The Call for Limiting Ultrasounds During Pregnancy

ultrasound pregnacy

Fetal ultrasound is a method of viewing a fetus while in the womb. Ultrasound technology uses
sound waves, that bounce off the baby’s mass, to produce a picture of the baby. While both the
American College of Obstetrics and Gynecology (ACOG) and the Food and Drug Administration
both agree that limiting fetal ultrasound is important, some doctors continue to insist on
frequently looking at baby in-utero without caution.

To avoid unnecessary viewing of your unborn baby, ask why an ultrasound is necessary.
Oftentimes, doctors utilize certain technology simply because it’s readily available without taking
into account the potential risks at-hand. In the case of fetal ultrasounds, it seems that
obstetricians, especially those with direct-in-office-access to ultrasound technology, like to “take
a peek” at baby in-utero far more frequently than may be clinically-indicated. Some women have
a fetal ultrasound performed at nearly each prenatal visit. Patients, trusting the doctor, don’t
always question why the ultrasounds are being conducted, and understandably so, enjoy being
able to view baby. However, if there is not a clear clinical need to have these images taken,
these ultrasounds are better off being declined.

What are the potential risks you’re even avoiding if you were to decline an ultrasound? In this
FDA article, Dr. Shahram Vaezy, an FDA biomedical engineer, states that,
“Ultrasound can heat tissues slightly, and in some cases, it can also produce very small bubbles
(cavitation) in some tissues.” Dr. Vaezy also warns that, “…prudent use of these devices by
trained health care providers is important.” Ultrasound has also been utilized recently to help
heal fractured bones and is also used to “blast” away kidney stones. Something that has the
potential to change the tissues of a developing fetus should be used with caution and operated
strictly by a trained health professional. This means that not only should the storefront
“keepsake” ultrasonography shops be completely avoided but frequent viewing of baby under
any circumstance increases risks to the fetus.

A trained ultrasound technician should be the only person performing these scans but it’s not
just the operator that holds significance. The length of time the ultrasound takes place is also of
significance. The longer the fetus is exposed to ultrasound, and the longer the fetal temperature
is altered, the higher the potential risks. The ACOG, in an October 2017 “ACOG Committee
Opinion” release note specifically that, “Ultrasound imaging should be performed efficiently and
only when clinically indicated to minimize fetal exposure risk using the keeping acoustic output
levels As Low As Reasonably Achievable (commonly known as ALARA) principle.”
Worth noting is that fetal Dopplers, often used by care providers to listen, not look, at baby in-
utero, also utilize ultrasonic sound waves to pick up baby’s heartbeat. These monitors carry a similar risk to visual ultrasound and also carry warnings as to be used only by healthcare
professionals. By purchasing this type of monitor, many mothers feel reassured by being able to
listen to baby’s heartbeat at any given time. However, Doppler monitors have not been
designed for at-home use.

The decision for frequency of ultrasound exposure during pregnancy remains with the patient.
With information regarding both risks and benefits of this medical intervention, one can make an
informed choice as to how she wishes to proceed when ultrasound is recommended by her care
provider. It is always important to have an open dialogue with your provider regarding any
concerns about recommended procedures. Only when the patient is comfortable and in
agreement, should a non-emergent procedure take place. As a patient, you have the right to
decline any or all ultrasounds recommended by your care provider. You also have the right to
question what the provider is hoping to find through the recommended imaging and how the
imaging itself would affect future medical recommendations.

While ultrasound is widely accepted in the medical community as being safe and carrying little
to no risk, it is still wise to proceed with caution. Let us not forget that several decades ago, X-
rays were used readily for a host of reasons, including fetal imaging and were considered “safe.”
Of course, now more is known and there is great caution with X-ray use. This is a good lesson
in why, for a healthy pregnancy, less medical intervention is often the best choice.

Protein in Pregnancy: What’s the big deal?

Have you ever wondered just how important your diet is for your growing baby in your belly? Have you ever allowed craving after craving to drive your food intake? Have you ever felt like your body only wanted to eat carbs, carbs and more carbs? If you have answered yes to one or all of these questions, this blog post is for you.

Throughout pregnancy, a protein rich diet can make all the difference in maternal and fetal health. It can reduce risk factors for pre-eclampsia and gestational diabetes, and even improve your birth outcome. But how?!

When your baby is growing the fastest, during the second and third trimester, it is vital that your body intakes protein which contains amino acids. These acids are the building blocks for you and your baby. Most experts recommend consuming a minimum of 80 to 120 grams of protein per day while pregnant. It is also important to use salt to taste. Between 20-25% of your daily calories should come from protein. As explained in the chart below, albumin is made directly from the protein mom eats which in turn increases blood volume. When mom doesn’t get enough calories, the protein is burned up rather than being used to make albumin. This unfortunately drops blood volume. The result of high blood pressure is due to the kidneys producing an enzyme called renin which makes the blood vessels constrict. This down spiral of events often leads to early signs of pre-eclampsia and usually early induction of baby.

Adequate protein and salt for the pregnant mom are vital in an overall healthy pregnancy and an uncomplicated delivery. Best choices that include protein are as follows: meat and poultry, fish and seafood, eggs, dairy products, beans and peas, nuts and seeds, high protein grains, protein powder. If the mother will increase the amount of salt, protein, and calories that she eats, the blood volume will increase, and blood pressure will come down to a normal level. Sometimes, this could even mean eating an ounce or two of protein every hour. It is in fact possible to reverse pre-eclampsia risks with proper protein-rich nutrition. For more information on the link between nutrition and pre-eclampsia, see www.drbrewerpregnancydiet.com.

protein in the maternal diet

Top 10 Baltimore Date Ideas For Pregnant Couples

Baltimore Date Ideas

Pregnancy is a transformative experience for parents-to-be. You may be wondering what life will be like with a new baby or how your relationship may change. Adding a child undoubtedly augments all aspects of life. Pregnancy serves as a really great exercise in being present. While you’re waiting for baby, enjoy some together time and connect. Here are ten Baltimore date ideas, that honor the now!

  1. Spa Day Enjoy a couples massage. Mom can benefit from a restorative prenatal massage, while Dad enjoys relaxing bodywork. Try Jessie Bernstein at Satori Wellness Center in Towson, The Loft (formerly Missy Kibelbek) in Hampden, or The Healing Path, which has locations in Mt. Vernon, Fell’s Point, and Baltimore County.
  2. Linger at dinner  Sitting together, uninterrupted, for a meal is a rarity for many new parents.  While you are still growing baby, enjoy dinners outside the home. My top picks are Petit Louis with two locations; Roland Park and Columbia and The Wine Market in Locust Point.
  3. Fake a Vacation Staying at a local hotel for an evening or two is the more accessible little sister to a ‘babymoon’. Kimpton Hotel Monaco, near the Inner Harbor, has great boutique hotel amenities. It is in proximity to many downtown Baltimore sites and attractions.
  4. Take a Long Stroll Taking a walk, especially in late pregnancy, can ease discomforts and even facilitate labor. For a picturesque water view, visit Fort McHenry.  If you prefer the canopy of trees, head to Lake Roland.
  5. Brunch Never overrated; brunch is perfect for special occasions. Wit and Wisdom delivers a fantastic Sunday brunch, located at the Four Seasons Hotel in Harbor East.
  6. IKEA A trip to IKEA is a right of passage for parents-to-be. Take a quick trip to White Marsh, or try the Prince George’s County store for the best selection of minimalist nursery staples.
  7. Practice Yoga The Birth Well at Baltimore Yoga Village offers two enriching options: prenatal yoga classes and a yoga for birth workshop. Both programs will help you connect and feel empowered during pregnancy and birth. Baltimore Yoga Village has studios in Hampden and Mt. Washington.  Heather Brown of Yoga Birth offers prenatal and postpartum yoga as well as a yoga-infused childbirth class.  The Yoga Birth classes combine evidence-based childbirth education with the mind/body connection of yoga, so couples can understand and experience birth as a sacred and transformative passage.
  8. Visit a Museum There are several great museums in Baltimore. Visit Federal Hill and stop by The American Visionary Art Museum.  AVAM hosts an eclectic array of works by self-taught artists. The Baltimore Museum of Art, in Charles Village, houses the renowned Cone Collection and has an exceptionally well-edited contemporary collection.
  9. Watch a Movie Both the Charles and Senator Theatres are landmark locations in Baltimore, where you can view a variety of mainstream and independent films.
  10. Picnic Relax and have a romantic afternoon picnic. Cylburn Arboretum offers respite from city life with its charming gardens. Patterson Park features a vast open lawn earning its nickname, the ‘best backyard in Baltimore’.

 

If you are looking for resources or recommendations during pregnancy, please do not hesitate to contact us.

Nourishing Recipes For The First Trimester

Nourishing recipes for the first trimester

Obtaining Essential Nutrients With Whole Foods

Eating a colorful, varied, and minimally processed diet is ideal for optimal health, and during pregnancy, this becomes more apparent. Your body requires specific essential nutrients, vitamins, and minerals to support and grow a baby.

In these three recipes, I will explain why certain foods are ideal during the first trimester, and how their specific nutrients help you and baby. These nourishing dishes are all free from grains, dairy, and refined sugars.

First Trimester Smoothie

Coconut milk is a great alternative to traditional dairy; it is a rich source of several B-complex vitamins including B1, B3, B5, and B6. (There are 8 B-vitamins) Some of the many benefits include immune and nervous system support and enhanced energy production. During pregnancy, you also require more protein to support the rapid growth of your placenta and baby. Almond butter is a delicious addition to the smoothie and a great source of plant protein.

½ sliced, frozen banana

½ cup fresh or frozen blueberries

3 tbsp almond butter

¼ tsp cinnamon

½ cup full fat coconut milk

¼ tsp lemon zest

Place all ingredients in blender and mix.

Ultimate Prenatal Lentil Salad

Adapted from My New Roots

This salad is particularly delicious! Lentils are an amazing source of folate, a B-vitamin that helps baby’s neural tube develop properly. Folate also helps support red blood cell production, which is important as your blood volume increases throughout pregnancy. Lentils contain a ton of protein and fiber, which really increases the satiety factor of this dish.

1 cup black (du puy) lentils, rinsed, cooked, and drained

¼ cup dried tart cherries

handful of finely chopped fresh herbs. (I enjoy mint and parsley)

3 tbsp chopped capers

¼ cup chopped almonds

Vinaigrette:

¼ cup olive oil

¼ cup apple cider vinegar

1 tbsp strong mustard

1 tbsp maple syrup

1 tsp salt

1 tsp pepper

1 tsp ground cumin

¼ tsp turmeric

¼ tsp ground coriander

¼ tsp ground cardamom

¼ tsp cayenne pepper

¼ tsp nutmeg

¼ tsp cinnamon

Place salad ingredients in bowl. Prepare vinaigrette by placing all ingredients in a jar with lid. Shake well to combine. Pour vinaigrette over salad and toss everything together. This dish tastes best fresh at room temperature.

Wilted Greens with Creamy Lemon Tahini

Adapted from Love and Lemons

This recipe is loaded with superfoods. Dark leafy greens including spinach, chard, and kale are rich in vitamins and minerals. Greens like spinach are a surprisingly great source of calcium, which is needed for baby’s bone development. The addition of avocado lends more than creaminess to the sauce. It also contains high levels of vitamin B6, which helps baby’s brain development. Vitamin B6 can also ease nausea, a common first trimester symptom. Dark greens and the sesame tahini provide a superb source of iron, which supports red blood cell production, helping to prevent fatigue and anemia. Adding lemon to this dish enables your body absorb iron more effectively.

4 cups dark leafy greens (I prefer baby spinach)

1 cup broccoli florets

⅓ cup sesame tahini

½ avocado

juice of 1 lemon

salt and pepper, to taste

Sauté greens and broccoli in olive oil and set aside. Blend tahini, avocado, and lemon together in food processor. Add 1-2 tablespoons of water, to thin, if necessary. Plate greens and pour sauce on top.

Enjoy!

Breast+Skin+Sling: An interview with Austin Rees

Babywearing Baltimore

My guest on the blog today is Austin Rees. Austin is an International Board Certified Lactation Consultant (IBCLC) and a Certified Babywearing Consultant through the Center for Babywearing Studies. She is the owner of Breast+Skin+Sling, and the co-founder of Sacred Milk. Austin prepares mothers prenatally with the foundations of breastfeeding, skin-to-skin, and babywearing. She facilitates personalized ceremonies to celebrate life’s transitions. Austin also provides one-on-one babywearing consultations in our community. (featured image credit: Kate’s Takes)

It is common today for parents to take a birthing class. Why should parents seek out a breastfeeding and babywearing class before the baby arrives?

An out of hospital birth class is essential to gaining the information on how to facilitate the process of birth and know your choices in birth. Skin-to-skin, and the breast crawl (infant independently moves to the breast to nurse) occurs immediately after birth. Understanding how to facilitate this instinctual experience before the birth is beneficial. I find mothers profit from the knowledge and foundations of how Milk works, the importance of skin-to-skin, along with an understanding of the normal newborn before the baby arrives. With this knowledge I have witnessed mothers step into motherhood trusting their bodies, their babies, and their Milk. I help mothers discover their innate instincts and wisdom so they enter their unique Milk relationship secure, confident, supported, and connected to their baby. Armed with the knowledge of how to initiate a good start is key to avoiding difficulties. I observed working with mothers postpartum that a majority of the issues they experienced could have been prevented if they had the proper information before the baby arrived. Babywearing can also start immediately, and knowing how to comfortably and confidently use a carrier can be a valuable tool.

Babywearing is commonly seen around the city. How would you react if you see someone wearing a baby improperly while at the store?

I am always excited to see another parent or caregiver wearing their baby while I am out. I usually try to make eye contact or say, “It’s great to see you wearing your baby.” If I notice someone wearing their baby and the straps are twisted, or it does not look to the carrier direction guidelines I may observe to see if they are interested in striking up a conversation. When I engage with someone who is wearing I ask how they feel. If they are happy and comfortable, I praise their excitement. If they say this is great, but xyz, I will share some babywearing tips that may help that situation.
motherblessing baltimore
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On your website it lists you offer facilitating ceremonies for families in the DC/MD/VA area. What are some reasons for someone to reach out to you to create a ceremony for themselves or someone else?

I enjoy designing personalized ceremonies to create a circle of support for someone. I have been facilitating Mother Blessings for pregnant or adopting women for 10 years. In place of a traditional baby shower, a Mother Blessing is a special ceremony designed to acknowledge, honor, and celebrate a woman’s journey into Motherhood. Family, friends, and mothers contact me to create a ceremony and provide a loving place where the honored mother can explore the challenges and joys that lie before her as she approaches childbirth or adoption, and mothering her first or multiple children.

I also facilitate Birth Story Ceremonies; a place where a mother can experience deep listening, and allow the power of sharing her story to heal, celebrate, grieve, release, process and acknowledge her experience, her journey. These are designed to make way for the mother to experience her birth story. We open our heart and commit our undivided attention to her. This allows her to fully express her experience, reflect upon it, and take the steps she needs to move forward. We step aside and create a safe space so she has complete control, and unconditional support.

A Weaning Ceremony is a time we can come together to honor a Mother’s Milk relationship. We make way for the mother to experience her Milk story by opening our heart and committing our undivided attention. This allows her to fully express her experience, reflect upon it, and take the steps she needs to move forward. We step aside and create a safe space so she has complete control, and unconditional support.

I also create customized ceremonies. Recently I designed one for a special woman who was about to undergo radiation for breast cancer. We designed activities that supported releasing fears, created personal power, and we weaved a web of support, pledging our assistance throughout her treatment and beyond.

Sacred Milk is a sister program under the Sacred Living Movement. Can you share what is the Sacred Living Movement, and more about your involvement with Sacred Milk and Sacred Pregnancy?
Sacred Milk Baltimore
teaching-add-photo-credit-Kalimana-Birth-Films-200x300
Photo credit: Kalimana Birth Films

The Sacred Living Movement acknowledges all aspects of our life’s journey need to be honored, and embraced with reverence and respect. The Sacred Living Movement was designed to bring back the age-old tradition of women sitting with one another during a time of transition, witnessing each other’s process and BEING there for one another. We have a local, active Sacred Living Movement Maryland group.

Sara Goff and I created Sacred Milk after attending a Sacred Pregnancy retreat. Sacred Milk is a movement inspiring women to trust their bodies, their baby’s and their Milk. Our mission is to nourish the wholeness of each mother’s journey and shift our culture to see Milk as a holistic practice, rather than simply a feeding choice. In the last century our culture has been saturated by marketing that has conditioned us to see breasts as sexual, and human milk as just a food source. The Journey to Milk program is focused on opening space for women to remember their innate wisdom and then surround themselves with a supportive community. Milk is instinctual, natural, normal, and necessary. That doesn’t mean it’s easy or filled with bliss. Milk is not something that can be fully learned from a book or taught on the internet. Milk cannot be told. Milk must be modeled, supported and nourished in community because it is a way of living not a way of feeding.

I recently co-hosted a Sacred Pregnancy + Sacred Milk 2-day mini retreat for pregnant mothers in our community. It was a gorgeous event full of women showing up and witnessing to each other. In September I will be facilitating a retreat to certify Sacred Pregnancy instructors in Nashville, TN. I am excited for more women to have the option to attend these classes or retreats prenatally.

Austin is such wonderful resource for mothers and families in our area and has such a beautiful way of bringing our community together. If you are looking for breastfeeding or babywearing education in the Baltimore or surrounding area, you can contact Austin here.

When your friend has a baby: 10 ways to support a new mother

how to support a new mother

When my closest friends were having babies, I was just getting married.  I was pretty clueless about most things regarding the postpartum period and since the last baby to be born in my family was my 22-year-old sister, I knew even less about babies. I hadn’t a clue as to ways to support a new mother.

My best friend, the first one of us to have a baby, had a long labor, which ended with a cesarean. When she returned home, I am sure she was incredibly sore, but she was also clearly frustrated with breastfeeding.  When I think back to how painfully clueless and useless I was when she had her baby, I shudder.  I mean, I brought her a plant.  A PLANT!  While plants are lovely and they brighten up a room, it’s also one more thing for her to tend to and it isn’t remotely helpful to her in any way.  Oh, and that’s not all.  When lunch time rolled around, she heated up leftovers for us to eat.  SHE heated up leftovers for ME. (**shudder**)  It actually makes my stomach turn to think that I was that out of touch with what she needed.

After my own postpartum experiences, coupled with lots of training on birth and the postpartum period, I think it’s safe to say that thankfully, I’ve learned a few things since then.  Here are 10 ways to support a new mother, so the next time you have a friend have a baby, you’ll know how to shower her with love (and clean laundry).

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  1. Walk her dog. She’s healing from birth and her partner deserves a break. Take Fido for a stroll.
  2. Take her children outside. If mom has other children, take them outside to expel some energy. Playground, walk around the block, bike ride, whatever. Mom will appreciate the quiet and the kids will love the fun.
  3. Fix her family a snack or bring her a meal (or 2).  Anything you can do to take some of the load off, please do. Make them a meal or a snack, and if you can, involve the kids.  The kids will enjoy the activity and mom will get a reprieve by them being entertained.  If you won’t be there long, bring a meal already prepared, but also one that is freezable, so they can enjoy it later if needed.
  4. Bring her groceries.  When I had my first baby, a friend came to visit, and with her came 2 grocery bags full of food.  Some of the food was already prepared and the rest was perfect grab-and-go foods for snacking.  I was so touched and appreciated having new items in the fridge.  We sat around the table and noshed while she held and loved on my baby.  It was incredible and I appreciated it so much.
  5. Hold the baby and send her upstairs for a long, hot shower.  It’s amazing how much a hot shower can change a person.  Even if she doesn’t need it, take the baby, and if she has one, the 3-year-old, and send her upstairs for a hot shower and some alone time.  She’ll come down feeling grateful and refreshed.
  6. Load her dishwasher and run it.  I’m placing bets that when you go see her there will be a sink piled high with dishes.  Load the dishwasher and be sure to run it.  If you’re there long enough, empty it on your way out the door.
  7. Wash a load of laundry.  It’s amazing how much laundry a 7-pound baby can produce.  Whether it’s spit up on the onesie or breastmilk leaked on her shirt, there’s bound to be a load of clothes waiting.  Wash a load for her.  If there’s a load that’s been done, fold it.  Laundry is one of those things that can get out of hand fast. Helping her stay in front of it will take a lot of burden off of her.
  8. Take out the trash.  On your way out the door after your visit, take the trash with you.
  9. Sweep.  Dog hair, cheerio crumbs, dried up play-doh pieces.  It’ll take 5 minutes and will make a big difference.
  10. Bring her something for just her.  Bring her something that will make her feel good.  Ok, so maybe that plant wasn’t all bad.  I love plants, but whatever it is, make sure it’s something that will make her feel warm and pampered.  Maybe bring some great shampoo, bath salts, or handmade soap for the shower she’ll take during your visit.  Whatever it is, make it special.

There are endless ways to support a new mother, these are just a few.  The bottom line is make her life easy, make her plate lighter, and let her know you love her.  Having a baby is hard, and sometimes the postpartum period is even harder.  New moms are all too often left unsupported in our hustle-and-bustle culture, but we were never meant to do it alone.  Be a good friend, show up, and give her what she needs.  When she has a friend have a baby, she’ll remember how you made her feel, and she’ll pay it forward.  Little by little, maybe our culture will begin to shift.

 

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