Tuesday, 7 February 2012

Why are we still adhering to strict timelines in labour and birth?

Greetings to you all and apologies for the delay in writing in my blog. Life has been busy lately and I have just completed a new course called Matrix Re-imprinting, which is a follow on from EFT (emotional freedom technique) which is even more effective in dealing with past trauma. I intend to use this technique as part of my post traumatic stress disorder therapies for women with previous birth trauma experiences to help them release and heal those memories, and enable them to look forward to their next pregnancy and birth in a positive way.

This article I have written follows on nicely as unnecessary intervention in labour may lead to more complications in childbirth.

The natural rhythms of labour and birth have long been forgotten and ignored as pioneers of modern medicine designed graphs and charts, to enable them to vigilantly measure labour progress and cervical dilatation within estimated time frames introduced from the mid 1950’s.

The need for these measurements became necessary once childbirth was taken from the home environment into a hospital setting especially after the Peel report in 1970 which advocated hospitals as the safest place for women to give birth. Busy labour suites required a conveyor belt kind of efficiency to deal with the large numbers of women passing through their doors. The partogram was designed as an action plan if the progress of labour did not follow the time-line guide. This lead to the aggressive active management of slow labour protocols designed by O’Driscoll and Meagher in 1986. These partograms have been modified slightly but are still in use today in labour suites.

The main measurement of labour progress remains performing a vaginal examination to ascertain cervical dilatation according to partogram guidelines. This has led to more frequent examinations for women which are uncomfortable and may be an invasion of privacy. Thankfully, the frequency of these examinations has been reduced, as the time line of labour is slightly more flexible today.

Long forgotten skills and techniques for monitoring the progress of labour without intervention are being re-instated by midwives and birth attendants in many natural birth situations. One of these includes observing the ‘purple line’, which runs from the distal margin of the anus up between the buttocks until it reaches the natal cleft, which is a sign of full cervical dilatation. I remember observing this line myself on many an occasion. Research indicates that up to 89% of women develop this sign during labour. Another technique possibly originating in Peru found that birth attendants felt for the appearance a ridge running from between the eyes up to the hairline on the forehead as labour progressed. There are many more intuitive techniques handed down through the generations, which are in danger of being lost completely, as midwifery skills are lost in a high tech world of labour and birthing.

There is now a backlash from women, midwives, and supporters of home birth and birth centres, who argue that normal labour does not necessarily follow the division of labour into the various timed stages to be adhered to regardless of individual labour patterns and rhythms.

Many first time labouring women experience a long latent phase and this time is best spent at home in their own environment, with assessment by their community midwife or at an early labour assessment unit if home assessment is not possible. This allows women to labour without intervention in the nurturing environment of their own home with their own comforts.

The desire of women and midwives to return to normal patterns of labour based on an individual woman and to discard the timed assembly line birth, embraces the old way of ‘being with women’ during labour. As Nicky Leap suggests, “the less we do, the more we give”.

Tuesday, 10 January 2012

Why use EFT (Emotional Freedom Technique) during pregnancy and childbirth

Welcome back to my blog. What a fabulous full moon last night! I slept surprisingly well considering there was a full moon, but had many vivid dreams. I am always interested to hear about your experience during pregnancy and labour during a full moon. The first ten interesting replies received will be able to receive a free 'Hypnosis for Pregnancy, Birth and Beyond' CD.
The topic I want to share with you this week is a subject dear to my heart and a technique I use all the time both for myself and my clients.

Definition of EFT:
Often described as psychological acupuncture, Emotional Freedom Technique (EFT) is a therapy that involves tapping on meridian pressure points, whilst focusing on an emotional or physical problem.

Emotional Freedom Technique was developed by Gary Craig around 1995 based on work done by Roger Callaghan on Thought Field Therapy, and is one of the many forms of Meridian Energy Techniques. Gary Craig refined, simplified and developed EFT making it easy to use and available to everyone. As a therapeutic technique it is hard to beat for its effectiveness and simplicity.

How does EFT work?
That is a good question and the answer is that no one knows exactly how it works, but the general consensus is that it:

• Works on the 12 meridian channels and 2 governing vessels based on Acupuncture in Chinese medicine
• Tapping on the meridian points whilst focusing on the problem, allows the physical or emotional problem to be released and cleared

Based on his findings Gary Craig suggests that:

“ The cause of all negative emotions is a disruption in the body’s energy system.”

The theory behind the technique is based on the premise that negative emotions and dis-ease are caused by a disruption in the body’s energy system. Therefore, by tapping on the meridians, it provides a release of negative emotions and a return to homeostasis (balance of mind of body).

Tapping Techniques
With this technique the fingers gently tap on the end point of the meridians or energy points on the face and upper body. This helps to release blockages on both a mental and physical level, and balances the body’s energy system.

Why should we use Emotional Freedom Technique during pregnancy and childbirth?
Being pregnant may unleash a roller coaster of emotions as your hormones and body adjusts to your new role. Even if you are really pleased to be pregnant you may find that your emotions are all over the place and you may also experience the uncomfortable physical ailments associated with being pregnant. These include:

• Nausea
• Morning sickness
• Fatigue
• Mood swings
• Fears and anxiety

As your pregnancy progresses you may also develop other physical ailments such as:

• Aching joints and ligaments
• Pelvic dysfunction pain
• Backache
• Swelling (oedema)
• Heartburn
• Constipation

EFT is an effective tool to use during your pregnancy to alleviate physical symptoms, balance emotions and release fears and negative feelings. With EFT you can tap your way to feeling better both physically and emotionally.

Using EFT to prepare for childbirth
Towards the latter part of your pregnancy in your third trimester, it is common to focus more on the labour and birthing of your baby. Any fears or concerns about giving birth may be released using EFT giving space for a positive birthing experience to replace the old fears and limiting thought patterns.

I believe that teaching all pregnant women how to use EFT on their fears and limiting beliefs can enhance their experience of childbirth, with less analgesia required, and with fewer medical interventions required. Using EFT to release fears, limiting beliefs and anxiety allows us to focus more on the positive aspects of giving birth and the transition to motherhood.

In my practice, more women are coming to see me now in their second pregnancy because their previous experience of childbirth didn’t fulfill their dream of having a gentle easy birth. Many have had a traumatic experience and cannot face another such experience. So many women are unable to enjoy this current pregnancy because of the fear and anxiety they still carry within them. This is where EFT can be so useful, helping these women to release these past traumatic experiences and move on quickly and easily by tapping on their specific problems.

What we can do to reduce fear, tension and pain
Sadly, with advances in technology comes more intervention in what should be a natural process of giving birth easily without fear and pain. There are several techniques, which may alleviate fear, tension and pain and these include; self-hypnosis, visualizations, affirmations, breathing and optimal positions for baby and birthing found in Hypnobirthing. However, it is not well known that EFT may also help to relieve fear, promote physical and emotional wellbeing, and release past trauma still held within our minds and body. In my opinion the effects of using Hypnobirthing in conjunction with EFT provides a powerful toolbox to support your childbirth preparation.

For more information or to book your EFT session with Amanda either in person, skype or telephone please contact me on: amanda@mama2b.com or 07818 415516.

Wednesday, 4 January 2012

Happy Hypnobirthing New Year

Happy New Year to you all and may all your dreams and wishes come true in 2012. It looks like it is going to be an exciting year for us all, so don't be afraid to take the first step to achieving your dream of a natural, calm and easy birth.

The topic for my first blog of 2012 is a subject close to my heart that I believe can offer women the choice and control over their own labour and birthing. So read on for more information about Hupnobirthing.


Hypnobirthing embraces the philosophy of natural childbirth experienced without fear or tension, using self-hypnosis, relaxation, visualisation and breathing techniques. It is based on the observations and research by Dr. Grantly Dick-Read in the early 1920s, which led him to the conclusion that what makes childbirth painful is the ‘fear, tension and pain’ syndrome.

What is hypnotherapy?
Hypnotherapy has been used as a healing technique for centuries. The technique was coined from ‘Hypnos’ the Greek god of sleep. Hypnosis is a naturally occurring state of intense concentration coupled with deep relaxation, neither asleep nor awake, but similar to daydreaming. During hypnosis breathing slows, and muscles relax whilst the mind remains alert. The brain exhibits alpha waves, which result in the release of endorphins and also increases the hormone oxytocin. Research has suggested that hypnotherapy can reduce pain, ease anxiety (Jenkins MW, Pritchard MH, 1993), and in addition significantly reduced the length of labour, especially in first time mothers. (Martin AA, et al. 2001).

Lets’ deal with the misconceptions first. Hypnotherapy does not involve a scary therapist standing in front of you swinging a pendulum in front of your eyes. Hypnotherapy is a safe and natural state similar to day- dreaming, which we all experience everyday.

Hypnobirthing
Teaching women self-hypnosis during pregnancy gives women the tools to prepare for birth and beyond using breathing techniques, visualisatons, deep relaxation, glove anaesthesia, and self-hypnosis. During hypnosis women are shown how to breathe in rhythm with their surges (contractions), encouraging deep relaxation, which in turn reduces the ‘fear, tension and pain’ syndrome. This removes all physical resistance and allows the mechanics of labour without tension. A safe place visualisation is a powerful coping tool to manage the intensity of surges (contractions). Visual imagery encourages the mind to go within, promoting bonding with the baby, and also techniques to control comfort and sensations within the body. One of the most effective pain relieving techniques is ‘glove anaesthesia’ using the power of the mind to numb any areas of discomfort.

Benefits of Hypnobirthing
• Self-hypnosis can reduce the need for chemical pain relief and stimulate the release of the body’s own natural painkillers called ‘endorphins’.
• Pain relieving techniques such as ‘glove anaesthesia’ can aid a pain free labour and birth.
• The effect of using hypnosis as a means of relaxation and pain relief in labour has been widely researched and may lead to a shorter first stage of labour
• A calm and controlled birth experience for mother and baby.
• Supports early bonding as a family unit
• Encourages early breast feeding and a rapid postnatal recovery
• Babies appear more settled and calm

Hypnobirthing classes
During pregnancy women are taught deep breathing techniques, relaxation, visualizations, glove anaesthesia, and self-hypnosis, which enables them to remain calm and relaxed, working in rhythm with their bodies during labour and birthing. Culturally, we are programmed to believe childbirth will be painful, whereas African and Indian women give birth easily without fear.

When can hypnotherapy be used?
Hypnotherapy can be used throughout pregnancy to enhance wellbeing, reduce tiredness and alleviate morning sickness. Dr. Martin P. Williams, a member of the British Hypnotherapy Association and founder of the Hypnonatal program for painless childbirth, says ‘When using hypnosis in early pregnancy in most cases within one or two sessions, feelings of nausea and sickness subside…’

Research has also shown that hypnosis may be of value in the treatment of breech presentation (Mehl, 1994). The outcome of the research was significant, with 84% of the hypnosis group achieving a cephalic presentation (head down). In comparison only 48% achieved cephalic presentation in the control group. The conclusion was that hypnosis could successfully treat women with a breech presentation, providing they were suitably motivated.


Conclusion
Hypnobirthing is a gentle, safe and effective therapy, which has been used as a natural healing technique for centuries. Self- hypnosis, visualisations, breathing and relaxation techniques give women the tools to achieve their goal of a calm and natural birth. This therapy works in a positive way, reducing fear and promoting women’s confidence in their own ability to give birth naturally and easily.

References:
Davidson J. MD. An assessment of the value of hypnosis in pregnancy and labour. British Medical Journal, Oct. 13th 1962, 951-953.
Mehl L. 1994 Hypnosis and conversion of the breech to vertex presentation. Archives of Family medicine 3, 10:881
Mongan M.F. HypnoBirthing,The Mongan Method. HCI Inc. Books 2005.
Jenkins MW., Pritchard MH. (1993) Hypnosis: practical application and theoretical considerations in normal labour. British Journal of Obstetrics and Gynaecology 100(3): 221-226
Martin AA., Schauble PG., Surekha HR., Curry RW, (2001). The effects of hypnosis on the labour processes and birth outcomes of pregnant adolescents. The Journal of Family Practice 50(5): 441-443

To contact Amanda Gwynne or for more information please go to www.mama2b.com

Tuesday, 13 December 2011

Merry Christmas to you all

Welcome to my last blog before the festive season is upon us. I would like to take this opportunity to wish you all a wonderful christmas whatever your plans. My tree is up and decorated now and I am really looking forward to spending christmas with my family. My grandson is nearly four and it is so much more exciting when children are a part of the celebrations.

On a more serious note the topic I am highlighting on my blog this week is the move to offer women a caesarean section without a medical reason. This is an area of concern to those of us that are passionate about giving women the tools and confidence to give birth easily and gently.


My belief is that as more medical intervention occurs in childbirth it leads to a cascade of labour complications and traumatic birth experiences. This has led to a most understandable increase in the amount of fear and aversion felt by women and prevent them even considering giving birth vaginally. If more money was spent on offering women counselling, fear release and relaxation techniques for those women, who quite understandably felt afraid to undertake childbirth then not only would women experience the joy of giving birth, but also have less complications recovering from major surgery.

A controversial move by NICE to introduce guidelines for caesarean section to be available as a choice for women has stirred up emotions both for and against the move. I am a great believer in giving women informed choice, but one of my concerns is that women are fully informed about the pros and cons of a caesarean section. What worries me even more is that we have such a negative view of childbirth that we are too scared to give birth naturally!

Don’t get me wrong, a caesarean section is a life saving operation in specific circumstances and should be used in those situations. The problem is when it becomes normal practice and we forget that it is major surgery with a higher risk of complications for both mother and baby.

The philosophy of HypnoBirthing allows parents to release fear and tension, which activates our flight and fight response leading to more pain and a disruption in the natural flow and rhythm of labour and birth. Research has shown that women who have practiced self-hypnosis, visualisations and breathing techniques have shorter labours with less chemical analgesia needed for comfort. Therefore, lets encourage NICE to recommend that Hypnobirthing is available within the NHS as a choice for women who are afraid, or would like to have a gentle, calm birthing.

In recent research carried out at the Chelsea and Westminster Hospital by scanning the livers of newborn babies for levels of fat, findings revealed that babies born by caesarean had higher levels of fat in their livers than those born naturally. In the former, the weight of the mother had an impact on the amount of fat in the baby’s livers. However, the mothers weight did not have an impact on those babies who were born naturally or those who were born by emergency caesarean section after the women had laboured.

This study highlights the need for more research into the effects of having a caesarean on both mother and baby, and the need for caution for those women who are tempted to opt for what they perceive as an easier less frightening option for giving birth. I urge you to explore all the options for natural antenatal preparation and get professional help if you feel terrified of giving birth vaginally, because there are natural solutions av

Thursday, 24 November 2011

What are the benefits of using aromatherapy in pregnancy?

Welcome back to my blog this week. As the weeks roll by so quickly and christmas looms ever closer, our stress levels rise at the prospect of choosing presents for loved ones. I would like to take a moment to suggest that not all gifts need involve a great deal of money and just giving/receiving a simple aromatherapy massage by your partner may relieve those aching muscles and swollen ankles.

This weeks article looks at the benefits and some cautions about using aromatherapy during pregnancy and birth.


Aromatherapy has its roots in the most ancient healing practices of mankind using essential oils for their therapeutic properties on mind, body and emotion. Essential oils are distilled capturing the “vital’ force and healing properties of the organic plant material. As far back as 3000bc, the Egyptians were using essential oils for every day use and for embalming their deceased.

Pregnant women are aware that pregnancy and childbirth is a natural process and want to steer away from the use of drugs and medical intervention whenever possible. Aromatherapy can be used very successfully in a number of ways, alleviating minor disorders of pregnancy, easing stress, pain and discomfort and preparing your body for the ultimate experience of labour and birth.

Blending for pregnancy:
• Half strength blends are recommended during pregnancy, therefore 2 drops of essential oils in 10 mls of a carrier oil = 1%
• The molecules of essential oils are small and may cross the placental barrier
• A woman’s sense of smell is heightened during pregnancy therefore, less is best

Methods of application
There are many ways of applying aromatherapy and one of the most popular must be massage. Not only is the skin a fantastic medium for absorbing oils, the actual touch of massage is beneficial physically and mentally by inducing deep relaxation. Bathing is another popular method.

• Massage – 2 drops of essential oils in 10mls of a carrier oil, such as organic sunflower oil
• Baths – maximum of 3 drops dispersed in full fat milk or a carrier oil
• Vaporisers – use a few drops in a burner but don’t leave it burning for more than 15-20 minutes


Guidelines for use of essential oils

• Don’t use during the first trimester of pregnancy
• Don’t use essential oils neat on the skin
• Don’t take essential oils orally
• Keep essential oils in a safe, cool, dark place
• Use a dropper to measure out oils accurately

Safe oils to use during pregnancy include:

• Bergamot
• Citrus oils such as mandarin and grapefruit
• German chamomile
• Lavender after the first trimester
• Neroli
• petitgrain
• Rosewood
• Sandalwood
• Sweet orange
• Tea tree
• Ylang ylang

Some oils, not suitable for use during pregnancy due to their tonic action on the uterus, may then be used at term, to relieve discomfort and assist with contractions during labour. These include:

• Clary sage
• Jasmine
• palmarosa
• Rose

There are many oils, which are not safe to use during pregnancy due to their interaction with other medication or for their toxic effects. Therefore, it is always advisable to refer to an aromatherapist before experimenting yourself.

Conclusion
Aromatherapy has a beneficial part to play during pregnancy and childbirth if used safely. However, like any other drug essential oils have a great potency therefore, caution is advisable in their use. If you have a medical condition or you are unsure about using essential oils it is advisable to check with your midwife or visit a qualified aromatherapist for advice.


If you would like any more information or advice please feel free to contact me on amanda@mama2b.com or to purchase some aromatherapy blends visit my shop at www.mama2bshop.co.uk

Friday, 11 November 2011

How massage can help you during pregnancy

Welcome back to my blog on this very special date of 11/11/11. I thought I would share my latest article on the benefits of having a massage during pregnancy for those of you ladies feeling the strain of pregnancy on muscles, joints and ligaments.

Your feedback and experience of massage would be much appreciated so do get in touch with your own experience of having pregnancy massage. I will send my latest Hypnosis CD for pregnancy, birth and beyond to the most interesting account.

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 those annoying symptoms of pregnancy. Studies point to both maternal and newborn benefits when regular massage is part of your antenatal care.

Potential benefits include:

• Relief from muscle aches and joint pain
• Reduction of swelling in legs, feet and hands
• May relieve sciatic pain by helping to reduce inflammation of nerves and ensuing muscle tension
• Regulates hormones by reducing the ‘stress’ hormones and increasing our ‘feel good’ hormones such as Dopamine and Serotonin
• Increasing our feel good hormones reduces the incidence of depression
• Improved hormone balance also leads to fewer complications in labour, birth and in the postnatal period
• Babies also benefit from less complications such as low birth weight
• Improves our blood circulation
• Improves lymphatic drainage and removal of toxins from your body
• The deep relaxation achieved during massage promotes better sleep patterns

What precautions should I take when having massage during pregnancy?

• Make sure that your therapist is qualified in pregnancy massage
• Trained therapists are aware of the special considerations such as avoiding specific pressure points which can stimulate labour
• As with any complementary therapy it is important to share any relevant medical conditions with your therapist
• Some medical conditions may be contraindicated for pregnancy massage
• Many professionals consider that the best position for you to have a massage is lying on your side, thereby avoiding pressure on your major vessels and ligaments
• Some pregnancy tables may not fit your bump and can still apply pressure to the uterine ligaments

In conclusion, studies indicate that pregnancy massage may improve overall physical and emotional health and wellbeing during pregnancy. It may be incorporated into your regular routine at any time during pregnancy, (although some therapists may prefer you to wait until the second trimester), so what are you waiting for? You know that you deserve it!

Saturday, 15 October 2011

Why use a Hypnobirthing CD during pregnancy

Hello again, and apologies for the long gap between blogs! I have been busy completing my pregnancy and baby gift sets and attended the recent Baby show at Eden Court in Inverness.

This is my latest offering and your comments and feedback are much appreciated. I will send a free CD to the first interesting comment received. Enjoy!


Why listen to a pregnancy hypnotherapy CD

More women are opting to use hypnobirthing techniques to help them relax during pregnancy and prepare for a natural birth. I am going to discuss what Hypnobirthing and pregnancy hypnotherapy is, and the key benefits of using a hypnosis CD to support your preparation during pregnancy.

What is pregnancy hypnotherapy?

Hypnotherapy has been used as a healing technique for centuries, and was coined from ‘Hypnos’ the Greek god of sleep. Hypnosis is a naturally occurring state similar to daydreaming, neither awake nor asleep. During hypnosis breathing slows, and muscles relax deeply whilst the mind remains alert to positive suggestions. Research has suggested that hypnotherapy may reduce pain, ease anxiety and significantly reduce the length of labour.

Hypnotherapy during pregnancy helps you to prepare physically, mentally and emotionally for a natural, calm pain free labour and birth. My pregnancy hypnotherapy CD uses a combination of techniques such as deep breathing, profound physical relaxation, visualizations and glove anaesthesia techniques.

Reasons to use a pregnancy hypnosis CD

1. Relaxation. Achieving deep physical and mental relaxation promotes the release of your own natural analgesia, (endorphins) and oxytocin the’ love hormone’ during labour and birthing
2. Eases morning sickness. Listening to positive suggestions and visualizations, hypnotherapy may help to reduce anxiety, sooth the digestive tract and promote feelings of physical and emotional wellbeing.
3. Bond with baby. Simple visualization techniques help you to bond with your baby during pregnancy
4. Helps you sleep. Many women find listening to a CD at night hugely beneficial as it encourage deep relaxation, physical comfort and promotes restful sleep, which may be more difficult as your bump gets bigger as pregnancy progresses.
5. Preparation for natural childbirth and parenting. Practicing techniques such as deep breathing, deep relaxation, visualizations and glove anaesthesia provide a wonderful toolbox for supporting labour, birth and early parenting.
6. Home comforts. Although a session with a hypnotherapist or attending a HypnoBirthing class brings the greatest benefits, many women cannot attend structured classes due to work commitments or other children. A pregnancy CD brings a hypnotherapy session to you in the comfort of your own home whenever you want.

“Your imagination is your preview of life’s coming attractions.” Albert Einstein

Find out more about how hypnotherapy during pregnancy can help you during pregnancy, birth and beyond. (www.mama2bshop.co.uk/)