New Breastfeeding Research: More Baby Protections

We have long known that vagi­nal birth and breast­feed­ing are key fac­tors in the devel­op­ment of a healthy immune sys­tem in infants. Pass­ing through the vagina exposes the baby to an array of bac­te­ria that help stim­u­late its unchal­lenged immune sys­tem. Breast-fed babies receive anti-bodies, pro­teins and other mol­e­cules that pro­tect it from infec­tion and teach the immune sys­tem to defend the infant.

Breast­feed­ing is key for long-term health.

Recent research at UC Davis has shown that a strain of the bifido bac­te­ria — acquired from the mother — thrives on com­plex sug­ars (largely lac­tose) that were pre­vi­ously thought to be indi­gestible. The bac­terium coats the lin­ing of the imma­ture diges­tive tract and pro­tects it from nox­ious bacteria.

This com­bi­na­tion of inter­ac­tions affects the com­po­si­tion of bac­te­ria in the infant gut as it matures. Another exam­ple of how evo­lu­tion has “invented” the per­fect nutri­tion for infants, this research con­tributes to the notion that evo­lu­tion has selected for many genes that serve nor­mal birth and breast­feed­ing by pro­tect­ing the new­born. Inter­ven­ing with the nor­mal pro­gres­sion of birth and breast­feed­ing — while occa­sion­ally nec­es­sary — inter­rupts these ben­e­fi­cial adap­ta­tions and con­tributes to aller­gies and autoim­mune disorders.

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Beyond Yoga

Beyond Yoga

I love Yoga. But…Power Yoga, Hot Yoga, Fast Yoga, Pilates-Yoga, Fresh Yoga, Baby Yoga and even Pre­na­tal Yoga…not so much. I find these phe­nom­ena strange.

Why? Well, 40 years ago – when I first learned Yoga – it was a priv­i­lege. A per­son came to Yoga in the search for a mean­ing­ful life path. It was a blend of the spir­i­tual and the phys­i­cal, and it required a com­mit­ment to what was revealed within the prac­tice. Before being allowed to take my first class, I had to demon­strate that I already prac­ticed med­i­ta­tion. It was not exer­cise per se.

It was not adapt­able like it is today. Depend­ing on the teacher, you learned an ancient sys­tem – Hatha, Vinyasa, Ash­tanga, Iyen­gar, or Kun­dalini. Those were the major meth­ods that have Hindu roots, and those who prac­ticed these art forms knew what they were doing. The teach­ers them­selves had worked on their craft for decades. Today, I know only a few teach­ers who have a pro­found grasp of each of these methods.

Why is Yoga so popular?

Is there some­thing within the work itself – even in the diluted forms, hybrid ver­sions and the celebrity/competitive stu­dios – that allows it to thrive in the self-centered, free-wheeling, branding-crazy mar­ket­place of the early 21st cen­tury devel­oped world?

I find the answer to this in a strange place:  Zen prac­tice, Bhud­dism. One of my favorite notions is from Suzuki’s text Zen Mind, Beginner’s Mind. “When you feel dis­agree­able, it is best to sit.” This is an ele­ment of nin – con­stancy – or being present in the moment. Not patience, which requires a rejec­tion of impa­tience and there­fore can­not accept the present as it is. When you sit – just sit period, that’s it – all that is real is the moment. This is at the heart of all spir­i­tual experience.

I’m not an expert in Yoga. I don’t teach Yoga, although I have inte­grated Yoga-based skills into my work. I have prac­ticed Hatha and Vinyasa over the years enough to learn how cer­tain skills are treated…belly breath­ing, slow deep breath­ing, main­tain­ing posi­tion and lis­ten­ing to the wis­dom of the body, and iso­met­ric strength­en­ing in prepa­ra­tion for more expan­sive shapes or motions. Long ago, I inte­grated these skills from my Yoga expe­ri­ence into my teach­ing style because these skills are effec­tive for the pop­u­la­tions with which I work. But, I do not teach Yoga.

Can Research Help Us?

Researchers find Yoga a night­mare. There is so much vari­ance now in the prac­tice that find­ings from any one study can­not be trans­ferred to the gen­eral pop­u­la­tion. One of the most reveal­ing experimental-design stud­ies found that none of the claims of Yoga improv­ing metab­o­lism could be demon­strated. When asked why they thought this out­come had occurred, the teach­ers who were used in the study said they thought the par­tic­i­pants in the study were not fit enough to do Yoga!

One of the most suc­cess­ful Yoga teach­ers in my area, and one of my favorites, has for decades used a bicy­cle for her pri­mary mode of trans­porta­tion. She cred­its her longevity and suc­cess to Yoga. I attribute it to bicy­cling. Dr. Cooper is right…fitness (which means aer­o­bic fit­ness) is the biggest bang for the buck. Unless you are fit, it is hard to exe­cute some of the more sub­tle demands of many exer­cise regimens.

Some Yoga teach­ers will say that you can make Yoga aer­o­bic or that some forms are aer­o­bic. OK, then it’s aer­o­bics, not Yoga. When­ever I see “aer­o­bic Yoga” it reminds me of aer­o­bic danc­ing. It’s help­ful to remem­ber that Yoga devel­oped in a time and place where sur­vival was depen­dent upon fit­ness. Peo­ple didn’t need to do more aer­o­bics to find enlight­en­ment. They needed reflec­tion and to be present in the moment.

So, I insist on aer­o­bic fit­ness as the first goal of a fit­ness reg­i­men. In the pre/postnatal field, this is the only con­sis­tently demon­strated fac­tor in improved out­comes. As a birth prepa­ra­tion there are Yoga-based fac­tors that will help in labor and birth IF THE WOMAN IS FIT ENOUGH. It is the fact that some Yoga-based skills help fit peo­ple find nin that is my jus­ti­fi­ca­tion for con­tin­u­ing to use them in con­junc­tion with aer­o­bics and spe­cial pre/postnatal prepa­ra­tion and recov­ery exercises.

But, there are cau­tions. Not all Yoga assanas (posi­tions) are safe for preg­nancy. Down-dog, in par­tic­u­lar, scares me because of inci­dents reported in obstet­ri­cal lit­er­a­ture in the 1980s and 1990s that indi­cate such a posi­tion is impli­cated in fatal embolisms. Some shapes are just not doable and oth­ers become less com­fort­able over time. The ones that work have been iden­ti­fied since the 1940s and 1950s and inte­grated into birth prepa­ra­tion courses.

What’s Next?

All exer­cise components -

  • Mind/Body
  • Strength
  • Flex­i­bil­ity
  • Aer­o­bic or Car­dio­vas­cu­lar Fitness

- are nec­es­sary for a bal­anced fit­ness rou­tine. Too much empha­sis on any one fac­tor often results in injury. Aer­o­bics is where the great­est health ben­e­fits reside. Recent research has demon­strated that it is phys­i­cal “fit­ness” (which we can mea­sure) as opposed to just spend­ing time in phys­i­cal activ­ity (which can be a wide range of inten­si­ties) that is respon­si­ble for improved health out­comes. Strength and flex­i­bil­ity train­ing need to be pur­po­sive. There are things we don’t need to do unless we are going to play pro foot­ball or dance Swan Lake! Mind/Body skills help us recover and prepare.

I for one will be glad when we get beyond yoga and back to cross training!

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Mom-Baby Fitness in Spanish on YouTube!

El Show de Analeh — on Uni­vi­sion — a seg­ment on Healthy Moms, Healthy Babies, fea­tures DTP’s Mom-Baby Fit­ness and par­tic­i­pant Car­olina Baffi. Now avail­able on YouTube!  Check it out!!

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The 51% Factor: Pregnancy, Power & Health

In the U.S. and most of the devel­oped world, approx­i­mately 51% of the pop­u­la­tion is female. Most females give birth at some point in their lives, although, in any year, only about 2% of the pop­u­la­tion gives birth.

No one liv­ing on earth got here any other way than ges­ta­tion, so there ought to be some power attached to being part of that 51%. His­tor­i­cally, it might be said that the power has been merely for survival…the good breed­ers sur­vived long enough to pro­duce heirs and those who lived on knew where the roots and fruit grew.

Only women can make more peo­ple with their bodies.

Here are some things to consider:

  • Women make people
  • Women’s health and fit­ness before preg­nancy affects whether the preg­nancy is healthy
  • Women’s health and fit­ness dur­ing preg­nancy affects her life­time health and that of her offspring
  • Mater­nal sur­vival is impor­tant to off­spring well-being
  • Mater­nal health and fit­ness affects mater­nal adap­ta­tion and thereby off­spring well-being

Thus, is it not a san­guine notion that the health and sur­vival of women is crit­i­cal to the health of every­one? After all, the health of nations is asso­ci­ated with this slight major­ity of females, and the wealth of nations is asso­ci­ated with its health.

The good news is that peo­ple work­ing from this under­stand­ing are mak­ing some head­way around the globe. Recently, the World Health Orga­ni­za­tion noted that mater­nal death among preg­nant and birthing women world-wide has been dra­mat­i­cally reduced from the 1980’s to recently. This is very good news!

Here is the inter­est­ing foot­note:  Mater­nal death in the U.S. has risen 42% in the same period. While the absolute num­bers remain small, this is a dis­turb­ing pic­ture. What could be caus­ing this?

Time will tell if we can fig­ure it out and fix it. I ven­ture to sug­gest some direc­tions for consideration:

  • The ele­vated cesarean birth rate with its sequel­lae of car­dio­vas­cu­lar and immune sys­tem disorders
  • Obe­sity
  • Meta­bolic syndromes
  • Dia­betes
  • Heart dis­ease

Why am I hope­ful, then? I see among our cur­rent edu­cated gen­er­a­tion of new moms and moms-to-be a will­ing­ness to exert their influ­ence – as breed­ers – over the health care scene. They want less tech­no­log­i­cal birth. They want sup­port. They want more infor­ma­tion. They want to be healthy. These are won­der­ful things. I salute these young women…they also make my job eas­ier in the process.

In addi­tion, I see among young health care prac­ti­tion­ers an under­stand­ing of the value of these things. Among prac­ti­tion­ers work­ing in pub­lic health clin­ics there is a sense of des­per­a­tion on the one hand that the poor and indi­gent have no capac­ity or will to take care of them­selves. On the other hand, the first step is always edu­ca­tion and there are a lot of peo­ple work­ing on this issue.

Which brings me to the clos­ing point:  How do we bring more resources and intel­li­gence to help­ing women be healthy, pre­pare for preg­nancy, have healthy babies, reduce preg­nancy com­pli­ca­tions, and improve infant and mater­nal death rates? I, for one, will keep blog­ging on this issue. You, I hope, will vote for peo­ple who under­stand this issue. The polit­i­cal power and will is in our hands.

51% of us are women…some day 51% of us can set priorities

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Value of Postpartum Fitness

Here are two impor­tant facts regard­ing phys­i­cal activ­ity fol­low­ing birth:

1. Women who return to vig­or­ous (vig­or­ous, as in jog­ging or aer­o­bic dance) prior to six weeks postpartum…

  • have less weight to lose
  • expe­ri­ence a more joy­ful state of mind
  • do bet­ter on the Led­er­man Mater­nal Adap­ta­tion scales (how well they adapt to motherhood)

…than women who are seden­tary dur­ing this period (Sampselle, 1999…this is not new information)

2. Post­par­tum obe­sity is a dan­ger­ous short and long term health risk (Leddy, 2008).

Who should exer­cise and when, fol­low­ing birth?

Day 1: If you have a vagi­nal birth, begin your “body scan” the first chance you get. Within the first day, the first chance you get to focus on your­self, take a men­tal trip through your body. See if you can squeeze the kegel mus­cles. Try exhal­ing and suck­ing in your deep abdom­i­nal mus­cles. Note if your shoul­ders need to relax. Take some deep breathes and begin to help your body recover.

If you had a cesarean: Wait a few days to 2 weeks at most to work on this.

After that: As soon as you can, get up and walk around. Start walk­ing in 5 or 10 minute strolls sev­eral times a day (ask some­one to hold or watch baby so you can allow your body to recover a non-pregnant upright). If you had a cesarean, hold a pil­low to your abdomen until you have con­trol of your abdom­i­nal mus­cles and stand tall.

How can you get more infor­ma­tion on this?

Go to our website:

http://dancingthrupregnancy.com/take-a-class/postpartum-exercise/

Find a class. If you had a typ­i­cal birth and your baby has been slowly and safely exposed to new peo­ple, by four to six weeks you and baby should be ready for a struc­tured activ­ity ses­sion that includes baby. It will also pro­vide focus and adult inter­ac­tion dur­ing the week.

You have to teach your abdomen to be flat.
How do you know if you did too much?

Your lochia, or the bleeding/discharge from the pla­cen­tal site, will increase if you have been too vig­or­ous. If you are healthy and have no ane­mia issues, your lochia will likely cease by three to four weeks, six at most.

What are safety issues?

Don’t exer­cise if you have a fever, a warm red spot on your leg that may be painful (or not), or sore nip­ples that need atten­tion. Call your care provider. If you or your baby are sick, it is best not to go into a group set­ting. If your baby is not well or just doesn’t seem right, call your pediatrician.

The most impor­tant rea­son to join a mom-baby fit­ness pro­gram may be that it will help keep you sane.

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Moving Together Creates a Community of Support

Pic­nics, play groups, com­mu­nity of support…these are ways par­tic­i­pants extend the “mus­cle bond­ing” expe­ri­ence of exer­cis­ing together as preg­nant women and new moms.

A picnic is a great way to extend the community of support.

A pic­nic is a great way to extend the com­mu­nity of support.

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CDC Exercise Guidelines: Pregnancy — click here

Recent CDC Guide­lines on Exer­cise for the gen­eral pop­u­la­tion include preg­nant and post­par­tum women. Spe­cific infor­ma­tion for preg­nant women is included at this URL:

http://www.cdc.gov/physicalactivity/everyone/guidelines/pregnancy.html

James Pivarnik, PhD, pres­i­dent of the Amer­i­can Col­lege of Sports Med­i­cine has released a Med­scape video for health care providers encour­ag­ing them to be aware of the fact that the CDC con­sid­ers a min­i­mum of 150 min­utes per week of mod­er­ate activ­ity (or 75 min­utes of vig­or­ous activ­ity for ath­letic women, or a com­bi­na­tion of inten­sity for fit women) to be impor­tant for preg­nant women, along with the gen­eral population.

DTP’s Total Preg­nancy Fit­ness instruc­tors learn how to com­bine activ­i­ties so that women receive an ade­quate amount of exer­cise each week dur­ing their preg­nancy. To find out about becom­ing a teacher, click on Become a Teacher above.

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Babies Enjoy Being with Mom During Exercise.

08 4

Hav­ing baby present while you are work­ing out is a lot of fun. Like most of new mom’s lives, the abil­ity to be together with baby and be pro­duc­tive at the same time is a fit­ness chal­lenge. A cer­ti­fied post­na­tal fit­ness instruc­tor can guide new moms in fig­ur­ing out how to do this. Being in a group also enables new moms to learn from each other.

Strollers are a per­fect aid to start your engine for aer­o­bic fit­ness. Mat work with baby is a great fol­low up. Multi-tasking can mean strength­en­ing mom’s shoul­der mus­cles while babies learn to social­ize. There are many ways to be fit and an inter­ac­tive mom at the same time!

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Pregnancy Pathway, Birth

There is no birth of con­scious­ness with­out pain.

Birth is a process with two major components

Birth is a life process with two major components

Okay, be here now:  This is about a really major experience…bringing human con­scious­ness into the world…opening a door to a room of love in your heart that you can only know by giv­ing birth to this person…changing your iden­tity forever.

Get­ting your mind around the image: If you have not taken the time yet to get your mind around this, take a moment. Breathe in deeply. Gen­tly blow the air out. Repeat. Repeat. Let go of any resis­tance. Slow your heart. Slow your mind. Con­sider:  Your body has the power to cre­ate a per­son. Your body has the power to expel this per­son when the rent is up.

Your brain, glands and organs are hav­ing a con­ver­sa­tion with the baby’s brains, glands and organs. At some point, this dis­cus­sion reaches a place where it is time to end this arrange­ment of two peo­ple shar­ing one body. It is true that occa­sion­ally the pas­sen­ger doesn’t want to leave, but that is rare. And, we have a rem­edy for that. Let’s just focus now on the what hap­pens when it’s time to go.

Labor starts how? Well, it depends. Some­times con­trac­tions start in fits and spurts and take a while to get orga­nized. Some­times they start strongly from the get go, and for oth­ers the process of get­ting rolling can take a few days. Some­times it starts early, and some­times has to be helped to start. Once in a while, the water breaks and labor starts…or not. So, the first les­son of hav­ing a child come to live with you is that you need to be flex­i­ble in your expectations.

In the next two posts, we’ll cover Labor and then the Birth Mode. Each of these processes is unique. They involve dif­fer­ent energy sys­tems. They require dif­fer­ent mind-sets from the mother and her sup­port team. The out­comes are dif­fer­ent. Going through the cen­ter of these processes helps you deal with them, helps you recover from their stren­u­ous nature and helps you move on to being a parent.

Remem­ber: Breathe in deeply. Gen­tly blow the air out. Repeat. Repeat. Let go of any resis­tance. Slow your heart. Slow your mind. Con­sider:  Your body has the power to cre­ate a per­son. Your body has the power to expel this per­son when the rent is up.

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American College of Nurse Midwives updates

Two updates on the ACNM web­site of interest:

• the value of exer­cise in pregnancy

• health care reform

Check out the ACNM site!!

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