With this workshop is important to remain humble…
If we offer the intention that:
1. As practitioners we cannot assume to know a birthing mothers needs and that we are here to simply answer questions and provide information.
2. There is “no right or wrong approach” only what honours the couples needs.
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Please use Well Adjusted Babies to pad out this workshop – as providing all the content would create a very lengthy post!
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Birth and Vitalism
It is wonderful to briefly discuss the process of birth and how baby’s benefit. Remembering that you may be the only voice of vitalism amidst their carers.
Including when baby’s pass through the birth canal – they experience compression on the respiratory centres in the brain and then further to this on the chest as it passes through the birth canal which are both integral steps to assisting babies to breathe well. Over the past 5 decades society has experienced a more industrialised approach to birth which can indeed save lives but it can also complicate choices for parents and create risks for mothers and babies.
For example “Subjects who were delivered via caesarean were three times more likely to have developed asthma by age 31, compared with subjects delivered naturally.” Recent research suggests that Asthma/allergy may be linked to caesarean as babies are
- Not exposed to process of birth,
- Not exposed to mothers bacteria – through birth process,
- A babies own gut bacteria may be impacted through the use of antibiotics (which often occurs with epidurals and C Sections)
(References and details in Well Adjusted Babies Chapter 12 Caesarean Section – pages 270-272)
Elective Caesarean – If this is a preference please consider the benefit of delaying until 39 weeks versus 38 weeks
- Babies born too early may have more health problems at birth and later in life than babies born full term.
- Important organ growth—including the brain, lungs and liver—occurs during the last weeks of pregnancy.
Dystocia – Power, Passage and Passenger, Benefits Chiropractic Care
Causes of Dystocia – abnormal labour as per Williams Obstetrics
- Power – Insufficient/Ineffective Contractions
- Passage – Abnormalities with alignment of pelvis
- Passenger – Abnormalities of presentation, position, or development of the fetus
I also add Psyche – Maternal Psyche – stress, fear, confidence in ability, overwhelm interferes with progress of labour.
Link these to the benefits of Chiropractic.
All Births have Risks
(Details in Well Adjusted Babies Chapter 11 Birth Can Be A Sprain In The Neck)
Ideally, babies should be checked and adjusted as soon as possible after birth to help alleviate spinal problems and nerve distress caused by:
- Constraint or abnormal positioning in the uterus.
- Spinal distress from the journey through the birth canal.
- Spinal distress during the delivery process itself.
Many factors can cause birth trauma:
- false labour,
- a long or very short labour,
- failure of the mother’s cervix to dilate,
- incorrect positioning in the uterus
- distress from journey through birth canal.
- cord around the baby’s neck,
- the use of drugs to increase contraction intensity, the use of vacuum extraction or forceps,
- caesarean section delivery because of lack of progress.
Dr Gutmann examined more than 1000 hospital birthed newborn infants and concluded that approximately 80% of all newborns had some form of nerve dysfunction from birth trauma.
It is important to note that 65% of neurological development (i.e. development of the brain and nervous system) occurs in your child’s first year. (Well Adjusted Babies page 261)
Smorgasbord of Birth Choices
References and details Chapter 10 The Realities of Intervention of Well Adjusted Babies.
Our ETHOS is “We Are Here To Support You”.
Spiral Effect – recap
Topics to include:
- Methods of Induced Labour
- Drugs in Labour
- Other Methods of Intervention
Benefits of crawling (see Chapter 13 Birthing – Well Adjusted Babies).
Why Perineal massage is Vital (Chapter 6 pages 18-189)
Factors that influence tearing!
- The strength of your contractions.
- The stretch ability or elasticity of your body tissue.
- The size of your baby.
- Position of your baby’s head.
- Your position during delivery.
- The speed of your delivery.
- The skill of your attendant.
- Scarring from previous deliveries.
Mental and Emotional Preparation
(Details in Well Adjusted Babies Chapter 13 – Birthing)
Including practitioner grade probiotics, EFA’s, Iron and others
- For Immune strength and to avoid Candida, Mastitis, Post Natal Depression (Details in Well Adjusted Babies Chapter 14 – Post Birth ABC’s pages 329-339)
Foods to Prioritise and Foods To Avoid
In the lead up to labour eat plenty of protein-based foods. Proteins provide slow burning fuels for your body and are found in meat, poultry, beans, eggs, tofu, dairy, nuts, etc. Refrain from consuming fish (another protein)—please see Chapter 8 Preparation for Birth for details. You’ll probably be craving carbohydrates but you will need these proteins.
Birth Plans and What Partners Can Do in Birth
Discuss and demonstrate these in an Extended Visit
Basic Techniques For Partners to Perform (details in Well Adjusted Babies Chapter 9 – A Partners Role)
After Birth – What then? Shock, Trauma
(Details in Well Adjusted Babies Chapter 14 – Post Birth ABC”s)
Breastfeeding, Formulas, Burping, Colic, Sleeping
- – Avoiding allergies in newborns and babies. Research indicates that if a mother has food allergies (e.g. cow’s milk protein allergy, wheat or gluten) then she is best to avoid these foods during her pregnancy (particularly last trimester) and whilst breastfeeding.
- Avoid foods and beverages while breastfeeding that create irritability in the infant
- For example; Red wine, champagne, fizzy drinks, caffeine, chocolate, artificial sweeteners, secondary proteins (lentils, split peas), fatty foods, cruciferous vegetables, acidic fruits, protein bars and shakes (highly concentrated, artificially fortified sources of protein which combined with an array of chemically-derived ingredients) and others. (Details in Well Adjusted Babies Chapter 16 – Breastfeeding) Warn nursing mothers about the need to avoid convenience wheat-based foods which typically contain preservative 282 (calcium propionate) found in most breads, which frequently affects breastfed babies and can contribute towards a colicky baby. Presenting symptoms such as screaming and chronic diarrhea.
- Building Supply – Increasing Hind milk (Details in Well Adjusted Babies Chapter 9 – A Partners Role and Chapter 18 -Colic). Please also see post Breastfeeding Why Is It So Hard Sometimes
Vitamin K, Hepatitis B, Vaccination
There is so much to consider – Resources for parents in Chapter 15 of Well Adjusted Babies
Please see post Vitamin D — How much do you and your baby need?
An Extract from this post…
So How Much Vitamin D Intake Is Enough?
The Institute of Medicine (IOM)(5) recommendations for vitamin D intake (based on an assumption of minimal or no sun exposure) are intended to serve as a guide for good nutrition. Vitamin D is expressed as international units (IU) and more recently in micrograms (µg or mcg)(9). The Recommended Daily Allowance (RDA, in IU/d) refers to the intake that covers needs of >97.5% of population (5).
- Babies 0-12 months (400 IU/day)
- Children and adults (600 IU/day)
- Elderly over 71 years (800 IU/day)
- Pregnant or lactating women (600 IU/day).
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From the desk of…
Dr Jennifer Barham-Floreani