Motivational Tea Scrolls can be printed free, clipped, and added to each cup of herbal tea (or your favorite relaxing drink) for daily inspiration. Various formats from quotes, tip, scripture...etc., plus new additions regularly, will keep your daily cuppa inspirational for pregnancy, motherhood, and beyond.
Add motivational tea scrolls to gifted tea blends for blessingways, baby showers, and postpartum gift boxes. Print these out for your loved one (scrolls for mom and dad) to give them a surprise moment with every glass.
Families in the Mid-Ohio Valley supported over 200 competitors in Esali Birth's 10th annual Mother's Day 5k and many more in the River City Kids race that followed.
Proceeds from the 5k help to support Esali Birth's mission in the Mid-Ohio Valley through workshops and outreach. The 2017 esali5k helped to fund the Esali Birth Pregnancy Bags for expecting mothers in the MOV. We are looking forward to seeing where the 2018 race will allow us to help the most.
We are so thankful for the participants, volunteers, and sponsors that make this happen - we absolutely could not do this without the people behind the event!
It is always a joy to see so many families, babies in strollers and carriers, children running and walking alongside their families, and their support team cheering them on and helping raise awareness for Happy Healthy Birth and Breastfeeding throughout the Mid-Ohio Valley.
What do we know about Happy Healthy Birth in the MOV?
Until 2017, West Virginia had ZERO Baby-Friendly hospitals. O'bleness is the closest Baby-Friendly hospital to the Mid-Ohio Valley. The Baby-Friendly designation means a hospital has followed steps to support things like skin-to-skin care immediately after birth and other factors like qualified breastfeeding support to help with breastfeeding outcomes. Did you know? Parent companies of formula companies are the ones that make hospital machinery like X-Ray and MRI machines. When hospitals give out free formula from those child companies, they will receive kickbacks for other areas of the hospital. Some hospitals refuse to give up this part of the Baby-Friendly requirements to avoid losing those kick-backs. The Mid-Ohio Valley doesn't have any Baby-Friendly Certified hospitals.
As of 2013, CCMH had a 40% cesarean rate. ALMOST HALF of women stepping into this hospital for childbirth are having surgical births; most, of which, could be prevented. Half of these were primary cesareans and half were repeat cesareans. In the past ten years, this rate has increased significantly. Did you know the World Health Organization considers a cesarean rate between 10-15% ideal and states, "Two new HRP studies show that when caesarean section rates rise towards 10% across a population, the number of maternal and newborn deaths decreases. When the rate goes above 10%, there is no evidence that mortality rates improve."
Marietta Memorial Hospital has an official VBAC ban - Vaginal Birth After Cesarean is refused. This not only means they will refuse to grant the request of a mother to labor without resistance if she has had a previous cesarean, but also that they will exhaust all means of a mother laboring that has never had a cesarean (but that may need a cesarean) to prove beyond a shadow of a doubt that a cesarean was the last resort to support their VBAC ban. Sounds ideal at first, except when interventions and risks are unnecessarily increased in the process.
Some birth locations are changing their policies to support parent's wishes as well as improve skin-to-skin time after birth and connection during the first few days postpartum. Some are not. The most important thing to remember is that knowledge is power. By learning about ALL your options and getting connected with your holistic resources throughout the Mid-Ohio Valley, you can make better informed decisions for a more well-rounded confident birth.
Home birth (including VBAC (or HBAC), twin birth, and breech birth) is a well supported option in and surrounding the Mid-Ohio Valley. You can find some providers that offer these services by checking out the MOV Birth Workers page.
The MOV Breastfeeding, Birth, and Parenting Social is similar to La Leche League - though in addition to breastfeeding education and support for moms and their support system, we also enjoy birth and early parenting education and support. Come say hello from pregnancy through early parenting on the 4th Saturday of every month (except December).
Doula care prenatally, during labor, and postpartum is known world-wide to support mother's experiences including supporting spontaneous labor, biological breastfeeding, and postpartum healing, but also providing families with the confidence and knowledge to make informed decisions no matter where they birth or what decisions need to be made through the perinatal period. The Mid-Ohio Valley is now thriving with doulas and perinatal mentors. All a family has to do is a simple internet search and holistic care is at your fingertips, including through #MOVdoula right here on Esali Birth. Learn more about what a doula does from pregnancy (or pre-conception) through postpartum including supporting unassisted births, supported at home births, birth centers, hospitals, medicated births, 42+ week births, home birth transfers, preterm births, breech birth, twin birth, cesarean birth, assisted birth, birth plans, no birth plans, change your birth plans, and #ALLthebirths in between. A doula supports YOU.
Want to know more of the ins and outs of Happy Healthy Birth in the Mid-Ohio Valley? Schedule some mentoring, take a birth class, find a doula, and let's chat about all the holistic support options you have available to you right here in the MOV.
Many breastfeeding mothers of the western and modern world wonder how to increase milk supply. Maybe you were given a nipple shield quickly after birth or you use a pacifier (for any reason). Maybe you're just trying to keep baby on a routine schedule, night weaning or feel overwhelmed and need a break. These are some of the most common reasons for a decrease in milk supply. Increasing milk supply is often a matter of putting baby on the breast at the first sign of hunger. However, sometimes for known or unknown reasons you need a little support to increase milk supply, especially when time is of the essence.
Is my Breastmilk Supply Low?
So many moms not only feel like their baby's need to nurse regularly is an indicator of low supply, but that comparing to bottle-fed babies, they might be pumping much less.
Breastmilk supply is an average of 2 ounces between BOTH breasts per feeding.
Pumping is NEVER an indicator of the storage you have nor the supply you can create - no matter how good your pump. (Sometimes manual expression works more efficiently than pumping, but it still doesn't compare to baby at the breast).
Some moms can store more milk than others (like having a smaller cup of water than someone else). A mom with a smaller storage tank will need to refill more often, but the source of the supply is still the same amount. So, some babies will need to nurse more often to be satisfied with the flow.
Breast size is NOT an indicator of storage capacity or supply you can create. Some moms have more or less breast and fatty tissue, which can vary widely.
Breastfed babies rarely every drink more than 4-5 ounces at a time. (Even during growth spurts, a baby will temporarily increase milk supply because they need the extra nutrients for whatever developmental change they are experiencing, but after this, the supply goes back to the normal average - no matter how old their baby is - 4 months, or 4 years)
Babies will drink more from a bottle, especially if bottle feeding isn't mimicking the breastfeeding relationship (lots of breaks, switching sides, bottle parallel to the floor just enough to fill the nipple)
Babies like flow. If there is a concern for supply, it is often related to latch, positioning, and flow of the milk. Rarely would it be the supply itself, especially in the early weeks when the supply is getting established.
Causes of Decreased Milk Supply
In cultures where breastfeeding is not the norm, especially beyond 3-6 months - low milk supply quickly becomes a common reason mothers stop breastfeeding. In reality, low milk supply is rare when we're talking the biological function of making milk and otherwise is often birth and provider caused through lack of knowledge, lack of biological birth support and overall lack of adequate care for breastfeeding families. Breastfeeding is a biological function that was typically shared through visually seeing others breastfeed and listening to the stories of your culture. When your culture only knows bottle feeding and pacifiers, it makes it really hard to have this innate understanding of breastfeeding and breastfeeding remedies. Decreased milk supply is often caused from the following:
Engorgement surrounding the birth where adequate latch was not achieved
Early supplements surrounding the birth
Stressful postpartum/life (including simply lack of a LOT of help)
Returning to work (early or later)
Limited Nursing (length of feeding and extending times between nursing especially over 2-3 hours)
Bottles & Supplements (including formula samples, pacifiers and nipple shields handed out in hospitals)
Less than ideal pregnancy and birth position of the baby (baby's development influences how their soft and hard tissue develops which can not only cause baby to not be able to move their head or jaw/tongue in the necessary positions, but may also mimic tongue tie)
Tongue and/or Lip Tie
Unbalanced Food Choices
Low Food Intake
Lifestyle Choices to Increase Milk Supply
Eat within 30 minutes of Waking (this can be an herbal cup of tea and then a full meal within an hour)
Eat in general to be sure you have enough sustenance to make the milk (which takes about 500 extra healthy calories - more than what you needed during pregnancy)
Eat plenty of greens, including wild foods and herbal foods. Nettles is excellent for tea and soup and omelets and any way you would use spinach (only more nutrient-packed). Red Raspberry Leaf and Strawberry Leaf are other great green herbal teas.
Lactation Cookies I will note here because they are heavily marketed. While they can be tasty many boxed options and recipes are loaded with sugar, and not what we're looking for with health. They aren't really going to do a lot for supply, unless you don't eat well, you don't eat fiber, or you don't eat enough in general. So, if this is how you eat healthy, then by all means find a low-sweetened option, or just go for a bowl of steel cut oats, nuts, seeds, and fruits and wash it down with a few glasses of water. You can also use these banana-sweetened recipes to get in some healthier snacks if you need to improve your nutrition.
Move daily - Movement gets blood (nutrients) flowing where it needs to go. Don't overdo it in the first few weeks, though
Rest. Be sure you've planned, or change your plans, to allow for 3-4 weeks after birth of nothing but rest and breastfeeding. Have a friend or family member live-in (dad needs rest, too) or hire a postpartum doula, or give people tasks to feed and clean for you or throw a frozen pre-prepped meal into a crock pot. Be skin to skin as much as possible with baby to regulate baby's temperature, stress levels, and allow baby to be close enough to be properly positioned. You can throw a picnic blanket outside or rest on the sofa, but you are healing from blood and fluid loss, a "wound" the size of a dinner plate on the internal part of your uterus, and learning a new task. Exhaustion is stressful and reduces necessary hormones. Rest is vital after birth, and anytime you're struggling with milk supply.
Do not limit nursing at any time. If you need to stop a session to go pee or take a break, do so - but as soon as baby cues that they want to nurse, offer the breast or two, or three or four or however many it takes until they're satisfied.
Eliminate or significantly limit the coffee (even decaf), black tea and any other foods high in acids and tannins. If this sounds like an issue for you, determine your stress load and adrenal health as both the stress and the coffee/black tea can be contributors to low supply.
Bed share. Not just room sharing, not just co-sleeping with a co-sleeper. I'm meaning actually sleeping right next to your baby. Your baby's breathing and stress levels regulate when they are right next to you. They will snuggle up close to you. They may even latch on all by themselves without you even waking up, eventually. This means everyone from baby, to you, to Dad sleeps much better. Baby doesn't totally wake up to nurse. You don't totally wake up to nurse. Baby nurses longer at night when your prolactin levels are highest allowing you to make more milk (score for growth spurts!). You can read this article for specifics on safely co-sleeping.
Physical Methods to Increase Milk Supply
Ways to increase milk supply can sometimes come from manual support. Here are a few options:
Shake and massage your breasts before/during nursing. This is especially helpful if your baby has a tongue and/or lip tie or you deal with plugged ducts.
Use breast compression while nurse and while pumping where you squeeze your breast to help increase the flow of the milk (not necessary if baby is choking during nursing due to forceful letdown)
Get baby Osteopathic Therapy, Massage Therapy, and/or Cranio Sacral Therapy early and often (once is not usually enough). This helps baby's soft and hard tissue move into a supportive place so baby's jaw muscles can work the way they're intended and baby's tongue can reach the necessary milk sinuses. Also seek support of a qualified provider than can assess for tongue and/or lip tie (not just your pediatrician, and not just any IBCLC - know their history of diagnosing this issue). If a revision is necessary, be sure to continue the bodywork as the tie will only release tissue - it will not fix underlying osteopathic/tissue complications.
Pump one breast while nursing the other or pump between nursing sessions. Follow these breast pumping tips for more guidance. Hands-free nursing bras and pumps like the Freemie are great for being more discrete while pumping in any location. If pumping full or part-time, always pump as much as baby drinks from a spoon/SNS/cup/bottle in a 24 hour period.
Hand express your milk which may be helpful especially when engorged or when you aren't responding well to a pump (or don't have one nearby and need to prevent too much milk from building up in your breasts).
Remove (or significantly limit) artificial nipple use including pacifiers, nipple shields and thumb sucking. Artificial nipples change the latch (hard and soft tissues of the facial structure) which reduces baby's ability to efficiently drain the breast causing the supply to drop. Additionally, if baby wants to suck it means they actually want to be at the breast or comforted by you/someone in some way. When there are milk supply issues, at least, all sucking/nursing should be at the breast. Perfect way to increase supply.
Nurse when baby has a cue (long before crying) like smacking lips, putting their hand towards their mouth, turning their head towards your breast. In the early weeks, and during developmental changes like growth spurts, teething and learning new things, this will feel like it is all the time. Get emotional and house support to help you through these times. The longer milk sits in your breast, the more proteins, that signal the body to slow production, are present. Going longer than 2-3 hours between nursing sessions (especially in the first 3 months) can significantly decrease supply and effect the rest of breastfeeding making it more difficult to increase supply as needed later.
Reduce stressors. Get more sleep. Get more help for you AND dad. Say "No" more to scheduled tasks. Go to bed, nurse all day, take an herbal lavender bath, rest and drink tea. Oxytocin is the love, calm, and trust hormone and is also the hormone that causes contractions (which you likely remember from birth and after). Stress hormones (like adrenaline) suppress oxytocin. Stress of any kind - from doing too much to going back to work or feeling depressed will decrease oxytocin. Oxytocin allows the alveoli that hold the milk in the breast to contract and express milk through the ducts as baby stimulates the breast or you are otherwise triggered to release oxytocin (such as orgasm, strong feelings of love and intimacy, or hearing a baby coo or cry, for example).
Herbs that Increase Milk Supply
Other than food in general and herbs like nettles and red raspberry leaf to increase milk supply (which can often be enough on their own due to nutrient content) other herbs are considered specific galactogogues - milk producing - herbs. These herbs can be used on their own, though as with most herbs their effects are enhanced when blended together. Note that the first three herbs can be blended together to total 5 ml per dose (plus additional Avena Sativa) which may enhance their efficacy.
Goat's Rue - Galega officinalis - *May increase the strength of hypoglycemic medications. Otherwise, Infuse 1 tsp. per 1 cup of water. Steep 10-15 minutes. Drink 1-2 times daily. Alternatively, take 1-2 ml of a 1:10 in 45% tincture three times daily.
Fennel - Foeniculum vulgare - *Slightly crush seeds. Infuse 1-2 tsp. per 1 cup of water. Steep10 minutes. Drink 1-3 times daily. Alternatively take 1-2 ml of a 1:5 in 40% tincture three times daily.
Blessed Thistle - Cnicus benedictus - Infuse 1 tsp. per 1 cup of water. Steep 10-15 minutes.
Oat Straw - Avena sativa - This is useful for stress and nutrient-related low milk supply to be used with other supporting galactogogue-specific herbs. *Infuse 1-3 tsp. per 1 cup of water. Let steep 10-15 minutes. Drink 1-3 times daily. If you know nursing is linked to stress (busy schedule, working, exhaustion...etc.) use the tincture of Avena sativa when tinctured in its milky form - this is crucial. The milky form is the only form of Avena sativa that actually provides direct calming support. In this case, take 1-5 ml of a 1:5 in 25% solution three times daily.
Fenugreek - This is not one I typically recommend since it is not really indicated as a galactogogue and with its other effects on the body (particularly those with thyroid complications) it isn't my first choice. However, it can be helpful so I am including this here for information sake. You typically need to take enough to start smelling like maple syrup which is a surprising amount. This is a demulcent herb which increases mucous and soothes the nervous system (like oat straw). May lower blood cholesterol. This herb should be taken in capsule form or tincture.
Infusion - Pour hot/boiling water over the herb - do not heat the herb in the water. Cover. Let steep (sit unbothered) as directed.
*Dosages from: Medical Herbalism: The Science and Practice of Herbal Medicine by David Hoffmann, FNIMH, AHG.
Prescription Medications to Increase Milk Supply
According to Dr. Jack Newman, Domperidone (a category L1 and a drug used to increase intestinal peristalsis) is the most useful prescription medication to increase milk supply. Though not its direct-use, off-label Domperidone does increase prolactin levels - the hormone needed to produce milk. This is not a first-approach and often not easily available in the US. In fact, it typically has to be purchased online from international pharmacies as it is unavailable through your provider in the US - which is unfortunate. For more specific information about Domperidone safety and dosages visit the Dr. Jack Newman website.
Reglan (a category L2) is the prescription medication typically used in the United States to increase milk supply, according to KellyMom.com. Unfortunately Reglan has strong links to severe depression. Sulpiride is another option in some countries with limited safety data.
Have you managed low milk supply? What did you use to increase milk supply for you and your baby?
Looking for breastfeeding support via web or locally in the Mid-Ohio Valley? Check out my breastfeeding support services or attend the monthly Breastfeeding, Birth, and Parenting Social.
Thrush is an overgrowth of yeast in a baby's mouth which often transfers onto mom's nipples. For a breastfeeding mother, this can mean a lot of discomfort and often an end to the breastfeeding relationship if it doesn't get diagnosed or remedied. It is quite common for providers lacking breastfeeding skills to improperly diagnose thrush and many moms are told to not treat it or that the white in the baby's mouth is from milk. This is unfortunate as many thrush treatments are available without any harmful side effects that can be utilized in a just-in-case fashion.
Symptoms of Thrush
Keep in mind that some thrush symptoms mimic symptoms of other circumstances like poor latch and tongue tie. It is usually helpful to have multiple symptoms and sometimes why providers misdiagnose thrush. If you're not quite sure and your case is mild, start with the mild treatments of thrush immediately to avoid worsening.
Nipple discomfort like a feeling of irritation, burning or sandpaper while nursing (especially after a period of no breastfeeding discomfort). Nipples are often more pink or more red than their normal appearance
Burning and shooting pain within the breasts (ducts) during and between nursing sessions
Cracked or bleeding nipples (especially after a period of no breastfeeding discomfort)
White coating or spots inside baby's mouth (especially that don't come off when rubbing with your finger)
Diaper rash (especially one that is splotchy and very irritated)
Baby popping on and off the breast when coupled with other symptoms
Causes of Thrush
Thrush is caused when yeast overgrows in the baby's mouth and/or on mom's breast (often these are coinciding even when all symptoms are not present). Yeast infections are not actually "infections" as yeast is present in all humans - so this "infection" is simply an overgrowth caused from imbalances.
Gut health and general imbalances of food intake (the real underlying cause of most yeast overgrowth) prenatally and postpartum
Medications in labor, especially antibiotics for Group B Strep causing yeast overgrowth in mom and baby
Vaginal yeast infection not treated in pregnancy (also a contributor of early rupture of the membranes)
Vaginal yeast infection not treated in early postpartum
Poor latch (position, depth, tongue or lip ties, pacifier or bottle use) causing nipple damage and/or plugged ducts
Overuse of lanolin or other moisture barrier nipple salve
Dairy or other food allergens
Treatment of Thrush
In much of western medicine, prescriptions like Nystatin and Diflucan are often used for thrush treatment, but without good or consistent results. In any thrush or yeast treatment case, focus on gut health to ensure overall body balance is achieved or you're likely to have recurring thrush and yeast overgrowth (including diaper rashes and vaginal yeast infections). The following treatments are listed with mild treatments at the top and stronger treatments at the bottom. Most can be combined using multiple methods.
When treating for thrush, treat your nipples and baby's mouth at the same time. Treat all pacifiers, bottles, and toys that are in baby's mouth at the same time as well by boiling/sterilizing between uses.
Balance Your Lifestyle
Bacterial overgrowth is often a direct result of other imbalances in your life. No matter the treatment of thrush you select, this must be a part of your thrush protocol.
Eliminate processed sugar (reduce to the absolute minimum you can handle)
Eliminate excess of bread, dairy, pasta, crackers, pancakes, muffins, and any processed item similar to these
Reduce stress (i.e. schedule overload, work load, family stress, lifestyle stress). Stress wreaks havoc on bacterial balance due to hormonal and acidic changes within the body, immune system, and sometimes simply decreases your ability to choose healthy foods
Natural Thrush Treatment
Air & Sunshine - Oxygen and sunlight will kill bacteria. Go braless to let your nipples breathe and avoid compressing your milk ducts too much which can cause plugged ducts and encourage not only yeast overgrowth, but mastitis as well.
Raw (or pickled) Garlic - Garlic has great bacterial balancing qualities excellent for any infection. Cut up garlic cloves into pill-size pieces and swallow 3-10 cloves daily. You can also just increase your intake of raw garlic in your foods like pesto or guacamole. Garlic oil can be rubbed on the nipples and a diaper rash. Some baby's may not like this treatment in their mouth, though some do like the taste of the breastmilk so still receiving the benefits.
Herbal Infused Oil or Herbal Wash with at least Calendula in the ingredients. Other herbs beneficial with Calendula are Lavender and St. John's Wort. This is *not* a pure or diluted essential oil. While essential oils may be of benefit (like lavender or tea tree in some cases, but not internally for a baby especially), the essential oils of plants are the volatile oils which do not contain all the healing constituents as the whole plant and are not as safe to put in a baby's mouth. Also, keep in mind, this is not a salve. While salves can be healing - when it comes to thrush, items like beeswax and lanolin seal off the nipple from oxygen which is needed to kill bacteria and traps moisture which makes bacteria grow. Salves can be helpful when bacteria overgrowth isn't a problem; however, here you're looking for herbs infused in quality olive oil or coconut oil or a wash made with herbal tinctures and diluted or infused in Apple Cider Vinegar (or other live culture vinegar).
Probiotic Paste - Probiotic powder mixed in olive or coconut oil to make a paste is great for nipples, diaper rash and eating. Baby can suck off probiotic powder from your finger (no paste or yogurt needed). Some moms prefer to use plain yogurt for the same reasons. Plain is key here. Keep in mind, though, dairy can contribute to yeast overgrowth - but sugar imbalances - especially processed sugar - is a food that yeast loves. Plain yogurt can be soothing topically.
Apple Cider Vinegar - While it doesn't have to be ACV specifically, you want to avoid white or distilled vinegar. You're looking for a live culture vinegar which has both probiotics and can be taken internally. Vinegar is helpful for soaking into the skin for ease of application in the diaper region (dry bum usually equals a bum without rashes - no diaper creams needed so be sure to completely dry the entire diaper region and folds before putting on diapers if you're not using EC) or when clothing is a must, but be careful not to overdo it on the nipples. Adding an herbal infused oil over the ACV gives you both properties without over-drying and cracking or creating a moisture barrier.
Oil of Oregano - This is the whole oregano herb infused into oil NOT the essential oil of oregano. Big difference - be mindful. This infused oil can help topically after a nursing session or on the diaper area, but I would advise against using this in baby's mouth as it is a hot oil that can be very irritating to mucous membranes (whole infused herb included but definitely a no on the essential oil for a baby). Some moms rub this infused oil or diluted essential oil on the bottom of a baby's feet (and despite what oil professional you may know, this isn't actually the best place for oil application and absorption - but does help keep baby's hands away from it and then rubbing it in their eyes... ouch!). Not a wide range of positive outcomes with this treatment, but I'm adding it here for information's sake.
Intensive Thrush Treatment
All Purpose Nipple Ointment (APNO) - Dr. Jack Newman's Candida Protocol is helpful when there is nipple pain and the previous treatments (AND food balance) doesn't work or you've found out you're dealing with thrush when it's an intense case (or really for anyone that just wants a more western medicine approach that actually works). Like the natural remedies, this can be used from the beginning for any nipple discomfort until latch is managed or if you're not sure if its thrush or not or if it is another type of infection. Keep in mind, this blend often prescribed by Dr. Jack Newman's International Breastfeeding Centre is really mostly for reducing pain, and may not support healing thrush because the best way to heal thrush is really to fix the latch. The treatment the clinic uses to really treat thrush specifically, see the next bullet point. The basics of this treatment are having a compounding pharmacy blend: Mupirocin 2% ointment (15 grams), Betamethasone 0.1% ointment (15 grams), and then add miconazole powder so that the final concentration is 2% miconazole. This combination gives a total volume of just more than 30 grams. See Dr. Jack Newman's site for more thorough details as needed.
Medical-Grade Honey - This is NOT raw honey, despite its benefits. Medical-Grade Honey is a form of manuka honey that has been pasteurized to remove the risks of botulism and other bacterial spores. This removes the risks of infant botulism that comes along with store-bought and other raw honey forms that should not be fed to an infant less than 1 year of age. Medical-Grade Honey is the form of treatment Dr. Jack Newman's International Breastfeeding Centre recommends for specific treatment of thrush (despite how much his APNO is used, see previous bullet point). One brand of Medical-Grade Honey is called MediHoney and can be purchased on Amazon, among other health food stores and OTC pharmacies. This is great for just about any scrape, cut, or burn so its great to have in your medicine cabinet and diaper bag. For thrush on the nipples, simply coat between nursing sessions and keep the breasts exposed to air for oxygen flow, or a dry breast pad to avoid the sticky ointment getting on your clothes. While Medical-Grade Honey provides moist-wound treatment excellent for nipple damage, this ointment is mostly natural and does not create a barrier where bacteria grows, so it is often a better treatment than many of the commercial herbal-based treatments sold in many health food stores.
Gentian Violet - Let me start this off by saying this is NOT a natural treatment despite what your mommy friends may tell you or what you read on mom blogs. Gentian Violet is a dye used in surgical treatments among other scientific applications as well as to make black ink - among other things - but has been used for many years as a topical antibiotic. A dilution of 1% can be painted on the nipples, then nurse, and touch up any uncoated spots after nursing. Everything will be stained a bright plum purple for the duration of the treatment and a few days after. This usually washes out of clothes, but not often so keep this in mind. Coconut or olive oil can be rubbed on the baby's cheeks to prevent some facial staining. Despite this not being a natural treatment, GV works very well and fast. Many moms report relief within the same day. If the pain has stopped after 3-4 days, discontinue use. If not, continue for no more than a week for two reasons. Too much GV may cause mouth ulcers (though this is typically from moms using a 2% dilution instead of a 1% dilution). Also, because if it hasn't worked yet, it probably won't. It may not be thrush and you could be dealing with a different kind of infection. Gentian Violet can be found OTC in some pharmacies and, ironically, some health food stores.
Citricidal Grapefruit Seed Extract (GSE) - Again, this is NOT a natural treatment despite what your mommy friends may tell you or what you read on mom blogs - or even some physician sites. While some forms of GSE may truly be the extract of grapefruit seed, the real extract of grapefruit seed has been shown not to be effective on its own and there is a lot of controversy surrounding this treatment for breastfeeding and any other bacterial imbalance. This is also NOT Grape Seed Extract. Grapefruit Seed Extract sounds like it is an extract from the grapefruit seed - but it is actually a concoction with various processes that has virtually no grapefruit seed extract remaining. It is, nevertheless, often useful for thrush treatment in the same application manner as gentian violet after diluting 5-10 drops per ounce of distilled water. GSE can be found OTC in some pharmacies and, ironically, some health food stores.
Remember to get treatment for latch and positioning and any other possible breastfeeding concern while treating for thrush. Many times there are underlying causes that need addressed so recurring thrush doesn't damage your breastfeeding relationship. Also keep in mind that other breastfeeding infections exist like mastitis (which is NOT the same thing as plugged ducts, though may be caused from them). If these treatments don't improve your symptoms within a few days to a week, consider other causes and seek the help of a qualified breastfeeding professional.
The best remedy for plugged ducts is prevention which starts with the first latch in the first hour or so after birth, adequate support during those first days, and no practices that limit the baby's time at the breast. Moms need to understand basic milk removal early in the breastfeeding relationship to prevent plugged ducts, prevent mastitis, and prevent various common breastfeeding issues such as milk supply and nipple pain.
Causes of Plugged Ducts - Plugged Ducts vs. Mastitis
This is a peeve of mine... just about every case of plugged ducts is diagnosed and treated as the bacterial imbalance [infection], mastitis. While they can coincide, they are not the same thing. They may both show similar symptoms of pain and discomfort, sometimes fever (though rare) - plugged duct symptoms tend to be localized to the one area that is plugged. You most certainly can have plugged ducts without causing an infection and you most certainly can get a mastitis infection without a plugged duct (and without even breastfeeding or being a woman because men do have milk ducts). As with most western approaches, everything is treated as an infection or an infection waiting to happen. Antibiotics are prescribed even when not necessary, increasing things like yeast infection, thrush, and overall body imbalances and negative impacts on gut health... the snowball just keeps getting bigger...
Plugged ducts are when the breastmilk, basically, doesn't stay mixed well (breastmilk is not homogenized) and the fatty parts of the milk plug up a duct and prevent milk removal. Removal of the plug can take one nursing session or it may take a few days. The longer the plug remains, the more of a chance a mastitis or other breast duct infection may occur.
Plugged ducts are often caused from:
Inadequate milk removal
Artificial Nipple use such as pacifiers, nipple shields, and bottles or thumb sucking - all of which reduce the time at the breast and change latch
Separate sleeping spaces (which reduces night time nursing and milk removal)
Breast pressure such as underwire, sports bras, sleeping positions...etc.
Less than nourishing food choices, particularly those low in vegetable and unbalanced starches, breads, and sugars or other processed foods
Generally, if one area of the breast feels a smidge tender, treat it like a plug and start massaging and using the following methods. Nip it in the bud and don't let it progress into something more and don't wait to try anything.
Latch & Position
The baby's ability to efficiently transfer milk from the breast to the baby and swallow is the biggest factor in preventing and remedying plugged ducts. If the breasts aren't being adequately removed of milk, they can get clogged up. If nipples are damaged, milk may not flow as effectively. Have tongue ties assessed by someone that knows how to properly assess them (and understands their connection with breastfeeding) and remedy these through massage, cranio sacral therapy, adjustments, and revisions as necessary. Bodywork is often an important part of newborn care, especially if there are latch issues and after tongue or lip tie releases. If baby's nose touches the breast, improvements can be made. Get in touch for Skype sessions to help with specifics.
Dangle feed with you hanging over the baby to let gravity support.
Move baby's chin near the plugged side, and all around, to let baby work the plug out. Try various different positions when nursing as the ducts aren't perfectly lined up in your breasts and that web may cause a plug anywhere.
Shake 'em & Massage
Between nursing sessions, breastmilk fat separates a bit. The longer you go between nursing sessions, the more this will separate. You also tend to see less separation throughout the day after you've been nursing on and off all day. Shake your breasts. Grab them, and shake them... before a nursing session, after, and in between. Though there aren't really studies that back this up - many cultures have done this as a traditional breastfeeding practice historically. It can't hurt, and it may help, so why not. If you feel like you have "foremilk hindmilk inbalance" (despite the inaccuracies of that term), shaking your breasts may help.
Some moms find plug relief through this same concept by using an electric toothbrush or other vibrating mechanism over top of the plug while nursing and throughout the day to help move the plug out of the ducts.
Massage the breasts towards the nipple. Get in a hot shower or bath with the water running over your back and massage your breasts.
No Artificial Nipples
Artificial nipples change latch. Period. Please.... PLEASE... stop perpetuating the myth that this is not so. If you use artificial nipples of any kind and experience pain or milk supply issues PLEASE STOP avoiding that detail when describing your issues, sharing your story, or telling other mothers that it's going to hurt for a while until baby's mouth gets bigger or that its tongue tie...etc...etc. Choosing to use artificial nipples and bottles is your choice but having the correct information helps OTHERS make their own informed decision as well. Artificial nipples - including pacifiers, nipple shields, and bottle nipples and even thumb sucking - cause shallow latch, change palette structure, increase gumming of the nipple and increase nipple pain through damage from latch and suck mechanics that literally change the structure of the baby's face. All of this decreases milk transfer and nipple damage leading to increasing plugged ducts.
Unlimited Nursing, Rest & Co-Sleep
Take a day, lay down in bed, and nurse. Many times being on the go reduces the amount of time you're nursing which causes slight engorgement and more chances for plugged ducts. If you're limiting nursing time lengths in anyway (separate sleeping spaces, pacifiers, timing each breast...etc.) - stop. Baby will regulate their intake - but they need unlimited access. This is beneficial to their development and if there are any latch issues going on, limited sessions will reduce your supply.
Sometimes, after a growth spurt when babies no longer need the extra energy, you may experience engorgement which may lead to plugged ducts. Follow all the remedies and if this is a recurrent issue *after* a growth spurt, a cup of sage and peppermint tea 1-3 times per day may help reduce the supply created during the growth spurt. Just please be careful and don't overdo it - you don't want to reduce your supply too much! Having someone guide you may be necessary.
If your oversupply issues are not related to growth spurts, various oversupply remedies may help including balancing breastfeeding between both breasts, block feeding in some cases, or the previous recommendation of tea. Please get in touch for a Skype session or contact your local recommended breastfeeding professional to work with you through this process.
Fibrocystic Breast Treatment
Sometimes, fibrocystic breast conditions will cause plugged ducts. Fibrocystic changes are typically hormonally influenced causing fluid and tissue build up in the breasts. They may be painful and can mimic cancer symptoms though are more influenced by cycle changes and are benign. However, seeking guidance with breast changes is ideal to rule out any other possible conditions. Fibrocycstic breast conditions can occur at anytime, but symptoms tend to increase during the luteal phase of the cycle (prior to your period - when other "PMS" is experienced due to the hormone changes during this time). Treatment for fibrocystic breast include food and lifestyle chances as listed throughout this article. This tissue may block ducts causing plugged ducts, especially if they're recurrent.
Fibrocystic breasts are similar to other immune system weaknesses, arthritis-like conditions, adrenal fatigue, and liver congestion-related conditions that are caused by chronic inflammation (i.e. constant immune system responses from allergens and toxin loads). Eliminating all artificial foods, reducing processed foods including sugar, balancing whole foods and herbal therapies are wonderful ways of remedying these conditions. Aviva Romm has some great guidance as would any clinical herbalist needed beyond the scope of this article and general wellness counseling.
Some basic daily regimes for fibrocystic breasts are:
Evening Primrose Oil (topically and as a supplement)
General liver, immune, and adrenal support herbal blend such as:
3 Parts Dandelion Root
1 Part Burdock Root
1 Part Ashwagandha
Blend the above then place 3 tsp. of the blend in 3 cups of water (or 1 tsp. per cup - its just easier to make a bigger batch at once if you'll drink more than 1 cup and warming it up throughout the day as desired). Simmer very low for 10 minutes and turn off the heat steeping covered for 10 more minutes. Strain and drink 1-3 cups daily.
Burn the bras! Just kidding... sort of... reduce usage of any type of bra altogether and definitely avoid underwire or stiff supporting and compressing bras. While pregnancy can influence the "sag" of the breast, lack of muscle and ligament strength will do much more for breast health overall. By using a bra, you're telling your body to stop creating its own strength to support the breasts while at the same time compressing tissue that can increase plugged ducts. Ducts can reach all the way towards the armpit so any unbalanced compression from positions used throughout the day, resting habits, or sleeping position can increase plugged ducts.
Sugar is evil. Sweeteners of various kinds cause body imbalances and change the fat types in breastmilk. Don't get me wrong, it takes a very malnourished mom to make breastmilk that isn't high quality - but you do change the milk content by your personal food choices. Sugar, fat content, processed foods, and overall imbalances influence you more than they influence the baby, including dealing with plugged ducts.
Eat a rainbow of properly prepared vegetables and fruits. Be sure you're eating enough healthy fats and staying hydrated. Many vegetables digest easier and release more nutrients through steaming. Increase natural sources of lecithin such as: eggs, olives, low mercury sea food including seaweed, greens and other vegetables and fruits, and [sprouted] legumes.
Lecithin is known as an emulsifier. It's what makes chocolate, chocolate instead of gritty cacao in milk sugar. For this reason, some have success preventing recurring plugged ducts with lecithin supplements in addition to the previous recommendations to help prevent the fatty parts of the breastmilk from separating too much (what people refer to as "foremilk" and "hindmilk"). Lecithin supplements may also be used for fibrocystic breast conditions.
Keep in mind that soy mimics estrogen, and is in mass amounts of processed foods, so using a sunflower lecithin may be more ideal.
KellyMom.com explains the dosage of lecithin supplements for plugged ducts:
[pullquote align="left" width="400"]"The usual recommended dosage for recurrent plugged ducts is 3600-4800 mg lecithin per day, or 1 capsule (1200 milligram) 3-4 times per day. After a week or two with no blockage, mom can reduce the dosage by one capsule. If there is no blockage within another 2 weeks she can reduce it again by one. Mom may need to continue taking 1-2 capsules per day if stopping the lecithin leads to additional plugged ducts."[/pullquote]
Have you experienced plugged ducts while breastfeeding? What remedies have helped you prevent and treat plugged ducts?
It's that time again! Set a reminder - we'll be live on the Esali Birth Facebook Page on the first Monday of [most] every month at 8:30 pm EST. If you're an expecting or TTC couple, these chats are for you!
This is NOT a "what to expect" class. These are "what are my options and how do I feel confident" mentoring sessions covering information to support your wellness before, during and after birth. (Private birth mentoring is available with the standard 10-week, 6-week, or custom-length options that cover your specific needs in a one-on-one approach and group classes local and online. Contact mdbergum~at~esalibirth~dot~com for inquiries).
Each chat will focus on a topic from our monthly group birth class in a free online format where you can listen and type in questions live. Topics may include:
Health & Wellness
Care Provider Options
Home & Hospital Birth Experiences
Transformation of Labor (Labor Stages/Labor Overview/Hormonal Influences)
These live chats will *not* be made available after the live session ends - but we will cover each topic multiple times throughout the year.
If you participate in the *live* chat (you HAVE to comment with your name at least so attendance can be verified) - you may purchase a 30-day access to the Esali Birth Complete Online Series (which follows the standard 10-week perinatal education series) for $30 (normally $100). Contact after the live event has ended, or select the Live Chat ticket on our eventbrite page for registration to the online class. Registration will be completed after the event has ended.
Fees for any of these classes can be used towards any full-length private or online series if registered within 6 months of attendance date. See you Monday!
We've had a wonderful #esali5k this year! As we work on using the funds in ways that can make a difference in birth and impact the lives of families in a unique way, we are starting out with an amazing giveaway!
THREE - 3-Month Subscriptions to the Esali Baby Basket
Holistic childbirth prep at your door - a monthly box sent to you that nourishes your soul, your health, and access to the complete online perinatal education series, PLUS group mentoring sessions monthly (online). Learn more at http://babybasket.esalibirth.com/. This is an AMAZING opportunity for any family! Yes, you can even gift your subscription if you win to someone you love that is expecting. Boxes can only ship within the continental U.S. - please consider when entering into the raffle.
Raffle begins WEDNESDAY, MAY 11, 2016 and ends MONDAY, May 16, 2016 at MIDNIGHT
So, how do I enter? Easy peasy! You have 3 options to earn points:
Comment on THIS blog post - tell us why you would love to have an Esali Baby Basket subscription.
Visit the Esali Birth Facebook page.
Every day during the raffle, tweet "Check out the #esalibirth #babybasket subscription for holistic #childbirth prep."
That's it, families. GOOD LUCK!!! Winners will be announced Monday, May 16th, 2016 on the Esali Blog, the Esali Facebook page, and the Esali Twitter page.
How can I successfully breastfeed? One of my most answered questions. Families in our culture have heard so many horror stories about breastfeeding they expect for it to be excruciating and incredibly hard. They expect failure because most of their friends and family didn't nurse past a few weeks due to pain or had so many "weight gain" issues they "had" to supplement.
The problem is not the mother - it's the culture and care providers and their lack of knowledge and experience. It takes the RIGHT information and it takes the RIGHT questions and it takes a LOT of support. I don't always have all the answers, but I do have a lot of resources and I have the perspective that moms and dads need to proactively seek MULTIPLE answers UNTIL breastfeeding works.
Before we get into this... let me just say that if you're not a link-clicker - start now. There are some goodies embedded in this post!
So, how can you make breastfeeding work?
Learn about breastfeeding. If you are not aware of the biological needs of a baby AND you're not completely confident with your abilities and your gumption to seek help as much as possible until it works, then you need to read and watch a lot. Dad needs to learn, also! Dad will be a significant factor in the breastfeeding relationship because he will motivate mom (or not). He will get support or he'll grab formula when things get tough... We want him to reach for the support, right?! If you are not aware of how your birth choices (from home/hospital, to care providers, positions, and medications) influence breastfeeding then you need to keep learning. Don't make your culturally-influenced lack of information the reason to choose formula. Some recommended resources are: www.kellymom.com, http://breastfeedinginc.ca/, Breastfeeding Made Simple, and Ina May's Guide to Childbirth. There are a ton of places you can search for information and many great books - but most I gear more towards counselors than families because I want families to find what they need and enjoy the information in a quick format.
Know who and what is available close to you. You can contact Dr. Jack Newman through his website. You can e-mail me. You can join a breastfeeding community through Kelly Mom on Facebook. However, you need to have PHONE NUMBERS and E-MAIL of people IN YOUR AREA. Multiple numbers. If mom doesn't want to call, but she has questions, it is DAD'S JOB TO CALL!!! If there are questions, get help! You need numbers for people available after 5:00pm and in the middle of the night. You need numbers for people who are available when someone doesn't pick up their phone or isn't available. You need numbers for people to get a second opinion because sometimes its just a matter of semantics to make it work. You also need to know the DATE and TIME that your local breastfeeding support group meets. Whether that is the MOVEsali Birth Breastfeeding Social, a La Leche League group, or whatever mom group KNOWN for their QUALITY breastfeeding help THAT RESULTED IN BREASTFEEDING WORKING - you need to know when and where they meet in person and nurse their babies and help with breastfeeding specifically. This has nothing to do with certifications, businesses...etc. - it is whomever provides you with support and QUALITY information and multiple available until it works.
Use laid back breastfeeding with baby belly to belly. Cradle positions are great for older babies - and sometimes new babies - but they tend to put baby's head towards the side of mom's body which causes baby's chin to tuck... and just like its hard for you to drink with your chin at your chest - babies are just tiny humans... its hard for them, too. Pull baby closer to your middle. Stop propping yourself up with pillows and breastfeeding wrap pillows...etc. If breastfeeding is legitimately working for you and easy (especially if you're nursing well in public without all those pillows), great... but sitting up and leaning forward tends to cause baby to roll away and not get a deep latch. Baby should be belly to belly (skin to skin helps) and often laid on top of you or at least with you leaning back instead of sitting up straight or forward so they do a lot of the work and latch deep. Use whatever position works for you and baby - but, make sure baby's head is back when he's latching AND to stay latched and belly to belly to help avoid pain.
Mouth open, lips flared. Baby will typically come onto the breast asymmetrically - but it is a pretty quick movement of pulling the baby close to you. The key is waiting until their mouth is open wide and sometimes it helps to hold your breast until you both really get the hang of it or baby gets older. Just be sure you're bringing baby TO YOU not moving your body to the baby (this is where laying back really helps or baby will pull off, cause nipple pain, and/or your back will start to hurt). What is most important - even if the initial latch on wasn't smooth - is to make sure baby's tongue can reach the sinuses to compress the milk into their mouth. If their lips aren't flared, the latch will be shallow and nipple pain is sure to follow. Remember, babies BREAST feed they don't nipple feed. It doesn't matter what your nipples are shaped like, if baby is latched well the nipple gets worked around... though inverted or flat nipples may have adhesion that release in the first weeks of breastfeeding.
Watch for baby getting milk. It isn't the ears or even a sound. It isn't weight or a time. Breastfeeding works when baby gets milk and mom is comfortable. Baby will nurse on your breast and their mouth will look similar to the way yours does when you fill up your mouth with a straw. Nuuuuuuurse, quick pause-swallow..... nuuuuuuuuurse, quick pause-swallow. Get a glass of water with a straw. Wrap your tongue around it, close your lips with your tongue slightly sticking out - now draw the water up the straw. Notice what your chin and mouth do... that's what little humans do when they drink, too, facilitated by suction. Now, tuck your chin to your chest and try to repeat drinking. Maybe you drank, maybe you didn't. If you swallowed - I bet you received a lot of air. You might be getting something to drink, but your belly is going to hurt soon - a little "colicky" - and you might even feel like something is going to come back up if you drink too much. Little flutter sucks might bring the milk down at the very beginning and also allow baby comfort after they've filled their belly, but if you did this with your straw - you wouldn't get much to drink, would you? Baby should quickly move to this rhythmic pattern once initially latched on to the breast. If you're engorged or baby isn't latched deep - baby might not be able to bring the milk down (see step 6). You need to KNOW what to look for so that when you're home you KNOW when baby is getting milk. THIS is how mothers get confident. You can fumble through the mechanics - but when you SEE your baby getting milk, your confidence simply builds and then you don't feel helpless. You know to remedy the situation until it works.
Use breast compression. If baby doesn't have this nurse-pause-swallow pattern and/or baby quickly falls asleep at the breast - take your thumb on top and your fingers on the bottom of your breast and squeeze until baby gets into this pattern. When baby starts the pattern, stop. When baby stops the pattern or falls asleep, repeat compression.
Don't use pacifiers or your finger. Babies need to nurse. Babies and mommies learn to breastfeed by breastfeeding. Your artificial nipples are only reducing your milk supply and making both of you learn a fill in and a non-nutritional approach that doesn't include any antibodies and will eventually lead to not nursing, milk supply issues, pain and pretty much every issue anyone has with breastfeeding. Most nipple shields do the same as well. NEVER use a nipple shield without continuous support until breastfeeding works. I've never met a mom that has used a nipple shield and didn't experience milk supply problems or early weaning or breast refusal (if not all three). If breastfeeding isn't enjoyable in some capacity - get help until it works. Pacifiers are not the answer. Babies nurse a lot - and a baby with unlimited access to the breast WILL get milk and WILL learn to nurse. If baby is _______________ (nursing often, too much, pacifying, falling asleep, hurting you, "colicky"...etc.) then you need help. Long ago - before societies saw a lot of breastfeeding problems... before people started living isolated lives... when they were simply gathering food and nurturing their families... mothers sat together and saw babies nursing from when they were children. They saw toddlers and children nursing. That's what they did every day. They grew up KNOWING and they became a mother with CONTINUOUS KNOWLEDGE AND SUPPORT. YOU have to create that because our culture is not setup that way. Asking for help doesn't make you less of a mother - it makes you a wise mother that knows what to do to make breastfeeding work.
Check for tongue ties. This is also one of those areas that you need a qualified person to check for ties. This is also NOT the first step in breastfeeding success. Having another person just tell you to get your baby revised without physically supporting you is not the best way to counsel a mother. You also need good breastfeeding support AFTER a tie (lip or tongue) is revised. Tongue ties cause a LOT of problems; however, sometimes baby just needs craniosacral, massage, a chiro adjustment...etc. to loosen tight muscles around the neck and jaw to release from being cramped in the womb, being in a less than optimal position in the womb, or from being pushed on during birth or often pulled on during birth by less than gentle care providers.... the release allows their chin to move and untuck and allow a sufficient latch. If baby needs a tie revision, they usually ALSO need body work because a tie will cause tight muscles in and of itself. Sometimes a tie revision alone will not fix anything because of these tight muscles. Sometimes a tie won't fix anything because what really needed to happen was positioning and breast compression. Tie revisions help a lot of moms, but you need to get one on one breastfeeding support FIRST and possible from multiple people depending on the experience of the person helping you.
Use a supplemental nursing system or spoon or a cup. Don't use bottles. Don't supplement unless you've exhausted steps 1-8. Supplementing while at the hospital and/or during those first few days before your milk even matures is ludicrous. Your baby's stomach is small and can't handle a lot of food. If jaundice is a concern GET BREASTFEEDING SUPPORT ASAP! Taking baby away from mom to limit nursing or supplement will only increase jaundice risks and increase breastfeeding failure incidences. Babies can be spoon or cup fed AFTER this initial period ONLY IF they NEED it because steps 1-8 have been exhausted. A supplemental nursing system is a No. 5 French Feeding Tube that you lay beside your breast and into a bottle/container of milk so the baby HAS TO LATCH to supplement the breast.
OK, so there you have it. Set yourself up for success. Know who to contact and DO IT. Learn when baby is getting milk. Repeat over and over and over again UNTIL IT WORKS!
OK, so technically this iced herbal tea is great for anyone, anytime. But, if you're looking for an incredibly simple blend of herbs that you can sip on in the scorching sun, this is it!
All you're mixing is equal parts of the following herbs and then using 1 Tbls of the blend per cup (double the amount if your herbs are fresh). Boil your water, steep for 5 minutes. Add a smidge of honey (no sugar, please) if you'd like (although its lovely unsweeted). Chill. Serve with a lemon wedge. There you have muscle toning, a vitamin punch, and soothing to digestion.
Red Raspberry Leaf – The classic women's herb, though toning and nutritive for everyone! It is packed full of nutrients, which are very important for a healthy blood (and milk) supply.
Nettle – This is a very powerful nutrient boosting herb. It also helps with allergies and cleansing the blood - crucial during pregnancy to reduce risks of common complications like eclampsia and similar conditions. It is an excellent natural source of calcium, iron, and many other dish-approved nutrients. Additionally, nettles have natural antihistamine abilities making this a great alternative, when used regularly and over time, to OTC allergy medications.
Mint - There are many mints to choose from. I usually use a handful of whatever is growing in my backyard. Spearmint has a smooth flavor, but you may like the punch of a peppermint - especially if you're in your first trimester and need a little nausea settling. While mint in excess is not great during pregnancy, a little mint goes a long way and you can enjoy this as a nice summer drink. It is great for nausea, tension headaches, hot flashes and sweats, and other conditions related to blood flow and nutrients.
Honey - Great for antibacterial needs but when its local and raw, and used regularly, over time it will help protect against seasonal allergies of your area and avoid more medications in pregnancy.
Lemon - The high vitamin c in lemons helps to ease nausea, and all its wonderful properties (including the peel) help to stimulate digestion and cleanse the liver further reducing risks of blood and digestion-related complications of pregnancy and postpartum.
Herbal Iced Tea
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