Tuesday, August 20, 2013

Slow Parenting: The 4th Trimester


Author & Photography: Deanna Norris

You've spent the last nine (10) months nourishing, nurturing, connecting with the little being that grew inside of your womb. Society would suggest that now that baby is here, anyone can step into these sacred parental roles, freeing you up to “get back into the game”. You find yourself wanting to crawl into bed with your little one and watch them coo and gurgle away the days. Despite the demands that modern society puts on us, that is exactly what you should do.

But I’ve got a different perspective for new parents to consider. The “Fourth Trimester” is a term used by is a term used by Dr. Harvey Karp to describe the first few months of an infants’ life. He says that infants are born “too soon” based on their underdevelopment when compared to other mammal babies. If human babies were born when they were developmentally ready, we would have yearlong pregnancies and 3-month old sized newborns. American babies tend to cry more, have more digestive issues and generally are unhappier than other babies around the globe.

America is the only industrialized country in the world that does not have mandatory paid maternity leave for new parents. This means mothers going back to work 1, 2, 4 weeks after they’ve just given birth. This is equally traumatizing to the mother and the baby. Consequently, we also have the highest rate of infant and maternal death, “colic”, and GERD. Karp theorizes that colic and GERD do not exist in other countries because of the “lying in” period that other cultures encourage mothers to fulfill after birth. For 40 days, moms are waited on, cooked for, taken care of, while bonding with their new babies. This, coupled with 12-50 weeks of paid maternity leave, makes a huge impact in those first few moments of a newborns’ life.

One could theorize that because other parents are getting that crucial alone time with their infants to bond, carry and meet their basic needs themselves, American babies are responding with a loud wail of disapproval. Exploring the theory that our newborns are underdeveloped and our new mothers are physically and emotionally overwhelmed, the following are some gentle ways to promote self-care and infant bonding, even if you cannot fully have a “fourth trimester” period.

*Baby wearing
*Swaddling
*Breastfeeding

Have a “baby moon”. Take your infant to bed and spend several days or weeks simply bonding, nourishing and nurturing your child. Get to know their cues and allow your body to rest and heal in the process.

*Nourishing soups
*Foods high in iron
*Lots of water

Nourishing herbal infusions are a great way to replenish your body with vital minerals and nutrients.

Use equal parts (1 oz) of the following:
Red Raspberry Leaf
Nettle
Chamomile
Catnip
Blessed Thistle
Comfrey.

Mix all herbs into a bowl with airtight lid, or Mason jar. Using about a Tablespoon of the mix, put herbs in a reusable tea bag or infuser. Pour just boiled water over the herbs and allow herbs to steep for a minimum of 10 minutes. Overnight is even better! Sweeten with local, raw honey and enjoy. Drink daily.

*Meditate
*Belly Binding
*Mayan Abdominal Massage

Herbal baths are a great way to relax and bond with baby, while healing your delicate areas. Demetria Clark shares these recipes with us in Issue 44 of Midwifery Today.

2 parts plantain flower (Plantago major)
1 part calendula flower (Calendula officinalis)
1 part comfrey leaf (Symphytum officinale)
1 part burdock (Arctium lappa)
1/2 part violet flower and leaf (Viola odorata)
1 part yarrow flower (Achillea millefolium)
1/2 part lady's mantle flower and leaf (Alchemilla vulgaris)
1/2 part lemon balm leaf (Melissa officinalis)

Mix well. You can add sea salt to the mixture if you wish. Add approximately one cup of herb and salt blend to six quarts boiling water, strain and add to shallow bath. You can also use as a compress.

1 cup sea salt
1/2 cup plantain leaf (Plantago major)
1/2 cup calendula flower (Calendula officinalis)
Use six cups of water.

Alternative ways to use herbal baths:
Brew with the above ratios and add to a Peri Bottle for use after going to the bathroom.
Pour some pre-brewed herbal mix on to pads and freeze for a pain relieving ice pack.
Use a diluted mix around baby’s cord for healing.


*Ask for help
*Take photos of these first sacred days
*Journal your birth experience


Taking this time to your family is self-care that we should expect and encourage of every new mom, always. 

Friday, August 16, 2013

Sacred Placenta: The Key to Postpartum Wellness?

Author & Photography: Taryn Goodwin

"I had bad baby blues with my first and felt it starting after my second just before I got the pills. The pills made everything better. I recovered much faster, less bleeding, my slight tear healed faster with my second than a similar tear with my first, my milk came in sooner and was over flowing (with my first I never leaked milk, but with my second I had an abundance and would leak when my milk let down.) My husband could even tell the difference in my mood if I forgot to take my pills. I have taken them a few times since weaning off them, during stressful times, and they help still, plus my milk gets a boost each time I take them. This is seriously a life saver! I don't know how I would have cared for my two year old and the newborn without these pills. And the best part is they benefit me and my baby. No side effects to me or my infant like if I had to take antidepressants while breastfeeding. Plus I'd rather take something that I know exactly what's in it because I know what I took in during pregnancy, than take some synthetic drug that had all sorts of byproducts and animal hormones."   -Ann S. (a former Spirited Birth Services Client)

If we look at what most mammals in nature do, we see that it is normal and natural to consume your placenta. In fact, to not consume your placenta is to intervene with natures process and to invite the consequences that come with that. An example of this consequence is the fact that more than 80% of women experience the "baby blues" after their babies are born. 80% is such a high number and I imagine the real number of women experiencing this is higher) that the "baby blues" is considered by medical professionals as a a NORMAL consequence of the postpartum period. As is, postpartum fatigue. What if these aren't normal consequences at all, but consequences of us not following natures prescription for postpartum wellness?

So, why do we have the "baby blues"?
Because the placenta actually acts as an primary endocrine organ in pregnancy (a hormone producing organ) the placenta begins producing hormones at 6-8 weeks gestation to help sustain pregnancy. This is a huge deal! These hormonal levels continually increase during pregnancy, and by the third trimester there are 3 times the normal level of hormones in an expectant mother’s system. These hormones are essential the mother's hormonal well-being in pregnancy. By 4-5 days postpartum after losing the placenta, these hormone levels will drop to below normal. This is a huge fluctuation going from 3 times the normal level to below normal hormonal level, and this is why we believe that mothers who ingest their placenta don't experience this huge hormonal drop off.

Let us look at a comparison of the healing ingredients of the placenta, their benefits to the new mother and how the ingredients are already being derived from sources you wouldn't imagine by pharmaceutical companies to treat a number of conditions...

The known ingredients in the placenta and their pharmaceutical alternatives are:

                     Gonadotrophin: the precursor to estrogen, progesterone and testosterone.
Fertility medicines Choragon and Novarel are derived from the urine of pregnant women.
                     Prolactin: promotes lactation.
Synthetic prolactin is used in women to promote or create lactation. A hybrid version can be derived through the pituitary glands of cattle.
                     Oxytocin: for pain and bonding; produced during breastfeeding to facilitate bonding of mother and infant. It also helps the uterus contract. In pharmaceutical form this is a very addictive drug because it promotes a feeling of connectedness with others.
Pitocin is a snythetic form of oxytocin used to induce labor or stop postpartum hemorrhage. It comes from the pituitary glands of cattle and includes acetic acid for pH adjustment and .5 percent chloretone as a preservative.
                     Thyroid stimulating hormone: boosts energy and helps recovery from stressful events. Synthetic versions of this hormone can be used to treat thyroid conditions and come from the pituitary glands of cattle.
                     Cortisone: combats stress and unlocks energy stores.
Synthetic creams and injections are used treat arthritis, skin allergies, anti-inflammatory medicine and made from cow adrenals.
                     Interferon: stimulates the immune system to protect against infections.
Rebif, a synthetic form of Interferon is a drug used to treat multiple sclerosis is made from genetically engineered Chinese Hamster Ovary cells into which the human interferon beta gene has been introduced.
                     Prostaglandins: anti-inflammatory.
Cervidil, a synthetic prostaglandin is used commonly to ripen the cervix for labor and is made from pig semen.
                     Hemoglobin: replenishes iron deficiency and anemia, a common postpartum condition.
Hemoglobin-glutamer 250, an oxygenated blood from cows is used when human blood isn't available.
                     Urokinase inhibiting factor and factor XIII: stops bleeding and enhances wound healing.
Synthetic versions of cell-surface-bound urokinase (uPA) activity (made from chick embryo) are currently being studied and believed to play a central role in the processes of tissue remodelling important for wound healing, mammary gland involution, ovulation and development and repair of the nervous system. Such activity is also important in a number of disease states such as cancer and the inflammatory diseases pemphigus and rheumatoid arthritis.
                     Gammaglobulin: immune booster that helps protect against postpartum infections.
Immune globulin (IG) is a sterilized solution obtained from pooled human blood plasma, which contains the immunoglobulins (or antibodies) to protect against the infectious agents that cause various diseases.

Give the healing ingredients above it only makes sense that there would be a biological advantage to ingesting the placenta following birth! Unfortunately, most of our best evidence is anecdotal from the mothers who report back to us. I am hopeful that more research on human consumption will take place as this practice continues to be popularized. One of the primary questions to be answered is whether the traditional processing of the placenta (steaming/dehydrating) would ruin or eliminate some of the hormones, vitamins and minerals present in the placenta.  Some preliminary research, to be published out of the University of Nevada, Las Vegas found that many of the compounds present pre-processing remained post-processing. The study analyzed several components present in placenta before any type of preparation, and after the steaming and dehydration that is common in converting the placenta into capsule form. The results demonstrated that while some components are reduced in the dried state, many components do still remain. In fact, the research has shown that the iron content, in particular, is even more highly concentrated after dehydration (Benysheck 2012). In another study, researchers found that most women who have ingested placenta after a birth would do so again after a subsequent pregnancy (Selander 2012).

Remember, you only have one placenta with each pregnancy, so I encourage you to make the best of it. If you are on the fence about placenta encapsulation or even think it’s absolutely bizarre I simply ask you to go ahead and put the placenta in your birth plan and save it in the back of the freezer “just in case”. It is far better to have the placenta and not need it, then to need the placenta and not have it. Be sure to label it so your family doesn't accidentally thaw it for dinner. ;-)


When hiring a professional placenta services provider here are some questions to ask:

                     Are you OSHA Certified? Be sure the provider has completed OSHA Bloodborne Pathogens Training in accordance with the OSHA Bloodborne Pathogens Standard 29 CFR 1090.1030. This will mean they are likely to use EPA & OSHA approved sanitation methods.
                     Where do you prepare the placenta for encapsulation? Be leery of anyone who routinely prepares them in their own home kitchen, not only is it illegal to prepare a food/supplement in a kitchen (without an approved commercial kitchen) for resale, it is also easier for cross-contamination to happen! This usually means the placenta encapsulation provider brings her equipment to you, preparing in your home. This also ensures that you see your placenta from start to finish to verify it is in fact your placenta. *Occasionally, a separate and specialized off site work area can be used to prepare placentas for encapsulation when done safely and in line with OSHA standards.
                     Do you do the raw method or the TCM/Traditional method? The placenta is potentially exposed to bacteria from the birth canal including maternal fecal matter, and infant meconium. The steaming process helps to kill off these bacteria and can help protect against any potential illnesses from bacteria allowed to culture on the placenta before encapsulation. Also, in raw preparation, when the placenta is not dehydrated for a long enough period of time mold spores can grow in the raw placenta capsules, thereby putting the mother at risk of food poisoning.

Raw Method:
If you decide you want the benefits of raw consumption consume the placenta immediately after the birth so bacteria has no time to grow, cut off a 1-2 inch square piece and place inside the cheek or under the tongue for as long as possible. It may then be discarded, or swallowed according to your preference. You can also blend in a sm
oothie. This is the fastest and safest way to incorporate the hormonal benefits of the raw placenta. Placenta smoothie recipes can be found here: http://placentanetwork.com/placenta-smoothies/  *More on the TCM or Traditional method: According to Traditional Chinese Medicine, cooling foods are best in the first 48 hours postpartum. Raw foods, thus raw placenta, are used to help calm the hormonal rush and blood flow down. After the first 48 hours, warming foods are most beneficial. Cooked or steamed foods (TCM/Traditionally prepared and/or encapsulated placenta) are used to help rebuild blood, chi, and slowly increase the body's endocrine functions.

Traditional Method (Also referred to as TCM):
The placenta is steamed lightly, dehydrated, ground into powder and made into capsules. Average yield is 75-200 capsules. Most mothers will have some left over to save for hormonally stressful times later on.

Other placenta options:
Placenta Tincture – liquid remedy made for mother and baby or siblings as well
Placenta Salve/Balm – made for diaper rash, nipple soreness, eczema, minor scrapes, etc.
Placenta prints – keepsake prints of your placenta on archival paper
Placenta cord keepsake – Your umbilical cord dried in the shape of a heart or spiral keepsake

A few local TCM/Traditional Placenta Providers:

Serving Oklahoma City Metro

Butterfly Birth, Kandace Beck
Serving Oklahoma City Metro

Serving Lawton, OK

Serving Oklahoma City Metro

Research and Works Cited:
http://www.lucinebiotech.com/placental-encapsulation-and-postpartum-healt/
http://placentanetwork.com/research-and-articles/
Benysheck, Young, Selander, Cantor. “Eating the placenta: A comparison of select hormones and nutrients in unprepared placental tissue and placenta prepared for encapsulation.” Ecology of Food and Nutrition, in press.

More about the author: Taryn became interested in placenta encapsulation after having postpartum depression after the birth of her son. She learned about the benefits of ingesting the placenta and was really attracted to the possibility of offering such a unique and needed service. Taryn was the first Placenta Encapsulation Provider to serve Oklahoma and she has prepared over 400 placentas for encapsulation and regularly hosts presentations on the benefits of the placenta for postpartum wellness. In 2010, Taryn worked with an Infectious Disease Epidemiologist to create an OSHA course specific to the standards needed for our industry and has successfully completed the OSHA Bloodborne Pathogens Training in accordance with the OSHA Bloodborne Pathogens Standard 29 CFR 1090.1030. Taryn is currently working with several experienced national providers to create a new training association for placenta service providers.