Raspberry leaf tea – a natural labour aid?

Raspberry leaf tea is one of those buzzwords that sometimes gets floated around in the last trimester of pregnancy. Until pregnancy 3 I had never given it much thought but then it was suggested to me by a midwife. Being the kind of person I am I decided to look at the evidence for it.

Pilates with Priya: Raspberry Leaf Tea: a natural labour aid?

An observational study in 1999 (1) looked at over 100 women retrospectively. Those who had taken the tea did have a shorter labour. Sounds quite promising so far

Then moving to a review by Holst in 2009 (2) who found 6 studies to compare and contrast. One of these was 50 years old and all of these were relatively small in terms of numbers of people in the studies. Sadly there just isn’t much research on this topic. The findings were that the tea can help to facilitate more rhythmic contractions of the uterus but there were some conflicting results. Some studies did show a shorter first or second stage of labour but only by a few minutes.

A  better study in 2001 (3) (a randomised controlled trial) was conducted looking at the safety of the tea. It was found to be safe to take in pregnancy. When you look at the effects it had, these were it shortened the second stage of labour by a mean of 9.59 minutes and there was a lower likelihood of needing forceps.

So all in all there seem to be no safety concerns with taking sensible, moderate amounts of raspberry leaf tea (2-3 cups a day) or the capsules in pregnancy. It is advised you start this around 32 weeks of pregnancy. The benefits can be for some that it helps the uterus prepare for contractions and for some there may be a slightly shorter second stage of labour. The research shows us these benefits are by no means sizeable but hey, I quite like the taste of it and it can help pregnant mums feel like they are doing something to help labour be easier using a natural aid.

My top tip: don’t expect to find it in a local supermarket. You may need to order it online or go to a health food shop for it.

References:

(1) Aust Coll Midwives Inc J. 1999 Sep;12(3):20-5. Raspberry leaf and its effect on labour: safety and efficacy. Parsons M1, Simpson M, Ponton Thttp://www.ncbi.nlm.nih.gov/pubmed/10754818

(2) Holst, L., S. Haavik, et al. (2009). “Raspberry leaf – Should it be recommended to pregnant women?” Complementary Therapies in Clinical Practice 15(4): 204-208.   http://www.ncbi.nlm.nih.gov/pubmed/19880082

(3) J Midwifery Womens Health. 2001 Mar-Apr;46(2):51-9. Raspberry leaf in pregnancy: its safety and efficacy in labor. Simpson M1, Parsons M, Greenwood J, Wade Khttp://www.ncbi.nlm.nih.gov/pubmed/11370690

Carpal Tunnel: how to help.

This is one of those conditions that you certainly know you have when you get it. I’ve had it twice now: the first time was 4 months after giving birth to my boy. I would wake up in the night to feed him, pick him up, get pins and needles in both hands and then they would go numb. The end result being by the time we finished a feed I had to use my arms to put him back into his cot. It led to me having mutliple massages, which helped a little, and doing lots of research. I learnt a lot about my posture and how breastfeeding plus general stress was a huge contributing factor. A few changes to my feeding posture, extra pillows and a magic stretch really sorted me out.

Moving on to pregnancy 3 and the delight of carpal tunnel popped up again in the last few weeks. Certainly not as badly, this time general weakness in my grip strength, pain when in a hands and knees position (not ideal when teaching pilates) and pins and needles when sleeping or holding items for too long a time.

So as someone who has suffered from carpal tunnel I thought I would share my top tips on how to deal with it and how to help it.

Symptoms:

Pin and needles in your hands/fingers

Grip weakness

Numbness in the thumb, first and middle finger, that may extend to the whole hand

A dull ache in the hand/arm

How does it occur?

The median nerve runs all the way down the inside of your arm. It originates from the brachial plexus which is just above the shoulder (think halfway between the bottom of your neck and your shoulder, that bit that is often tense and you want a massage in!).

When this nerve is blocked, inflamed or has pressure on it, you can get the the above symptoms.

The carpal tunnel is a tunnel in your wrist designed to protect the median nerve. Pressure on this puts pressure on the nerve and hey ho, carpel tunnel syndrome.

Screen Shot 2016-04-28 at 19.37.36
Image from: http://www.thebodyworksclinic.com/carpal-tunnel-syndrome/

Stats:

About 50% of pregnant women develop carpal tunnel, it will normally disappear all by itself.

More common in women then men.

Common in people with wrist injuries or those who do repetitive actions with the wrist.

For some people such as myself the issue can be to do with the tension and pressure on the nerve at it’s origin. So I know I carry my stress around my shoulders. Hence when teaching people pilates I so often focus on their shoulders! I can pinpoint the areas that are especially painful at these times. Those points are where the median nerve originates. So  it explains the carpal tunnel issues.

For others it is due to pressure or problems in the wrist areas. Perhaps you hold your wrists at an awkward angle for work or when bottle feeding a baby? Repetitive wrist actions or strenuous wrist activity can also be a cause especially if you have a weak wrist from an injury.

How to help:

Firstly, see the GP.  It is always good to get thee things looked at. They may offer you splints and depending on how bad things are you can even be offered surgery if it doesn’t clear up. I would suggest you try out some stretches and think about why you have the problem in the first place before jumping to surgery.

Exercises:

  1. Stretch your arm out to the side of your body and point your fingers down to the floor. Now take your ear towards your opposite shoulder. Bring the head back up and repeat.
  2. Wrist circles and making your hands into a fist, then extending the fingers into a star (think twinkle, twinkle little star).
  3. Place your arm out to the side, with fingertips on the wall. Glide your palm down so the whole palm in in contact with the wall. Work from fingers to palm a few times.
  4. Bring your right ear to your right shoulder, drop the left arm and shoulder away from you, this should stretch and release in your left side.

Mummyhood, 8 ways to look after YOU.

Being a mum is amazing, it teaches you so much about yourself, it challenges you the furthest you have probably ever been challenged. There can be moments of joy, fear, hilarity, excitement, frustration and annoyance all in one hour. Your little ones are the most amazing gift and a true miracle to watch them grow.

Post natal

So it is not surprising that in the midst of all the hard work of mummy hood that YOU, the mummy, can be the one that gets forgotten. Perhaps you don’t have time to eat properly, you aren’t getting proper sleep, you don’t have the time to look after yourself and there is very little You time.

The problem is your body is in recovery. For 9 month it has carried and nurtured a growing baby. That’s a lot of work. Your body has provided nutrition, your muscles have been stretched and strained by carrying the extra weight, your breathing has even adapted and your blood flow. Your hormones have been altered. Then you have given birth. No small feat, in fact a massive achievement and a massive ordeal for the body to then recover from. Mums are expected to spring back to full form in a  matter of weeks – but it can take the body a good 9 months to a year to recover nutritionally, hormonally and in strength.

So how can you help yourself?

Nourish yourself with nutritious and delicious food. It can feel like the last thing you have time to do but the inside of your body is your powerhouse. If you are not sustaining yourself then you will not be able to look after anyone else well. 

Base your meals around: good lean protein sources, wholegrains and fruit and vegetables. Plan your meals out, there is nothing worse than being starving hungry, having little time to cook and now having a clue what you are going to make.

Beans:lentils

Meal plan like a goddess: I like to meal plan on a Sunday and then bulk cook – cooking 2-3 meals in one hit works for me as it means it can all be done in a hour or so, I do all the mess, chopping and clearing up at once and can stock up my freezer too. For example today I have made a large batch of minced beef : half for a lasagne, half for the freezer, then a chicken soup using the chicken carcass and some roasted vegetable pasta sauce. So I have meals for Mon, Tues and Wed then on Thurs we may eat a meal from the freezer and Friday is a relaxed affair in our house so may be baked sweet potatoes with tuna and salad. If you ned some help there are 2 meal planners you can download here.

Meal Plan 1.2.15

Step away from the chocolate cake: Snack instead on proteins (nuts, seeds, yoghurt, hummus, egg muffins) and fruit/veggies. It can be hard to break the habit but it will make you feel better. Find a system that works for you – make up snack boxes ahead of time, buy in ready made snack boxes, bulk bake healthy snacks such as healthy oaty bars or my banana muffins. For that sweet treat switch over to a little bit of dark chocolate, you won’t eat as much of it and it is packed with antioxidants.

almond heart

Say goodbye to the caffeine and sugar rush club. It can make you feel better initially but it really doesn’t give you long lasting energy or health. Eating protein and low glycaemic index foods such as oats will lead to you having more sustained energy levels, more stable mood and will help regulate your appetite.

Pilates with Priya: herbal tea

Sleep is queen bee. Having had 2 babies who did not sleep well I know what a nightmare sleep deprivation is. Literal torture, your brain doesn’t function properly, your appetite steps up a gear, you are cranky and still have a whole day to get through. Find a way to get some sleep in, see if you can take it in turns with your partner or have a family member help in the day so you can nap. That magical word, nap!

Wine o’clock. Maybe this should be whine o’clock?! You know that 5/6pm moment when it’s all just too much and you wish bedtime would hurry it’s ass up? That’s the point I want a glass of something. I don’t see anything wrong with a glass of wine now and again, but it’s remembering that it is also a toxin and when your body is trying to recover you don’t want to overload it with other work to do. So enjoy that glass of wine, but don’t go OTT.

Relaxation Time. Now this I struggle with. Somehow, building in regular time for you to unwind and relax is vital. When your stress levels are high you respond to things differently. Try using a meditation app such as Headspace, go swimming, get your nails done, read a new book, go for a walk – whatever you can manage. Just do something that calms, chills and centres you.

Pilates with Priya: Take time to look after you

Mummies, you are amazing. Your bodies are amazing. Go love them, nourish them and enjoy your babies.

Look out for my next post on postnatal nutrition – the micro’s and macro’s.

After Baby it is time to Nourish YOU.

Being a mum is amazing, it teaches you so much about yourself, it challenges you the furthest you have probably ever been challenged. There can be moments of joy, fear, hilarity, excitement, frustration and annoyance all in one hour. Your little ones are the most amazing gift and a true miracle to watch them grow.

Pilates with Priya: Newborn Baby in sling

So it is not surprising that in the midst of all the hard work of mummy hood that YOU, the mummy, can be the one that gets forgotten. Perhaps you don’t have time to eat properly, you aren’t getting proper sleep, you don’t have the time to look after yourself and there is very little You time.

The problem is your body is in recovery. For 9 months it has carried and nurtured a growing baby. That’s a lot of work. Your body has provided nutrition, your muscles have been stretched and strained by carrying the extra weight, your breathing has even adapted and your blood flow. Your hormones have been altered. Then you have given birth. No small feat, in fact a massive achievement and a massive ordeal for the body to then recover from. Mums are expected to spring back to full form in a  matter of weeks – but it can take the body a good 9 months to a year to recover nutritionally, hormonally and in strength.

So how can you help yourself?

Nourish yourself with nutritious and delicious food. It can feel like the last thing you have time to do but the inside of your body is your powerhouse. If you are not sustaining yourself then you will not be able to look after anyone else well.

almond heart

Base your meals around: good lean protein sources, wholegrains and fruit and vegetables. Plan your meals out, there is nothing worse than being starving hungry, having little time to cook and now having a clue what you are going to make.

Meal plan like a goddess: I like to meal plan on a Sunday and then bulk cook – cooking 2-3 meals in one hit works for me as it means it can all be done in a hour or so, I do all the mess, chopping and clearing up at once and can stock up my freezer too. For example today I have made a large batch of minced beef : half for a lasagne, half for the freezer, then a chicken soup using the chicken carcass and some roasted vegetable pasta sauce. So I have meals for Mon, Tues and Wed then on Thurs we may eat a meal from the freezer and Friday is a relaxed affair in our house so may be baked sweet potatoes with tuna and salad.

Stop the chocolate cake: Snack instead on proteins (nuts, seeds, yoghurt, hummus, egg muffins) and fruit/veggies. It can be hard to break the habit but it will make you feel better. Find a system that works for you – make up snack boxes ahead of time, buy in ready made snack boxes, bulk bake healthy snacks such as healthy oaty bars or my Cocao Power Balls. For that sweet treat switch over to a little bit of dark chocolate, you won’t eat as much of it and it is packed with antioxidants.

Cocao Power balls text

Move away from the caffeine and sugar rush club. It can make you feel better initially but it really doesn’t give you long lasting energy or health. Eating protein and low glycaemic index foods such as oats will lead to you having more sustained energy levels, more stable mood and will help regulate your appetite.

Sleep is the queen. Having had 2 babies who did not sleep well I know what a nightmare sleep deprivation is. Literal torture, your brain doesn’t function properly, your appetite steps up a gear, you are cranky and still have a whole day to get through. Find a way to get a decent nights sleep in, see if you can take it in turns with your partner or have a family member help in the day so you can nap. That magical work, nap!

Wine o’clock. Maybe this should be whine o’clock?! You know that 5/6pm moment when it’s all just too much and you wish bedtime would hurry it’s ass up? That’s the point I want a glass of something. I don’t see anything wrong with a glass of wine now and again, but it’s remembering that it is also a toxin and when your body is trying to recover you don’t want to overload it with other work to do. So enjoy that glass of wine, but don’t go OTT.

Relaxation Hour. Well you may not have an hour, but building in regular time for you to unwind and relax is vital. When your stress levels are high you respond to things differently. Try using a meditation app such as Headspace, go swimming, get your nails done, read a new book, go for a walk – whatever you can manage. Just do something that calms, chills and centres you.

Pilates with Priya: Take time to look after you

Mummies, you are amazing. Your bodies are amazing. Go love them, nourish them and enjoy your babies.

Look out for my next post on postnatal nutrition – the micro’s and macro’s.

Third Time Lucky? How do you need to look after you?

Oh my days.

I can’t quite believe we are doing this again, but we are. Pregnant for the THIRD time.

It’s all feeling quite real now as there is a definite bump and lots of baby movements.

Pilates wirh Priya: Bump 3  at 20 weeks

I’m filled with a lot of excitement as I LOVE being a mummy, having the chance to nurture, feed and look after a baby again is totally amazing. With my boy I kept having sad moments of “What if this is the last time I get to do this”. Well it wasn’t  😉

However also the apprehension of how will it be having 3 small people to chase? I know I won’t have enough hands to hold theirs all at once. How long will it take to get out of the house? How many bags of snacks, clothes, nappies, toys and random items will I have to carry with me? How on earth will my poor body fare?

After baby 1 I definitely bounced back pretty quickly.

Baby 2 I had diastasis Recti, just a small one but it took 6 months to heal. I went back to normal life too quickly and didn’t spend long enough thinking about myself, my posture and fixing me.

Baby 3 I know my former abdominal separation has softened up already and I am now teaching more classes than I was before but will also have to be extra careful with myself.

Good Nutrition, hydration, sensible exercise and some rest are my plans for the next few months.

So here is my thought for you….

Pilates with Priya: Take time to look after you

What do you need to do to look after you this week, this month, this year? If you don’t look after you then no-one else will.

Exercises for combatting rounded shoulders.

Shoulders are one of my picky points. Why? Well firstly because I have had to really work on mine. They have always been a sticking point for me, I remember a Pilates teacher walking down the road with me once saying “Shoulders down” every 2 steps! Carrying, feeding and rocking babies always affects my shoulders and upper back. So I guess you could say I’m a bit picky about shoulders as I know how much it poor posture in this area can affect you.

I would encourage you to look in the mirror at your posture, side on and front on.

1. Are your shoulders level?

2. Are your shoulders rounded?

3. Can you slide your shoulders further down in your spine, so are they too far up towards your ears?

4. Do you stick your ribcage forward? (Ladies, no boob thrusting is needed!)

Here are some exercises to help you strengthen your upper back and focus on your shoulders.

Really good if you sit at a desk for some time and know your shoulderes are suffering. Also brilliant for mums who are feeding, carrying, rocking babies and babywearing.

3 Moves to think about with Diastasis

 If you have abdominal separation, or are pregnant, here are 3 moves to stay clear of…
1. Sitting up from Lying
It’s such a simple everyday move but sitting up in bed is something to modify. Why? It puts pressure on your rectus abdominus or “six-pack” muscles. These muscles you want to look after. They have to stretch and make room for your growing bump and can separate. This can be a normal part of pregnancy but also something you can help lessen the risk of. Avoid any exercises like sit ups or curl ups or sitting up from lying on your back will help with this.
2. Lifting heavy weights which puts strain on your back, core and can affect your posture.
This can be hard to avoid if you have another young child. Try training them to walk or use a scooter more. Bring in the idea of sitting down for a cuddle rather than walking around holding them. I still have to carry my toddler but he now goes in a sling on my back which helps my posture and distributes the weight more evenly.
Lifting also puts extra pressure on your pelvic floor which is already working harder than normal.
3. Sitting in a bucket seat in the later stages of pregnancy.
Sitting on a sofa or almost any comfy chair can lead to your pelvis being tilted so you are not seated in the best position for either your lower back or to allow your baby to descend into your pelvis. Sitting on an exercise ball or a high backed chair will help you sit up tall so that baby can get into position easier.
Diastasis Recti

What your shoulders are telling you

Shoulders. Officially one of my picky points. Why? Well firstly because I know what it is like to feel you are carrying the weight of the world on your shoulders and secondly because it such an easy thing to spot.

Sitting in a meeting today I could see that 90% of the people in the room were sat with rounded shoulders and their necks jutting forward. Over time that becomes a habit and that habit leads to a muscular imbalance.

This week I have taught a few classes that are not my usual ones. It’s given me a fresh insight into how many people struggle with their shoulders and upper back posture. If you are in a class with me “Shoulders” is one of my common cues!

I used to have awful upper body posture. I can remember back to being 18 and having a massage. Even then the masseuse told me how tight my upper traps were. Sitting at a desk, working long hours at a computer and not exercising enough really did not help. Fast forward 10 years and Pilates found me. Walking down the road next to a Pilates teacher I remember being told “Shoulders” every 2 steps. Finally I got it 😉

I now spend time focusing on my shoulder function, strengthening my lats and traps in my back. It really works wonders. I also know my triggers – stress, feeding babies and carrying children. In any of these situations I really need to overfocus on my posture.

So how are your shoulders and what are they telling you?

Take a look in the mirror at a few points in the day and check out those shoulders. Are they level or do you have 1 higher than the other? Do you have any pain or tension in them? How do you sit, stand and move your arms?

Some great shoulder function exercises include: Chicken wings, Diamond Press, Sphinx and using weights for a chest fly and ribcage closure.

Here is one of my fav’s at present:

 

Pimp Your Pelvic Floor Was a Success!

This week we ran our first Pimp Your Pelvic Floor workshop. In fact it was our first every Pilates workshop!

We had 5 ladies, 4 of whom were already mums and 1 of who was 36 weeks pregnant with twins! Plus we had the company of a beautiful 11 week old baby 🙂

I so so so enjoyed this workshop. It was amazing to share knowledge, pass on tips, get feedback from the ladies and then run a practical side to the session.

We spent time on the anatomy of the pelvic floor and then looking how it functions as a part of the whole body. This part especially I find important. The pelvic floor doesn’t work in isolation does it, it works under loads and under pressure as we walk, lift, cough, jump and move everyday. Looking at the models of the pelvis showed us all how the pelvic floor really is affected by movements we do and is connected to the body.

The feedback has been really good with participants ranking the workshops as excellent. We hope to run these regularly – so don’t worry if you haven’t been able to book on yet.

Pilates with Priya: Keep Calm and Do Kegels

Looking forward to running the next one in October 🙂

How to help stop those leaks.

Have you ever had one of those moments where you’ve bounced too much on the trampoline, coughed and sneezed too much or just bent down and leaked a little? Horrible to talk about but it happens.

One way to help with this is to practise and use core bracing. Any movement that increases the pressure inside your tummy can push pressure down on your pelvic floor. To help counter this you can brace the core. It’s like adjusting the tension on a trampoline so that when you jump you don’t touch the floor.

Use Your Core

Ready, Steady, BRACE:
As you breath out draw in the lower tummy muscles (tranversus abdominus) and the pelvic floor muscles too. Your transversus abdominus muscle is below your belly button, to find it you can slide your fingers just inside your hip bones and cough. That muscle that you feel move is the one to engage. To engage your pelvic floor think about lifting the muscles around your vagina and anus. It can take a bit of practice to engage your core and pelvic floor at the same time, but persevere it will come.

The-Core-300x294

Practise this when doing everyday movements and it should become a habit. So whenever you cough, sneeze, lift something, bend, bounce, push something, extend away, reach or twist you can brace the core.