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postnatal

Ayurvedic Bodywork in Pregnancy

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If you are an Ayurvedic masseuse or have specialized in postnatal bodywork, consider expanding your package of offerings to a value specific month by month service for your clients.  Here is the advice sourced from the Dhanwantari Institute, from some of the classical texts, with a few comments from the peanut gallery.

Because the fetus in the first three months is of very unstable, jelly like consistency and hyper-responsive to maternal experience, Ancient Ayurvedic texts tend not to advise regular massage the first three months. Some gentle oil/massage on marma points and especially the hands and feet (not deep digs however) is considered often beneficial however.  Points to avoid are similar to in accupuncture and other modalities.

Oiling in general is considered to increase warmth in the body, and mama’s pitta is up especially in the first trimester, so warm oil massage may not be best idea as full body treatment.  Use of coconut will be preferred, or more energy work such as marma therapy, polarity, acupressure, etc.  Heightened pitta continues though generally not as dramatically, with vata on the increase naturally also after the first trimester.

In any case, what mama experiences, Ayurveda believes baby experiences, so stress or intensity to maternal body can create some strain to baby’s system which is living in heightened sensitivity and delicacy at this time.  Or mild massage can be be beneficially stimulating to the marmani for mother and baby.

From 4 months to labor, massage has specific advisories also, according to the Dhanvantari Institute. In our forth month, gentle massage which benefits mama’s mind and mood helps stabilize baby’s heart, taking extra care around mother’s abdomen.   We know that just applying warm oil against the lay of the hair increases neurotransmitters in a good way.  Applying oil is a more appropriate way to speak of massage style than what most call massage for this time.

At this time oil padding over the vagina is recommended also.

In the 6th month, gentle breast massage, especially nipples, is advised with herbalized or plain coconut oil.  Why 6th month specifically, I have no idea.  Perhaps this is recommended from 6th month on; I would say so.  Modern research has found that twisting and stretching of the nipples this early does not seem to really make a difference, similarly starting so early on stretching of the perineum.  Oiling serves to promote natural elasticity and comfort however.

In the 7th month, an herbal paste on the stretching and sometimes burning tissues along with massage is valuable, and massage can be especially helpful with swelling on the feet.  Although the article does not say which herbs, I would choose demulcent and skin herbs and oils, and essential oils like myrrh, geranium, ylang ylang, chamomile, rosewood and vetiver for the skin which are seriously committed to quality, as they will be influencing baby in utero also.

Massage schools teach what therapists agree, with the strain on body mechanics of weight changes, deeper work along spine, hips and neck/shoulders feels especially good, done in well supported side-lying position.  Yet, due to softening of connective tissues from the hormone relaxin in some mothers early to mid pregnancy, deep work may need to be modified to not overstretch already easily stretched ligaments and tendons.  Again, mothers may crave and need some extra support to pregnancy discomforts, so personalized choices by therapist and mother are important.  Use of the Ayurvedic abhyanga style oil massage gives many relaxing and balancing benefits without going into excessively deep tissue work.

In the 8th and 9th month, vaginal massage and oil padding of the vaginal area is advised, and from 36 weeks/9th month a small 30 ml basti on alternate days is advised on regular basis to lubricate the tissues. The quantity of oil does not significantly increase apana vayu, but offers good preparation for birth in multiple ways. This practice is discussed by several practitioners including Vaidya Seema Datta in the UK, on Jan 13th, 2013 in the pertinatalayurveda forum.

“Tissues being softened and elastic, less resistance during the delivery results in bearable pain and many of our mums are able to deliver without any intervention with much less average delivery time” reports Seema. She advises this protocol regularly with all her expectant client at 36 weeks with olive oil or sesame oil, unless mother is post due date. Then a mix of castor and sesame is more indicated.

Once a mother has gone into early labor, another warm small oil enema of about 1/3-1/2 cup, after full body abhyanga (oil massage) is advised for natural body relaxation and easier labor.  Ayudoulas know that the mother with vaginal delivery can benefit from postpartum massage as soon as she would like.  After major abdominal delivery, application of warm oil all over her body except avoiding abdomen is still very beneficial for maternal Vata, but massage is contraindicated until the wound is sealed, mother feels ready, and doctor or midwife gives the ok for this gentle treatment.

Ysha Oakes, LMT, CPAD

How to use Superfoods for Mamas

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How to use Superfoods for Mamas is a big topic!  And yummy one.  And this post is currently in kinda messy draft version, but perhaps you will find value anyway.  It’s time sensitive, with focus on hot weather.

Shall we share favorites and “chew” on it together? I have my faves, but I also am concerned for how some of them are used for postpartum mamas. And oh my, just starting to think about it, there are layers of discussion so, here goes a few of them.

There are some fun guidelines with food tastes and colors and their effects on the natural needs to balance for the weather, as well as the “season” of our bodies after childbirth. There are some very noteable exceptions, good to know about! And we should look at superfoods for restoring balance when immunity is down but the need for lactation and energy to take care of baby is up.

Let’s do summertime today, as it’s summer here. It is time to keep cool! Yet mother’s digestive “fires” are already low, and need help. She needs special help keeping them burning, and reducing hot flashes is not about ice water, it is about stabilizing, rebuilding body and hormones.

Everyone wants to use ice to cool down – makes sense, right? Not in the gut. Oriental traditions even in their hot climes in South East Asia, India and CHina know, it doesn’t work well. Why, they can’t all explain, but even airplane hostesses at least used to know, never offer a Chinese ice water!

Ayurvedic medicine explains the effect is to constrict digestive enzyme effectiveness, and the stomach itself, and to create indigestion, gas and bloating, depending upon the person’s specific strengths and weaknesses. All postpartum women are extra sensitive to cold temp foods and drinks.

So – how to keep cool without cold temp? Energetically, those foods which are sweet, astringent, and bitter tend to cool us down. Yet those which are really astringent, like cranberry and grapefruit, increase vata and are not satisfying or rebuliding – too cleansing is not where mamas need to go, with so much rejuvenation, lactation, and 24/7 on call duties.  Rose is bitter and sweet, and combines well with more nutritive substances.  It gives it’s properties best in a cool infusion.

Rose Infusion

Veggies with oxalic acid like chard heat. Leafies in general have their own issues, being very floppy and unstable in the winds of change; they more easily get frayed, and that is the effect on early pp mamas. Dandilion too – has to be balanced with oil, well cooked garlic, well cooked themselves, salt, lime, maybe some toasted cumin, and served with a root vegetable like yams – now we are talkin’.

There are exceptions to the taste and color “rules” – like even sweet citrus, pineapple and early season mango heats, except a little lime is cooling. Red, orange and yellow colors to lesser extent as food and drink tend to warm, including beet, except pomegranite which is awesomely cooling. White things tend to cool nicely, and coconut is superiour here. Yet ripe banana for all it’s virtues including potassium, is heating. Everyone wants banana to sweeten their smoothies as if using fruit was better than natural sugars. Food combining wise, you are creating problems long term if not also short term.

Some favorites and how to balance them
Goji has some warming effect. Sweeter, non citrus juices like grape, blueberry, acai, even apple and pear, and especially pomegranite are lovely complements. My fav? Young Living’s Ningxia Red Juice (goji, aronia, blueberry, et al with stevia, low glycemic!!!) 1-2 oz, with 5-6 oz of Annie’s Coconut water with pulp. If you use pomegranite instead, then it combines nice with chia, or even avocado and spirulina.

Acai is more cooling, and some preps less interesting than others. Lovely with pure pomegranate! I don’t have a favorite brand yet.

Banana is lovely pureed in coconut milk or water – how about adding rose water or rose infusion also, or a splash of vanilla, and soaked dates for iron nutrition? Pinch of cardamom is important here, and for early mamas, wait a week or 2 on this, adding fresh grated ginger too. All but the banana are cooling balance and ripe this time of year.

Spirulina and chlorella – if you don’t know their virtues for many things including recent research on benefit to babies used in pregnancy (link to it), please ask our friend google. In the meantime, 1/2-1 tsp in an easy to digest blender drink like grape or pomegranite with a pinch of himalayan salt, and maybe avocado and maple syrup (cooling, honey heats but is GREAT with avocado in cool weather), maybe 2-3 mint leaves too – and some fresh grated ginger ladies for mamas, blend it well and enjoy! A squeeze of fresh lime with the avocado and greens is magic here. These supergreens need help digesting though small molecules, being cold energy. Fresh ginger is more tridoshic and refreshing than dried.

Chia is warming, but the qualities and nutrition both are lovely for postpartum. We see above use of super greens, pomegranate and grape and others with it. If you use coconut with it, will be creamy, yummy, and need both sweet (soaked dates?) and spice for digesting – the standby, grated ginger and or cardamom, are especially good. Or try clove or black pepper! Clove is postdigestively cooling but really helps agni (our digestive enzymes).

Good fats, like Ghee and coconut oil are too, and these two are cooling.  Research years ago linked low blood lipids with postpartum depression.  In many mama’s smoothies, I will add 1-3 tspoons of good fats, not just thinking about efa’s here – choose by taste as well as priority effect. We need good cholesterols for feminine hormones, efa 3s for brain, breast and other functions, and toasted sesame has special flavor and health virtues which are well added to the warm almond milk – curried spirulina smoothie with ginger! That one is not so cooling, but great in damper climes.

Almonds and almond milk smoothies … Almond, vanilla, acai, organic milk and other foods are among special hormone or neurotransmitter supportive foods, before we even begin to talk about the buz around certain herbs.  Almond and dairy milk though, are great places to add these herbs, as they deliver into the deeper tissues for rejuvenation that way.  Serve warm, chai type spices and or soaked saffron and cardamom, teaspoon of ghee with, and maybe some soaked dates.  It is a delicious energy drink!  Avoid fruit and almond together, please; milk and almond is wonderful.

Yoghurt and kefir are sour, especially after first day freshly made.  They clog channels more in early postpartum, and the sour is a taste to minimize for about 10 days.  Then – a thinner yummy lassi (2-4 parts water, with spices and sweet or salt) is lovely, before 2 o’clock, with a vegetarian meal.  Avoid with fruit, especially banana though.  You can sweeten with dates again, which are cooling, and don’t make us gassy as easily as other fruits do with their post digestive sour / gut fermenting effect which interferes with the other digestive stages in the gut.

Carrots are warming, even more, beets. The raw is not a good idea first few weeks after birth. Favor soup! Then? Carrot juice with coconut, and maybe fennel powder maybe great! will balance the heat – Let the fennel hydrate in bit of hot water to access properties for lactation and digestion – and take the temperature chill off the vegetable juice. I’d put pinch mineral salt, tsp or more grated fresh ginger or citrus zest in there, and no greens until her tummy is free of gas and dosha vikruti (imbalance) not showing vata.

This is just a beginning, of course…. What are your favorite smoothies?  What would you do for good food combining and postpartum use?

Think Rebuilding, good food combining, hydrate dry stuff well, use some fat, and some spice that is not too heating or in small amounts, make it fresh daily, and make it delicious!

Cool it with warmth – Crazy Idea?

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Keeping Cool with warmth – crazy idea?  The common sense of it is known by the Egyptians, Ayurvedics and others in tropical countries. Early postpartum mamas often enjoy hot water bottles on tummy and lower back, maybe breasts or neck, even in hot summer weather.  I’ve seen it many times!  OK, I haven’t researched other cultures much, just a few stories.  Like using HOT temperature peppermint, green or black tea to cool down in the mideast.  Sounds weird and there is more explanation than I can offer now… but here are some common sense and reflections on this dance of the opposites –

Hot tea may make you sweat – sweat evaporates and cools that way.

Many herbs have cooling energetics – many astringent, sweet, and light bitter herbs, even when ingested at warm temperature.  They can be used in pregnancy and postpartum teas and foods.  All mints, raspberry, oat straw, coriander, sandalwood (use pinches of the powder), fennel, cumin, tarragon, rose, chrysanthemum, cilantro, small amounts of lime (not lemon, it heats) and many other herbs can be used to cool.  These are more helpful than just doing bland foods and drinks – try small amounts steeped into water and see.  Midwives use more of some for the mineral content.  Nettle is also cooling, though diuretic and less valuable for Vata types.

Of special note for right use – small pinches cardamom, even small amounts of clove and turmeric can transform food and experience with their penetrating (“pungent”) qualities, yet post digestively cool.  Licorice, mostly avoided in pregnancy except in small amounts in formulation by Chinese or Ayurvedics is tonic for adrenals, pitta and Vata.  Yet licorice should be avoided with HBP and water retentions.

For the same reason, minimizing energetically (beyond temp) foods and drinks like red meats, most fish, tamarind, chilies, raw garlic and onions, tomatoes, and most citrus helps, even if they are served cool temp.

So the naturally abundant sweet juicy fruits and sweet, astringent, bitter and moist vegetables – most of them ripened with the heat, have cooling and gently cleansing effect though they nourish and build.  Coconut, grapes, and pomegranate stand out.  Peaches, most melons, later season mangoes, succulent green vegetables and opo (loki) squashes are particularly refreshing and cooling yet nourish, rebuild and are easy to digest.

Vegetables and more astringent fruit like apples and pears need the heat of cooking and seasonings for the early or unusually vata exacerbated postpartum system to prevent gas, bloating, and less obvious signs of malabsorption or incomplete products of digestion.  The dark green leafies do us more good in the spring and fall when they naturally are happiest in the garden, and after a few weeks post-pregnancy.  Easy to digest well cooked mung or matpe lentils, or for non-vegetarians, something like long cooked chicken soup complements protein needs, along with the use of cooling energetic dairy (milk), a few almonds, moist dates and and grains  during the day, even though the milk is taken warm and with at least a little (sometimes much more) digestive spice, and generous use of cooling but digestively enhancing clarified butter.

Hanging out by waterfalls, rivers, and in the moonlight sound nice?  Exercise for the joy of it, which means after birth, after some weeks, gently strolling.  And in water is great for pregnancy and after 6 weeks post;  sleeping outside may nourish later stages, walking barefoot in the cool grass or seashore – you remember these probably.  These are tonic behaviors which warm the heart, nourishing a feeling of connectedness with Mother Nature and ourselves and helping us feel at home where we are – part of what we these days call “chilling out”.

Things which expand the capillaries in relaxation can help disperse core body heat and still support our primary topic, of postpartum rejuvenation.  Core warmth is super important for rest, digest and transformative rejuvenations needed.

Sweet floral essential oils are well known for their antidepressant, usually cooling, relaxing and calming properties.  Rose, geranium, jasmine, vetiver, lavender, ylang ylang, chamomile, helichrysum and others.  They “warm” the transformational processes – hormones, heart, liver and blood vessels with their potent and gentling properties.  They put us in touch via mind-body coordination whereas strong pungent coolants like peppermint and eucalyptus may create too much sudden change, contractions from the overwhelm and be too extreme to nurture the needed subtle experience of connectedness and self-referral, self-correcting dynamics of awareness.

Warm oil Ayurvedic massage actually helps support this dual need of the times – It supports the body’s thermoregulation to work better, which was slowed down from natural fatigues of birthing and caring for Baby – so the inner heater and cooler both work better.  It also supports the core work so needed after such deeply transforming as well as usually hard labor to be tended to.  IE, Relaxation  puts us into rest, digest and transform, rejuvenate, while stress hormones put us into a state of fight or flight which tightens us up and keeps us HOT and geared for outer, not inner work.

Those living in hot damp climate feel the heat the most.  They should do less of these heat therapies, favoring warm instead of hot foods and drinks, a little less heavy on food and massage oils, and delay their massage treatments for maybe 3 days after the birth says Dr. Bharat Vaidya, quoting the ancient classical textbooks in Ayurveda on postnatal care.   Hot damp weather does a lot of the needed work and is a blessing.  Too much oily massage and heat too soon can increase kapha unduly – the priority the first few days still is to re-kindle or strengthen Agni, the digestive fires, which is specifically heating.  Professional guidance and care is particularly helpful during the first weeks to navigate this dance of the opposites in our various tissues and systems best.  Mothers DO need to AVOID air conditioning as much as possible.  The cold draft of “refreshing” AC can exacerbate natural weaknesses.  OK, I dare you to carry on this conversation with me if you doubt.

I shared some of this with a midwife who was grateful to understand why their clients (in Florida summertimes!) would not let them turn on any AC even for giving birth.  Everyone was dripping, but mama’s system, and baby’s, work best with this integrative experience of keeping their cool via mind-body integration awareness, supported by warmth.

And try the cooling effect of sattva, if you know what that means.  You could start with simple alternate nostril pranayama.  At this time, don’t worry which hand, and if baby is falling asleep in one arm at the breast – great – now is your time.  Baby needs 10-15 minutes often, to settle into stable deeper sleep.  Perfect time for you to purr.  This breath practice in the postpartum time should be done without any strain, force or breath retentions – simply inhale in through one nostril closing the other, naturally full breath, then switch nostrils for a naturally full out, and in on that side.  Switch – out, in.  Switch – etc.  for about 10 minutes.  The shift in brain wave patterns accompanies a chilling out mentally, physically and emotionally, a balancing of core and surface circulation and comfort, and much more.

Does this biochemistry make sense to you?   Let me know!  And consider Ayurvedic Midwife Terra Rafael’s course, Enhancing Fertility, Pregnancy and Birth with Ayurveda (21 hours), and my core class on postpartum ayurveda, Ayurvedic Maternal and Newborn Care.

Warmly,

Ysha

Radiation – urgent issues, help from Ayurveda

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Although  I believe the blackout on severity of Fukushima reactor #4’s vulnerability can truly be covering up the 2012 catastrophe that changes life as we know it on this planet, I DO NOT like to be a scare monger.  Especially with fragile populations.  So I speak to those who care for them, please see this significant data link.  Regardless of this news update, we should be talking dynamically together, how to protect mama and baby from radiation.  We do not have to be alarmist to be very timely.  They are among the most vulnerable populations to any kind of pollution and we are surrounded even w/o a 10-85X potency Chernobyl.  I will be addressing what can mamas do short of migrating to ?? which most won’t can’t and shouldn’t, in terms of daily care, in my cooking and consulting classes in June.  The June classes and Tuesday night series on herbals do have a prerequisite class running now and are being recorded.

Dr. Vasant Lad recommends postpartum mamas eat 2 tsp daily of tikta ghee.  These bitter herbs are not appropriate taken alone  – might even reduce milk supply that way in early postpartum, but prepared in ghee are not only padded, but work more effectively.  Best taken in 1/2 cup hot water or tea.  Tikta ghee addresses the nuclear level/dna and helps cleanse and reset the ether element among other things.

Dr. RamaKant Mishra speaks of the similarity between radiation and lightning strikes, distorting at the level of the ether element, which is nuclear energy and cell nucleus and DNA level.

There are of course other modifications to the abundant advice running around to protect mood, colic and other issues from being side effects, included in my 6 page article, Radiation Exposures – Protecting Mothers and Newborns with Ayurveda.

Please see this  urgent letter to two key UN reps signed by a long list of Japanese dignitaries and organizations with the news updates which cite important references, requesting urgent immediate organizing assistance for masterminding and global resources to deal with this issue.  I will post any update on how to easily participate in this campaign along with an article I have written for adapting radiation supports for mothers and new borns tomorrow.  With the news blackout on the topic, I am quite convinced we have to go viral best we can on it, and that this will happen God willing, via many channels.
Wishing  you the Peace Beyond Understanding, Strong community coherence, and health,
Ysha