Posts Categorized: Birth Preparation

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Labor Induction Acupuncture: A New Approach

It’s a situation I’ve encountered many times: a woman calls me up because she’s been told that if she doesn’t go into labor on her own in a few more days, she’ll be induced.  Of course she wants to avoid this, and she has read about trying a “Labor Induction” acupuncture session.

After over 10 years of practice in women’s health and two years of an intensive perinatal acupuncture certificate program, I’ve learned there’s a better way to approach this issue, and it’s backed by studies as well as advice of medical practitioners. Read on to find out what I think is much more effective and relaxing than just this single “Labor Induction” session. I’ll also discuss the situations in which a labor induction treatment might be helpful. Read more

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Acupuncture and Moxibustion for Turning Breech Babies: An Update

My Approach As a Practitioner…

In my practice I’ve had really good success with turning breech babies using moxibustion in combination with acupuncture. It’s something that I see very regularly and I’m always happy that women and their health care providers are becoming more aware that moxa can help, and recognize the importance of using any intervention possible to try and turn the breech baby and increase chances of a vaginal birth. When a woman comes to me with this issue, on the first visit I perform an acupuncture session to try and facilitate movement and space in the hips and pelvis as well as address any other issues such as anxiety, insomnia, back pain or digestive issues in pregnancy. After the acupuncture comes moxibustion. I teach the patient in great detail how to perform this technique and send her home with written instructions and the moxa sticks. 4-5 days later, she returns for another acupuncture session to try and help the process.

This is something that’s great to try before your doctor attempts an ECV Read more

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Recommended Reading: Ina May’s Guide To Childbirth

I was completely blown away by this book and have been enthusiastically recommending it to every last one of my pregnant patients since reading it early this summer. As far as I’m concerned, it should be required reading for all pregnant women, whether you’re planning on a home birth with a midwife or a hospital birth with an OB.

A little background: The author, Ina May Gaskin, is a Certified Professional Midwife who co-founded a community in rural Tennessee in 1970 called The Farm. Sounds pretty hippy-dippy, right? Yeah, it is! But keep reading. These hippies know things that you need to know. Ina May as well and her team of midwives have handled over 3,000 births at The Farm, with astonishingly low rates of c-sections and other intervention (vacuum, forceps, Pitocin, etc). For more information and their complete statistics, here is the link to their website.

I loved this book because the tone is non-judgmental and the facts are laid out clearly to help you do everything within your control to get the best outcome in a situation where ultimately, you must surrender control. This includes surrounding yourself with the birth team that makes you feel the most supported.  Ina May gives you the lowdown on possible birth interventions that may be necessary so that you are already familiar should your doctor recommend them. Having the knowledge before you’re in the situation can greatly alleviate anxiety when faced with needing to make a quick decision.

This book begins with about 125 pages of the birth stories of women who gave birth at The Farm, written by the women themselves. These stories let you see how varied a normal, healthy birth can be. They eliminate the worry that “if my birth doesn’t go this way, something must be wrong”.

Ina May then delves into topics including:

  • Prenatal care and what all those tests really tell your doctor (and which ones you might be able to skip if you desire)
  • Choosing a caregiver- whether it’s an OB or midwife, plus tips on deciding who else will be present at your birth (doula, partner, other family members)
  • Facts on VBAC’s (vaginal birth after cesarean)
  • My favorite chapter: “The Sphincter Law”- it explains how anxiety and fear can actually reverse the labor progress that has been made already, and how to guard yourself against this happening! This is really amazing, useful stuff.
  • Techniques you can easily use to make your labor progress more smoothly and efficiently
  • What actually happens in labor, and what to do once you are in labor (call the doctor? Wait it out?)
  • What Pitocin and epidurals do

To summarize, this book has the ability to make women feel more empowered about giving birth. You’ll also feel less afraid of the unknown and what could go wrong (Ina May has a great way of explaining what could happen without creating unnecessary fear). In my work with pregnant women, I’ve found that everyone has some degree of fear around the process and wants to do everything they can to ensure things go smoothly (for herself and baby).

After reading this book, I truly got the feeling that birth is a normal process that a woman’s body is designed for, and felt inspired to confidently relay this information to my patients!

Can Acupuncture Really Induce Labor?

Over the years I’ve gotten many calls from frantic women (and sometimes their husbands) who are 40 or 41 weeks pregnant, some who are even scheduled for medical induction in a matter of hours. They all want to know- can Acupuncture help you go into labor in order to avoid induction? The answer is yes… and no. Read on, I’ll explain.

The ideal situation is when a woman comes for regular acupuncture (1-2 times a week) beginning at week 36. I call this “Labor Preparation Acupuncture”. I have a few goals with these sessions:

  1. To help with any pregnancy related discomforts such as low back or hip pain, insomnia or swelling.
  2. To use acupuncture points which get the woman mentally and emotionally relaxed and in a place where she feels ready and optimistic about giving birth.
  3. To stimulate acupoints which aid in relaxing and opening the pelvic region as well as influence cervical ripening (dilation and effacement). I also focus on getting the baby into the optimal position, if not already there.

In my experience, women who follow this schedule tend to go into labor more or less on time (and avoid needing a medical induction) and have shorter labors with fewer complications. Acupuncture treatments gently and gradually send your body a message to get ready for labor. Your body is doing this all on its own, but acupuncture helps it happen more seamlessly and helps you to feel more relaxed and ready when the time comes. And YES being mentally relaxed has a HUGE and very real effect on the progress of labor (see this book for more information).

But what about those women who were mere hours away from being induced- can acupuncture help them? I’ve certainly had many cases where I’ve been able to use acupuncture at the last minute to help women go into labor- it’s powerful stuff! However I’ve seen much greater success, by far, with 3-4 weeks of regular sessions leading up to the due date. Rome wasn’t built in a day my friends, and acupuncture is not the same thing as Pitocin (thankfully!).

I’d also like to take this opportunity to encourage all women to utilize a birth doula as well as a postpartum doula. Read more about doulas and what they do here and here. And, the best way to avoid unnecessary interventions in labor (such as c-sections and episiotomies) or to achieve a VBAC? Choose your hospital based on its maternity procedure statistics. In New York State, they are found on the Department of Health’s website here.