Food During Labour: How to Nourish Mama

Food during labour is an important way to nourish and support your body. But there are many things to take into consideration when deciding what food to bring to labour.

We asked Lindy Cook, Naturopath, Herbalist and Nutritionist all about the best food and drink options to have on hand during labour.

How do we prepare food during labour when we don’t know what to expect?

You might not be hungry at all. But you might be! The only way to move forward is to be prepared. A good guide is to have plenty of snacks or small meals to choose from, so you can pick what you feel like in the moment. 

When choosing foods, aim for light, nutritious snacks or meals that include complex carbohydrates, with protein and healthy fat to stabilise blood sugar and energy. This will provide your body with energy and nutrients, while eating and drinking small amounts more frequently is easier on digestion.

It’s a good idea to write your own list of what to eat during labour. I encourage you to go through the list of suggested foods below and write down a few things that really appeal to you. 

But if you have no idea what will sound good, use these tips to plan ahead what to eat during labour:

  • Bring a variety of foods to ensure you’re able to find something that sounds good when you need it. 
  • Have a variety of textures available: soft, crunchy, juicy. Pack it all.
  • Don’t forget your partner! Pack enough for them to eat too, without wiping out your snack supply.
  • Treat yourself. Choose items that are a little extravagant you don’t normally buy, like that premium organic juice or fancy European chocolate bar. 

Of course the most important thing of all is to listen to your body and not force yourself to eat something that doesn’t sit well with you. 

What food during labour do you suggest? 

Some hospitals will have a refrigerator you can store your drink and food in. If this isn’t possible, a small esky bag can be useful. The following list isn’t comprehensive but it covers a wide range of snacks and small meals to choose from:

  • Greek yoghurt – rich in good fats and protein. Try adding some berries for a little extra sweetness and energy, can also be frozen into cubes
  • Homemade bliss balls containing protein powder
  • Mini frittata with spinach, carrot and goats cheese
  • Green smoothie with a plant-based protein powder
  • Frozen berries, grapes or bananas, as these fruits are refreshing and remain soft when frozen
  • Quinoa with avocado, or brown rice and an organic egg. Both are light but substantial and well balanced
  • Banana or apple with nut butter
  • Dried fruit and nut mix (preferably without sulfur)
  • Granola bars 
  • Wholegrain toast or wholegrain crackers, with avocado or natural peanut butter or almond butter
  • A spoonful of raw honey, for a boost of energy
  • Peanut butter sandwich
  • Cheese cubes
  • 100% applesauce. The individual squeeze packs are great during active labour.

What are the best options when it comes to fluid intake?

Your body uses a lot of energy during labour and it’s very important you stay hydrated during this period. Aim to take a sip of fluids every 15 – 30 minutes. Another good option is to make ice cubes out of your favourite fruit juice or smoothie and suck on them.

Also, make sure to have a few straws on hand! You’ll probably find yourself in various positions during labour and you may not want to move much. Having your support person hold the straw to your lips will make it much easier to consume.

Here are some of my favourite options of what to drink in labour:

  • Coconut water – an excellent source of electrolytes and an ideal, healthy option for staying hydrated in early labour
  • Miso Soup.
  • Bone Broth – nutrient rich, can assist with nausea
  • Diluted cloudy apple juice .
  • Frozen red raspberry ice cubes with honey or natural raspberry popsicles.
  • Raspberry leaf tea is wonderful during labour and it can gently stimulate productive contractions.
  • Protein smoothie. 
  • Eating juicy fruits like watermelon and cucumbers will increase hydration. Frozen watermelon is very refreshing.
  • Sprinkle a little Celtic salt or other trace mineral salt into your water.
  • Lemon-lime labour aid provides electrolytes, required for muscle (uterine) contractions, particularly useful during active and later labour. 

Lemon-Lime Labour Aid

  • 2 cups coconut water
  • 1 cup water
  • juice from 1 lemon
  • juice from 1 lime
  • 2 tbsp organic honey
  • ¼ tsp unrefined Himalayan salt
  • 1 tsp good quality magnesium powder
  • A few drops of rescue remedy
  • optional: trace mineral/electrolyte drops

Mix all the ingredients together, refrigerate and sip on throughout labour. You could also try freezing it into ice popsicles or cubes in advance, which can be added to water or coconut water. 

When are the best times to eat food during labour?

Eating light snacks and staying hydrated during labour has been shown to significantly reduce the length of labour! Awesome, right? This is why you want to make sure you’re drinking enough fluid during early labour to avoid dehydration, as it can cause ineffective contractions. For food, you want to eat foods that give you lasting energy.

Early labour is a great opportunity to eat deeply nourishing foods to fuel you for several hours. Protein is so important for pregnancy nutrition, plus it helps balance your blood sugar so you don’t have crashes later. If you can stomach protein during labour, try to eat some.  

As labour progresses into the active stage, your appetite will naturally decrease. If you’re able to, eating small bites of easily digestible foods during pushing can help you to maintain your strength. 

It’s wise to have a few options available because you don’t know what might seem appealing, or if you’ll have an aversion to certain tastes or smells. 

Carbs are an excellent choice for that. If eating carbs feel too heavy for you, try having a smoothie, some fruit, a granola or protein bar. Avoid fried or greasy food in case you feel nauseous later in labour. 

What foods and drinks should be avoided during labour? 

It can be temping to just stock up on energy drinks for labour but it’s not a good idea as they’re high in sugar and caffeine. Some energy drinks have as much as 8 times the amount of caffeine as 1 cup of coffee.  It’s not recommended to drink more than one cup of coffee a day while pregnant. 

Other foods and drinks to avoid during labour include:

  • Oranges and orange juice. The acidity may cause an upset stomach or burning if vomiting occurs after consumption.
  • Protein and fat (late in labour). These slow the rate that your muscles use energy supplied from the sugar. Avoid foods like steak, fries or burgers. 
  • High sugar and fat foods. Foods high in sugar may give you that quick energy boost but will leave you feeling tired and nauseous once your energy peaks. Avoid foods like doughnuts, pastries or cakes. 
  • Try to avoid spicy food during early labour since it can cause you to have diarrhoea, which is no fun.
  • Avoid the sports drinks with artificial food dyes and high fructose corn syrup.
  • Energy drinks. These are high in caffeine which can affect you and your baby’s heart rate and blood pressure.

What should the partner or support person be eating throughout the labour?  

Make sure your partner has snacks packed as well! Avoid anything that will linger unpleasantly on their breath (garlicky pasta is out!).

Partners may like to have some easy to grab, quickly nutritious snacks like trail mix, granola bars, peanut butter, nuts, fruit. They will especially be thankful for preparing a sandwich or other simple meal ahead of time.

Your partner is going to need a lot of energy and support to prepare for the journey with you while you are going through the intense stages of labour. You will need a lot of attention, patience and support, so your partner needs to be prepared with nourishing food to stay focused on you. 

What are the best options for nausea during labour? 

The feeling of vomiting and nausea, also known as morning sickness, is fairly common during pregnancy, particularly during the first trimester. However, sometimes a woman may experience similar symptoms when she goes into labour. 

Most often, vomiting in labour happens around transition. This is near the end of the first stage, just before pushing begins.

Some women vomit throughout labour, which can cause dehydration and drain your much needed energy which may slow down contractions. So it’s important to have some tips on hand if you’re nauseous through labour:

  1. Don’t limit food intake: Pregnant women are likely to feel hungry and thirsty during the initial stages of labour. It is essential to eat during early labour to ensure you have plenty of fuel to get through labour. Restricting food intake can trigger ketosis, when your body burns fat reserves as fuel. This can increase acidity and cause you to feel nauseous.
  2. Avoid dehydration: Dehydration during labour can cause nausea and vomiting, as well as slowing down contractions and stalling labour.
  3. Food aversions: Sometimes, specific foods or drinks can bring about nausea during early labour. Some women may be adversely affected by foods like peanut butter or beverages like juice.
  4. Eat bland food: Eating bland food which is easier to digest, such as fresh fruit, rice, multigrain crackers, clear-based broths, yoghurt, bland multigrain cereals.
  5. Essential oils : Essential oils like lemon, lavender, peppermint can work well to stop vomiting at the time of labour. Sniffing the oils may ease the sensation of vomiting.
  6. Ginger: Ginger is known for its beneficial effect in controlling vomiting. You can use ginger tincture which may be an easy, effective and portable way to avert vomiting. You can add a few drops to your tea, broth, water or take it directly.
  7. Hydrotherapy: Some women may find hydrotherapy advantageous when dealing with the sensation of vomiting. Sitting in a tub of water or standing under a shower can ease nauseous feelings.
  8. Cold washcloth: Placing a cool piece of cloth on the face or back of neck can bring some respite from feeling nauseous. You may like to add a drop of essential oil like peppermint for a pleasing, cooling sensation. You can also put a frozen bag or ice cubes at the nape of the neck.

Nurtured Birth offers naturopathy support tailored to your pregnancy and birth needs. We’d love to nurture you on your journey, please contact us for more information or to book an appointment.

Comfort in Labour: 4 Ways to Nourish Mama

As you prepare for birth, take some time to think about what comfort in labour might look for you.

How will you meet the demands of labour, no matter how long it takes? What essentials will  you bring to the birth to keep up your energy and cope with contractions? How will you remain supported, focused and encouraged?  So many questions.

There is so much to think about, especially if it’s your first baby.  It’s exciting and overwhelming and nerve wracking all at the same time. 

There’s more to giving birth than packing a hospital bag and writing out a birth plan. Part of your preparation for birth should focus on one simple theme: nourishing mama during labour. 

When we think of nourishment what immediately comes to mind is food. But humans are complex beings and we need more than just food for our bodies. We rely on many things for our mental sustenance and emotional wellbeing. 

Here we have included 4 simple options to provide comfort in labour for mama: water, food, support and sensory. You can pick and choose the options that will work best for you and include these ideas for your baby’s birth.

#1: Water as comfort in labour

The source of life, the essential building block of life. Human bodies consist of up to 60% water so it’s no wonder we find it a source of nourishment.

During labour, your body works hard and uses up a lot of energy. It’s important to keep hydrated, to support your body’s efforts to give birth. 

Drink small amounts of water often. Sucking or chewing ice cubes prevents taking in too much too quickly, which can cause nausea or vomiting. Using straws to drink liquids is preferable.

Water can be used in the form of hot and cold packs to ease pain and discomfort. Cool face washers or a spray bottle with a fine mist can be refreshing.

Water also offers comfort in labour in the form of the bath or shower. This can make you feel refreshed, cleansed, warm or cool. Taking a bath or having a shower can be relaxing and a form of pain relief, easing tension and backache during labour. Birthing in water is a popular option for some women.

#2: Food as comfort in labour

Lindy Cook, Naturopath at Nurtured Birth, offers the following advice when it comes to the food we should eat during labour for the best nourishment.

“Your best bet is to make sure you have plenty of snacks on hand that are super hydrating, highly nutritious, high in protein and easy to digest. As with the rest of your pregnancy, it’s best to stick with healthy foods that will provide your body with the energy and nutrients needed while giving birth to your baby.”

Research shows restricting nutrition and fluids during labour can make them more painful and last longer. If you are having a c-section you will be given specific guidelines on food and fluid intake. 

In early labour, have regular snacks so you’re building your energy reserves. Eat foods that are easy to digest and give you a more consistent release of energy. Lindy suggests the following options for your labour:

  • Granola bars, protein balls, dried fruit and nut mix
  • Wholegrain toast or crackers with nut butter or avocado
  • Low fat yoghurt, add berries for sweetness
  • Apples or bananas, frozen grapes or berries
  • Smoothies – fruit or vegetable or green with added protein powder
  • Quinoa and avocado, or brown rice and an organic egg
  • Mini frittata with spinach, carrot and goats cheese
  • Drinks – coconut water, raspberry leaf tea, diluted cloudy apple juice, homemade labour aid. Sometimes other drinks are managed better than water. Avoid drinks high in sugar or caffeine
  • Clear soup such as bone broth or miso soup
  • If feeling like a sweet hit – spoonful of honey or piece of dark chocolate
  • Avoid fatty, rich or spicy foods, & strong smelling foods – this includes your support person too.

#3: Support in labour

Comfort in labour can come in the form of support, which might be emotional and physical. Who you have to support you during labour can impact your birth experience, either in a positive or negative sense. Studies show that women with good support have shorter, less painful labours, with less medical intervention. 

Think carefully about who could offer you the support you need to feel comfort in labour. There will be moments you will feel very vulnerable, afraid, or even lost. You may need someone to ask questions, draw out information and make sure your wishes are being heard and honoured.

Choose someone who nourishes you in your daily life. Your partner, your children, your mum, your sister, a friend. You could also choose an independent midwife or doula to guide you through the experience of childbirth.

Sarah Goldberg, founding Director of Nurtured Birth, is a doula and she has shared some tips for support as comfort in labour:

  • Touch – simple and firm, holding the space, calming and soothing you, holding your hands.
  • Massage – of the back, shoulders and neck, legs. Especially the lower back and sacral region to reduce muscle tension and distract from contractions.
  • Encouragement – emotional support is key. A labouring woman needs to stay focused as she works hard to birth her baby. At times it’s normal to feel really confronted and tired. Encouragement and attention help you feel held, cared for and safe. This promotes the production of oxytocin. Oxytocin is the love hormone and needed in peak levels to cause contractions which open the cervix and bringing the baby down and out. 
  • Environment – create a loving, relaxed space with the right team of people, where you can laugh and feel joy, and aim to make it a precious memorable life experience. 
  • Physical support – helps to make you physically comfortable, stay connected to your breath,  help you to stay active, perhaps even dancing, support in upright & active positions, encourage you to try new positions. 
  • Support people – let others take on practical tasks, like getting heat packs or cool washers, making sure you are sipping water and nibbling food that will keep you going. Running a bath, hanging out in the shower, making sure the lights are low, adjusting music or  applying tens machine.  

#4: Sensory comfort 

Our human spirit needs nourishment and encouragement, especially in challenging moments during labour. What lifts your spirit, affects you positively and fills up your cup? Bring those special elements into your birth space to provide comfort in labour.

Some sensory comfort in labour ideas you might like to explore:

  • Visual stimuli – pictures or photographs that evoke emotions, assist focus and meditation, affirmations practiced during pregnancy.
  • Breathing – practice deep breathing techniques during pregnancy to create a habit of using this in labour, to promote deep relaxation during labour.
  • Encouragement – appropriate encouragement in words or touch that is nurturing, supportive and strengthening.
  • Music – sound can be a good distraction and very relaxing, or uplifting to promote energy. 
  • Rest and sleep – allow your body and mind to rest in between contractions, especially in the first active stage of labour, to build up energy reserves.
  • Scents – essential oils can offer support and calm, assisting you through each stage of labour, providing nurture, strength and positivity. 
  • Pain management techniques – coping with contraction pain can be assisted with the use of a tens machine, acupuncture or acupressure.
  • Comfort items – these might be special to you, such as a blanket, clothes, warm socks, a favourite throw rug, your own pillow.

Make sure your time in labour is a positive experience by surrounding yourself with all forms of nourishment. Comfort in labour can be found with one or many of these 4 simple ways to nourish yourself.

If you need help in finding what are the right choices for you, consider some childbirth education classes. Nurtured Birth offers private birth education sessions in the comfort of your own home or via online conferencing. Please contact us for more information. 

Written by Sharon Clarke, Remedial Therapist at Nurtured Birth

Sore Nipples and Breastfeeding: What You Need To Know

Sore nipples are one of the more common concerns new mamas face when beginning their breastfeeding journey. 

Breastfeeding mum and baby sore nipples

Breastfeeding is a wonderful, natural way for a mother to bond with her baby, and breast milk is recommended as the only source of food for a baby’s first six months of life. 

Whilst the production of breast milk occurs naturally, the art of breastfeeding doesn’t always go smoothly.

For many mothers the experience is simple and straightforward, but for some it can become a painful ordeal. 

Breastfeeding is a learned skill for both mother and baby, and there are bound to be some hiccups at the beginning. Sore nipples are often dismissed as part of the process but pain definitely isn’t something new mamas should ‘put up with’. Sore nipples can be so painful that a mother gives up breastfeeding altogether.

Find out what you need to know about sore nipples and breastfeeding, and what we recommend for prevention and support. 

Pre-pregnancy breast soreness 

Breasts, areolas and nipples come in all shapes and sizes and will change throughout a woman’s life cycle, from adolescence through to menopause. We need to have an awareness of what is normal for our breasts by doing regular breast checks so we can spot any unusual changes quickly. 

Breast soreness is very common. It affects most women at some time in their lives, usually in the form of swelling, lumps, bumps, general aches and soreness. Commonly felt at varying times of the menstrual cycle, breast soreness is usually regarded as normal. The soreness will vary from woman to woman, so it is important to be aware of what is normal for you.

If there is any unusual pain, extreme pain, or changes in the breast tissues (with or without pain) it needs to be explored further. This could be due to other factors such as cysts, tumours or mastitis. Seek advice from a medical professional for further investigation into the source of pain and treatment.

Pregnancy breast soreness

During pregnancy, your breasts undergo many changes, influenced by hormonal fluctuations. 

During the first trimester your breasts may feel generally sore and tender. The breasts often increase in size and as the pregnancy moves forward the areola and nipples will usually darken and become larger. 

It is important to make sure to be fitted with the right style and size of bra during pregnancy, to prevent not just soreness but long-term damage to the breast tissue.

During the third trimester the breasts will begin to make colostrum in preparation for milk supply for the soon to be born baby. This can be seen as a shiny, clear discharge from the nipples. 

Some women may hand express this colostrum after consultation with their midwife, obstetrician or doctor. In certain situations babies need supplementation after birth and a supply of colostrum in the freezer can be used instead of formula. 

Breastfeeding soreness

Breastfeeding is biologically the normal way to feed mammal babies and the production of milk (lactation) occurs naturally after giving birth. Breast milk contains everything your baby needs for nutrition for the first six months of life. 

Breastfeeding begins soon after birth, often with mum bringing the baby to her breast within minutes after birth. Babies left on their mothers bellies after birth have an innate instinct to seek out the breast, and will crawl up to the nipple. 

In the first few days, your breasts will produce colostrum and this provides everything your baby needs. Within a few days, your milk ‘comes in’ and changes in volume and composition. This can cause some discomfort as breasts become full and engorged, and your baby is increasingly hungry and more demanding.

Breastfeeding shouldn’t be painful. But in the initial few weeks, at the beginning of a feed, there may be some discomfort when the baby first attaches to the breast. The sensation should subside within a short time and as the feed continues it should not be painful.

There can also be other issues such as engorgement, mastitis, nipple vasospasm, thrush and other infections. Nipples may appear bright pink or red in colour, bleeding, dry, flaky, or have a white rash (thrush). 

Causes of sore nipples when breastfeeding

Sore nipples most often occur if the baby doesn’t have the proper attachment or ‘latch’ to the breast.This can cause cracking, splitting and bleeding of the nipple. Sometimes these sores are obvious, but small cracks can be hard to see, even if very painful.

There can be other issues such as a baby with tongue tie, incorrect use of breast pumps, or medical conditions such as dermatitis or an infection. In these cases it is important to seek help from a qualified professional to properly diagnose the problem and offer the right course of treatment.

Even if breastfeeding is going well problems can still arise. Nipple soreness can occur if mum or baby become complacent about latch, the baby has a growth spurt causing a sudden increase in feeds, or baby begins teething.

What can be done to help breastfeeding and sore nipples?

Even if you have breastfed before, breastfeeding each baby is new and can take some adjusting to. Being prepared for breastfeeding before you have your baby is a good foundation to understanding what can go wrong and what to do about it. 

Nurtured Birth recommends Born To Breastfeed, a comprehensive and accessible breastfeeding guide for mothers, answering all your questions and providing support for challenges. You can purchase this through Nurtured Birth’s shop here

  1. Seek advice straight away! The best person to help is a lactation consultant. They will have specialist training and knowledge on breastfeeding issues. Your midwife, maternal & child health nurse, postnatal doula or paediatrician can also provide some support. 
  2. Consider attending breastfeeding classes during pregnancy to prepare yourself and your partner. You can also make contact with a lactation consultant so they will already be on hand to assist once the baby is born.
  3. Try to feed on the baby’s first cues of being hungry, not waiting until they are crying. You can try putting the baby to the breast more often, expressing some milk prior to feed and offering the less sore side first.
  4. Finding the proper positioning while feeding. Getting the right set up of chair, pillows, baby’s position to allow for correct attachment to the breast.
  5. Keep nipples dry between feeds. Make sure to change nursing pads frequently and use 100% cotton for best airflow, not plastic lined ones.
  6. After a feed leave some fresh breast milk on your sore nipples and keep them open to air for a few minutes. Pat dry gently. 
  7. Products like the BodyICE Breast Pads provide relief for sore nipples. You can purchase these cleverly designed pads that fit into your bra through Nurtured Birth’s website here
  8. Soothing products to assist with the pain and healing: after a feed apply a saltwater rinse to the nipple or try a warm cloth compress. A lanolin ointment that is 100% medical-grade is also safe to use on your nipples after a feed.
  9. Check your expressing technique – some electric pumps can be too harsh and may need to be adjusted. Sometimes a manual pump or hand expressing can be gentler on sore nipples.
  10. Nipple shields can be used for short periods of time to ease sore nipples. They often lead to future issues with poor attachment so need to be used with advice and careful consideration. 
  11. Some causes of sore nipples need medical intervention. Thrush can be treated with an ointment that is safe for baby, mastitis may need antibiotics so it does not become serious and lead to hospitalisation. Always seek out advice from a medical professional.

Where do I find help?

You can contact the following organisations for more information:

Lactation Consultants of Australia and New Zealand (LCANZ) 

Australian Breastfeeding Association runs the National Breastfeeding Helpline 1800 686 268

Maternal and Child Health Line (24 hours) – 13 22 29

Nurtured Birth postnatal doula available for home visits in Melbourne, even during Covid-19 times. 

Written by Sharon Clarke, Remedial Therapist at Nurtured Birth

Pregnancy Pillow – Do I Need One?

Many mamas-to-be want to know if a pregnancy pillow is a necessity, especially when their belly starts to really grow. Having a baby bump is exciting but it does start to cause you extra aches and pains. 

Rest is so important in pregnancy and it can be difficult to achieve, especially at night when you’re trying to sleep.

You might try different positions, add a few extra bed pillows…but eventually, you realise this is a situation that needs a specific solution.

To help you decide, we’ve answered the most common questions about pillows and even added our own recommendation. 

What is a pregnancy pillow? 

A pregnancy pillow (sometimes called a maternity pillow) is specially designed to support your body as it changes shape during pregnancy.

It provides support for your body through different positions when you’re lying down, making sleeping more comfortable during pregnancy. 

During the later stages of pregnancy, lying on your back isn’t recommended and many pregnant women find sleeping in a normal position challenging. 

Why should I use a pillow in pregnancy?

One of the most important things you need during pregnancy is rest and an expanding belly can really get in the way of that. But most pregnant women find lying down gets more uncomfortable as their belly grows. Pressure on certain parts of the body increases, and you’re more likely to have lower back pain and sore hips. 

Back sleeping isn’t encouraged in late pregnancy particularly as the weight of your baby presses on a major vein that supplies blood to the uterus. There is also evidence that shows going to sleep on your back increases the risk of stillbirth in later pregnancy. 

This means side sleeping is the best option but you are likely to find this position puts pressure on your hips and back – hence a pregnancy pillow can provide relief. 

The pillow provides support to different parts of your body, to make you more comfortable and allow you to rest properly and not wake up to more aches and pains in the morning.

When should I start using a pillow?

You can start using a pillow at whatever stage of pregnancy you like. 

About midway through your pregnancy, your belly will start to expand. As your baby grows, your ligaments and joints can become painful as the increase in weight puts pressure on them. Your body is making room for your baby but it can make it difficult to move and or get comfortable when in a lying position. 

Do pregnancy pillows help with back pain?

Pregnancy puts a lot of strain on your muscles and ligaments and this is often concentrated in your lower back. Sleeping on your side in later pregnancy can also exacerbate back pain if you don’t use support.

Your neck, back, and hips should be aligned to support the natural curve in your spine, which is where a pillow can help. When you place the pillow between your knees, your body position is aligned and relieves the pressure from your back.

Which pregnancy pillow is the best?

Nurtured Birth has been recommending Dentons Pregnancy Pillow for over 10 years to clients who want to get a better night’s sleep and support. 

The Dentons Pregnancy Pillow has been expertly designed to support the weight of your growing baby and uterus. It is easily wedged under your belly to relieve the pressure on your muscles and spine, allowing you to rest and sleep more comfortably. 

You can order the Dentons Pregnancy Pillow through Nurtured Birth’s shop here.

Essential Oils in Pregnancy, Birth and Beyond

The use of essential oils in pregnancy has a range of therapeutic effects, from easing tension, anxiety and aching muscles to generating a positive mood, calming or energising. 

Essential oils in pregnancy can be wonderful to support the changing body through each trimester, into labour and postnatally, but must be used safely and sparingly.

Jo Harris, founder of Soularoma shares her tips and guidelines for using essential oils in pregnancy.

What are the benefits of essential oils in pregnancy? 

I obviously love and deeply believe in the benefits of essential oils during pregnancy, it is a very special time and usually happens only once or twice in most women’s lives.

A pregnant woman’s wellbeing (physical & emotional)  is of utmost importance and thus it is a time to use essential oils for that extra boost if it is needed.

 It is important for women to have complementary approaches available during their pregnancy to cope with the physiological and emotional issues that can appear.  It is empowering for a woman to treat issues which don’t require medical intervention by herself with natural essential oils.

What are the considerations you apply when choosing essential oils for pregnant women?

Safety is always number one, but then also what the individual client likes and needs (emotionally, physically & spiritually) at that moment. 

Unfortunately there is a lot of contradicting information with essential oils in pregnancy. With pregnancy it is best to be on the safer side and act with caution. 

Why is it important to seek the advice of a trained aromatherapist? 

To be sure what you are using is safe for you and your baby. This is of utmost importance at all times with essential oils but especially so when during pregnancy. 

It is also important to use very little during pregnancy. So the dilution should always be half of a normal adult dose- a maximum of 1.5% dilution. 

What do you include in your Birth Surges oil and why? 

For establishment of labour – clary sage, a great uterotonic, helps relax (like a euphoria), and decreases anxiety, fear and panic. Clary sage also works to decrease irritability and strengthen the central nervous system. It also helps gain clarity. 

For active labour – rose oil, it is a great uterotonic, rose is calming, decreases anxiety, fear and panic and works to promote love (opening the heart), concentration, patience and decreasing irritability. It also protects from negativity. 

Birthing the placenta – jasmine helps promote confidence, helps to decrease anxiety and fear. Jasmine is also a great oil for gratitude & opening the heart. Jasmine also helps to reach a meditative state and to feel peace.

None of these oils should be used before 38 weeks of pregnancy. 

Essential oils in trimester one 

During the first 13 weeks of pregnancy a woman will undergo a variety of changes as her body begins to support her growing baby. These changes occur physically, emotionally and physiologically. 

Although not all pregnant women will experience all symptoms, there are many common changes and complaints that can be experienced, such as nausea, fatigue, headaches, emotional vulnerability, hormonal swings. There is also a mixture of excitement and anxiety about pregnancy and birth.

With these changes in mind we need to find essential oils that are soothing and relaxing but also uplifting and revitalising. It is really important to use essential oils only if really needed during the first trimester – less is more. Safety is really important in this trimester especially. 

  • For nausea – cardamom, mandarin, lemon, orange, ginger; and for headaches lavender or lemon.
  • For emotional health – lavender, patchouli, orange, vetiver, mandarin, bergamot, grapefruit, palmarosa, petitgrain, lime. These oils have soothing, refreshing, uplifting, tranquil qualities.
  • To counteract anxiety – petitgrain, bergamot, lavender, neroli, orange, grapefruit, mandarin., lemongrass (in low dosages), rosalina, vetiver, chamomile.

Essential oils in trimester two 

As the pregnant woman enters into the middle of her pregnancy, weeks 14 to 27, she may find pregnancy symptoms begin to ease. She will begin to feel her baby move and often embrace the joy of her pregnant body and her baby growing inside her.  

Common conditions that may arise in the second trimester include increased energy, sinus aggravation, less stable joints/muscles causing pain, spider/varicose veins, heartburn and constipation.

The oils that will offer the most benefit during this time will target the digestive system, balance and focus, easing pain.

  • For digestion or indigestion – ginger and lavender, sweet orange, coriander, mandarin, cardamom
  • Aching muscles – lemon, ginger, rosalina, myrtle, cardamom
  • Sinus – Rosalina, myrtle, lemon
  • Overall balancing – lavender, geranium (not for use in early pregnancy), mandarin, petitgrain, neroli.

Essential oils in trimester three

The last 13 weeks of pregnancy are known as trimester three. During this time the baby has grown so much it is having a significant impact on the pregnant woman’s physicality. 

The common changes and complaints that occur include a decrease in energy, anxiety for impending birth, oedema, leg cramps. 

  • For inspiration and to invigorate – geranium, lemon, ginger, lemongrass
  • To promote sleep – a citrus base such as orange, tangerine or bergamot blended with lavender
  • To unwind, destress, relax – a citrus base of orange, bergamot or lime blended with geranium, patchouli, ylang ylang, or petitgrain, lemongrass, lavender, chamomile, rose geranium.  

Essential oils during labour and birth

Essential oils can offer support and calmness to the birthing woman, assisting her through each stage of labour, providing nurture, strength and positivity.

  • Inner power – mandarin, frankincense, ginger, rose, patchouli
  • Meditation – a citrus base or tangerine or bergamot, with lavender, frankincense, vetiver
  • Feminine – orange, ylang ylang, lavender, geranium, jasmine
  • Promoting contractions – clary sage, sweet marjoram, ginger, rose.

The baby can be greeted at birth by a mild pleasant aroma. The use of essential oils should be stopped close to birth to provide a more aromatically neutral environment as babies are very sensitive to smells. It is best for the baby to smell mum’s own scent to help with bonding.

Essential oils for the postnatal period

Common changes and complaints that occur after pregnancy and birth include exhaustion, physical tiredness and pain, emotional adjustments, hormonal changes, healing, breastfeeding issues. 

  • Breast engorgement – geranium
  • Healing emotions – lavender, patchouli, mandarin
  • Emotional tension – neroli, palmarosa, mandarin, chamomile.

Postnatal application of essential oils to the skin:

  • To help reduce stretch marks, help the skin keep its suppleness and elasticity by deeply moisturising using rosehip oil, helichrysum, lavender.
  • To assist with healing the perineum (tears, fissures, etc.) a lavender compress or lavender in water in a spray bottle can be applied to the perineum after going to the toilet. 
  • Soothe the skin for calming and relaxing – lavender, rose, roman chamomile.

Oils should be blended with a base oil or cream, diluted.

Always remember:

  • No ingestion of essential oils
  • Essential oils should always be packaged in dark glass and be 100% pure
  • Discontinue use immediately on an allergic reaction and seek professional advice
  • Do not ingest oils or apply undiluted on the skin
  • Keep essential oils out of reach of children
  • Oils contraindicated in pregnancy are: angelica, basil, bay, clary sage, cedarwood, cypress, eucalyptus, fennel, jasmine, juniper berry, myrrh, marjoram, peppermint, rose, rosemary, spearmint, Spanish sage, sandalwood, thyme, yarrow.

If you would like to get in touch with Jo Harris and find out more about her products and journey as an aromatherapist, please contact her at:

web: soularoma.com.au

email: hello@soularoma.com.au

Phone: 0457 698 480

Pregnancy Support And Dads: Supporting Your Partner

Most information about pregnancy focuses on the mama-to-be, but what about pregnancy support and dads? What role do dads take in supporting their partner during pregnancy?

Pregnancy is a time of celebration and excitement but there are also plenty of challenges. Dads play an important role in many ways during pregnancy, from conception all the way through to birth and beyond.

Believe it or not, dads supporting their pregnant partner is essential to her wellbeing, influences her birth experience and recovery afterwards. It also brings you together, strengthening your bond and creating a united team – your family.

How can you be the best support for your partner during pregnancy? Let’s focus on 5 important ways dads can offer support.

#1: Physical pregnancy support and dads

Pregnancy brings many physical changes, from morning sickness and tiredness to more physical effects such as sore joints and being unable to move easily. 

You can provide physical support to your pregnant partner to help her cope with these changes. It might she needs to make lifestyle changes, such as healthy eating, giving up unhealthy habits or taking up exercise. You can join her in the move to a healthier lifestyle, and offer encouragement and support. 

Pregnancy takes a physical toll on a woman’s body. Body aches and pains increase, she may get frustrated at not being able to do things easily, and feel generally uncomfortable all the time. Understand her physical limitations and be aware they will be constantly changing. Create opportunities for your partner to rest or provide caring support like a back massage or foot rub. 

Some women may feel self-conscious about how their body is changing. This can change their feelings towards sex. Talk to your partner about how she is feeling and be positive with responses. There are many ways to be intimate within your relationship. Cuddles, hugs and kisses may be the perfect support plan for now.

You can also support your pregnant partner by promoting a slower lifestyle, such as reduce busy schedules andcut back on socialising. If there are other children in the family, you can take on more of their daily care to give your partner  time to rest, meditate and prepare for birth, building a connection and bond with her baby.

#2: Emotional pregnancy support and dads

While often the attention is focused on the pregnant mama-to-be, dads can feel left out of the picture, a bit forgotten and ignored.  

Announcing your pregnancy news is a shared joy and any other celebrations  can involve you too. Pregnancy traditions such as baby showers or gender-reveal parties aren’t just for pregnant mamas – celebrating your new family together strengthens your bond as a couple.

Keep the lines of communication open. Often we wait until we’re asked to do something. Instead, specifically ask your partner to guide you in how to best support her. Make time to talk about how you’re both feeling about the birth and becoming parents. Ofter encouragement and reassurance and share your own concerns and worries, so you’re building a path of strength and resilience together. 

Hormonal changes during pregnancy can make pregnant women emotional and teary one minute, but bubbly and vibrant the next. They can even seem completely irrational at times.

It is important to understand these hormonal changes are out of her control. They can cause mood swings, reduce her energy levels and increase her need for sleep. The best way to offer support is by being understanding, comforting and encouraging her to take breaks and naps. A show of affection by offering a simple hug can make her feel loved and supported.

#3: Practical pregnancy support and dads

Taking on the essential daily tasks is a great way for dads to take the pressure off their partner, especially if she is still working. 

Pregnant women are giving so much of themselves to the growing baby they are often left depleted. You can assist or take over things like preparing meals, cooking, cleaning and washing, bathing other children.

Helping in this way is especially important when your pregnant partner is feeling particularly worn out or if certain cooking smells make her feel ill. 

Brainstorm ways your partner is going to need support after the birth of your baby and plan ahead. Will you take on cleaning and cooking, or should you organise a cleaner and meal delivery? Go shopping with your partner for items like prams and car seats.

#4.  Pregnancy support and dads

Being there from the start and being engaged is so important for dads. You can support your partner by attending pregnancy appointments such as ultrasounds and antenatal care check ups, helping to discuss options for care and planning your birth options. 

Take a proactive interest in being informed about pregnancy, baby development and birth. There are many well researched blogs and websites for you to choose from. 

Talk about the roles you will take on in parenting, what it means to you to be a parent and how you can share parenting roles. This can be a good time to work through any concerns about how you were raised and the things you want to avoid as a parent yourself. 

Dads can talk to their unborn baby to begin building a connection. By the third trimester babies can recognise voices and love to hear talking and singing. You can talk to your baby in your partner’s belly, to help build a bond with the baby and start developing your family connection. 

#5:Birth preparation support 

Dads can be supportive by preparing themselves to be the birth partner their partner will  need during labour  and birth. Nurtured Birth offers a specific workshop for partners to encourage them to be the best birth partner.

You can read up on the process of labour, and the varied scenarios that can occur in labour. You can start to think about your role in the birthing process, making sure to ask questions during antenatal visits. This makes it clear to health professionals you’re involved and want to be included too.

Attend birth classes and be proactive in your involvement. Nurtured Birth offers tailored and in-depth private childbirth education sessions you can enjoy in the comfort of your own home. Having a doula support you and your partner through pregnancy can be a wonderful way to connect and work through your fears and expectations about birth. 

During labour, make sure you are the best support by being her advocate and stay engaged with her choices and preferences. You can have an active role in birth by catching the baby, cutting the cord, supporting your partner to have a golden hour after birth, and enjoying skin to skin with your baby.

And finally…

You need to support yourself too. You still need to have some breaks yourself, if that’s time for exercise or visit friends or focus on a hobby.  Make sure you self-care, whatever this might mean to you.

You can always reach out to other partners to share feelings, ideas and tips. This can be family and friends, or you can make connections through childbirth classes and parenting groups. There are lots of resources out there for expectant partners.

Need to talk to someone for more information and advice?

Call Pregnancy, Birth and Baby on 1800 882 436 to speak with a maternal child health nurse.

Raising Children Network, supported by the Australian Government, has videos, information and more available, such as the ‘Dads Guide to Pregnancy’. Go to raising children.net.au 

Mensline Australia offers support and counselling services on 1300 78 99 78.

Beyond Blue offers support and advice for new dads on 1300 22 4636. You can download the book Emotional health and wellbeing: A guide for new dads, partners and other carers. There is a wealth of information and support on becoming a parent and what to expect.

PANDA National Helpline 300 726 306 for help for dads, parents and carers, specialising in prenatal and postnatal anxiety and depression.

Written by Sharon Clarke, Remedial Massage Therapist at Nurtured Birth

 

Fertility Massage: 5 FAQs About Fertility Massage

Fertility massage therapy can be an intrinsic part of the journey you will undergo as you travel towards motherhood. 

When you begin to explore your fertility with the hope of becoming pregnant, you may introduce many practices into your daily life.

There is much research to support the many benefits of massage not only for our physical body but also our emotional wellbeing.

But even in 2020 there is still an absence of study and evidence-based research into the specific results of massage treatment on fertility outcomes. So much remains unclear. So what do we actually know?

In this article we will explore 5 frequently asked questions in relation to fertility massage and how it can help prepare your body for conception.

#1: Where do I find a fertility massage therapist?

At this important stage of your journey, it is essential to find the right people to support you.

A therapeutic or remedial massage therapist has the skillset and anatomy  knowledge and experience to apply to fertility massage. 

But it’s important to seek a therapist with specific experience in women’s health and pregnancy. They can offer holistic support, with greater understanding of the reproductive system and the menstrual cycle, the tests and procedures involved with gynaecology, and the processes used within assisted fertility. 

Continuity of treatment is also an important factor to consider. A specialised massage therapist can provide treatment from fertility, through conception and pregnancy, and after birth.  

#2: When should I start treatments & for how long?

Start fertility treatment when you have made the decision to start trying for a baby and you are ready to begin your journey into parenthood.

Regular massage treatment is important to help build a mind-body-spirit connection. Massage is a wonderful way to reverse the effects of stress, work, and the general busyness of our lives. 

Massage helps the body in many ways:

  • Maintain muscle integrity
  • Improve posture and circulation
  • Relieve aches and pains
  • Stimulate detoxification
  • Assist many systems of the body including immune, nervous, lymphatic and endocrine
  • Assist with emotional and spiritual aspects – managing stress and tension, providing emotional relief and having a positive effect on your mood.

Stress triggers can increase when assisted reproduction methods such as IVF are needed. Massage can be complementary to IVF and work in conjunction to reduce these stress levels, allowing you to be at your best during the important times in your cycle.

The best way to support fertility and conception is to make lifestyle changes to support general health and wellbeing. This include a healthier diet, exercising, eliminating bad habits, introducing supplements and more. Massage can be included as it supports your focus towards a healthier way of life.

The best results from massage happen when treatments occur on a regular basis. So don’t just go occasionally – make it a habit, plan your calendar and book your appointments ahead of time. Keeping up the focus on your self-care is a vital part of your fertility plan.

#3: What should I expect from treatment?

Your massage treatment should be individually tailored to target your specific needs. Your therapist will initially want to know where you currently are on your journey, how you are affected, stress levels and what you realistically hope to achieve. A dedicated treatment plan should be formulated to guide the therapist and you through to an agreed outcome.

This tailored massage program should centre on being nurturing, gentle, non-invasive and pain free. The focus is on relaxing you, soothing your muscles and calming your emotions with the goal to destress the body, mind and spirit. Massage for the whole body is extremely important to achieve this. 

At a minimum the treatment should involve the back, shoulders and neck. There will also be an aspect of massage on the abdominal, sacral and pelvic regions of the body. Some therapists may also include other specialities such as acupressure, reflexology, rebozo techniques and mobilisation and stretching.

#4: What physical and emotional benefits does massage have for my fertility journey?

Massage to the abdomen improves circulation to this region. As a result, this allows better blood flow to the organs and tissues within the abdominal area, including the uterus, ovaries and fallopian tubes, as well as to the digestive system.

Massage assists in the breakdown of scar tissue. Specifically in the abdominal region, this scar tissue can build up within and around the reproductive organs and digestive system. 

Massage helps to align the structures of the pelvic region: the pelvis, sacrum and coccyx. This restores the balance between the structures – bones, soft tissues, organs and releasing trapped nerves. Massage allows this area to reposition, tone and strengthen. 

Massage aids in hormonal balance. Negative energy can affect our hormones including the reproductive hormone progesterone, converting it to cortisol, the stress hormone. Using massage as a form of relaxation we are encouraging the body to destress and produce oxytocin, serotonin and dopamine for a positive mood and to be prepared and open for fertility.

Finally, massage allows the client to find emotional healing – providing the space to release tension held within the pelvic area. Massage can be a gentle way of addressing trauma and loss experienced in the past, anxiety, stress and the tension from invasive procedures such as IVF, curette, as well as previous pregnancy loss.

#5: Is massage just for the mother-to-be or can it also be beneficial for partners? 

The journey of fertility does not involve just the mother-to-be. Your partner is also sharing the fertility journey alongside you, with the shared goal of parenthood.

Although this journey may have different effects for each person involved, the health and wellbeing of both partners is important and massage can support you both in individual ways. 

As a partnership you can work to improve your general health and wellbeing with healthy meals, exercising together, getting good sleep and eliminating bad habits. Including massage therapy for you both is another way to share the journey in a positive and relaxing way.

When IVF is involved in the fertility process, it is the woman who undergoes the physical changes. But emotionally you will both share the stress of IVF. Your partner has a very important role in supporting you on your fertility journey and they should not be forgotten.

Nurtured Birth for Fertility Massage

In Australia, certified pregnancy massage therapists receive training beyond the national standards for massage therapists. They understand the pregnant body and how to address specific needs in pregnancy. They are equipped to care for women on their journey with fertility and conception and take a special interest in women’s health and wellbeing.

At Nurtured Birth our therapists are all trained and certified in massage and pregnancy massage, as well as being registered, insured and continually training and upgrading their skills. 

We have a range of specialist practitioners to offer treatment and support with massage, osteopathy, naturopathy, doula birth and postnatal care, childbirth education, prenatal yoga, pregnancy meditation and mums & bubs yoga. If your problem is outside of our scope of treatment we will refer you to one of our recommended practitioners. 

Imagine going through your fertility journey feeling supported and relaxed, both emotionally and physically. Our massage releases tension in your body, reducing aches and pains in muscles and joints. It overall improves your mood, your sleep and general sense of well-being. 

How frequently you have a  massage will depend on you and the plan of treatment you have with your therapist. If massage is going to be an integral part of your fertility plan, our knowledgeable practitioners will suggest what would best suit you, taking into account many factors, including your cycle. We can tailor massage therapy alongside our osteopath and naturopath to ensure your body is well supported during the challenges of fertility, flowing into pregnancy and after birthing.

Written by Sharon Clarke, Remedial Massage Therapist at Nurtured Birth

 

Osteopathic Treatment During Pregnancy

Women may seek osteopathic treatment during pregnancy for a variety of different reasons. 

From helping the body adjust and adapt with ease to the changes of pregnancy, managing pre-existing conditions, treatment of new aches and pains, to preparing the body to encourage positive labour and birth outcomes. 

Osteopathy is a manual treatment that embraces the link between body structure and wellness.

What to expect from your osteopathic appointment? 

It is advisable to arrive a little early for your first appointment, as you will need to fill out some paperwork. You will also be asked to sign a general consent form, but you will have the opportunity to consider and consent (or not) to specific treatment in the consultation. 

Your osteopath will initially take a comprehensive case history. This will b e followed by a full osteopathic assessment where motion tests are performed in addition to any necessary neurological or orthopedic testing.

Osteopathy takes a holistic approach to treatment, so your practitioner may look at other parts of your body, as well as the area that is troubling you during this assessment. We are also interested in what has worked for you previously, and whether you have any treatment preferences. 

Following this an osteopathic diagnosis will be made and discussed with you, allowing you to ask any questions you may have. We will explain how we would like to approach the treatment, as well as gain your consent before treatment.

You should let us know immediately, even during the treatment, if you would like to change or stop and discuss the treatment we are giving you. 

Every treatment is different and tailored to the individual’s needs and comfort levels. Osteopaths have a wide variety of manual techniques which they use to treat various complaints. Osteopathic treatment in pregnancy may include:

  • Soft tissue releases and/or massage
  • Gentle stretching
  • Gentle joint movements 
  • Muscle energy techniques (used to lengthen tight, contracted muscles)
  • Counterstain (releases tight muscles by positioning the affected muscle in a shortened position to stretch the opposing muscles)
  • Joint manipulation where appropriate and only when the patient is comfortable with the technique
  • Taping where necessary
  • At home exercise and/or stretching advice. 

Your position during treatment will vary with the technique being used as well as your stage of pregnancy.

Early in pregnancy you may be still comfortable lying on your abdomen. However as you progress through your pregnancy, most treatment is performed lying on your side, seated, or occasionally laying on your back with your right hip lifted slightly by a pillow.

At the end of the treatment, your osteopath will reassess the initial movements you performed so we can see how effective the treatment has been.

Your osteopath may organise a return consultation and may give you some stretches and exercises to do at home to help speed up your recovery or improve your body’s function. 

How many treatments will I need? 

The number of treatments needed depends on how long you have had the presenting problem, how severe it is, and how your body responds to treatment.

Through years of experience helping women through their pregnancy we have found women will often gain greater benefit from regular osteopathic treatment rather than seeking treatment with the sudden onset of pain.

This is usually every 4-6weeks during the early stages of the pregnancy and may be more frequent towards the end as your baby grows and as you start preparing your body for labour and birth. 

Is osteopathic treatment safe in pregnancy? 

Our osteopath has a passion for treating and supporting women through their pregnancy.

She combines her osteopathic skills with her knowledge and experience as a registered midwife, allowing her to compassionately and safely treat and support you through all the stages of pregnancy and the postnatal period. 

The techniques used during pregnancy are carefully selected to minimise risk. These techniques are gentle and the comfort of the mother is always taken into consideration and may be adapted to suit each patient. 

Please note, although osteopathic care is generally consider safe during pregnancy, if your pregnancy is considered high risk, we advise you check with your general practitioner, midwife or obstetrician before seeking care from any manual therapy modality.  

What do I need to bring to my appointment?

Comfortable clothes. Depending on the area of your body requiring examination some disrobing may be required, but at all times you will be draped with towels.

It is essential you feel comfortable, so you may want to bring or wear a pair of leggings or stretching gym shorts to the session. 

Medicare referral if applicable, private health insurance and any relevant imaging results (x-rays etc). 

Should I have a postnatal osteopathic treatment after the birth of my baby?

The weeks after birth can be challenging as you embrace your new normal and connect with the amazing changes pregnancy and birth have gifted you.

Osteopathic treatment can also help with pain and discomfort associated with breastfeeding posture, lifting car capsules and prams, carrying and settling your baby, and bending over the bassinet or cot.

Osteopathy helps restore balance, posture and release tension, improving your health, recovery and mindset as you look after your new baby. A happy and healthy mother is the centre of a functioning family.

This is the perfect time to seek treatment to restore alignment and prevent ongoing issues, such as back problems, stress incontinence, constipation and menstruation issues. Abdominal muscle separation and pelvic floor weakness are also common problems after pregnancy and birth.

Many women are unsure if they are able to have treatment before their six week postnatal check up with their doctor.

Unless you have any significant postnatal complications we consider treatment before this time safe, even after a caesarean section, and will tailor all treatments to suit the women and the presenting condition.

Written by Katie Wood, Osteopath at Nurtured Birth

Home Birth During Covid-19

Home birth during Covid-19 is a choice many women are considering as they search for safe and alternative birth options. 

Pregnancy is an amazing time as your baby grows inside your body and you prepare to welcome a new person into this world and into your family. 

As your due date draws nearer there can naturally be some apprehension and uncertainty of what is to come during the birth. 

This is even more so in 2020 as women seek support and care during pregnancy and birth during the Covid-19 pandemic. 

Juliana Brennan is a private midwife, director of Mamatoto Midwives and a mother of three. She shares with us an amazing insight into the world of private midwifery and home birth during Covid-19.

How are you at this time? 

Well, a bit more settled now, but like everyone else there was so much upheaval and concern over the health of all our community, my family and especially my elderly parents.  

My biggest fear was not knowing much about the virus, the panic buying, children being taken out of school, social isolation and my son is in year 12…what is this going to mean for him?

I am glad we have had some restrictions lifted but I am still very much practicing social distancing to keep myself, my family and my clients safe. 

What is it like for you as a midwife at the moment? 

I’ve always been very busy and my practice is consistently booked out every month, however now I have been inundated with enquiries from women wanting home birth – even from women with very serious risk factors which normally excludes them from homebirth. 

These women have reached out because they were only allowed one support person in labour at the hospital and they really wanted that extra support person as well as their partner. 

Also they are fearful of contracting Covid-19 from the hospital setting…after all that’s where the really sick people will be…in hospital! So I have referred many women on to other midwives as I am already booked out until the end of October.

Many of my hospital shared care/hospital support clients who are experiencing an uncomplicated pregnancy have changed over to a homebirth. This is because they couldn’t have the support they wanted in the current hospital setting, but also they didn’t want themselves and their families possibly being exposed to Covid-19.

It’s a tricky situation as you really have to want to have a homebirth, and feel safe at home to be safe for a homebirth. Merely wanting to avoid a hospital for birth isn’t a good enough reason to have a homebirth.

I will still be careful in choosing my clients who are suitable for homebirth, both physically and emotionally.

What’s it like for prenatal clients who want to home birth during Covid-19? 

We have moved most of our education and appointments to an online format via Zoom.  Women we are meeting for the first time we would only see online. Our clients needing a check up we would see first online, then they would come into the clinic for a 10 minute visit for a check of blood pressure, baby’s growth and heartbeat. 

My clinic in Clifton Hill, where I work alongside natural therapists on the first floor, was closed down. Below us is a hairdresser that also closed down.

My sister came to the rescue and allowed me to use her clinic in Kew. She stopped seeing her clients face to face, so her offices were free for me to use. I must say, I really like the space. My colleague Danielle works out of one office and I work out of the other…so we are both doubly lucky to be able to say hello to one another’s clients and of course catch up in between clients! 

My new clinic room in Elwood at This is Life also closed down, so the lovely midwives from Mama allowed me to use their rooms…but now the Elwood clinic has reopened, so I am back there seeing my Bayside clients on a Saturday morning.  

My clinic room in Chirnside Park at Koru Natural Therapies has remained open, so I have still been able to see my clients there too.

Of course adhering to the strictest hygiene, washing down beds, tables and changing linen in between clients and of course lots of handwashing!

Overall my prenatal clients all decided to self isolate as much as possible. Especially from 37 weeks…this was my recommendation. Many women were anxious I may have to change their birth plans if they were planning a homebirth, but I reassured them if they were willing to self isolate and so was I, then we were at very low risk of contracting Covid-19.

What changed significantly for the hospital system was the decision to allow only one support person in hospital. This meant one of my clients wanting a vaginal birth after two c-sections (VBAC2C) chose me to support her in hospital instead of her husband! What a responsibility! 

For others it meant dropping women off at the emergency department and staying in close contact via phone or Zoom. Not ideal, but I completely understand the issues surrounding social distancing and protecting clients in hospitals and also hospital staff.

I do think two support people should be allowed in birth suites from now on…as Australia seems to have the infection under control much more so than other countries.

Have you adjusted your postnatal care? 

Home birth during Covid-19

Postnatally I am still happy to do face to face appointments, as long as clients and their families don’t have a cough, fever, or sore throat.

If they do, I arrange testing for them and wouldn’t visit if they had symptoms. This actually hasn’t happened…probably largely because my families all isolated fairly strictly prior to their births.

What is home birth during Covid-19 like? 

For my clients it is self isolation from 37 weeks of pregnancy then the birth at home is the same.  

My recommendation for women that have a fever in labour be transferred to hospital. Usually we would transfer anyway, after eliminating other reasons for fever such as dehydration. 

This guideline has been debated amongst my colleagues; some feel we should still keep women home if they have Covid-19 symptoms if they don’t seem too unwell.  My concern is leaving four hours after the birth and not being able to supervise all the time as well as the unknown effects of the virus on the unborn baby. In hospital the woman and baby would have constant supervision and care. 

It is definitely an issue for me if hospital transfer is required. I did have one first-time mother needing a hospital transfer in labour…and of course I had to hand her over to the hospital staff. I kept in very close contact with her partner and he called me regularly to ask for my advice. It still isn’t the same as being ‘with woman’ and it saddened me deeply…as I am her main care provider and I develop a strong bond with my clients.

How are you navigating any possible Covid-19 pregnant or birthing woman? 

The first thing to do is arrange testing and to self isolate until the results come back. If the woman presents with symptoms in labour I do have full PPE available.

So far none of my clients have had respiratory symptoms, so I haven’t had to worry about it. I think self isolating since 37 weeks has made all the difference.

What are the pros of a home birth during Covid-19? 

Well staying out of hospital is definitely a positive!

If hospital is needed, not being able to take your primary care provider with you due to the one person support policy is a real issue. Continuity of care leads to good outcomes in birth, but Covid-19 is a real threat and hospitals have to enforce the rules! 

What is birth like for healthy and well women at this time? 

They are being exposed to hospital environments, then discharged home very early, with NO follow up except phone calls from maternal and child health nurses (MCHN). Some MCHN refused to visit, some GP’s wouldn’t do contact appointments.

Thankfully one of my colleagues was able to offer postnatal face to face care to many of these women which meant breastfeeding could be fully supported and of course she could weigh babies and make sure they were thriving. My own clients had the same care as they would have had before Covid-19.

What are the main challenges birthing women are facing with these new protocols? 

Women who wanted two or more support people have had major issues adapting…many women choose to have private midwives at a hospital birth to advocate for them, and then facing this loss often meant changing to a home birth.

What are the main challenges for Independent Midwives in during this pandemic? 

Making sure we don’t contract the virus! Keeping our clients safe! Hospital protocols around one support person.

Nurtured Birth would like to thank Juliana for her contribution to our blog.

If you are considering an independent private midwife for your pregnancy and birth, Juliana Brennan is very experienced and deeply caring.

Home birth during Covid-19

Juliana can be contacted at Mamatoto Midwives for a comprehensive choice of maternity care options.  

Juliana Brennan

Mamatoto Midwives

juliana@mamatotomidwives.com.au

0419 253 778

At Nurtured Birth we love supporting independent midwives and working alongside them to enrich the continuity of care we know through research it results in better birth outcomes, improving mothers experience antenatally and postnatally.

We love it when our clients thrive therefore we have developed our practice to compliment maternity care by offering a range of pregnancy care options with pregnancy massage, osteopathy, doula support, childbirth education, naturopathy, pre & postnatal yoga, mothers groups too.

All this is our heartfelt vision to enrich, nurture, nourish and support a mama’s pregnancy, birth and beyond.

Written by Sharon Clarke, massage therapist at Nurtured Birth

Spectacular capture at the top by Bree Downes

Top 9 Benefits of Pregnancy Massage

Newly pregnant and heard the buzz about pregnancy massage benefits? Congratulations on your brilliant news – we’re excited for you!

Pregnancy is a special and exciting time. Nine months may seem a long time to wait to meet your little one, but we all know how quickly time flies – you will be holding your precious bubba in your arms before you know it.

So what’s next? What foods should you avoid? What kinds of tests will you and your baby need? Can you still exercise? How do you choose a doctor or hospital? What are your options? Is what you’re feeling normal? 

The amount of information is overwhelming. And all of it feels vital. Pregnancy is a wonderful time but can also be the source of much apprehension and stress.

How do we deal with all of these essential questions and the many preparations that need to be made? How do we cope with the pressure we place on ourselves to already be the best parent possible for our unborn child?

Breathe…and just let our body do its thing. Be kind to yourself. One thing that is essential to put on your to-do-list is pregnancy massage. Read on to see how pregnancy massage benefits and nourishes your physical body and emotional wellbeing throughout the whole nine months of pregnancy.

What’s happening to your pregnant body?

Pregnancy affects the body in a variety of ways: physically, hormonally, emotionally, mentally. It has an impact on every system of the body. 

1sT TRIMESTER

During the first trimester your body undergoes many changes. Hormonal changes affect almost every organ system in your body. These changes can trigger symptoms even in the very first weeks of pregnancy.

Pregnancy massage is safe in the first trimester but only with a specially trained therapist. Pregnancy massage can help relieve some of the common symptoms such as: 

  • Fatigue or extreme tiredness
  • Nausea
  • Mood swings
  • Constipation
  • Headache
  • Heartburn.

Pregnancy massage will also assist in relieving pre-pregnancy aches and pains.   

2nd trimester

Most women find the second trimester of pregnancy easier than the first. Often you have a renewed source of energy. You might notice symptoms like nausea and fatigue go away.

But other new, more noticeable changes to your body are now happening. Your abdomen expands as the baby continues to grow. And before this trimester is over, you will feel your baby beginning to move!

As your body changes to make room for your growing baby, pregnancy massage benefits include alleviating discomfort from aches and pains associated with: Back, hip, glute, abdomen, groin, sciatic, Carpal tunnel syndrome, oedema.

3rd trimester

You’re in the home stretch! Some of the discomforts you had in your second trimester will continue. Many women find breathing difficult and notice they have to go to the bathroom even more often. This is because the baby is getting bigger and is putting more pressure on your organs. Don’t worry, these problems will lessen once you give birth. Get excited — the final countdown has begun!

Pregnancy massage will help ease the discomfort and pain caused by:

  • Shortness of breath
  • Heartburn
  • Oedema
  • Insomnia
  • Back/hip/glute/sciatic pain
  • Pelvic girdle pain
  • Pelvic instability.

How does pregnancy massage assist?

Pregnancy massage has a long history in many cultures around the world. In countries such as Japan and Mexico, massage during pregnancy and even labour is deeply embodied in the normal care of pregnant women.

Pregnancy is an amazing state of being for your body, constantly changing and growing and challenging you. Regular pregnancy massage benefits and nourishes your physical and emotional wellbeing through all of these changes.

Massage during pregnancy is modified to accommodate and support your changing body, to ensure you reap the benefits of massage safely.

Top 9 benefits of pregnancy massage

  1. MOTHER-BABY CONNECTION

During your pregnancy massage we can use visualisations and breathing techniques to promote and grow your connection with your baby. We can also use massage directly on the belly for a physical connection, to help blood circulation in the abdomen and promote that pregnancy glow. 

  1. INCREASED RELAXATION – REDUCED ANXIETY 

Pregnancy massage can assist in reducing anxiety and stress in two ways – physically and emotionally.

Physically pregnancy massage is applying treatment to the muscles and tissues of the body to soften them, encourage healing and reduce pain levels. This brings about a feeling of increased relaxation and calmness.

Emotionally a pregnancy massage allows space for the mother to be calm and focused, remove herself from her busy day-to-day life, close down her thoughts and just be in the moment.

  1. IMPROVED SLEEP PATTERN

Pregnancy massage acts on the nervous system, helping to soothe and relax nervous tension. 

When muscular pain and discomfort is reduced through pregnancy massage, the mother will be more comfortable in bed and will be able to sleep more easily and more deeply,

  1. REDUCTION IN OEDEMA

Pregnancy puts a lot of pressure on your upper and lower limbs. Swelling can occur in the feet, ankles, calves, hands and forearms. Massage can help relieve this pain and swelling by aiding the lymphatic system and flushing this excess fluid from the body. Removing the lactic acid and other cellular waste products from your system also reduces muscle cramping and muscle fatigue.

  1. EASES PAIN AND DISCOMFORT

Muscular conditions common in pregnancy involve the back, shoulders, neck, joints, buttocks, legs and arms – just about the whole body. Pregnancy massage will reduce musculoskeletal pain, cramping, tension and stiffness. It can alleviate headaches, oedema, leg cramps, sciatica.

Pregnancy massage can treat complex conditions and presentations such as carpal tunnel syndrome, pelvic girdle pain and pelvic instability. 

  1. STABILISES HORMONAL CHANGES AND BLOOD PRESSURE

Pregnancy massage is a wonderfully natural way to aid circulation and the extra work of the heart during pregnancy. In turn this keeps the blood pressure in check.

Pregnancy massage works to eliminate waste products through the lymphatic and circulatory systems which combats fatigue so you feel more energetic. By improving the condition of the smooth muscles this normalises venous function and outflow. Better outflow, greater vitality; less fatigue, better nourishment for baby.

Pregnancy hormones cause many changes to the mother’s body, including depression and anxiety. Pregnancy massage benefits include relief from these negative effects and promote a more positive outlook for the pregnancy.

  1. EASE SHORTNESS OF BREATH

As your baby grows and takes up more room in your abdomen, there is less room for your diaphragm and lungs. This can cause shortness of breath and even pain in the ribs. Pregnancy massage treats directly into the intercostal muscles of the rib cage and uses deep breathing techniques.

  1. IMPROVED BODY AWARENESS TO SUPPORT BODY CHANGES

During pregnancy your body is constantly changing and needs to be supported throughout each trimester and during labour.

Pregnancy massage promotes overall body awareness. With regular treatments you will develop an understanding of your body, the origins of your pain and ways to self help.

Pregnancy massage benefits not only include tension release in muscles, it helps to realign your posture, improve your range of motion and increase your flexibility. This is especially important during the third trimester and in preparation for labour.

  1. BIRTH PREPARATION FOR THE BODY AND MIND 

Be proactive about preparing for labour by tapping into your inner resources of strength and mindfulness. Regular meditative breathing brings calmness and control, accessing your energy and focus; excellent skills to have in your labour toolkit. Pregnancy massage promotes visualisation and breathing techniques that you can use in preparation for labour.

Pregnancy massage helps your awareness and understanding of your pelvic space which helps prepare for healthy birthing. By working on your posture, strength and flexibility, your baby can find the best position for birth.

During labour, massage reduces the stress hormones and tension that interfere with the normal process of birth. You can improve your chance for a shorter and positive labour with less need for interventions and medications.

Pregnancy massage is a lush and lovely way to help your body ripen and prepare for birth.

NURTURED BIRTH PREGNANCY MASSAGE

In Australia, certified pregnancy massage therapists receive training beyond the national standards for massage therapists. They understand the pregnant body and how to address specific needs in pregnancy.

Our therapists are all trained and certified in massage and pregnancy massage, registered, insured and have a special interest in caring for women from fertility and conception, through pregnancy, during labour and postnatally. 

We have a range of specialist practitioners and supports to help with any particular issue that may arise during your pregnancy. Apart from pregnancy massage we also offer osteopathy, naturopathy, doula care, childbirth education, prenatal yoga, mums & bubs yoga. If your problem is outside of our scope of treatment we will refer you to one of our recommended practitioners. 

Imagine going through pregnancy feeling relaxed emotionally and physically. Pregnancy massage relaxes tension in your body, reducing aches and pains in muscles and joints. This improves your mood and comfort. You sleep better and your skin glows.

How frequently you have a pregnancy massage depends on you, as each woman and pregnancy is unique. If you want massage to be a central part of your pregnancy care, we suggest you talk to one of our knowledgeable practitioners to find out what would best suit you. We can tailor massage therapy with our osteopath to ensure your body is well supported during the challenges of pregnancy.

Put yourself into the hands of experienced therapists with extensive knowledge of pregnancy and labour. Your treatment will be tailored especially for you.

WE ARE OPEN FOR BUSINESS AT NURTURED BIRTH FOR ALL YOUR PREGNANCY RELATED NEEDS

PREGNANCY MASSAGE – REMEDIAL AND RELAXATION

OSTEOPATHY

DOULA

NATUROPATHY

YOGA – PRENATAL, MUMS & BUBS

GIFT VOUCHERS AND PREGNANCY PRODUCTS

Nurtured Birth offers pregnancy massage at The Mother Baby Centre at Cabrini Hospital in Malvern and our clinic in Windsor.

To begin nourishing your body and mind, please contact us or book your appointment online today.