All Posts tagged childbirth

Fueling for Labour and Childbirth

Often when women think about labour prep they think about things like pain management, positions, and breathing techniques. One critical thing that can be easily overlooked is fuel! Giving birth is an enormous physical undertaking that will demand endurance and strength. As such, it requires that you prepare as you would for any other event: by fueling your body to succeed.
Now, of course you can’t eat throughout the entire labour and birthing process for a number of reasons. In the event of emergency medical intervention for example, general anesthetic requires that you have an empty stomach to avoid the risk of regurgitating food.

Secondly, as labour progresses many women simply don’t feel like eating. And lastly, once you have an epidural you aren’t able to eat or drink. Even with any one of these scenarios in mind, it’s still very important to be mindful of your physical needs pre-labour and in early labour. Here are some general tips that will help you stay nutritionally equipped for birth.

1. Fuel up in the final days: Toward the end of your pregnancy, stay vigilant about your eating habits. Make sure you’re getting enough carbohydrates and proteins and rest as much as possible. This will allow your body to store glycogen to provide you with energy throughout labour and to prevent ketosis. Eat up to store up: Birth is a major event that will require plenty of strength!

2. Safe snacking during labour: In early labour, choose dry carbohydrates for the slow release of energy over the hours to come. If you can add some protein to the mix, do so. Snack suggestions include bananas, dates, yogurt and crackers. Avoid big meals in case of nausea and vomiting during labour.

3. Listen to your body: So much is happening during labour that you might find yourself solely tuned into the heart rate monitor and contractions, forgetting to properly address hunger and thirst. But remember that taking care of yourself is important so that you have the energy to push. Between contractions- especially in the early stages- stop and assess. Are you feeling nourished? Hydrated? Do you have supplies like water and sports drinks nearby?

4. Hydrate. Many women get thirsty during labour and you might find that your delivery room is extremely warm for the baby. Quench your thirst and cool yourself down with plenty of cold water or natural juice. Isotonic beverages are great too, as these will replace your electrolytes and absorb quickly. If you’re not able to eat during a long labour, these sports drinks can help keep your energy up.

5. Check with other moms. Ask around and see how far into labour other moms kept snacking, or how soon before contractions they had their last pre-birth meal. Check out registered dietician and blogger Kath Younger’s pre-labour breakfast here, and her full birth story here. She started labour with a full bowl of oatmeal, nuts and fruits, and later snacked on dates, banana slices with peanut butter, and coconut water. On her blog she notes at the start of labour “There’s no way I can do this hungry!”

As the arrival of your baby approaches, you’ll need to modify your diet according to many variables: the length of your labour, the wait time until you hit active labour, and the type of medication you use (if any). Whatever your birth plan, remember to have some fuel on-hand during the final weeks of your pregnancy!

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The Opposite of the Baby Blues: Postpartum Hypomania

by Maya Hammer, M.A., Counselling Psychology | www.mayahammer.ca

We all know about the “baby blues”, a common experience of emotional ups and downs in the first week or two postpartum. Many of us, however, have never heard of the “baby pinks,” or The Highs, a feeling of intense happiness or euphoria following birth.


Symptoms
of postpartum hypomania include:
-racing thoughts
-fast talking
-being very active
-decreased ability to concentrate
-impulsivity, e.g., shopping
-decreased need for sleep
-irritability

These symptoms can be triggered by childbirth and usually subside after 6-8 weeks postpartum. In some cases, however, postpartum hypomania is an early indicator for bipolar disorder, depression, or psychosis. Therefore, it is very important to seek treatment if you or a loved one you know is experiencing.

Causes
Pregnancy and childbirth can trigger mental imbalance because of physiological changes such as stress, dysregulated cortisol, increased inflammation, decreased serotonin, and hormonal fluctuations. In addition, psychosocial factors can impact mental well-being including disrupted sleep, the demands of caring for a baby, lack of support, life stress, marital difficulty, or trauma. Genetics plays a part too: a personal or family history of mental illness, in particular bipolar disorder, predisposes a woman to prenatal and postpartum mental illness.

Treatment
It is important to seek treatment immediately if you notice unusual behaviour in your partner or loved one. Treatment can involve:

1)      mood stabilizer medication

2)      therapy to stabilize mood and regulate daily schedule

3)      support and education for partners and families


For further reading, check out these resources:

A blog post on postpartum hypomania and mania

mom’s experience of hypomania induced by anti-depressant medication

study on the prevalence of postpartum hypomania

And another study demonstrating that hypomanic symptoms can be used to correctly diagnose postpartum bipolar disorder.

As well, check out an article in Today’s Parent, and Maya’s appearance on CTV Canada AM talking about the baby pinks.

 

 

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