Physical Health Nikki Peebles Physical Health Nikki Peebles

Maternal Mortality Rates and How Race is a Factor

By Dr. Nikki

While we may be hearing about it more lately, the maternal and fetal mortality rate in the black community is NOT a new issue. As a whole, the US has a higher maternal mortality rate than most other high-income countries. Now I want you to think about this… African American women (across the income spectrum and from all walks of life) are dying from preventable pregnancy-related complications at three to four times the rate of white women in the US! Severe maternal morbidity affects pregnant women across the board, but these severe life-threatening pregnancy-related complications (known as SMM) affect twice as many black women as they do non-Hispanic white women. African Americans have the highest infant mortality rate of any race in the United States which can be tied to preterm births. The death rate for black infants is twice that of infants born to white mothers. [1]

WHY IS THIS THE CASE?

Deeply-rooted structural racism in the healthcare service delivery plays a big role in these devastating outcomes. Receiving poorer quality care, as well as limited access to maternal care, results in increased levels of pain and stress which has massive physiological effects on the pregnant mom’s physical and mental well-being. These stress-induced physiological changes make black pregnant women more susceptible to conditions such as pre-eclampsia, eclampsia, embolisms, and mental health issues, threatening the mother-to-be’s life and her child’s as well. 

WHAT CAN BE DONE TO CREATE CHANGE?

1. Improve access to quality care. Oftentimes counties have what are known as maternity care deserts, where access to maternity health care is either extremely limited or completely absent. This limited access can be a result of a physical lack of care or an inability for a woman to utilize it. These “deserts” occur in rural areas, but can also exist in urban areas when hospital obstetric units close in and around cities. [2] Below is a map, from 2016, that shows the different levels of access to care throughout the United States. The red on the map indicates counties where there are zero hospitals and zero OB/midwife providers. If public transportation is limited, many pregnant women in these counties are unable to get the appropriate maternal care and even if public transportation is accessible, this places strain on surrounding obstetric facilities and can hinder the quality of care provided. Strengthening the systems that are already in place, as well as providing African American women tools to utilize the maternity health care system is essential.

2. Improve the quality of care provided to pregnant women. As one of the wealthiest countries in the world, the United States could and should be doing better (in my humble opinion) when it comes to maternal and infant mortality! Programs in which providers are trained to address racism and build a more diverse workforce have an enormous impact on the quality of maternal care for black women and other women of color. Accessibility of screenings and standardized assessments also allow for the prevention and/or prompt treatment of maternal and fetal health issues. 

3. Enhance support for families before and after birth. Community is essential during the prenatal and postnatal period. Resources such as birth education and doulas are pivotal in increasing support as well as improving birth outcomes. As a pregnant mother’s advocate, doulas can be instrumental in making sure moms are getting appropriate screenings and quality maternal care. Doulas also provide postnatal support and are in a position to make sure the baby is receiving appropriate testing and care. 

 WHAT CAN YOU DO?

You may be reading all of these alarming facts and thinking “This is horrible, but what am I supposed to do about it?” I found myself in that exact same place. I recently read the book “Untamed” by Glennon Doyle and in one specific chapter she talks about becoming a philanthropist. In this chapter, Glennon shares a quote from Archbishop Desmond Tutu that hasn’t left me, “There comes a point where we need to stop just pulling people out of the river. We need to go upstream and find out why they’re falling in.” This brings up two immediate questions, one: how can I help black mothers-to-be right now? And two: how can I help stop the root cause of the issue? 

So here’s what I’ve come up with for a starting point. The Natural Way Birthing Project, located here in Fort Worth TX is a non-profit run by a black female doula named Nikia. The mission of the project is “to help lower infant mortality risk factors and nurture participating families through education, advocacy, and support during pregnancy and beyond.” The goal of Natural Way Birthing Project is to assist in educating, empowering and navigating resources for project participants and expectant families in the city of Fort Worth and surrounding Tarrant County. [3] Through the support of donors who want to see a change, Nikia has been able to provide 12 full scholarships and 15 partial scholarships for membership and training of birth educators and doulas, as well as provide each participant with a manual. She is also able to provide a free birth education class to expectant moms and their support person once a month. To learn more about this class click here. 

If you don’t live in the DFW area and would like to contribute at a more local level for your community, please check out Birthing Project USA to find a project near you. I am beyond excited to support these volunteers who are the hands and feet in our community and are truly doing the work. 

“We must become the change we want to see in the world.” ~ Mahatma Gandhi

RESOURCES

1) (May 2, 2019) Eliminating Racial Disparities in Maternal and Infant Mortality. Retrieved June 24, 2020. https://www.americanprogress.org/issues/women/reports/2019/05/02/469186/eliminating-racial-disparities-maternal-infant-mortality/

2) (2018) Nowhere to go: Maternity Care Deserts Across the US. Retrieved June 24, 2020. https://www.marchofdimes.org/materials/Nowhere_to_Go_Final.pdf

3) Retrieved June 25, 2020. http://thenaturalwaybp.org

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4 Things To Do Now Before You Have Your Baby

Dr. Nikki

The big day is coming soon! You’ve finished your delivery classes and read pregnancy books. You’ve been diligent with your doctor appointments and taking your prenatal vitamins. And now that urge within you is starting to stir. You feel the need to get your home and yourself prepared for what’s to come after you give birth.

Most of the focus during pregnancy is on growing a healthy baby and preparing for your delivery day. Much less attention seems to go towards what you do when you bring this new life home. There’s no doubt that the postpartum experience can be quite challenging. You’re tending to a new baby and new routines — all while your body is exhausted and healing.

But a little planning can make a major difference during those first few weeks with your newborn. Here are four ways to help you get ready.

1. PREPARE A BATHROOM CARE KIT

After delivery, you will be sore and wiped-out. If you had a vaginal birth, you might have had a vaginal tear or episiotomy during childbirth. This wound could hurt for a few weeks. Regardless of how you delivered, your body will begin to shed the lining of your uterus. This will result in a bloody discharge, much like having a heavy period.[1,2]

Having a care kit at home will prepare you for the challenges of caring for your body after delivery. Don’t get caught off-guard. Consider keeping a basket of the below items next to the toilet in every bathroom you have.

  • Extra underwear. Save your favorite undies, and go with disposable or throwaway ones while you heal. The hospital will give you mesh underwear — take as many pairs as you can. Then buy a package or two of disposable, dark-colored underwear. “Granny panties”, or high-waisted panties, are great, especially if you had a C-section. Disposable and comfortable are key.

  • Pads. Make sure you stock up on different sizes — from large, overnight maxis to regular-sized pads. Buy a few packages. You’ll be going through quite a few during your early days.

  • Adult wet wipes. You can buy wipes that are flushable and designed to be gentle and soothing.

  • Peri or squirt bottle. Most hospitals will give you one. Consider having an extra for your second bathroom or if you travel. This bottle will seriously become your new best friend in the bathroom. Fill it with warm, soapy water (use a mild soap), and have it on-hand to keep you clean as your perineal area heals.

To make it easier for you, some stores sell postpartum recovery kits already assembled. Click here to check out one on Amazon that even comes with a tote to store on top of your toilet.

2. PLAN TO EASE ACHES AND PAINS

Coming home from the birthing center or hospital can be exciting and overwhelming. Your body has gone through a tremendous ordeal — one that can be painful or uncomfortable. Preparing in advance can help minimize discomfort. You may wish to include some of the noteworthy items below in your pain plan:

  • Padsicles. These are lifesavers that help with pain and reduce swelling. And they’re simple to make.[3] Click here for a DIY guide. Ice packs can also work.

  • Witch hazel. You can buy this in either pad or liquid form. It helps to soothe pain around your genital area.

  • Lidocaine spray. This will help with the discomfort of postpartum hemorrhoids.

  • Sitz bath. Use this to bring comfort to hemorrhoids or perineal tears. A sitz bath will cleanse the perineum and also bring relief to pain or itching in your genital area as you heal.

  • Heating pad. Use this if you feel aches and pains in your breasts.

  • Nipple cream and breast pads. This will help relieve discomfort, regardless of whether or not you breast-feed.

  • Over-the-counter pain relievers. Talk with your health care provider about the best option for you.

  • Stool softeners. Sometimes constipation can occur after delivery. Or there may be a fear hurting the perineum or episiotomy wound.[4] Eating plenty of fiber or taking a stool softener can help. Check with your doctor on what would work best for you.

3. PREPARE YOUR SUPPORT TEAM

In our American culture, it’s difficult sometimes for women to ask for help. Remember to be kind to yourself, especially during these first few weeks. Having a newborn is hard. 

Preparing a support team before delivery can help. Here are a few areas to consider:

  • Meal planning. From meal trains to cooking parties, your friends and family can prepare meals for you. Make sure they’re freezer-friendly, so, on those exhausting days, you can grab one and just reheat it. Aim to have at least one healthy, nutritional meal a day that you can easily pop in the oven or crockpot.

  • A bouncer. Your family and friends are excited about your new baby. But you may be too tired or emotionally drained to entertain. Setting boundaries in advance can help, but what about those spur-of-the-moment requests? Consider asking a special someone to run interference on your behalf until you feel up to hosting.

  • A social media SOS. Maybe you have a last-minute need or just want a friend to sit with you while you cry. Post where you feel comfortable or have some go-to friends in mind for when those moments strike.

  • Postpartum doulas. Postpartum doulas can be true angels! Their main goals are to “mother the mother” and help transition the family during this new time.[5] They provide a wealth of services: breast-feeding support, light housekeeping, running errands, and assisting with your newborn’s care.

4. ATTEND A WORKSHOP

Preparing for life after delivery can feel overwhelming. You know things will be significantly different, but maybe you aren’t sure what all you need to do. Sometimes it helps to have a person to talk to in real life.


SOURCES

1.  (2018, May 11). Postpartum care: After a vaginal delivery - Mayo Clinic. Retrieved February 10, 2020, from https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/postpartum-care/art-20047233

2.  (2018, May 11). C-section recovery: What to expect - Mayo Clinic. Retrieved February 10, 2020, from https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/c-section-recovery/art-20047310

3.  (2019, December 18). Padsicles: How to Make Them, How To Use Them ... - Healthline. Retrieved February 10, 2020, from https://www.healthline.com/health/pregnancy/padsicles

4.  (2018, May 11). Postpartum care: After a vaginal delivery - Mayo Clinic. Retrieved February 10, 2020, from https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/postpartum-care/art-20047233

5.  (n.d.). Postpartum Doula - American Pregnancy Association. Retrieved February 10, 2020, from https://americanpregnancy.org/first-year-of-life/post-partum-doula/

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Why Every Expecting Mom Needs to See a Chiropractor

By Dr. Nikki

Being pregnant is an exciting, wonderful time.  You post weekly shots of your baby bump to Instagram.  You pour over articles and download apps.  You secretly (or not so secretly) start buying all the things for your baby’s nursery.

And while you’re planning for your baby’s grand entry, your body continues to go through a huge amount of change.  Your belly grows.  Maybe you start to feel morning sickness.  Fatigue.  Back pain.  These can become all too familiar experiences as you move throughout your pregnancy.

What can you do to help these symptoms?  How can you get relief in a way that’s healthy for both you and your baby?

HOW DOES CHIROPRACTIC CARE HELP PREGNANCY?

The body goes through countless changes during pregnancy—you’re creating and nurturing new life, after all.  It helps to not go through this journey alone.  “It takes a village to raise a child,” and it takes a village to prepare for the child.  Having a team will help get you ready mentally, emotionally, and physically as you move closer to giving birth.  This team can include:

  • Your family, friends, or partner 

  • OBGYN

  • Nutritionist

  • Massage therapist

  • Acupuncturist

  • Midwife

  • Doula

  • Chiropractor

Yes, you read that last line right.  A chiropractor can help you during (and after) your pregnancy.

At its core, chiropractic care is a “licensed health care profession that emphasizes the body’s ability to heal itself.”

1  It focuses on supporting the health of the spine, discs, related nerves, and skeletal system without the use of drugs or surgery.

2. This means that going to a chiropractor can help bring you relief and prepare you for delivery—without the concerns of taking pills or having a procedure.

Great.  Chiropractors help their patients using natural techniques.  But how can they help you?

RELIEF FOR YOUR BACK PAIN

If you are pregnant and your back hurts, you are not alone.  70 percent of pregnant women report having lower back pain, while 32 percent report hip pain.3  And 85 percent of women who experience back pain during pregnancy will experience it again in a future pregnancy.4

Why is back pain so common while pregnant?

  • As your baby grows and you gain weight, your center of gravity starts to shift forward.  To help keep you balanced, you might overcorrect and lean back a bit too far.5   This curve or sway can cause strain in your lower back and compression in your lumbar spine and pelvis.

  • Pregnancy hormones can also flare up low back pain.6  More on hormones in a moment.

A good chiropractor will take the time to understand your history and your symptoms.  Part of this includes a physical analysis and a look at your movement.  Chiropractors can then give an adjustment that will help improve your mobility and lessen your discomfort.  And they do this in a way that takes into account your growing belly.

Do your muscles feel tight?  Chiropractors can also stretch and release certain muscles in your lower back area.  This can reduce the stress around your uterus and ligaments.  They can also show you pregnancy-friendly stretches to help between your appointments.

REDUCING MORNING SICKNESS AND SCIATICA

Back pain may not be the only thing bothering you.  Here are a couple of other symptoms that chiropractors can treat:

  • Nausea.  Morning sickness affects many women during pregnancy.  It can certainly make your first trimester feel awful.  Morning sickness is thought to be caused, in part, by the change of hormones in your body.  A chiropractor can help lessen your nausea by realigning your spine. An aligned spine can improve your nervous system function, which allows your hormones to have a healthier balance.

  • Sciatica.  Your belly grows, and your body begins to shift.  Maybe your baby changes position.  These things can place extra pressure on your sciatic nerve, causing shooting pain or numbness and tingling from your hip down to your foot.  This can make even the simplest of activities, like walking, excruciating.  It’s a literal pain in the rear.  Chiropractic adjustments can help reduce the compression of the sciatic nerve and bring you much-needed relief.

REALIGN YOUR PELVIS

Pelvic discomfort can occur as your baby grows and your hormones change.  As your body begins preparing for labor and delivery, it will release a hormone called relaxin.  Relaxin does exactly as its name implies—it relaxes, or loosens, the joints and ligaments around your pelvis.  

Relaxing makes your bones and joints more flexible, which can also mean they can go out of alignment easier.  Being out of alignment can cause you pain with walking or even rolling over in your bed.

Chiropractors can give you exercises and stretches to help with this.  They can also provide an adjustment to help align the spine and stabilize the pelvis.  Keeping your pelvis balanced lessens your discomfort and helps prepare your baby for delivery.

PREPARE FOR DELIVERY

When it comes time to deliver, the best position for your baby is to be head-down.  This position makes it safer and easier for your baby to move through the birth canal.9  But what does this have to do with chiropractors?

Chiropractors who specialize in prenatal chiropractic care may also get certified in the Webster technique.  This technique was developed in the 1980s, specifically “for laboring women to help with the ease of birth.”10  It’s a method that helps to correct sacral subluxation, which when left unchecked can contribute to difficult labor.

The goal of the Webster technique is to restore the balance and function to the pelvis. It optimizes the room in the pelvis so that the baby can move naturally into the head-down position.  A balanced pelvis lowers the chance of your baby going into the breech position.  A breech position happens when a baby is bottom-first (or feet-first).

When your chiropractor is certified in the Webster technique, it signals trust.  It means your chiropractor has been trained by the International Chiropractic Pediatric Association (ICPA) to better serve you and your family.

Adjustments can also benefit the actual delivery.  Being in alignment helps to make sure your nerves are working at their best.  Nerves are responsible for controlling contractions.  And having optimal nerve health can help you experience faster labor.  It can also help make your delivery easier and with less pain.

INCLUDE A CHIROPRACTOR ON YOUR PREGNANCY TEAM

Being pregnant is truly an exciting journey. Your body goes through so many changes as you prepare for your baby. Discomfort or pain can also come with creating this new life.  

Talk with your health care provider about including a chiropractor as part of your pregnancy support team.  Doing so can help both you and your baby.  Regular chiropractic adjustments are beneficial in reducing back pain, keeping your pelvis in line, and even helping prepare you for delivery.

Our offices in Southlake and Las Colinas, Texas specialize in prenatal and pediatric chiropractic care.  Dr. Nikki is an active member of the International Chiropractic Pediatric Association, has received certification in the Webster technique, and has additional credentials through the Academy Council of Chiropractic Pediatrics.  She has the training and certifications needed to help you with the aches and pains of pregnancy.

Let us help you find relief. Give our office a call or click “Book an Appointment” at the top of this page to see how we can help you and your growing baby.

SOURCES

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Why Don't You Take My Insurance?

People pay a lot of money towards their insurance premiums, so naturally they want to utilize what they’re paying for… but is using your insurance always the most cost-effective option?

This is one of the first questions that gets asked when new patients are looking to schedule an initial appointment at a healthcare providers office. Insurance has been a hot topic for years and it can be confusing and overwhelming. With a language of its own, words like “deductible”, “co-pay”, “out-of-pocket”, and “HSA” can result in the immediate glazing over of eyes. 

People pay a lot of money towards their insurance premiums, so naturally they want to utilize what they’re paying for… but is using your insurance always the most cost-effective option?

With insurance premiums continuing to increase, more and more people are switching to policies with the most affordable premium, a high deductible health plan. For 2024, according to the IRS, “high deductible health plan” is defined under § 223(c)(2)(A) as a health plan with an annual deductible that is not less than $1,600 for self-only coverage or $3,200 for family coverage [4]. A study conducted by the CDC, showed that from 2007 to 2017, enrollment in high deductible health plans with a health savings account (HSA) increased from 4.2% to 18.9% and without an HSA from 10.6% to 24.5% in adults aged 18-64 [2]. This means that while people are saving on their health insurance premiums, they’re paying much more out of pocket before insurance actually kicks in to cover anything. 

So where does your chiropractic care fit into this equation?

Some insurance companies and policies do allow for chiropractic care to be billed. Typically these policies will permit between 12-20 visits to be billed per year, based on “medical necessity”. Keep in mind, this is all based on what the insurance company deems medically necessary, not what you or your provider believe. If you have a high deductible health plan in which your policy allows chiropractic care, these visits can be billed by an in-network chiropractor. But here’s the kicker… just because those chiropractic visits are being billed to your insurance company doesn’t mean that they are the ones paying for those visits! If you have not met your high deductible (shelled out anywhere between $1600 - $6000) you will be the one paying for your chiropractic care and it is simply being applied towards your deductible. If, and when, that deductible is met, then your insurance company kicks in and starts paying whatever percentage of cost that has been agreed upon in your policy, which typically ranges anywhere from 50-90%. 

Speaking of paying, the insurance company also determines the exact amount that will be paid for a service. Each insurance company has a set “allowed amount” for any billing code submitted by a provider. What this means is if a chiropractic visit is being billed towards your deductible, you will be paying anywhere between $65 - $125 depending on what services were billed by the chiropractor. 

I share all of this in hopes of better explaining why, at Renew & Restore Wellness, we are not in-network with any insurance companies. Here are the three primary reasons why we don’t take your insurance:

1. We are able to pass savings along to our patients.    

    Healthcare is expensive and can have a huge impact on decisions that families have to make. A report produced by Kaiser Family Foundation found that 25 percent of workers say they, or an immediate family member, struggled to pay their medical bills before meeting their deductible over the last year. The report also found that 26 percent say they cut back spending on food, clothing and basic household items to pay for healthcare costs. [3] 

Billing insurance comes with additional costs for the provider as well. It typically requires additional time and/or staff to submit and process insurance claims as well as follow-up on any unpaid or unprocessed bills. 

By cutting out the middle man (insurance) and eliminating these costs, we are able to offer our services at a much more reasonable price than if we were submitting bills to insurance. To learn more about our services and pricing click here.

And even better news… that health savings account you signed up for with your high deductible health plan? You can use it to pay for your chiropractic care with us!

2. You and our chiropractors are the ones deciding what treatment is right for YOU.

Each patient is different and your individual situation deserves an individualized approach. Since we’re not participating with the insurance company we are not restricted by what they deem medically necessary or reasonable. This allows us to provide the absolute best care to help you meet your health goals! 

Not sure if chiropractic care is something that lines up with your health goals or concerns? Click here to read about five unexpected reasons to see a chiropractor. 

3. You can still submit your visits with us to your insurance company on your own.

Should you wish to submit your visits to your insurance company in order for it to apply towards your insurance benefits and potentially get reimbursed, we are more than happy to provide you with an itemized receipt (called a superbill) to do so! Simply send us an email or mention it at your next visit and we will send you everything you need. 

If you’re still hesitant to see us at Renew & Restore Wellness because you think it may be better to use a provider who takes your insurance, give us a call! We would be happy to help  find out your insurance benefits in order to help you make the best decision for you and your family. 

Resources

1. High Deductible Health Plans (HDHPs) & Health Savings Accounts (HSAs). Retrieved February 17, 2020, from https://www.healthcare.gov/glossary/high-deductible-health-plan/

2. (2018, August 1). High-deductible Health Plan Enrollment Among Adults Aged 18–64 With Employment-based Insurance Coverage. Retrieved February 17, 2020, from https://www.cdc.gov/nchs/products/databriefs/db317.htm

3. (2019, June 4). Report shines a harsh light on the cost of high-deductible plans to consumers. Retrieved February 18, 20202, from https://www.healthcarefinancenews.com/news/report-shines-harsh-light-cost-high-deductible-plans-consumers

4. https://www.irs.gov/pub/irs-drop/rp-23-23.pdf

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Sharp Curve Ahead

By Dr. Nikki

This afternoon, my co-pilot pup, Rocky, and I went out for a walk along the Trinity Trail. As we strolled along, we came across a sign that said “Sharp Curve Ahead”. I found myself thinking ”Wouldn’t it be nice if we had signs like that for life??” You know, signs that said “job loss ahead” or “cross-country move ahead” or even “illness ahead”. One of the biggest unexpected “sharp curves” that come up in life are health issues. I wonder if we knew ahead of time that a specific disease was headed our way, would we live our lives a little differently? Oftentimes, we spend the first half of our lives chasing wealth to then spend the second half of our lives chasing health.

The good news is that while we may not have a sign telling us what lies ahead in regards to our health, we can make decisions on a daily basis to prolong our years with a healthier life! Here are five basics that we can all implement right away. While they may seem simple, I find myself needing reminders on all of these at some point throughout a given day, week or month.

  1. Get sleep! Sleep is imperative for our brain and body to heal. It also greatly impacts our immune function and cognitive ability. 7 - 8 hours of sleep per night is a great goal!

  2. Hydrate! Our bodies are over 55% water and we use it in every single cell, organ and tissue. It is essential for the regulation of all bodily functions. Aim for 50% of your body weight in ounces of water per day!

  3. Taste the Rainbow! Getting a variety of fruits and veggies in our diet is essential. By including a “rainbow” of colors in produce on our plate, we are increasing the amount and variety of vitamins and minerals that we are consuming.

  4. Stay Active! Maybe crushing a workout at the gym isn’t your thing, that’s ok!  Whether it’s going for a 20 minute walk, going for a bike ride, taking the stairs, trying a pilates or barre class or simply letting loose and dancing, movement is the key!

  5. Find Your Tribe! As humans, we were created to be social. I know some of the introverts may be cringing right now, but it’s true! Make sure you have one or two people who you can bounce things off of and just do life with! It doesn’t need to be a quest for popularity, just a few people to hold one another accountable and lift each other up in times of need.

While I didn’t include chiropractic care in the 5 basic tips, regular chiropractic adjustments are extremely beneficial in maintaining proper function of the spine and nervous system. Since this is what allows our brain to talk to our body and our body to talk to our brain, it’s kind of important! To schedule your next appointment with Dr. Nikki, click here and if you have any questions about any of the other tips for staying healthy, we would love to hear from you!

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Picking Your Prenatal Team

By Dr. Nikki

Pregnancy is an absolutely life-altering season of life. Having recently experienced it myself, I find myself more passionate than ever about this experience in life. When a woman finds out she’s expecting, it is a very exciting time, it also is an occasion where she and her family will be faced with numerous decisions!

Most of us have heard the phrase “It takes a village to raise a child” and it’s absolutely true… starting while they’re still in the womb! One of the most important decisions a woman faces in pregnancy is the village of people who will be supporting her throughout pregnancy and birth. While this prenatal team will look different for each individual woman, there are three crucial components that I think should be considered.

The first member of the prenatal team is a midwife or OBGYN. While both professionals deliver your baby, the environment and approach will vary greatly! I discuss some of these differences in the video below. There’s no right or wrong decision, it just depends on what each individual woman needs and feels comfortable with.

The next member of the prenatal team is a doula. I’m lucky enough to work with a number of doulas, with all different personalities and styles. If a woman knows that she needs someone to push her, there’s a doula for her! If a woman knows that she needs to be nurtured and mothered, there’s a doula for her too!

The third member of the team is the prenatal chiropractor. Did you know that there’s a group of us chiropractors who actually specialize in chiropractic care during pregnancy? We have completed additional training and certification through the ICPA in a technique called the Webster method and oftentimes have the credentials FICPA or CACCP after our name. Chiropractic care is extremely helpful in maintaining proper function of the spine and nervous system throughout all stages of pregnancy. A woman’s body goes through a great deal of changes and it’s important that her body is able to adapt to these different stressors appropriately!  Just a few of the benefits that research has shown include decreased back pain during pregnancy, decreased labor time, and decreased postnatal pain. 

With all of these professionals, we are dealing with a human to human interaction. I mention this to say that it’s really important that a woman jives and feels comfortable with the different people who she’s turning to for her prenatal care and advice. Tension, conflict, or a lack of trust can result in emotional stress as well as physical stress, and ain’t nobody got time for that, especially a hormonal pregnant woman! Asking for recommendations from friends and family members or looking for professionals who have great online reviews is a great place to start. From there, interviewing a few different people ensures that it’s a great fit for momma-to-be and her family!

If you’re looking for recommendations for members of your prenatal team, please don’t hesitate to ask! I would love to help you find your ideal team.

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