Wednesday, 20 July 2016

Avoiding Induction of Labour - 2

In the last avoiding IOL post I reported on the use of date fruits, in the last 4 weeks of pregnancy, to get you into labour before your due date. Well.

Just for you I have been eating date fruits to see what they did to a non pregnant woman with some interesting results.

Our guts are made up of smooth muscle as reported previously in this blog. The uterus is also made up of the very same smooth muscle. There is only one type of smooth muscle and it all works in the same way.

So. I started eating date fruits at the rate of one a day and there was no difference that I could detect. So I moved up to two a day and have noticed a big difference in the way the smooth muscle in my gut is working extra well.

This is really good news as my guts are not known for their regularity if you know what I mean.

Therefore, I can say with confidence that eating date fruits do have an influence on smooth muscle. The research that I reported on recommended that pregnant women eat SIX date fruits a day for the last 4 weeks of their pregnancy, they had some very impressive results.

Dare I try eating THREE date fruits a day?

For you I will do anything.

Please please please let me know if the date fruits work for you and how many you had to eat.

P.S. I cut mine up into a salad or my daily porridge. Yummy. xx

Tuesday, 28 June 2016

Research shows Pool Births are the Best.

Study confirms… Women who labour in water have lower rate of epidural analgesia

 

23 June 2016: K.D. Brainin
Randomised controlled trial of labouring in water compared with standard of augmentation for management of dystocia (cervix not opening) in first stage of labour
Objectives:
To evaluate the impact of labouring in water during first stage of labour on rates of epidural analgesia and operative delivery in nulliparous women with dystocia.
Design Randomised controlled trial.
Setting University teaching hospital in southern England.
Participants 99 nulliparous women with dystocia in active labour at low risk of complications.
Interventions Immersion in water or standard augmentation for dystocia (amniotomy and intravenous oxytocin).
Main outcome measures:
Primary: epidural analgesia and operative delivery rates.
Secondary: augmentation rates with amniotomy and oxytocin, length of labour, maternal and neonatal morbidity including infections, maternal pain score, and maternal satisfaction with care.
Results:
Women randomised to immersion in water had a lower rate of epidural analgesia than women allocated to augmentation (47% v 66%, relative risk 0.71 (95% confidence interval 0.49 to 1.01), number needed to treat for benefit (NNT) 5).
They showed no difference in rates of operative delivery (49% v 50%, 0.98 (0.65 to 1.47), NNT 98), but significantly fewer received augmentation (71% v 96%, 0.74 (0.59 to 0.88), NNT 4) or any form of obstetric intervention (amniotomy, oxytocin, epidural, or operative delivery) (80% v 98%, 0.81 (0.67 to 0.92), NNT 5).
Conclusions:
Labouring in water under midwifery care may be an option for slow progress in labour, reducing the need for obstetric intervention, and offering an alternative pain management strategy.
(Extract from abstract of Randomised controlled trial of labouring in water compared with standard of augmentation for management of dystocia in first stage of labour by Elizabeth R Cluett, Ruth M Pickering, Kathryn Getliffe, Nigel James, St George Saunders published in British Journal of Midwfery January 26, 2004)

Women who receive less medical intervention generally stay in hospital for a shorter period of time.
The combination of an intervention free birth – with a short hospital stay result in a better experience for mother and baby.
Hospital staff and resources can be employed more efficiently.
Importantly – this results in significant financial savings!
A birth pool is a simple, inexpensive piece of equipment that can make a major impact on the quality of care and cost of having a baby.
The experience of hospitals who have birth pools shows that the cost of installing a pool is soon recouped by savings achieved through the reduced use medical methods of pain relief and intervention and shorter hospital stays.
www.activebirthpools.com

Pain Free Labour Books now available from Amazon

Thursday, 16 June 2016

Avoiding Induction Of Labour

One of the main reasons that women are unable to give birth on their local birth center is that they go past their due date and face Induction Of Labour (IOL). This is usually offered when you are 10, 11 or 12 days past your date. Women undergoing IOL are not usually allowed on birth centers due to the extra risk to baby from a speeded up labour where baby may become distressed. This risk can result from the hormone pessaries used to initially soften and open your cervix or from the hormone drip that makes the contractions stronger and more frequent.

Researchers have found a very surprising way to try and avoid IOL. They recommend women start eating date fruit four weeks before their due date and have had some encouraging results.

The research was carried out at Jordan University of Science and Technology in 2008. Women were asked to eat SIX dates per day four weeks before they were due till they were in labour. They had a control group who did not eat any dates at all.

The women who ate the dates were more dilated when presenting in labour. On averate 4cm compared to 2cm. Intact membranes where more common amongst the date eaters, 83% vs 60%. As you know from reading this blog it is better for a pain free labour if your membranes remain intact untill you are ready to push.

Spontaneous labour occurred in 96% of those eating the dates compared with 79% who did not get a date. Use of the drip to speed up labour was only 28% in the date group and a very significant 47% in the control group.

Early labour was shorter in the date group and the researchers concluded that the consuption of date fruit in the last four weeks of pregnancy significantly reduced the need for IOL. So, in the interests of science I bought a bag of ready to eat dates to see what they tasted like. I liked them and am currently eating one a day to use them up. Not sure I could eat 6 a day, would have to cut them up and put them on porridge or have them with ice cream. But, what the heck, who cares what they taste like as long as they work.

Let me know how you get on. x :-Q

Ref: Al-Kuran O, Al-Mehaisen L, Bawadi H, Beitawi S, Amarin Z. (2011) The Effect of Late Pregnancy Consumption of Date Fruit on Labour and Delivery. Journal of Obstetrics and Gynaecology 31(1) page 29-31.

Pain Free Labour books now available from Amazon.

Wednesday, 11 May 2016

The Peaceful Birth Project.

 Ancient Wisdom and Research Agree: Amazing Fruit Eases Labor and Prevents Postpartum Hemorrhage
 
 Eating dates to ease labor, oxytocyn and postpartum hemorrhage: ancient wisdom and research agree


The date fruit is the product of the date palm, a tree native to Northern Africa and the Middle East. There is a wide variety of dates including the better known Medjool and Deglet Noor. Each variety is unique in size, sweetness, flavor, and texture. Containing at least 15 minerals such as potassium, calcium, iron, magnesium and zinc, 23 types of amino acids, vitamins, carbohydrates, protein, 14 types of fatty acids, dietary fiber and a lot more, these sweet little fruits are a nutritional powerhouse. [International Journal of Food Sciences and Nutrition, 2003]

The photo is from a study published in the Journal of Obstetrics and Gynaecology which concludes that eating 6 dates daily during the last four weeks of pregnancy “significantly reduced the need for induction and augmentation of labor, and produced a more favorable, but non-significant, delivery outcome”.  Some significant findings:
  • Cervical dilation was significantly greater in the date-eating mamas upon arrival at the hospital
  • 83% of mothers who consumed dates had their membranes intact upon admission at the hospital 
  • 96% of the women who ate dates went into labor on their own
  • Use of Pitocin (synthetic Oxytocin) was significantly lower in women who consumed dates (28%), compared with the non-date fruit mothers (47%)
  • The latent phase of the first stage of labor was almost 7 hours shorter in the date-eating mothers compared with the non-date fruit eaters (510 min vs 906 min). Not bad for eating a few dates!

Very interesting research comparing the use of dates and Pitocin in the management of postpartum hemorrhage.  The study demonstrates a significant reduction in the amount of postpartum bleeding experienced by women who consumed date fruit compared to women who received synthetic oxytocin (Pitocin). The randomized clinical trial was done in two hospitals. Immediately after the delivery of the placenta one group was give 50 gram of dates. Another group  received 10 units of synthetic oxytocin in an intramuscular injection.  Blood loss mean in the end of first hour after delivery were significantly different in dates and oxytocin groups (104 ml vs 141.6 ml) The researchers suggest that dates are effective for management of postpartum hemorrhage because dates have Calcium, serotonin, tannin, linoleic acid, enzimes, iron and other nutrients beneficial to control bleeding and prevent anemia. Khadem, Sharaphy, Latifnejad (2007)

 
http://thepeacefulbirthproject.org/2013/10/ancient-wisdom-and-research-agree-amazing-fruit-eases-labor-and-prevents-postpartum-hemorrhage/

Thursday, 21 April 2016

Pain Free Labour for Kristyn.

Shared by Kristyn
I was 41 weeks 4 days and had, had several bouts of practice labor that never went anywhere so I was growing discouraged. Baby had certainly kept me on my toes between having to be manually turned (ecv) twice the last time being at 38 weeks as well as going so late, so I had lots of chances to practice deep meditation. The thing that helped me the most was a play list of songs who’s lyrics were very meaningful to me and my faith. When I was really worried or upset I would turn on the worship songs and close my eyes and sing even during my practice contractions. And I found that when I did it was far easier to relax and embrace them.
The reason this was important to me was the realization that contractions are there to open your cervix. If you relax through them they are not as painful and they are far more effective.
I learned this through the hypnobirthing course I took as well as the book “Ina May’s guide to childbirth” I highly recommend both in preparation for birth.
The morning of his birth I woke early with very strong waves that were coming every 4 minutes. I ate breakfast took a bath, walked around and after an hour they were still coming but this time accompanied by show, loose bowels and other symptoms that let me know this time was likely the real deal. We called everyone and began preparing the birth space. I realized that they were spacing out and again became discouraged. Around 1 pm we went in to the midwife who did a membrane sweep and we began homeopathics. They immediately started coming every 3 minutes and didn’t stop. We headed home from the birth center.
I labored for an hour before my midwife called and decided the team needed to come. I bounced on the ball and stayed upright as much as possible.
At one point my sweet husband wrapped his arms around me. I grabbed his face and kissed him. Bam fireworks. My body immediately responded by giving me strong intensely pleasurable sensations. I kissed him some more. They were definitely contractions but instead of hurting they just made me knock kneed and want to kiss him  more. My entire body buzzed. I felt madly in love and connected with him more then ever before. We did this for a good 30 minutes before the midwifes arrived and it was pure nirvana.
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They checked me and I was a 7. I got in the tub and it was euphoric. I relaxed in the tub and let the warm water envelop me. I still couldn’t believe that I was actually going to meet my sweet baby boy soon.
One of my very favorite songs came on and I began singing. Soon a contraction began and it was strong. I started to tense up but then I remembered from the days before that when I sang, it became easier and so I continued to sing along and the most incredible thing happened. The pain went away, my body relaxed and I soaked in the gorgeous lyrics and beautiful melody floating across the water bringing praises to my maker. Tears of gratitude poured from my eyes and I just said thank you over and over again.

I stayed here for a couple of hours, singing through contractions, rocking back and forth, praying, and making out with my super sexy man. I was so relaxed and so grateful for this amazing day that the birth team was having a challenge determining when I was contracting.
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After a while I got out of the tub and drank water, had a small snack of apples and apple juice and labored on the toilet for a while. I had loose bowels and felt the urge to poop every time I had a contraction, because of this I noticed my body tensing so when I sat on the toilet I completely relaxed and everything began intensifying. I felt him dropping, and my bag bulging. Though the contractions were more intense, as long as I sang or my husband rubbed my shoulders I could manage them well and felt them opening my cervix.
I decided to lay down for a while and asked my midwife to break my water because I felt like it would speed things up. It did. The second she broke it he moved down deep into my pelvis. The pressure was intense and I decided to move back to the tub. I was a 9 and my body was working hard to bring him into the world. I leaned against the tub and my precious midwife wrapped her arms around my shoulders.
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I decided at that point that I was ready for him to be born and wasn’t scared anymore about tearing. I accepted the possibility and let go. I said out loud,
 “My cervix is fully open, He is not too big. He will fit, I won’t tear.”
And literally 2 contractions later I was pushing. 7 minutes later I was holding my beautiful son. I didn’t tear and was so relieved to finally be holding him that I cried happy tears. I wanted him to be born into a peaceful worship filled environment and I got my wish. I am still so amazed when I look back at the video and am absolutely blown away by how peaceful and pleasurable his birth was. Jorge Ryan was 8#10oz,  21 inches long and pure perfection.

Pain Free Labour books available from Amazon.

Sunday, 10 April 2016

Why I believe in Pain Free Labour/Labor

I firmly believe in Pain Free Labours. Why, because 2 out of my 4 labours where pain free during the first stage, which is when the cervix is dilating to 10cm and you can push your baby out.

My first was an induction of labour at term for hypertension. My waters were broken and I was put straight onto an oxytocic drip. Today we give women 2 hours after having their waters broken to mobilise and go into a more normal labour before offering the drip, but this was in the bad old days 34 years ago. This was not a pain free labour.

My second was a spontaneous labour at T+7. I had researched more natural labours at my local library. Google was still a distant dot on the horizon 31 years ago. I found out how primitive women laboured without fear and stayed mainly upright. I found how to relax in yoga books so I would not feel afraid. I was ready. At 1am I started having painful contractions that woke me up. Sat on the couch downstairs I did progressive muscle relaxation and the pain stopped, but the painless contractions kept coming. When I got to hospital I sat on a comfy chair and relaxed till I was 10cm dilated. This was my first pain free labour.

My third was a spontaneous labour after a sweep at 39 weeks. I was having a pain free labour at home, my mum came round to mind the boys and I set off happily for hospital. Oh dear. A midwife from HELL made me lie down on a bed with a monitor in progress. When I explained that I had to sit up on a chair she laughed at me and pushed me back down. This was not a pain free labour.

My fourth was a home birth. I started contracting on and off during the day but was too busy with my 3 lovely boys to really notice. I was not afraid to give birth as I knew I was doing it at home and no one could make me lie down again. I fed, bathed and bedded the boys and then sent for the midwife. A lovely Irish midwife came to my house, she sat with me eating biscuits and drinking tea until I leapt off the couch when my waters went and wanted to push. This was my second pain free labour.

I so wanted to share this well kept secret with everyone that I then went to university to become a midwife. One senior midwife, who I told about my Pain Free Labour book, said "What is it really called, Bollocks, Bollocks and more Bollocks?"

Society teaches women that labour WILL be painful so that when they start to contract, adrenalin is secreted and messes up their labour. There is another way.

See posts on this blog:
Progressive muscle relaxation
Why labour hurts - 1 to 5
Hazards to a pain free labour 1 to 6
Evidence to support a pain free labour 1 to 3


Pain Free Labour books available from Amazon.

Saturday, 2 April 2016

Colic in breast fed babies?

The cure for colic

When Oliver James's newborn son got colic, he and his wife prepared themselves for the horror of sleepless nights. Then they attended a breastfeeding clinic ...

Two weeks after our son Louis was born, three months ago, he started showing signs of colic. Just when my wife Clare and I were at our most exhausted, at around six in the evening, he would cry loudly and inconsolably for no apparent reason, his back arched and his legs doubled up. Since our daughter Olive (now three) had done the same, we were not altogether surprised. But we groaned at the prospect of months of long nights walking him around to no avail and nocturnal drives with the Pet Shop Boys Introspective album blaring. (This was the only thing guaranteed to shut our daughter up. Somebody should do a study of which popular music is most effective in quieting troubled babies - I swear by the Pets.)
To add to the grief, my wife got mastitis, which we assumed was the reason each feed felt as if she were having her nipples slashed with razor blades. The antibiotics to treat it only made our son worse, upsetting his tummy. As we lurched towards meltdown and bottle-feeding, a health visitor suggested we visit midwives Chloe Fisher and Sally Inch, said to be the international queens of breastfeeding, at their drop-in clinic at Oxford's John Radcliffe Hospital.
That they could help us with the mastitis seemed plausible, but I was sceptical when Fisher told us that the colic was also to do with my wife's breastfeeding technique. I had studied the scientific literature in the past, and despite contact with dozens of health professionals over the years, and endless discussions with other parents, no one had told us that colic had anything to do with how you breastfeed.
About one-fifth of all babies get the full colic syndrome, of whom only a small minority (5-10%) have any identifiable physical cause. It's a serious problem because half of those mothers with severely colicky babies are liable to become mentally ill, falling to one-quarter if the baby is only moderately colicky (compared with 3% of mothers with none).
The ailment has baffled medical scientists seeking a biological cause. Only social, rather than medical, science seems to provide some clues. Most, if not all, babies in developed nations get some of the symptoms, yet it is rare or unknown in developing ones. A possible reason is that in the latter countries, babies are constantly held, fed effectively and on demand. Babies cry less whose mothers carry them for three hours or more, or feed on demand during the first two months.
Another reason could be the lack of social support and the hard-working, stressful lives of pregnant mothers in developed nations. A study of 1,200 mothers interviewed prenatally and when the child was three months found that a good relationship with the partner before the birth reduced colic. Seventy per cent of mothers had colicky babies if they had a lot of prenatal stress, felt isolated and anticipated needing a lot of postnatal help, compared with only 25% of babies of mothers without these problems. Prior problems with the mother's mother also predicted it. When asked during pregnancy or shortly after the birth, mothers who recalled distressing childhood memories or expected a lack of support or excessive interference from their mothers were more likely to have a colicky baby.
It came, therefore, as a great surprise to me when Fisher told us that colic in the breastfed baby is primarily due to something as simple as not attaching the baby to the breast correctly, which means that the baby is unable to "drain" the breast properly during feeds.
Arriving at the clinic on a Monday afternoon, we were met by the sight of a clutch of desperate mothers, their babies suckling for Britain. There were two pairs of twins; our frazzled minds boggled at the prospect of trying to keep them satisfied. But Fisher and Inch radiated supreme confidence that salvation was at hand, roving round the room, providing emphatic instructions.
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Fisher enunciated two principles: "First, don't assume the breast is like a bottle. The milk is in the breast, not in the nipple, whereas with a bottle, the milk is in the teat. To feed effectively from the breast the baby must scoop in a deep mouthful of breast, whereas with a bottle, it can just suck on the end of the teat.
"Second, people wrongly assume the middle of the baby's mouth is halfway between the top and bottom lip. In fact, the middle is between the upper surface of the tongue and the upper palate. For the baby to draw sufficient breast tissue into its mouth, it must be able to get its tongue well away from the base of the nipple and that won't happen unless the breast is presented between the tongue and the upper palate."
If the baby did not attach properly, the midwives told us, it would not drain the breast properly and would keep compressing the nipple between the tongue and hard palate, turning it into something resembling minced lamb. Putting this into practice proved surprisingly difficult but after a bit my wife got the hang of it.
Next came the other important point: "Only switch breasts when the well-attached baby comes off the breast spontaneously and seems completely satisfied," said Fisher. "In offering the second breast, let the baby decide whether he wants it. If the mother starts each feed on alternate breasts [regardless of whether the baby has had one or two at a feed], the breasts will get roughly even use. The important thing is to allow the baby to finish the first breast first."
Failing to do this is the main cause of colic. Fisher also told us that the initial milk is low in fat and calories. If you switch breasts before the high-fat milk has been drunk, the baby will take more from the second breast than he would otherwise have done. Despite the relatively huge volume of liquid in its stomach, the baby will then be wanting another feed before long, because low-fat feeds are processed quickly, leading to a pattern of very frequent feeding. This can cause mental illness-inducing sleep-deprivation, but worst of all, it will cause colic.
Both poor attachment and breast switching result in the baby taking frequent, large-volume, low-fat feeds, which in turn lead to rapid emptying of the stomach into the large intestine. If too much gets there too fast, there is not enough of the enzyme lactase to break the sugar in the milk (lactose) down. The gut turns into a malfunctioning brewery, with fermentation of the sugar in the excess milk creating gas and explosive poos. The crying, arched back, rigid tummy and irritability of colic follow.
I was flabbergasted. If all this were really true, why on earth wasn't everyone told about it, especially considering the damage done to the mental health of parents by colic? Fisher replied that she and Dr Mike Woolridge had published the hypothesis in the leading medical journal the Lancet 17 years ago. "I was expecting that after that it would solve the problem. It seems pretty extraordinary to me that it has not."
Fisher believes she is right because she has seen thousands of mothers solve the problem by following their advice, but since the 1988 paper, her theory has been scientifically tested. A 1995 study compared two groups of 150 mothers: one asked to let the baby terminate the feed on the first breast; the other asked for the baby to feed equally from both breasts. Twice as many of the mothers who fed equally with both breasts had colicky babies (23% versus 12%). What is more, finishing the first breast first resulted in significantly less breast engorgement.
This turned out to apply to us too. Inch doubted that my wife actually had infectious mastitis or had needed antibiotics for it and easily proved her point. A few days after my wife had started taking the antibiotics, the problem had developed in the right as well as the left breast. Since infectious mastitis is a bacterial problem, and since the germs should have been killed by the antibiotics, Inch pointed out that such a transfer could not have happened if it was a bacterial pathology. Rather, the inflamed breast was due to back pressure within the ductal system of the breast, she said. Ineffective milk removal was not keeping pace with milk production so the milk could no longer be contained within the ductal system. It was forced into the connective tissue of the breast, where it gets treated as a foreign protein, with subsequent inflammation and pain.
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All of which proved to be of more than academic interest to us. While we returned to the Thursday clinic for a booster course in attaching to the breast, from the first moment my wife did it properly, the pain was much less. From that very night our son was free of colic and within a week, the "mastitis" was disappearing.

This is very good news for women suffering the curse of colic who are dedicated breast feeders. I always thought breastfed babies could not get colic. Will pass thin info on to all my new mums.
Pain Free Labour books available from Amazon.