, especially for first time moms, can reduce second or third degree tears, episiotomies and instrumental deliveries.
Perineal massage can be done for 10 minutes a day during the last four weeks of pregnancy. The mother may perform perineal massage before her daily bath or shower, or as a nightly relaxation routine before bed. Some couples enjoy practicing perineal massage together before intercourse. To do a perineal massage routine use pure oil as a lubricant or K-Y jelly, if preferred. Sit in a semi-reclined position and insert your thumbs or fingers 3-4 centimeters. Warm up the tissues by gliding side to side then apply pressure first downward for two minutes and then two minutes to each side of the vaginal opening. A calming breathing technique can be applied while massaging. Inhale deeply through the nose and exhale slowly through the mouth. This breathing technique can be done as the baby is crowning. It will prevent strong pushing that is instinctual.
The umbilical cord stops pulsing around 5-20 minutes after birth at that time the vessels are no longer open. The majority of homebirth midwives wait until the cord stops pulsating for maximum newborn blood perfusion. Late cord clamping has been proven to be physiologically more beneficial for then newborn. Newborns have a higher hematocrit and hemoglobin levels, blood pressure, and blood volume, with better cardiopulmonary adaptation and fewer days of oxygen and ventilation and fewer transfusions needed. Physiological studies have shown that there is a transfer from the placenta of about 80 ml of blood at 1 minute after birth, reaching about 100 ml at 3 minutes after birth which is equivalent to 30 to 35 mg of iron. Even babies at 2 months have more iron.
Morning Sickness Relief:
Ginger Peppermint Tea
1-2 teaspoons of fresh ginger root
1 teaspoon peppermint
Grate from fresh root and simmer a few minutes. Add peppermint and infuse for 10 minutes.
Wristbands for motion sickness.
Small frequent meals with protein.
Have high protein snacks by your bedside to eat before getting up.
Vitamin B6, 25mg 3x/day
Add lemon to your water.
Essential Oils: peppermint, chamomile, lavender