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Archive for the ‘Pregnancy and Birth’ Category

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Goat’s Rue

This week is World Breastfeeding Week which this year is highlighting the importance of peer support for mothers who, all too often, do not receive adequate support to enable them to continue, or even begin, to nurse their child.  Nursing can be a physically and emotionally draining time for some people along with being a wonderful and loving way to connect with your little one.

It is so important to ensure adequate nutrition to support the body through the nursing relationship, whether it lasts for months or years. It is generally recommended for most people to consume 500 extra calories a day and plenty of extra fluids. Often when a new baby arrives however there is little time for focusing on preparing healthy meals and it is all to easy to rely on quick snacks or packaged food. The body will prioritise giving available nutrients to the baby so it is all to easy for the mother to become depleted.

In Chinese medicine there is a saying, ‘one drop of milk equals fifty drops of blood’ referring to the tendency towards blood deficiency in nursing mothers which is exacerbated by lack of sleep and has symptoms such as pallor, dizziness, fatigue, dry skin, anxiety, poor focus and floaters in the eyes. Some also believe it pre-disposes us to post natal depression. Ensuring a healthy nourishing diet is especially important for mothers who tandem breastfeed or have fed more than one child in close succession.

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Fenugreek

Along with a generally healthy diet a few general and easy to implement tips to increase vitality during breastfeeding are:

  1. Take a high quality multi-vitamin. Breastfeeding, pregnancy and other times of physical or emotional stress are times when it is really worth ensuring all your bases are covered with a good multi-vit.
  2. Ensure an adequate intake of protein. When nursing you are supporting the rapid growth of another person as well as sustaining yourself so it is even more important to ensure you include high quality protein with every meal. If you are a vegetarian as I am, then it is even more vital to be aware that you are not just filling up with carbs. I found it really helpful to pack my freezer with meals I made before my baby arrived to help sustain me in the first weeks.
  3. Try to include dark leafy greens every day as they are rich sources of minerals that help to build the blood.
  4. Include herbal blood tonics such as nettle nourishing infusions and other herbs that are rich in iron such as ashwagandha, both of which will boost vitality in a variety of ways. Ashwagandha is nice taken mixed with shatavari – another Ayurvedic herb (1 part ashwagandha to 3 parts shatavari) in powder form in a small glass of milk to aid assimilation. Shatavari has traditionally been used to support breastfeeding.
  5. Add oats to the diet, another traditional method of promoting breast-milk.

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When considering herbal support for breastfeeding we can think of herbs that promote quality and those that promote quantity of milk, though in some cases the same herbs will do both. Nourishing herbs, full of vitamins and minerals will help to improve the quality of the milk where as those that promote the quantity are commonly known as galactagogues.

Nourishing  herbs like nettle, milky oats and oatstraw, raspberry leaf and alfalfa are all wonderful, mineral rich herbs that help will support the whole body when under any kind of stress. They are also gentle galactagogues that are safe to take by most people. Shatavari, mentioned above, also falls into both categories as a general adaptogenic herb that also increases breast-milk.

Galactagogues are herbs that promote breast-milk production. The majority of women will have an adequate flow of milk and many will in fact have an excess until it balances out to meet the baby’s requirements after the first few weeks. Some however do need additional support to get things flowing and many will experience a dip in production at some point in their nursing journey. Many traditional galactagogues are aromatic and these are thought to work in part because of their anethol content, a constituent found widely in essential oil containing plants like fennel, fenugreek, caraway and anise. Other useful galactagogues include goat’s rue, holy thistle, marshmallow and milk thistle.

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Herbal teas are lovely to include when breastfeeding as they can nourish the body. increase hydration and, if necessary, increase milk production. Here is a recipe that can be taken by most nursing mothers. One cup a day is sufficient if you have adequate milk and three is recommended for stimulating production.

Nursing Mother’s Herbal Tea Recipe:

1 part Nettle leaf
1 part Alfalfa leaf
1 part Raspberry leaf
1 part Oatstraw
1 part Fennel seed
1 part Fenugreek seed
1/2 part Holy Thistle

Give the fenugreek a bit of a bash in the pestle and mortar, it is very tough so don’t expect to break it down too much. Mix all the ingredients together in a large bowl and then keep as a loose tea to use in a pot or tea ball or spoon a large heaped teaspoon into pre-made bags like those I have used here. I get mine from woodland herbs.

The addition of catnip, lemon balm, chamomile or spearmint to your tea blend can be helpful in soothing stress and tension for both mama and baby as well as helping to ease colic in the newborn. Fennel is also useful for easing wind and colic as when drunk by the mama, the aromatic constituents pass through the milk to the baby and relax spasms in the GI tract. In cases of reflux however these herbs may not be the most appropriate as they can be too relaxing for the sphincter muscles.

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Cautions and Considerations:

The herbs mentioned are all very safe but it is worth noting a few considerations if taking them in quantity. As always if you are on any medication please consult a herbalist first. Both goats rue and fenugreek are known to lower blood sugar levels which could be problematic if you are diabetic or taking certain medicines.

Some herbs are fine as culinary additions but would not be recommended in medicinal doses, for example garlic which can cause colic (in some babies even in small quantities) parsley or sage, which is fine in stuffing but in any quantity can actually dry up breast-milk production.

Borage and comfrey are traditional galactagogues and nourishing herbs and would probably be fine for most people but it is considered wise to avoid them these days due to the Pyrrolizidine alkaloids (PAs) they contain which may contribute to liver damage in susceptible individuals.

I would also avoid any strong essential oils whilst breastfeeding as the aromatic compounds are readily absorbed into the blood stream. I stick to using the same oils that are considered safe in pregnancy and in the same low percentages. Neroli, mandarin, lavender and chamomile are among those that are gentle and safe for most people.

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Stretch marks are something that many many women are keen to avoid in pregnancy and there are a number of ways we can support the integrity of the skin to minimise their presence. Stretch marks in themselves are not harmful to us and could be seen as a beautiful testament to our journey to motherhood but, for better or for worse, we live in a culture where the archetype of the ‘maiden’ is held up as the ideal of beauty and most of us are not keen to loose it too quickly. Leaving aside such philosophical debate, in this post I hope to share some information with you about what stretch marks are and how we can help to prevent them, as well as sharing some nice recipes for bump balms and oil blends that you can make up at home.

Stretch marks, or striae, occur in somewhere between 50 and 80% of women during pregnancy, depending on which sources you believe, and result from a tearing of the dermis. This is the middle layer of the skin which is made up of connective tissue and contains collagen and elastin fibers which help the skin to stretch and heal. The tears leave scars which appear purple or red to begin with but usually fade to silvery white. Our skin is designed to be able to stretch and if there is adequate support in the dermis then marks will not occur.

Despite youth being on their side, stretch marks are most likely to appear in teenage mums, possibly because of the hormonal changes that are already going on in their bodies. Steroid hormones called glucocorticoids limit the production of collagen and elastin leaving skin more likely to tear as it becomes less elastic. This is why stretch marks can also occur as a side effect of prolonged use of steroid creams.

Many books and websites claim that whether or not you get stretch marks is entirely genetic and no amount of applying creams or oils will make any difference. This is not completely accurate as, though genetics do play an important role, the few studies done have shown that topical application does help to prevent stretch marks occurring. A German study found that one third of women using a specially formulated cream developed stretch marks as opposed to two thirds in the control group and in one review, two studies were compared and both showed beneficial results. The conclusion was, “stretch marks may be prevented in some women by daily massage but it is unclear if any particular ingredients bring special benefits.” You can read the full review here if you so wish.

Luckily there are foods, herbs, base oils and essential oils which all help to prevent stretch marks and aid in keeping skin supple and supported.

Two of the most important herbs used to prevent stretch marks are calendula (Calendula officinalis) and gotu kola (Centella asiatica). These can both be used in massage as herbal infused oils. Antioxidant rich herbs such as hawthorn, elderberry and bilberry are useful in preventing the breakdown of collagen and these can be taken in teas whilst other deeply coloured berries can be enjoyed as part of the diet. Vitamin C is an important co-factor in collagen production and is found in peppers, tomatoes, dark green leafy veg, berries and many other fruits. Anyone pregnant at this time of year is in luck as rosehips are abundant in Vitamin C as well as abundant in the hedgerows right now. Adequate protein intake is also very important.

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Bump Rub Recipes and Ingredients:

Here are two simple recipes that you can make up with a variety of different ingredients to suit yourself. First I’ll give the basic outline of the recipe and then a list of possible options below. In the past many people have asked me if they can substitute some of the ingredients in a recipe for others so hopefully this will show you some of the many possibilities. Of course there are many more base oils that you could use but these are the ones I have found to be most useful.

Mama’s Bump Rub Massage Oil:

Massaging your abdomen is such a beautiful way to connect with your own body and your growing baby and is the perfect opportunity to send love to you both.

To make 100ml:
40 mls light oil such as jojoba (or substitute any of the light oils listed below)
30 mls macerated oil such as calendula
20 mls rich oil such as rosehip and/ or avocado (or substitute any of the rich oils listed below)
7 ml GLA rich oil – borage or evening primrose
2.5 mls vitamin E Oil
0.5 ml Essential oil – optional. (Usually this works out to be about 15 drops per 100ml though this depends on the size of the dropper in the bottle. It is always wise to measure essential oils in a pipette until you get to know how much your droppers dispense.)

Mix all ingredients together and bottle. Massage onto abdomen hips and breasts once or twice a day.

Mama’s Belly Butter:

22ml light oil such as jojoba (or substitute any of the light oils listed below)
20 ml herbal macerated oil such as calendula
20 ml rich oil such as rosehip and/ or hemp seed (or substitute any of the rich oils listed below)
30 g Shea Butter (or any of the butters listed below)
5 g beeswax or candellia wax
2.5 ml vitamin E oil
0.5 ml Essential oil – optional

This makes for a rich balm so only a small amount is needed but it’s very nourishing and one I really enjoy using.

Melt the butters in a bain marie then add the liquid oils in a slow drizzle until fully incorporated. Let cool a little but not enough to begin setting then add the vitamin E oil and essential oils. Mix well, pour into jars and allow to set fully before using.

Variations:

One tip when choosing base oils is to check for the smell as some high quality oils will have a strong smell of nuts or seeds. If so make sure to mix small quantities with other oils that don’t smell so strongly otherwise you will mask the aroma of the essential oils as they are in a low dilution. Be aware that no oil should ever smell off or rancid however.

Rich Oils: These oils are particularly nourishing and high in nutrients that can literally work to feed the skin. They have a thick texture however which is why I always recommend mixing them with lighter oils. Rich oils that would be particularly nice in a bump rub include avocado, rosehip, macadamia nut, hemp seed and wheatgerm.

GLA rich oils: Evening primrose or borage both contain high levels of GLAs and are a useful addition to a bump rub in small quantities. Make sure you buy these oils very fresh as they have a shelf life of only six months. It is always wise to store them in the fridge before use.

Light Oils: Jojoba, apricot, almond, hazelnut or grapeseed (refined) would all work well as lighter oils to make your finished product easier to apply. They also contain many nutrients of their own.

Macerated Oils: herbal infused oils such as calendula or gotu kola are the obvious ones to go for but chamomile, lavender or rose would also be lovely choices here.

Butters: Coconut, cacao, shea or mango butter are all lovely on the skin. Choose coconut or mango if you want something lighter, cacao for a firmer texture and shea for a creamy feel.

Essential Oils: Many essential oils are best avoided during pregnancy until the birth itself when they can play an important role. However there are several that are very safe and fine to use from your second trimester on in low percentages like in this recipe. For these rubs I would stick to one or a combination of the following oils; mandarin, neroli, tangerine, lavender and ylang ylang. If you want something refreshing I would use mandarin and tangerine or something more relaxing for the evening could perhaps contain lavender and neroli. Ylang ylang gives a beautiful floral and exotic smell. Neroli is a very expensive essential oil but it is prized for it’s regenerative abilities so is ideal in preventing stretch marks.

Do leave a comment below if you have any queries or anything I have said is unclear.

Happy bump massaging!

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