Saturday 21 April 2012

Natural Options for Pain relief in Childbirth

Apologies to those of you who have been waiting for my next blog on natural options for pain relief in labour. Unfortunately a bout of food poisoning interrupted my creative juices! The good news is that I am back on track and posting the second in my series of articles in managing pain and discomfort in childbirth.


Today I am exploring the effects of acupressure/acupuncture and reflexology on labour and childbirth. As with all natural methods caution is advised in their use if there are any medical complications or chemical interventions during labour.


Acupressure/acupuncture
In traditional Chinese Medicine meridians are a series of channels that carry qi (life force energy) throughout your body. These meridians contain over 600 points, which relate to different areas of mind and body. By restoring and balancing energy this improves efficiency in the way that your body functions. In labour they can be used to promote the release of endorphins, block the pain receptors to the brain, dilate the cervix and increase efficiency of contractions.

Research has shown that acupressure may be as effective as acupuncture during labour and does not require a therapist to be present but may be applied by your partner. However, as with any complementary therapy caution is advised on its use as some points are contraindicated during pregnancy.

Using acupressure during labour
• Start using acupressure points early in labour for maximum benefit
• Experiment with different acupressure points to find which ones suit your needs during labour
• Do not use acupressure points if they produce any discomfort, they should induce a pleasant sensation and noticeable effect that wears off when discontinued
• Acupressure is not massage but direct firm pressure to a specific area

Acupressure may be continued post birth to help relieve ‘after pains’, support breastfeeding, and reduce fatigue.


Reflexology
Reflexology is an ancient healing skill working on the reflex points on the feet or hands. It is based on the premise that the body is mapped out on the feet and by applying pressure to certain points it will stimulate a response in the corresponding system or organ of your body. Similar to Chinese Medicine, the philosophy is that if life force (prana or qi) is disrupted or blocked it leads to dis-ease.

Reflexology can play an important role prior to, and during labour and birth. The benefits include:


• Having reflexology may help to help stimulate the onset of labour, especially if you are overdue.
• Reflexology may balance the release of oxytocin to regulate contractions
• It is a touch therapy which may help to increase relaxation and reduce anxiety
• Reflexology can be used at any stage of labour and its effects may be felt within 15 minutes of treatment
• Women that have undergone a course of reflexology in pregnancy often find that the overall length of their labour is reduced.

A casual study by Motha and McGrath (1993) on 64 women showed that it was effective in treating a range of symptoms during pregnancy. Labour length also appeared to be significantly reduced and 89% of women in the study achieved a normal vaginal delivery.

Using acupressure and/or reflexology may be very effective especially in stimulating labour as well as a means of enhancing relaxation and comfort during labour. However, I would recommend that you consult a qualified practitioner before using any of these techniques during pregnancy and childbirth.


Saturday 7 April 2012

Natural methods of Pain relief available for birthing

Spring is here, or so I thought for a few glorious days! Within a week there was snow on the ground and my poor plants were looking as cold as I felt. However, all things pass and it is lovely to hear the birds singing, and nature preparing for another season and cycle of life.

This week I thought I would share my latest series of articles on methods of pain relief available for labour and birthing. Naturally, I am going to start with the more natural methods, as it is a subject dear to my heart. I hope you enjoy them and your comments are always most welcome.

In labour it commonly accepted that the painful stimuli arises from uterine contractions and the pressure and stretching of the cervix, vagina, and pelvic joints as the baby’s head descends through the pelvis. This is a normal physiological action experienced by mammals, however, the amount of pain experienced if any, is also intensified by our modern expectations and fears about giving birth. This has led to a confusing array of techniques and drugs available now to women during labour, which these articles hope to clarify.

Women may experience a wide range of intensity in discomfort or pain experienced during labour and as an individual each of us will respond differently to that experience and our need for analgesia (pain relief). These articles explore the options available to women in labour including natural and pharmacological methods.

However, a woman’s reactions to labour and contractions and any pain experienced may be affected by a variety of circumstances including childbirth preparation, her environment, and birth support during labour and birthing.

HypnoBirthing
Hypnobirthing developed following the work pioneered by Dr. Grantly Dick-Read in the 1920’s. His theory was that fear resulted in tension, which led to pain as the ‘fright and flight’ hormones reduced the levels of hormones necessary for an effective easy labour and reduced our levels of endorphins, natures own powerful pain killers. This led to the development of Hypnobirthing techniques such as self-hypnosis to increase relaxation and reduce fear, supporting a calm, more comfortable labour and birth.

Water-births
The healing and pain relieving properties of immersion in water during labour and birth have been used for centuries and research supports these findings. The relaxing effects of water may reduce the need for other methods of pain relief, accelerate labour, and provide a more peaceful experience for both mother and baby. Using Hypnobirthing and water has been found to enhance and support a positive birthing experience.

The positive effects of buoyancy, ability to move easily and utilizing gravity also help with an undisturbed and ‘hands free’ birth

However, there are guidelines for using the birthing pool, and it is only suitable for those women considered ‘low risk’ during their pregnancy. If any complications occur during pregnancy or labour, this may well prevent you from using the pool.

Maternal Movement and Position Changes
Women in labour naturally move into upright positions, which help them to achieve optimal positioning, cope with labour, assist gravity and feel more comfortable. Optimal fetal positioning was discovered by midwife Jean Sutton and antenatal teacher Pauline Scott, when they realized that a baby in a posterior position during labour, made labour longer, more painful with ineffective uterine contraction and more intervention to help deliver the baby. Simple techniques to encourage the baby into an optimal position and utilize gravity has led to the use of birthing balls during labour to aid gravity, pelvic rocking and increase pelvic diameters to aid descent and childbirth. Belly dance for childbirth has similar benefits and also enables women to connect both emotionally, sensually and physically with their birthing bodies. For more information see my articles on optimal fetal positioning and belly dance for pregnancy and childbirth.

Aromatherapy
Aromatherapy has its roots in the most ancient healing practices, using essential oils for their therapeutic properties on mind, body and emotion. Essential oils are very powerful with various properties for emotional and physical wellbeing during pregnancy and childbirth.

Aromatherapy can be used very successfully in a number of ways during labour and birth, easing stress, pain and discomfort. The most popular way to utilize the benefits is by massage, which has its own benefits for relaxation. Other ways include bathing, inhalation, vaporizers, and hot/cold compresses.

However, there are some cautions as essential oils are concentrated and very powerful. Therefore, I would recommend that you consult a qualified aromatherapist before using aromatherapy oils, as some are not suitable for use during pregnancy, and buy only the most pure and organic oils where possible.

For more information see my article on Aromatherapy during pregnancy and childbirth.

Massage Techniques for Labour
Massage techniques have been performed over the centuries to improve overall health and wellbeing by reducing muscle tension and stress. The English word massage is probably derived from the Arabic Mass’h meaning to press softly, which makes this is an ideal therapy to help reduce and relieve stress, relieve muscle tension, and instil feelings of deep relaxation, which we know helps our bodies to work in harmony during labour. Studies point to both maternal and newborn benefits when regular massage is part of your antenatal care and performed during labour.

Potential benefits include:

• Relief from muscle aches and joint pain
• Reduction of swelling in legs, feet and hands
• May relieve sciatic pain and backache during labour
• Regulates hormones by reducing the ‘stress’ hormones and increasing our ‘feel good’ hormones such as oxytocin and endorphins during labour and birth.
• Improved hormone balance also leads to fewer complications in labour, birth and in the postnatal period
• Improves your blood circulation
• Improves lymphatic drainage and removal of toxins from your body
• The deep relaxation achieved during massage promotes a more comfortable experience of labour and birth.

There are many effective massage routines, which have been designed to support women during labour both emotionally and physically. Gentle touch massage used in conjunction with Hypnobirthing uses a very gentle touch along the spine, neck and arms to relax and stimulate the release of endorphins during labour.

Another very effective massage technique is Creative Healing Massage advocated by Dr. Gowri Motha. There are four intentions, which are:
• To normalize body temperature
• To open and create drainage channels
• To remove congestion
• To reposition substance

There are many different ways of approaching labour and in this day and age, a confusing array of options are available for comfort and pain relief. I hope that at the end of this series of articles you will be able to make informed choices to suit your own needs during labour.