Fourth Trimester… Oh My! Tips for sanity and survival

fourth trimester

Congratulations. You have grown a baby. The 40 or so weeks of waiting are finally over and you are wondering what on earth to expect now. While your body is no longer housing a tiny human, something still feels off. The fog has not lifted. Your energy is low, your hormones are whack, and your stamina is half of what it used to be. Life seems to be filled with endless feedings, swaddling, burping, soothing and not sleeping. The days are blurry and the nights are endless. You have officially entered the fourth trimester. These next twelve or so weeks are a completely different marathon. Below are 6 tips that I felt helped me transition into motherhood with grace and kindness towards myself and my baby.

1. Take it easy the first few weeks. You will be back to “yourself” eventually but right now, your body is healing. Healing from pregnancy and birth. It will not feel “normal” anytime soon.

2. Never say “no” to someone offering help. People, in general, want to know how they can help. Let them cook meals, buy you Starbucks, clean your house, hold/feed your baby, carry your purse… anything. You don’t have to do it all. Even ask for help if you need it. You are not weak if you ask. You just made a human. That’s pretty damn strong.

3. Do not put pressure on yourself to get that pre-pregnancy body back during this trimester. It will not happen and you are setting yourself up for disappointment. Things are a little more shifty and squishy. It is ok. No one is judging you and if they are, you don’t need them in your life.

4. An hour or two goes by VERY quickly. Especially realized when a newborn baby is eating that often. At the end of the day, if you are wondering where the day has gone, know that you kept your baby fed. That is a big feat in itself. But everyday, try your best to do at least one thing for yourself. Eat a cookie. Walk slowly around the block. Ask for a massage from your partner. Take a bath. Read something (googling articles about your baby doesn’t count).

5. These first three months are all about SURVIVAL. Forget ALL. THE. RULES. and trust your instincts. If you hold your baby all day for him/her to nap, fine. If you get take out for 12 weeks straight, great. If you rock or nurse your baby to sleep, job well done. There is no “right” way to parent. Your mama instincts are powerful. You have everything you need inside of you to care for your baby. Silence the judge-y noise.

6. Believe the saying “the days are long but the years are short.” Although it feels like you’ll never have poopless days, you will. Try your very best to enjoy the little moments of sweetness. The coos and giggles. The messes and madness. These times are tiring times, but bound to make our hearts and lives oh so full.

You got this, mama. I believe in YOU!

“Motherhood: All love begins and ends there.” –Robert Browning

New Childbirth Classes in Baltimore

birth classes baltimore

We have had the honor of providing childbirth classes in Baltimore since 2014. There are many reasons we love and use the Birth Boot Camp curriculum to prepare couples for an amazing birth. The materials are unmatched and the curriculum, which is updated with current statistics and research yearly, is the most modern and comprehensive we have found.

Since the program was launched in 2011, it has had amazing growth. Birth Boot Camp childbirth classes are now taught throughout the United Stated, as well as in Canada and Guam. The latest, and potentially most exciting change, has just been announced.  In addition to the comprehensive 10-week childbirth series, Birth Boot Camp will now offer 5 new classes to meet the different needs of birthing couples.

homebirth baltimore

 

 

Training Couples for an Amazing Out-of-Hospital Birth

This class gives you all the tools and information you need to know about the nuts and bolts of labor.  We will discuss the stages and variations of labor and tools to keep labor pain and discomfort at a minimum.  Waterbirth, labor positions, and relaxation techniques are also addressed. This 4-series class is $220 and includes a beautiful color workbook.

 

 

infant care class baltimore

 

 

Homecoming: Life with a New Recruit

Get parenthood off to a great start with this 2-series class.  Topics include: postpartum health, newborn procedures, babywearing, breastfeeding, and safe sleep.  This class includes a workbook and a 3.5 hour breastfeeding video download, which discusses feeding positions, common challenges, and pumping and returning to work.  The fee is  $115

 

 

food and fitness

 

Food & Fitness

Aside from preparation, staying low risk increases the likelihood of meeting your birth goals.  Join us for this 3 hour workshop to discuss how eating well and preparing your body can be the most effective way to remain low risk.  We will discuss nutrients that are crucial to a maternal diet as well as exercises and stretches to promote flexibility and stamina, giving you the most comfort during pregnancy and birth.  This class includes a workbook.  The fee is $95.

 

 

Classes coming in January 2018 include:

Coping Strategies for an Amazing Birth

Training for an Amazing Hospital Birth

 

We proudly provide our childbirth classes in Baltimore at The Womb Room in Hampden.  To learn more about our classes or to see our class calendar, click here.

 

Is Placenta Encapsulation Safe for GBS+ Mothers?

placenta encapsulation and GBS

Is Placenta Encapsulation Safe?

Recently, The Centers For Disease Control (CDC) released an alarming single case report, in which a newborn was found to have a recurrent infection of group B Streptococcus agalactiae (GBS, group B strep), that was attributed to the mother’s consumption of placenta capsules. This has many people asking, ‘Is placenta encapsulation safe?’ We will navigate the findings of this case report, explore how this occurred, and discuss placenta encapsulation safety.

 

What are the findings of this case?

The CDC report discussed findings about a newborn who experienced a recurrent group B strep infection. GBS is a common bacterium, found in a person’s intestines or lower genital tract. Group B strep is present in about 25% of pregnant women, and is usually harmless. If transmitted to a newborn during birth, it can cause a rare but serious, illness known as group B strep infection. Because of this, it is standard practice for obstetricians and midwives to test expectant mothers for GBS, to determine if colonization is present. In this CDC report, the maternal GBS culture taken at 37 weeks was negative, meaning the mother’s lab test showed no colonization. Very shortly after birth, the newborn exhibited signs of an infection and lab results revealed the infant tested positive for group B strep. The infant was treated with antibiotics and hospitalized for about eleven days. Five days after the newborn’s release from the hospital, the baby again presented with GBS symptoms and tested positive for the same strain of group B strep. The baby was treated and was again released from the hospital after antibiotic therapy. At this point, it was discovered that the baby’s placenta had been encapsulated. The mother had been taking the placenta as capsules from three days postpartum. The capsules were tested and found to contain the same GBS strain that had infected the newborn. The mother’s breast milk was tested and did not contain group B strep, thus breastfeeding was ruled out as a potential source of reinfection. The authors of this report infer that ingestion of the GBS positive placenta capsules may have elevated maternal group B strep intestinal and skin colonization, facilitating transfer to the infant. The authors conclude by stating ‘placenta encapsulation process does not, per se, eradicate infectious pathogens; thus, placenta capsule ingestion should be avoided.’

 

So, How Did This Happen?

According to the report, the mother hired a company to pick up the placenta from her hospital and encapsulate it. The encapsulated placenta was returned to the mother three days later, and she began taking her capsules until it was suspected that they may be a source of group B strep. The encapsulator, who remained unnamed in the report, prepared the placenta from a raw state, dehydrating it at temperatures ranging from 115°F–160°F. According the CDC, heating at 130°F for 121 minutes is required to reduce bacteria present in placental tissue.

There are three problems with this case contributing to the placenta capsules testing positive for GBS, possibly re-infecting the newborn, and demonstrating unsafe processing practices.

 

The placenta was dehydrated from a raw state: This placenta was not heated to an adequate temperature, and possibly not for a long enough period of time to kill pathogens, like group B strep. Proper encapsulation protocols, require a specialist to steam the placenta, at 160°F, and then dehydrate it at 130°F for twelve hours. This method drastically reduces the occurrences of potentially harmful bacteria remaining present in the placenta. If the placenta referenced in this case was processed properly, it would almost certainly not have tested positive for group B strep.

 

Infection was present in baby: It is not a contraindication to encapsulate a placenta if a mother is found to have GBS. But if there is in an infection occurring in the infant or mother following birth, the placenta should absolutely not be encapsulated or consumed. Responsible and properly trained encapsulators will always inform their clients about any and all contradictions to placenta consumption.

 

The placenta was not processed in the client’s home: Another concern, is that this placenta was picked-up from the mother’s birth place and processed in a location other than her residence. It is impossible to know what type of preparation space the specialist worked in, if proper food safety protocols were followed, and if precautionary guidelines and decontamination practices for handling potentially infectious and biologically hazardous materials were utilized.

 

So, Is Placenta Encapsulation Safe?

A placenta from a normal, healthy infant and mother, when processed correctly is almost always safe to consume. With proper preparation, placenta encapsulation and consumption possesses almost no danger to a mother or baby.

 

Final Thoughts

Though startling, this report is only a single case study, and represents the findings and extrapolated assumptions of the authors. This is not an official CDC recommendation pertaining to placenta consumption. The report should serve as a caution for businesses offering encapsulation remedies and for families searching for placenta services. The Nurturing Root steadfastly believes that a placenta should ONLY be processed in a client’s home, using the traditional method, which steams the placenta first, to eradicate possible pathogens. It is crucial that you are able to witness the sanitation protocols implemented by your specialist, and know for certain, that the placenta being encapsulated is yours, it is processed correctly, and it is not contaminated by another source. We strongly encourage you to read this post, that lists six tips to consider before hiring a placenta encapsulation specialist. The Nurturing Root has encapsulated over 650 placentas, to date, with a 100% safety record and we have received only overwhelmingly positive reviews from our families. We believe in absolute transparency in the encapsulation process. Please feel free to contact us with any questions or concerns you may have about the CDC report or placenta encapsulation safety. Ohio families contact us here, and Maryland families, here.

3 Things Every Pregnant Mom Must Know

Pregnant in Baltimore

You’re pregnant, congratulations! There is so much to do to prepare for a new baby and even more to learn. We recommend taking a quality childbirth education class, but in the meantime, here are 3 things every pregnant mom must know.

Eat protein.

Eating adequate protein is essential to a healthy pregnancy. Not only does it help grow and heal muscles (we are going a human after all), but it provides moms-to-be with energy, all while stabilizing blood sugars and helping reduce the risk of pre-eclampsia and gestational diabetes. Staying hydrated is another important part during pregnancy, drink lots of water stay hydrated!

Blood volume increases 50-60% during pregnancy, and daily protein intake supports that extra volume.  Without it, mom’s blood vessels constrict, increasing blood pressure and potentially leading to pre-eclampsia.  It is recommended that pregnant moms consume 80g of protein daily.  Eggs, nuts, seeds, beans, yogurt… eat all the protein!

 

An epidural is more than just a needle. 

I support women in their birth choices, regardless of what they are.  I also believe in true informed consent.  Many times, women decide to get an epidural and they don’t realize or aren’t told all that comes with the epidural.  Epidurals, like dehydration, can lower blood pressure.  Therefore, before the epidural can be given, mom must receive 2 bags of IV fluids to ensure she’s hydrated.  Once the epidural is given, mom will be hooked up to an electronic fetal monitor.  A pulse oximeter will be placed on her finger, and a blood pressure cuff on her arm.  Because mom won’t be able to get up to use the bathroom, a catheter will need to be placed.  Epidurals are known to slow contractions, so pitocin will likely be given to make contractions stronger. As you can see, there’s a lot more to an epidural than just a needle.  

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Choosing a care provider and birth location are the biggest decisions you will make during your pregnancy.

You can prepare for your birth for 9 months.  You can eat well, take a childbirth class, and hire a doula, but if you don’t choose your care provider carefully, it can derail the birth you are hoping for.  It is imperative that you and your care provider are on the same page and have the same values regarding birth.  For example, if you are desiring a natural birth, choosing a provider with a high induction or cesarean rate will only make achieving your birth goals an uphill battle.  It’s important to ask your care provider tough questions, but it’s equally important to get satisfactory answers.  If you feel rushed, blown off, or mocked, it might be time to shop around.

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If you’re pregnant in Baltimore and looking for a modern, comprehensive childbirth education class, take at look at our Birth Boot Camp curriculum.  We cover these topics and many more in our 10-week class and will leave you and your partner feeling confident and ready.  Contact us to discuss how we can help you and your partner prepare for an amazing birth!

Why You Should Consider Hiring a Postpartum Doula

postpartum doula Baltimore

 

Postpartum mothers need support, especially in a culture that unrealistically expects women to bounce back so quickly after giving birth. As a society, we can be so hard on new mothers. Culturally, new moms often receive messages that there is shame in needing help. This is a huge shift from 100 years ago when mothers had a tribe of women lending their love and support when a baby was born. Moms may experience feelings of guilt for letting the laundry pile up while they nurse and bond with their baby and some may feel inadequate for hanging onto baby weight, choosing different parenting philosophies than their families, or needing more time to adjust to motherhood. In this social media/Pinterest age where everyone seemingly has it so together, modern mothers are under an immense amount of pressure to do it all and to do it all well.

A new mother has just gone through an intense physical and emotional experience and needs time to rest, heal, and get to know her baby and growing family. A postpartum mother needs support, nourishing foods that promote health and healing, and she needs to be able to sit and feed her baby as long as she needs without feeling guilt over the pile of dishes in the sink. But how is a veteran mother supposed to rest after having her baby when she has a home and other children to tend to and no real support network to help? And how is a new mother to rest when she’s navigating the physical and emotional demands of her new role as a mother?

A postpartum doula is a trained professional who not only brings support to the whole family after the arrival of a new baby, but she also brings with her a wealth of knowledge related to baby care, breastfeeding, and postpartum health. A postpartum doula can fill the gaps, so the family has more freedom to do what is most important, be together.

Perhaps you’ve had a cesarean and your partner doesn’t get much time off of work to help with the house and the other children. You have a lot to tend to, but are healing from major surgery and your baby is nursing or wanting to be held around the clock. What’s a new mom to do? A postpartum doula can come over, do a few loads of laundry, play with and look after your kids, fix lunch and prepare and easy dinner you’ll be eating later that night.

Maybe you’re a first time mom, you have no experience with babies, and you’re feeling a little lost. A postpartum doula can come over to help you feel more comfortable caring for your baby. The doula may show you how to give baby a bath, she may teach you some breastfeeding positions to make nursing more comfortable, and she may give you pointers on calming a fussy baby. A postpartum doula also comes with a list of vetted resources to help meet all of your postpartum needs whether it is a lactation consultant or a therapist specializing in postpartum mood disorders.

Maybe you’re really struggling and are finding the lack of sleep is really effecting you. A postpartum doula can come lend a hand and tend to baby overnight, only disturbing you if you choose to nurse.

Happy mother and daughter with her babysitter

 

 

 

The Nurturing Root provides

 

 

 

postpartum doula services to mothers and families in Baltimore, Annapolis, and the surrounding counties. As postpartum doulas, we can help and support your family in a variety of ways to suit your needs:

  • Clean and fold laundry
  • Support the overall transition with a new baby by providing education on baby care, baby sleep, diapering, etc.
  • Provide a list of local resources to help make your postpartum experience a peaceful one
  • Breastfeeding support
  • Preparation of healthy snacks & meals for your whole family to enjoy
  • Sibling care
  • Errand running
  • An ear to listen
  • Overnight assistance
  • Light housekeeping, including sweeping, mopping, dishes, etc.

If you are an expecting or new mother in the Baltimore, Annapolis area and are looking for postpartum support, our postpartum doulas at The Nurturing Root would be honored to serve you as you transition to a larger family.

 

20 Reasons to LOVE Birth Boot Camp

childbirth classes in Baltimore

 

I make it no secret that I love Birth Boot Camp, a 10-week natural childbirth class for couples. I am proud to be a part of the organization and I know that the curriculum and materials really do help couples have AMAZING births. Take a peek and I know you’ll love Birth Boot Camp too.

1. Up to Date, Modern, Evidence Based Education for Couples: Birth Boot Camp prepares couples for an amazing birth. The curriculum is up to date, featuring modern research and evidence based practices. Don’t worry, you won’t be watching birth videos from the 1970’s, but you will see modern women birthing their babies in a variety of environments and ways.

2. Partners Learn How to Be an Amazing Birth Support: You’re going to have a joyous birth and your partner will be supporting you every step of the way. Birth Boot Camp helps partners prepare too, so they’re confident and educated on the best ways to support a laboring person. Your relationship will soar to new heights after you experience childbirth together.

3. Nutrition: Proper nutrition is crucial to a healthy pregnancy and birth.  Birth Boot Camp class #2 is dedicated to proper nutrition in pregnancy. There is also a nutritional focus every week where couples will learn which foods are best for pregnancy by decreasing certain ailments, helping boost immunity in mom and baby and MORE! Moms will fill out their chow chart each week to track protein and food intake, to give them a better picture of their overall diet.

4. Exercise: Does your back ache? Are you experiencing heartburn?  Birth Boot Camp has a PT exercise every week that not only gets moms up and moving, but it also teaches couples which exercises and stretches help with common aches and pains like sciatica and even indigestion.

5. Comfort Measures: Every week in class, we will go over a comfort measure (maybe even 2 or 3) to help you stay relaxed and as comfortable as possible in the thick of labor. Partners will know how to touch you in labor and when to use certain techniques. By the end of class, you’ll have a toolbox filled with a wide variety of comfort measures to use in labor.

6. Birth Videos: At Birth Boot Camp we want you to be prepared for everything. Sometimes things come up that aren’t planned or expected, but by watching a variety of births, moms and dads will have an idea of what birth looks like from a variety of lenses. We watch a birth video in every class, including homebirth, induction, birth center water birth, shoulder dystocia, vaginal breech, and we even watch a cesarean. The goal is not to scare couples, but to prepare them and give them information so that they can make an educated, informed decision should the unexpected arise.

7. Relaxation: Relaxation is a crucial tool for having a natural birth. Tense muscles cause more pain and inhibit progress and lose, relaxed muscles are going to allow baby to descend in the birth canal more easily.  We practice relaxation in every class and there are a variety of relaxation exercises in the student manual for you to practice with your partner at home. When D-Day arrives, you’ll be well prepared to get into a relaxed state easily.

8. Games & Demos: Every individual has a different learning style. Some folks are visual learners, some auditory, and some people need action and movement to learn something well. Sometimes it can be easier to remember something when you see and feel it in action, right? Be prepared to laugh and have fun with your classmates when we break out games and hands on demonstrations.

9. Rebozos: A rebozo is a beautiful, long woven garment that women traditionally wear in Mexico and throughout Latin America, but it can be used as a versatile birth tool. Couples will learn of variety of rebozo techniques to help keep mom comfortable in labor. As a Baltimore-based, Rebozo Certified, Birth Boot Camp instructor, I incorporate a rebozo technique into most classes to give couples more tools in their Comfort Measure Toolbox.

10. Weekly Emails: Not only do couples get a ton of useful info in class, but every week after class every student will receive an email chock full of links to extra reading materials and videos pertaining to the topic of the week.

11. A Beautiful, Color Workbook: Each couple receives a colorful, 170-page workbook with great articles, chow charts, relaxation exercises, PT routines, diagrams, and vocabulary. This book will become your #1 resource for 10-weeks and can continue to be helpful even during labor.

12. A Breastfeeding Video: Each Birth Boot Camp couple will receive a link with 1 year access to the breastfeeding video, Breastfeeding: The Ultimate MRE, which is loaded full of helpful, essential info and trouble shooting advice for breastfeeding your baby.

13. Online Classes: Something has come up and you can’t make it to class? Have no fear, you won’t miss any of the info or material!  Each student has access to 4 make-up classes online. No time for a 10-week live class? That’s OK too. Birth Boot Camp also offers the entire curriculum as an online class to students who have a hard time committing to a certain time and place each week.

14. Knowledgeable, Trained Instructors: Every Birth Boot Camp instructor is trained and knowledgeable about birth.  Many have had births of our own, we’ve witnessed other’s births, and we’re experienced breastfeeding moms. Birth Boot Camp instructors have a lengthy reading and video list to complete, assignments in the per-certification study guide, and a weekend workshop the wraps up with an exam. Your Birth Boot Camp instructor lives and breaths birth, and will be a wonderful support and resource for you and your partner.

15.Comprehensive Education Written by Experts in the Field: The Birth Boot Camp curriculum is brought to you by several professionals in the field, including midwives, massage therapists, childbirth educators, lactation counselors,  holistic health coaches, and doulas. Birth Boot Camp is one of the most comprehensive curricula in the field of childbirth education. This program leaves no stone unturned and couples graduate with a well rounded education.

16. Massage: Moms, how can you say no to massage? At Birth Boot Camp, learn techniques to properly massage a pregnant mom. This will be beneficial during pregnancy and during labor.

17. Newborn Care: Many couples have an amazing birth and then go home, not really sure what to do next. This can cause a great deal of anxiety in new parents. In class #10, we discuss many of the newborn procedures that are typically done after birth and you’ll be able to make an informed decision about whether or not any are right for your baby.  We will also discuss baby sleep options, baby wearing, diapering options, breastfeeding, and baby soothing techniques..

18. Postpartum Health: Birth Boot Camp classes extend well beyond birth. We want moms and partners to be prepared and to have a plan for what their babymoon will look like. In this class, we will talk about postpartum nutrition, healing and recovery, postpartum depression, breastfeeding, and even SEX!

19. Instructors Located Nationally & Internationally: Birth Boot Camp has instructors throughout the United States and even in Canada and Germany.

20. Amazing Statistics: In 2014, Birth Boot Camp students had AMAZING births! Only 14% of students had cesareans, which is less than half of the national average. 86% of moms had vaginal births, 73% of which were unmedicated. Birth Boot Camp’s stats speak for themselves. This curriculum trains and prepares couples to birth confidently.

If you are looking for a childbirth class in the Baltimore area, contact us for more information on our Birth Boot Camp classes. 

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