One Hand Open

Parenthood is a time you learn just how amazing you are in so many ways.  You just learn to get things done that previously would have seemed impossible because there’s no other option. Case in point: The other day I was nursing the baby in one arm and cracking pistachios with the other for my 4 year old. All of a sudden, I realized, I am opening pistachios with one hand! I would never have thought that was possible before becoming a mom. That got me thinking… what else do we do with just one arm?

besides walk our goats…
  • Write emails, texts, navigate the web – no 2-thumbed typing here! Heck, I even wrote most of this blog post one-handed.
  • Put on make-up. Because of course they want to be held when the babysitter shows up.
  • Blow-dry hair – actually a great way to soothe a colicky baby
  • Get yourself or another child dressed
  • Carry 17 bags of groceries and a diaper bag
  • Crack an egg – no longer the exclusive skill set of fancy chefs.
  • Heck, make breakfast, lunch and dinner!
  • Open a soda
  • Open a bottle of wine (twist off makes this one a gimme…), pro-tip, hold it between your thighs and be thankful you don’t have a thigh gap!

  • Make a martini. Hendricks, shaken, up, dry, with a twist of lemon.
  • Pay for groceries, put that one card and ALL THE OTHER CARDS back into wallet after baby takes them out
  • Paint toenails. Also a little body-origami required for this.
  • Pick up another child – this one should be a crossfit exercise
what it actually feels like
  • Fold laundry. It may not be KonMari perfect, but it get’s the job done!
  • Pull second child out from under the water at baby pool
  • Administer first aid (aka apply ice packs and bandaids)
  • Give other children reassuring hugs and kisses

  • Go to the bathroom – this is challenging, but when your alternative is sticking your baby on a nasty public bathroom floor or half-broken changing table, yeah, it’s possible.
  • Wash your hand – singular, the one that you wiped and flushed with 😉

I guess the question really is… what can’t parents do one-handed?!

Dr. Annie’s SNOO Review

We do not make babies that automatically sleep well. Our first baby, we also were gifted with prolonged colicky phase and total cluelessness from ourselves and our childcare providers about any form of sleep training. She did not sleep through the night until 15 months of age. At which point, I promptly got pregnant with baby #2. This one was a bit easier and happier and we were blessed with a nanny who helped us with sleep training at about 5 months old. She was then a great sleeper. I was bound and determined to get it right, sooner this time around and started researching everything I could to give us a fighting chance at baby #3 sleeping better.

baby face wile sleeping
Photo by Burst on Pexels.com

I’m a big fan of The Happiest Baby On The Block by Dr. Karp. His 5 S’s of soothing a baby and sleep philosophy is probably the most recommended advice from doctors. When I heard he made a self-rocking bassinet, I started checking it out immediately. It turns out, this magical sleep center does 3 of the 5 S’s: Swaddle, shush and swing for you. The bassinet has an escape-proof swaddle that attaches to the base so baby is super-safely on their back to sleep. The bassinet makes white noise and sways back and forth for the other 2 soothing components. But, here’s the kicker…. it shushes and swings RESPONSIVELY to baby’s cries.

Yes. I’m serious. When baby starts fussing, the SNOO has a sensor that starts swaying back and forth more vigorously and turns up the white noise progressively. It has an app that you can track and control the motion through your smart phone as well. It also has a super cute Scandinavian style that goes with any nursery decor.

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SNOO SmartSleeper, Photo Credit: https://www.happiestbaby.com/

Why would anyone not buy one, you ask?? Well, they cost $1,295.00 and you only use it for the first 5-6 months of baby’s life. Wowza. That was not in the (credit) cards for us. I had planned instead to rent one which you can do for about $100/month. We ended up getting one on Craigslist for $600 which was the same as renting for 6 months and I figured I could resell it for at least part of that. WINNING!

Baby Torin was born and followed in his sisters’ footsteps, not wanting to sleep more than 45 minutes at first, longest sleep stretches were about 1.5 hours and always being held. We didn’t start using the SNOO at first because it was kind of loud when it started the soothing white noise and we had to have the baby in our room since we had family staying with us to help out. By week 3, having tried alllllll the different swaddles, the bouncer chair, the swing, the bassinet, the safe co-sleeper and having still not had the baby sleep longer than 2-3 hours, I was motivated to get him in his own room and Snooing (see what I did there) longer stretches.

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SNOO SmartSleeper, Photo Credit: https://www.happiestbaby.com/

At first, Torin was really fighting the swaddle. He would get mad as soon as I started strapping his arms down. Fortunately, Dr. Karp and his team anticipated this. They have helpful advice that pops up in the app including how to help teach your baby to stop fighting the swaddling. I did as I was told and lo and behold, he did learn to tolerate and then love the swaddle – hooray! Also important to note – the baseline settings include a VERY vigorous (near violent) swinging action at the top level of soothing. It seemed too extreme to me, so I put on ‘motion limiter’ which keeps it to the level below that.

At first, we were still only getting 3 hour stretches of sleep – but much more consistently. After ab out 4 days, however, we started getting 4 hour stretches. Then 5 hours a few days later and a GLORIOUS 6 hour stretch after that. It keeps track of the sleeps and wakes so you don’t have to try to log it in your middle-of-the-night-zombie-mom state and puts it in a nice visual format for showing your partner how much they should appreciate you if they’re not waking up with the baby.

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By 9 weeks old, Torin was consistently sleeping at least one 6 hour stretch and usually an 8-9 hour stretch. Other than my boobs being full to bursting, we basically entered a state of parenting bliss. The SNOO soothes the little wake-ups without me having to go into the nursery and when Torin actually needs attention, it’s a quick feed and right back down. Now, we also have been more consistent about doing eat-wake-sleep cycles a la Healthy Sleep Habits, Happy Baby. And, we started Evivo probiotics which seemed to make his tummy much happier. So, I can’t say it’s been all the SNOO. I can say with confidence, he doesn’t sleep long stretches without the 3 S’s the SNOO does for us.

It’s recommended to also use the SNOO for most naps, which we haven’t really done consistently. With 3 kids, it’s been hard to get him on a regular daytime nap schedule that doesn’t involve some carseat naps, some swing naps and some naps in my arms because I just LOOOOOOOVE himmmmmmmm. He usually does 1-2 naps there in the day happily. We will be starting the built-in weaning program soon, but he already naps well without swinging so I’m hopeful that won’t be too bad – I will be sure to update you all when we get there!

Summary:

Pros:

  • Safest swaddle because baby can’t roll over
  • Aesthetically pleasing
  • Helps to sleep-train baby through soothing not just cry-it-out
  • App tracks sleep-wake pattern

Cons:

  • Pricey
  • Loud

Bottom line is if we have another baby, I will for SURE be using a SNOO and from earlier on. Highly recommend if you can make the budget work.

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Dr. Annie is a family doctor and mom of 3 in California. This is not sponsored and not personalized medical advice, just my honest opinion as a mom 🙂

Respect

Motherhood is full of lessons. Starting with learning to aim your pee at a stick, then how to put on shoes with a basketball belly, how to not get peed on changing a diaper, and how to strap a screaming, squirming toddler into a car seat… it goes on and on. One of the biggest lessons for me by far has been learning to respect my body.

Respect is a positive feeling or action shown towards someone or something considered important, or held in high esteem or regard; it conveys a sense of admiration for good or valuable qualities; and it is also the process of honoring someone by exhibiting care, concern, or consideration for their needs or feelings.  -Wikipedia

Let’s break this down.

A positive feeling towards something held in high regard

Photo credit: Fiona Margo Photography

Your body, as a female, is miraculous. Dudes are cool too, but having ovaries and a uterus means you can GROW A HUMAN. Not all women do it and it certainly does not make you any less phenomenal if you don’t. The possibility and reality of your body as a mother though, is truly astounding.

Lately, I’ve seen so many beautiful stories online of women celebrating their bodies in motherhood. From Katrina Scott of Tone It Up, to Chrissy Teigen, to Bikini Body Mommy, and so many others, stories filled with positivity in celebration of the pregnant, postpartum, and amazing female body are on the rise. And that should truly be the focus of all of us. Not stretch marks, not pregnant cankles, not undereye circles or any of the other criticisms we throw at our poor bodies that work so hard for us. But a freaking cel-e-bration, people.

Hold your body in high regard.

This was a huge area of growth for me. I spent years criticizing every little bit of my poor body. If I was out of shape, I would think negatively about my arms, belly, thighs, or butt practically every time I moved or saw myself. If I was in shape, I would pick on my skin, my nose, my chin, or some other thing. Basically, no matter what I did, my body was never good enough. Becoming a mom, particularly to a little girl, made me realize that is NOT how it should be. Through the lens of motherhood, I finally recognize and appreciate that my body is strong and capable of hard things (like really, really hard things!) and deserves praise, not judgment.

The process of honoring something by exhibiting care for its needs

This was even harder for me. My first pregnancy, I was a resident physician working 80 hours or more a week. I was used to being able to disregard my body’s wants and needs, like, ahem, sleep, food, etc… But then, I was so run down I puked until I needed IV fluids and started having premature contractions. I knew exactly what I would tell my own patients, but it took me sitting in Labor & Delivery triage, watching a monitor show me the effects of my actions, to give myself the same respect.

So then, I had it, right? Nope. Decided to whip my poor postpartum bod into shape after having baby number 2. Went on a crazy diet, worked out like a madwoman and what-do-you-know, my milk supply tanked. I struggled with this, refusing to treat my body with kindness, understanding, and yes, respect. Then, I beat myself up some more about having to give that baby formula too. Guess what, she’s healthy and I eventually, through coaching and kindness and respecting my body’s needs, got into the best shape of my life.

Finally, now, with this third baby, I’m *starting* to get it. I took leave from work when my body needed it in pregnancy. I listened when I needed to change my birth expectations. And today? Today I’m spending the whole dang day resting, drinking tons of water, and nursing my baby because I did a little too much the last 2 days and I’ve learned to listen and treat my body with respect.

Photo credit: Jordan Marie Photography

Moving forward

How can you start to show your body more respect? How can you honor it, show care for its needs?

Step 1: Look yourself in the mirror and say, out loud, “My body is incredible!” Or whatever you want your positive message to be. Not only does this make a difference in how you feel, but we are also teaching our children how to view and treat their own bodies. Setting this intention will guide even your subtle, subconscious actions to show it to them, and the world.

Step 2: Treat your body how you would want a loved one to be treated. For whatever reason, I have to get all 3rd person to figure out what is best for me. My internal drive to just soldier on is not always the best thing. If this is you too, imagine your sister or best friend or even your child telling you how they are feeling. What would you tell them to do? Give yourself the same consideration.

What are ways you all treat your body with care? Tell us in the comments so we can share ideas!

Photo credit: Little Wonders Photography

Dr. Annie is a mama of 3, family doctor and lifelong learner of how to follow my own advice.

 

Life & Littles Podcast!

Exciting news!!!

Our own Dr. Annie is on this week’s episode of Doctor Mommy, MD’s podcast talking about second trimester of pregnancy. The Life & Littles podcast may just be your new favorite listen, friends!

Photo credit Fiona Margo Photography

“Imagine your best friend is a doctor and a mom, what questions would you want to ask her over a glass of wine? What questions would you text her in the middle of the night?” Sound helpful?

Grab a coffee or glass of wine and tune in on iTunes and subscribe to get all the upcoming fun times!

https://itunes.apple.com/us/podcast/life-littles-with-doctor-mommy-md/id1451847392?mt=2&i=1000429939961

You can also find Shelly on Instagram and Facebook @doctormommymd and should check out her gorgeous blog while you’re at it!

Xoxo!

Sexy as a M*ther

There’s a new sexy in town friends, and I would argue, it’s even better than before. It’s mom-sexy. We may not have the bouncy bounty of hair and bikini top filling of yesteryear, but we have some new moves that can light the 🔥🔥🔥 of romance like none other. (Literally. Because no one who’s not a mom would do this stuff…)

Wardrobe

Those young folks are all rocking flowy, low-cut tanks and dresses that show a hint of side or underboob here and there. The sexy implication being a nipple could be exposed at any moment. Enter: nursing tanks. This garment has the significant advantage of being able to actually whip out a titty in 1 second flat. Hey-yo!!!!

Shock Value

Sure Victoria would have you think your partner wants you in lacy little get ups 365 days a year. Let me tell ya, when all they’ve seen you in for months is spit-up stained sweats and then you slip on a real nighty? Firecrackers!!!

Naughty Naughty

Remember those teenage trysts making out when you knew your parents might walk in and bust you any minute -so hot, right? Well, as a parent, you get to turn the tables! You never know when a kid might wake up with a need for an escort to the bathroom and discover you and your partner “practicing stretching” or “having a tickle fight” 😳

Exploration

Another level of kink factor is available for all you cosleepers. Kid is in your bed so that’s off limits (at least I hope, because, wow! Boundaries, people). Hello, laundry room! Or take it to the bathroom counter. Nothing makes for creative sexcapades like having a literal cockblocker in your bed.

You said it!

New Turn Ons

Totally aging myself here, but… Remember when Devin Sawa’s bowl cut was the hottest thing (or were you a JTT gal?)? And then a few years later, it was boy band moves, then Abercrombie store dudes in barely-not-showing-pubic-hair-low cut shorts? What turns you on changes with time. And let me tell ya, once you’re a parent, there is basically nothing sexier than your partner going above and beyond with home & childcare.

Tell Me What You Want

What you really really want…. I’ll tell you what I want, what I really Really want. Because I’m a mom. And ain’t nobody got time for that Oh-let’s-pretend-this-is-fun-because-I’m-too-shy-to-be-honest sh*t. We know what works (hopefully!!) and we know how to get it and THAT, my friends is sexy.

Pregnant Sex

Ok, this one is transient, but can be ahhhhhmazing!! Increased blood flow? Yes please! Embracing your new curves? Oh yeah! Those pregnant boobs? 🙌🏻🙌🏻! If comfort allows, this can be one of the biggest perks of gestation. Get. After. It. There is a big ol’ dry spell (literally, so dry down there) coming up after baby. Store up some good times to last you through!

As always, keepin it Real

Real Talk

In all honesty though, it can be hard to feel like your former sexy self as a mom. Your body is different. It might feel better, it might feel squishier, it might feel completely foreign – no matter what, it changes. You may not have time for basic self care, much less a “beauty routine”. But instead of beating ourselves up about it and missing out on the fun, why not embrace it?! Your body can LITERALLY grow human beings. It’s miraculous. This is a special season in life and won’t last forever. Get out there and have a spicy Valentine’s Day, mamas! I, for one, think you’re SMOKIN!!! 😘

Dr. Annie is newly a mom of 3, a family doctor and finding new ways to be sexy all the time 😜

 

 

How to Spoil A New Mama

The transition from expecting, to being a new mom of a babe outside the womb is one of the absolute craziest life changes a human can experience. One day, you’re the object of everyone’s attention, being helped and fawned over by friends and strangers alike. The next thing you know, BAM! All the attention is on the new little miracle and you’re left in the shadows with your deflated-balloon belly and under-eye bags for days.

crescent moon and cloud wind chimes

As mamas to a collective 10 little people, we are often asked about the best things to bring, give, or do for a new mother.  Assuming that family and friends have already set the new mama up with the basic necessities to survive those first couple months (registry items, meals, diapers, etc.), we’ve listed here a few ways to go one step beyond and make that new mom feel not just like she’s surviving but that she’s spoiled and loved as much as the adorable little being she just birthed. Here are some of our favorite recommendations for new mamas, from mamas who have beentheredonethat.

The Spa Treatment

New moms obviously won’t likely get to go TO an actual spa while they’re on the feed-change-rock rollercoaster of newborn life. Here are a few easy gifts to make her feel pampered in the same way.

Good Dry Shampoo

Showers can be few and far between.  Let alone showers long enough to wash one’s hair. Help a mother out by getting her one of these top dry shampoos to fake it:

R+Co Death Valley Dry Shampoo, 6.3 oz.
R+Co Death Valley Dry Shampoo
Living Proof Perfect Hair Day Dry Shampoo 4.0 oz Pack of 2
Living Proof Perfect Hair Day

 

 

Excellent Lip Balm

When you’re trying to keep hydrated for two, your lips get chapped like no other. Treat a mama to one of these:

it Cosmetics je ne sais quoi Color Awakening Balm in ‘your perfect pink’ starts out clear but changes to the perfect rosy tint to complement you once it’s on. And Smith’s Rosebud salve is a classic, but the tin can be hard to open one-handed, go with the tube trio!

Moisturizer

Same goes for skin! A non-toxic, yummy smelling lotion or body oil can make you feel refreshed even if you just used a baby wipe to towel off a massive spit up in lieu of showering. Nuxe Huile Prodigieuse can be used on every outside part of your body – face, hair, and body – making it super easy to slap some on when you’re jumping out of your 2 minute shower when your baby’s crying, and smells like you just went to Paris and spent the day in a fancy boutique. (A girl can dream…)

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At Home Facial

Help mama look a *little* less tired than she is with one of these easy treatments – all wearable while walking around bouncing a fussy babe:

Sheet masks! Go simple with a variety pack from Target or deluxe from Sephora – no matter what, these pamper and then can be tossed in the trash. For the inevitable under-eye (ahem, Prada) bags, Nerium hydrogels and eye serum – we’ve talked about this wonder duo before. No need to beat a dead horse but if you want to knock out some serious undereye bags in 20 minutes flat, this is how to do it!

Aromatherapy

A well-placed candle or diffuser has the power to make a room feel clean and fresh even when it’s nothing close to that.  (Because, well, did we mention the feed-change-rock rollercoaster?) Here are some faves:

 

The Baies Dyptique candle makes any space smell as fresh as a garden, even when you are feeling anything but fresh, and the Noodle and Boo diffuser is subtle enough for the nursery, and sweet enough to make you forget about your toddler’s crusty mac and cheese plate in the sink.

Bebe Luxe

Having a few luxury baby items can also brighten the most mundane baby care moments and new mamas may not want to spend the money on these, admittedly nonessential but oh-so-nice-to-have, items.

Monogrammed Burp Cloths

Burp cloths literally become part of your wardrobe as a new mom. Why not make them cute?! Personalized cloths make for a lovely gift, and one that keeps on giving for years – we’ve been known to wipe toddler faces, noses, and just about everything else with these pretty little things. After all, if you’re going to be covered in baby (toddler, and child) puke, why not feel monogrammedly-fabulous about it?! Exactly.

monogram cloth
This thing has been trashed and washed about 14,000 times and is still looking fab.

 

If you have the skill set to make these yourself – you win. If you (like us) don’t, there are fortunately a variety of styles available from a number of sellers on Etsy. We purchased ours from a lovely shop called The Letter Garden.

The Fancy Baby Lotion

Babies, especially newborn babies, smell amazing. Their sweet fuzzy heads and little toes… Oh! Too. Much. Sweetness.

babychair
Photo credit: Deanna Casey Photography

However, babies have their share of smelly moments too. (If the phrase “baby blowout” means nothing to you, take our word for it.) Here are some of our favorite, fancy,  “sweet-baby-smell” lotions that are safe and wonderful for newborn skin and effective enough for a new mom’s chapped hands (you wash your hands A LOT with a new baby).

 

Noodle and Boo Super Soft Lotion is the sweetest smelling, and most effective baby lotion we know of! It’s darling packaging doesn’t hurt either. We also love the California Baby line. The everyday lotion, overtired and cranky, and calendula cream are both also divine.

Beyond Sustenance

Meal Trains are a Godsend for getting dinner (and hopefully leftovers for lunch!) taken care of. You can register for, and set up a Meal Train on their website, here. However, new mamas also need yummy, nutrient dense snacks in the early days of recovery from birth and nursing. (And often end up balancing a sleeping baby in their arms in search of an easy to grab snack!) Here are a few ideas.

person carrying a baby

Energy Bites

These are like a healthy nutrient packed version of cake balls. Easy to grab and wolf down even with a crying baby in one arm. Mix ingredients together, basic recipe amounts below, there are endless possible combinations, chill for 30 minutes then roll into balls and coat in final ingredient. We love chocolate-coconut and cashew-butter-cran-raspberry!

  • 3/4 C organic old fashioned oats
  • 1/2 C nut butter of choice
  • 1/2 -1 C chocolate chips, craisins, shredded coconut, chopped nuts, crumbled freeze dried berries or whatever else sounds good
  • 2 TBS sweetener: honey, maple syrup, agave or whatever you fancy
  • Coating: peanut butter powder, shredded coconut, pulverized freeze dried fruit, hot chocolate mix…

cookies on square white ceramic plate

Lactation cookies

Yes you could get store-bought versions of these, and no, they probably won’t triple her milk supply. However, letting a new mom indulge in homemade cookies and imagine they’re healthy is what a real friend does! This recipe is from Genius kitchen.

Accessories

Unless you’re a celebrity, the new-mom uniform is stretchy pants, nursing tank, messy bun, all day, errryday. However, it’s amazing what a little accessoried “flare” can do to make a girl feel more human. (And fake an actual outfit with minimal wardrobe changes. #score)

Sweaters and Wraps

Mama can toss one of these over a legging/nursing top “mom-suit” and suddenly, voila! You’ve got yourself an outfit!

 

Earrings

A stylish drop earring can make that messy-bun look like its purpose is to show off some ear flare instead of disguising the spit-up in momma’s ponytail. (Not that we’ve ever done that before…)

 

We love the casual look of the leather  Zia earrings from Magnolia Market, and the Aragon hammered drop earring from Kendra Scott for maximum versatility and style.

Fancy Hair Ties

Uplevel that pony or mom-bun with one of these. Bonus – nursing mommas can also use them as cute bracelets to remember which side she last nursed the baby on! Win win!

 

 

Happy shopping mom-friends and congratulations on being the favorite person of the lucky new mom in your life!

This post contains affiliate links to help you find the products we recommend. We may receive a small contribution from your use of the links, but the recommendations are all our own and unsolicited.

018 (1 of 1)The Real As A M*ther crew, mamas to 10 littles; a doctor, lawyer, doula, and financial planner; and happy spoilers of Dr. Annie, a glam new momma to her brand new baby boy.

Pregnant MD: Third Trimester Woes

As always, this post is meant as information and a personal account only and does not replace the advice of your personal healthcare provider. This post contains affiliate links to help you find the products I personally recommend which may provide small compensation for me.

Rounding out this pregnancy-blogging adventure, I have had a rodeo of all the discomforts of third trimester to remind me what to warn other mamas is coming for them. I had forgotten a few of them, so it’s lucky for you all I decided to go for #3 to be truly up to date on all of this (jk). Every woman’s experience of pregnancy is different – you may get none of these, all of them, and then some more – but I’ve tried to hit the most common highlights here for reference.

Braxton-Hicks

These fun semi-contractions may have started earlier for you than 28 weeks, the official kick-off of third trimester. However, if they didn’t, most women will start to get them more noticeably now. You might start to wonder if these are “the real deal” and whether you should worry. In general, the main difference is BH contractions are a tightening not a pushing down sensation. Think a fist squeezing closed around something rather than trying to push down. It’s hard to know the difference until you’ve had the real thing sometimes, but trust me when I say – you’ll know the real ones when they come.

They can range from barely noticeable to quite strong, stopping you in your tracks. Talk with your provider about when to go get checked, but in general if you’re having more than 4 per hour despite resting and being hydrated with an empty bladder (I do realize those last 2 are hard to balance….), you should check in with your person.

Snissing

I learned this fun term in my first pregnancy and have been giggling about it ever since. Snissing is pissing when you sneeze. As that baby pushes more on your bladder and your pelvic floor loosens up more, you may start to lose control with episodes of pressure – aka sneezing, coughing, laughing, having a toddler jump on you…. Doing Kegels regularly through the pregnancy can help avoid this, but for some it’s your anatomy and you’ll just have to make do with wearing pads and prioritizing emptying your bladder very regularly. Hooray!

Hemorrhoids & Constipation

Everyone’s least favorite body part to talk about – your butthole. These are 2 separate issues but very related, so I’ll address together. Some lucky people (ahem, me included) struggle with constipation at baseline and pregnancy hormones make that so much worse. The worse the constipation, the more you might be straining to get that BM out. I mean this 100% literally: I have had multiple poops that were harder to push out than my actual babies. The more you strain the more pressure you put on the veins around your anus and at some point, they can start to bulge out – this, my friends is a hemorrhoid.

Image result for hemorrhoid illustration

What’s a preggo girl to do?? Stay aggressive about constipation management. Aim for 1-2 easy bowel movements per day. Talk to your provider about a regimen you can use, for me it’s been high-fiber diet, hydration with at least 2 liters water a day, Smooth Move tea most days and high-quality pre/probiotics. The best I’ve found are these Prolistic ones by Nerium, not just saying that because I work with the company, they are superior (link is not even for my own business to keep this separate).

Heartburn and Reflux and Vurping, Oh My!

Me after drinking orange juice

Downward pressure has it’s problems as above, but at some point the upward pressure gets to most people as well. Fun fact – the old wives’ tale that babies with more hair cause worse heartburn is for completely unknown reasons statistically true. The safest methods for managing this are natural:

  • Avoid large meals, don’t eat anything more than a few bites of a snack for 2 hours before bed.
  • Avoid acidic foods: coffee, tomato, citrus…
  • Manage constipation (backing up the whole system)
  • Avoid carbonation

Some people also do well with Papaya Enzyme after meals. And up to 6 Tums regular strength tablets a day are safe – but beware!! These can worsen constipation turning into a self-perpetuating issue. If it’s bad beyond that, talk to your provider about other antacids.

Aches and Pains

You can get upper back pain from the weight of belly and breasts, round ligament pain from your growing uterus, and low back pain from basically doing dead-lifts all day long with a 20lb plyo-ball. I read in residency that 80% of women experience back pain in pregnancy. That seems unreasonably low. I have never, ever talked to a woman who didn’t have some degree of back pain by the end of pregnancy. If you’re out there… what’s that like? What are you made of? Are you descended from Amazons? For the rest of us, a few things can help…

  1. Prenatal yoga. Exercise in general is helpful, but prenatal yoga in particular is INCREDIBLY important for the health and comfort of your back.
  2. Prenatal massage. Make sure you’re seeing someone trained in this specifically and with a table set up to accommodate a growing belly.
  3. Topical creams. Distracting the nerves with something tingly can help temporarily. My go-to is BioFreeze because it’s the tingliest (is that a word?).
  4. Belly and hip supports. See if you can get one through your insurance first, if not, the most popular ones are in This NY Magazine Review
  5. Warm showers or baths or heating pad. I say warm, I mean VERY warm. There is no exact temperature cut-off – just stop as soon as you feel “Hey, I’m hot”.
  6. Tylenol. Yep. That’s all you get. Plain tylenol. Always good to double check with your own provider if this is ok for you, but most pregnant women can take this for bad pain.

If your pain goes beyond what can be managed with the above, talk to your health care provider. Some will have you see a specially trained chiropractor who knows Webster technique, work with a physical therapist or use other medication to manage it.

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Labor Scares

We will do a whole post on ‘How to Tell When to Go To The Hospital”, but in short, many women experience bouts of ‘Prodromal labor’ or ‘False labor’ prior to the real deal.

  • Contractions: The Braxton Hicks can get pretty strong and somewhat regular towards the end and as prenatal providers, we get a lot of “When are they labor?”. The general rule is 5-1-1: if you have contractions that stop you from doing what you’re doing every 5 minutes, lasting 1 minute for 1 hour and getting stronger despite resting and hydrating, you should check in with your person.
  • Breaking Water: This seems like it would be straight forward, however, as explained above with Snissing, plus how much vaginal discharge you might have, it can be tricky. It is often not the Hollywood gush of a gallon of fluid that is obvious, but a slower trickle when your water breaks. If you’re not sure, go empty your bladder, put on a clean, dry pad and walk around a bit. If your water is broken, you’ll keep leaking. Still not sure – go get checked.

Cankles and Varicose Veins

It’s a cruel joke of the universe that just when it becomes super awkward to try to put on any socks, much less super tight compression hose, you start getting ankle swelling that is treated by exactly those socks. Do your best to wear them if you know you’ll be on your feet a lot and certainly if you’re traveling where you’ll be stationary in a car or plane for more than an hour at a time. There are lots of options with better breathability and cuter designs these days, these are affordable and the appropriate 20-30mm pressure rating.

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If you are able, also take 20-30 minutes a few times a day to put your feet up at heart level and let gravity help you out here. If you get the ankle, or in particular hand or face swelling that comes on suddenly, go see your provider right away as this can be a sign of pre-eclampsia.

I would be remiss if I didn’t also warn you that you can get swelling and varicose veins everywhere south of your uterus – including your lady parts. Some women have the special experience of these throbbing, painful veins or swelling in the vagina and labia at the end of pregnancy. While there are also some interesting medieval-looking support contraptions that can help with this, the main thing that will make it less-bad is resting on your side or in puppy-dog pose type position for 10-15 minutes throughout the day.

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Lightning Crotch and Sciatica

Ever get a reallllly good zinger plugging something in that the wires were a bit stripped or your finger was on the plug? Imaging that in your labia. Welcome to lightning crotch, the fun pregnancy-version of good ol sciatica. Both of these can happen as baby moves lower in your pelvis toward the end of pregnancy. The same things that help with back pain described above can help with these particular issues as well. Some people also find acupuncture very helpful – but again – check with your provider about if and with whom that would be safe to do.

Pregnancy Brain

Yes, you’ve probably had this all along. Scientists have actually figured out that part of this is due to the hormones circulating around. However, with third trimester, your sleep starts to be very disrupted – most people wake 3-6 times a night to change positions and go pee. This makes the fog worse, of course. My own theory though, is that it’s also due to the now much stronger little being inside your squirming around. I told my husband to try to imagine concentrating with a little elf riding around poking you, elbowing you, going, “Hey! Hi! It’s me! Hey-yo!! Yoohoo!! Hi!” allllllll day long. Now… What was I writing about here…? Oh yeah. Help yourself and write things down! Consider a tracking device for keys, make sure “Find My iPhone” is on and maybe slap some GPS watches on your other kids while you’re at it.

When To Get Help

There are 6 main things we never want you sitting at home with:

  1. Bleeding that is any more than spotting
  2. Concern your water has broken (see above)
  3. Persistent contractions (see above)
  4. Feeling less baby movement – there’s no perfect rule for this, if you’re worried, we are worried.
  5. Signs of pre-eclampsia: Persistent pain in the belly or back, headache, blurred vision, sudden increase in swelling of feet/hands/face, or difficulty breathing.
  6. Depressed mood or bad anxiety, or any threatening or abusive behavior from your partner. These all, sadly, go up in pregnancy – don’t stay silent! We can help!

The bottom line on this one is any time something is beyond a minor discomfort, we want to hear about it. Have a low threshold for asking for advice from your healthcare provider – we VERY much would rather you come in for something small than miss something big.

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Now, then… Who’s ready to have a baby??

 Dr. Annie is a family physician and 3 time mama in California.