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Understanding Amniotic Fluid: What's Normal and What's Not Amniotic fluid is the protective liquid contained within the amniotic sac that surrounds a baby during pregnancy. This vital fluid plays a critical role in fetal development, providing cushioning, regulating temperature, and enabling the baby to move and grow within the uterus. It also facilitates the development of essential systems like the lungs, digestive tract, and musculoskeletal system. What Is Amniotic Fluid Made Of? Amniotic fluid begins to form around the 12th day of pregnancy and is initially composed of water from the mother. As the pregnancy progresses, it includes fetal urine, nutrients, hormones, and antibodies, creating a nutrient-rich environment for the growing baby. What's Normal? The amount of amniotic fluid changes throughout pregnancy, peaking around 34 weeks and then gradually decreasing. Here's what's considered normal: Volume: Typically, the amount of amniotic fluid ranges from 500 to 1,000 milliliters at term. Clear or Slightly Tinted Fluid: Normal amniotic fluid is clear or slightly yellow-tinted. Healthy Fetal Movement: Adequate fluid allows the baby to move freely, which promotes muscle and bone development. Doctors assess amniotic fluid levels using ultrasound and measure the Amniotic Fluid Index (AFI) or the Deepest Vertical Pocket (DVP) to ensure levels are within a healthy range. What's Not Normal? Abnormalities in amniotic fluid levels can indicate potential complications: Low Amniotic Fluid (Oligohydramnios): This condition occurs when fluid levels are too low and can lead to: Restricted fetal growth. Increased risk of umbilical cord compression. Complications during labor, such as reduced cushioning for the baby. Excess Amniotic Fluid (Polyhydramnios): Excess fluid can result from issues such as gestational diabetes, fetal anomalies, or infections. It may cause: Preterm labor. Difficulty breathing for the mother due to uterine overdistension. Increased risk of placental abruption or cord prolapse. Discolored Fluid: Green or Brown (Meconium-Stained Fluid): This indicates that the baby has passed its first stool in utero, which could signal fetal distress. Bloody Fluid: This may suggest complications like placental abruption or injury. Monitoring Amniotic Fluid Routine prenatal care includes monitoring amniotic fluid levels. If abnormalities are detected, your healthcare provider may recommend additional tests, interventions, or close monitoring to ensure the safety of both mother and baby. Your feedback is essential to us! We would love to hear from you. Please consider leaving us a review on your podcast platform or sending us an email at info@maternalresources.org. Your input helps us tailor our content to better serve the needs of our listeners. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources Instagram: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB Thank you for being part of our community, and until next time, let's continue to support, uplift, and celebrate the incredible journey of working moms and parenthood. Together, we can create a more equitable and nurturing world for all
Episode 131.2: Bad Car Rentals, Taint Size and Measurment, Perinium Massaging, Birthing Experiences, Amniotic Fluid Socks, H1B, and Jack Daniels Single Barrel BP Rye
Ladies and Gentlemen --Please put your hands together for...Jason Adams!Hey, hey, hey...It's the second freaking week of January in 2025, and -- to quote my future ex-wife, Gwen Stefani, "this shit is bananas."Stoked, nonetheless, to have Jason in the studio.It was lovely to meet him, and I'm jazzed to tell you that, together, we made Episode #152 happen.Jason is the brains behind Supplemental Sound, and you should not only check his work out on his site, but you should also consider giving him a follow on Instagram.It was fantastic meeting Jason, and learning a little bit about him, such as what a few of his favorite records are, which're these:Pink Floyd's Dark Side of the Moon (1973)Purple Rain (1984), Prince and the RevolutionNine Inch Nails' The Downward Spiral (1994)EAT ME, DRINK ME (2006), Marilyn MansonBillie Eilish's When We All Fall Asleep, Where Do We Go? (2019)So, please check out Supplemental Sound.Please make sure your pets and loved ones are fed and warm.Please be safe out there.And, please be kind to one another.Cheers.copyright disclaimer: I do not own the rights to the intro/outro audio samples contained within this episode. They are snippets from a tune called, "Black Day," by Monolink. It comes from their 2019 release, Amniotic, c/o Embassy One.
Tune into this podcast episode where we learn about the benefits of the amniotic sac with Lisa Kestler of Hill Country Placentas! Whether or not someone wants to encapsulate their placenta, that can donate the portion of the amniotic sac to help people heal. Bandages that help heal persistent wounds are being made with the amniotic sac. Lisa has been involved in the birth world for over two decades. She was a NICU Respiratory Therapist for five years before deciding that her true passion lies with helping mothers. She first heard about placenta encapsulation from a Canadian midwife in 2009 and in 2011 finished her first of two placenta encapsulation certifications. She obtained her second certification in 2015 and during that same year opened the first stand-alone commercial kitchen solely dedicated to placentas in the central Texas area. Lisa was also instrumental in having the Texas state law changed in 2015. This law requires that all hospitals in Texas give the mother her placenta if she requests it. Before this law, hospitals could require a court order if a mother wanted to keep her placenta. In 2023 Lisa completed her Master of Science in clinical mental health counseling at Texas Tech and is an associate licensed professional counselor in Texas. As a mother to seven children (six living,) Lisa understands the challenges that pregnancy, birth, and postpartum bring. Lisa has dedicated her life and career to helping new mothers have the best postpartum recovery possible. Special offer for listeners: $25.00 off encapsulation package for mentioning Birth Baby Podcast under referral on their reservation page! Website: www.hillcountryplacentas.com Facebook: http://www.facebook.com/hillcountryplacentas Instagram: http://www.instagram.com/hillcountryplacentas This episode is sponsored by Tree of Life Breastmilk Jewelry. Use code PODCAST at checkout to get 10% off your first purchase.Facebook Group:Tree of Life Breastmilk Jewelry, LLC | FacebookWebsite: www.treeoflifebreastmilkjewelry.com Please feel free to reach out to us with any recommendations for show episode ideas. If you'd like to be a guest, email us with some information about yourself and what type of podcast you'd like to record together. Thank you for all of your support and don't forget to follow and review our podcast, Birth, Baby! Instagram: @BirthBabyPodcast Email: BirthBabyPodcast@gmail.com Website: https://birthbabypodcast.transistor.fm/ Intro and Outro music by Longing for Orpheus. You can find them on Spotify! (00:00) - Introduction and Disclaimer (01:02) - Meet Lisa Kessler: A Pioneer in Placenta Donation (02:39) - Understanding Amniotic Sac Donation (05:36) - The Process of Amniotic Sac Donation (09:49) - How Amniotic Sac Bandages Work (15:30) - Expanding Access to Amniotic Sac Donation (17:51) - Conclusion and Future Discussions
About the Guest: Dr. Don Kikkawa is a respected figure in the field of ophthalmology, serving as a professor at the University of California, San Diego Shiley Eye Institute. As a former president of ASOPRS, he holds the prestigious Hollander Chair and boasts considerable expertise in the realm of thyroid eye disease treatments, contributing extensively to scholarly research. Dr. Cesar A. Briceno is an accomplished advisory dean and associate professor of ophthalmology at the University of Pennsylvania Scheie Eye Institute. His professional journey has been marked by a keen focus on cutting-edge clinical trials and advancements in the autoimmune aspects of ocular disease. Dr. Kira L. Segal is an oculofacial surgeon practicing at the Ultra Self Advanced Facial Aesthetic Center in Florham Park, New Jersey. Additionally, she extends her expertise as a voluntary faculty member at the Weill Cornell University School of Medicine. Dr. Segal's contributions to the field, particularly in preoperative evaluation and surgical techniques, have earned her a reputable standing. Episode Summary: In this enriching episode of the Oculofacial Podcast Journal Club, host Lilangi Ediriwickrema, MD, as she moderates a discussion with experts Don Kikkawa, MD, Cesar A. Briceno, MD, and Kira L. Segal, MD, on three recent articles published in the field of oculofacial surgery. The panel reviews a study on proptosis regression after teprotumumab treatment, the current uses of amniotic membrane transplantation, and the association between obstructive sleep apnea and ptosis repair failure. They delve into the findings, limitations, and potential implications of each study, providing valuable insights for oculofacial surgeons and patients alike. Don't miss this engaging and informative episode of the Oculofacial Podcast Journal Club. Key Takeaways: Teprotumumab treatment for thyroid eye disease shows varying rates of proptosis regression in patients, signaling the potential need for personalized retreatment strategies. Amniotic membrane transplantation offers diverse applications in oculoplastic surgery and holds promise in enhancing patient outcomes for various reconstructive procedures. The presence of obstructive sleep apnea in patients correlates with higher failure rates of ptosis repair, warranting a more cautious preoperative evaluation and emphasizing the complexity of ptosis surgery in such cases. Staging surgical interventions, especially in cases of tarsal instability and floppy eyelid syndrome, can improve outcomes and minimize potential complications. Medical compliance in managing sleep apnea plays a role in patient outcomes, although further study is needed to understand the full impact on oculofacial surgical procedures. If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast
With Mark Ellen in foreign parts David Hepworth and Alex Gold light cigars, pass the port in the correct direction and discuss…..…..the fact that there is only one way to play a Beatles song and that is the way the Beatles did it.…..the chances that Taylor Swift is reaching her imperial phase and nobody is prepared to tell her what she really needs to hear.….the very good reason that all contemporary pop records do literally sound the same.…the 50th anniversary of Richard and Linda Thompson's “I Want To See The Bright Lights Tonight”.….the story of the Allman Brothers' “Jessica”, a jam that turned into Dickey Betts' pension.….how the Blue Nile got a plug which is worth all the bought media in the world.Subscribe to Word In Your Ear on Patreon for early - and ad-free - access to all of our content, plus a whole load more: https://www.patreon.com/wordinyourear Get bonus content on Patreon Hosted on Acast. See acast.com/privacy for more information.
With Mark Ellen in foreign parts David Hepworth and Alex Gold light cigars, pass the port in the correct direction and discuss…..…..the fact that there is only one way to play a Beatles song and that is the way the Beatles did it.…..the chances that Taylor Swift is reaching her imperial phase and nobody is prepared to tell her what she really needs to hear.….the very good reason that all contemporary pop records do literally sound the same.…the 50th anniversary of Richard and Linda Thompson's “I Want To See The Bright Lights Tonight”.….the story of the Allman Brothers' “Jessica”, a jam that turned into Dickey Betts' pension.….how the Blue Nile got a plug which is worth all the bought media in the world.Subscribe to Word In Your Ear on Patreon for early - and ad-free - access to all of our content, plus a whole load more: https://www.patreon.com/wordinyourear Get bonus content on Patreon Hosted on Acast. See acast.com/privacy for more information.
With Mark Ellen in foreign parts David Hepworth and Alex Gold light cigars, pass the port in the correct direction and discuss…..…..the fact that there is only one way to play a Beatles song and that is the way the Beatles did it.…..the chances that Taylor Swift is reaching her imperial phase and nobody is prepared to tell her what she really needs to hear.….the very good reason that all contemporary pop records do literally sound the same.…the 50th anniversary of Richard and Linda Thompson's “I Want To See The Bright Lights Tonight”.….the story of the Allman Brothers' “Jessica”, a jam that turned into Dickey Betts' pension.….how the Blue Nile got a plug which is worth all the bought media in the world.Subscribe to Word In Your Ear on Patreon for early - and ad-free - access to all of our content, plus a whole load more: https://www.patreon.com/wordinyourear Get bonus content on Patreon Hosted on Acast. See acast.com/privacy for more information.
In this episode Rachel talks to Katie about all the wondrous and darn right fascinating things about the amniotic sac. · Why is the baby surrounded by fluid, and what is it made of?· Women are often told they have too much or too little fluid. Is this a problem?· We also discuss why Rachel is (slightly!) obsessed with the function of the amniotic sac during labour· We ask does breaking the amniotic sac (the waters) speed up labour at any point?· What if your amniotic sac breaks before labour? We discuss the time the time-frames around augmenting labour when this has happened. · And we discuss what if the membranes don't break during labour?All this and lots more for your eager lug'ols. LINKS: https://midwifethinking.com/2015/09/16/in-defence-of-the-amniotic-sac/https://midwifethinking.com/2013/08/14/amniotic-fluid-volume-too-much-too-little-or-who-knows/https://midwifethinking.com/2015/01/14/the-curse-of-meconium-stained-liquor/https://midwifethinking.com/2017/01/11/pre-labour-rupture-of-membranes-impatience-and-risk/Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! Support the show Please support the show via Patreon or BuyMeACoffee MERCH here! Music Joseph McDade Like this podcast? Leave us a review here Want more from Katie and Rachel? Katie's website Rachel's website DisclaimerThe information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness. The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.
Amniotic band syndrome is a rare condition that affects 1 in 1,200 to 15,000 kids. Abby Jensen grew up with this condition, and in this episode, our host Kevin interviews her to ask her what it was like for her as a kid and how having a hair system was able to help her confidence. At 24 years old, Abby is sharing her story to help kids and their families who are going through challenges similar to what she faced. What is Amniotic Band Syndrome? Amniotic band syndrome happens to a baby in utero when the amniotic sac rips and the mother's body tries to repair it. It can lead to scarring on the baby's skin. What makes Abby's case so unique is that her head was affected by the amniotic band as opposed to her limbs or extremities. Because of the scarring on her scalp, Abby has never had hair on the top of her head. She has some natural hair around the back and sides of her head. What Was it Like for Abby? Because Abby's scalp looked different, she got lots of stares as a little kid. Before using her hair system, Abby wore hats and a wig to protect her from onlookers (and the sun!) Her parents were very committed to ensuring that she had hair by the time she went to school, so they started working with HairClub when Abby was just four years old. Abby's new hair stayed in place throughout all of her activities—she could swim, dance, and play like any other kid. Abby's Hair Solution Abby has worked with the same stylist for all 20 years that she's been with HairClub. They have a great routine - the stylist knows exactly what Abby likes. Abby and her stylist have customized the routine and care to meet Abby's needs. Recently, they stopped using glue to help hold the system on and are just using tape. This way, Abby can remove the system as needed. There is no real difference in time or maintenance when it comes to daily styling or care for her hair system. Abby likes to spend a lot of time styling her hair, and with her system, she can do pretty much anything any young woman with natural hair can do. Sharing Her Story and Strength When she was young, she hid the fact that she had a system. Although having hair helped her confidence, she wasn't ready to talk about her journey. By sharing her story now, Abby wants to help kids with amniotic band syndrome and their parents see that things will be okay. Abby wants kids to know that it's okay to be different from other kids, and she wants parents to be strong for their kids and know that their kids will grow up to be strong, too. Thanks for listening to HairPod. We hope you enjoyed this episode. If you did, please leave us a rating or review wherever you get your podcasts. If you'd like to connect with us on social media to share your story, check us out on Instagram @HairClub. HairPod is a production of TSE Studios. Our theme music is from SoundStripe.
Kerri shares her journey through two unmedicated births, including her experiences with miscarriage, induction, her dream birth center experience, and her postpartum recovery. Kerri's first pregnancy ended in a miscarriage, her second involved an induced unmedicated hospital birth due to low amniotic fluid, and her third was an unmedicated birth at a free-standing birth center, which ended with a postpartum hemorrhage and hospital transfer. Kerri discusses how she prepared for her births through fitness, childbirth education, mindfulness, and the support of her birth team. Afterward, Gina and Roxanne explain the implications of going past due dates and the risks associated with post-term pregnancy, and what conversations you can have with your provider to make informed decisions. Find Kerri on Instagram here: https://www.instagram.com/training4motherhood/ Online resource: Home | Training 4 Motherhood (square.site) 00:00 Introduction 01:09 Kerri's First Birth Story: Hospital Induction 01:23 Kerri's Pregnancy Journey and Preparation 09:10 Kerri's Second Birth Story: Birth Center Experience 09:19 Postpartum Recovery and Fitness 18:10 Reflections and Advice for Future Pregnancies 22:22 Discussion on Pregnancy Beyond 42 Weeks 28:35 Conclusion and Offerings from MamasteFit —— Freebies to Support Your Pregnancy:
Special episode after some time off to share the story of my son's birth!
Jordy has always had long, painful and heavy periods so when she fell pregnant without trying, no one was more shocked than her. Excess amniotic fluid prevented her from monitoring her baby's movements so she presented to the hospital multiple times and opted for a planned caesarean at 38 weeks. Her birth experience was incredibly positive and after breastfeeding for the first time in recovery, she went on to feed baby Evie for three years. Since being diagnosed with adenomyosis, endometriosis and cysts on her ovaries, Jordy is navigating secondary infertility alongside medication and persistent pain. She speaks candidly about the daily challenges of her pain as well as the heartache of failed pregnancies. Follow us on Instagram at @australianbirthstories for helpful articles, behind the scenes, and future episodes. --------- Today's episode of the show is brought to you by my online childbirth education course, The Birth Class. What makes The Birth Class so unique? Well, instead of learning from one person with one perspective, we've gathered nine perinatal health specialists to take you through everything you need to know about labor and birth. Realistic information is key to thorough preparation. Learn more about The Birth Class here.See omnystudio.com/listener for privacy information.
In today's episode, I sit down with Dr. Jerry Robbin to discuss the clinical and business impacts of dehydrated amniotic membranes in practice and his paradigm shifting experience with the PECAA K-DISK. Key Takeaways:For a practice to truly expand in dry eye management, a number of things are important to have:Diagnostics - Inflammatory testing, tear osmolarity, and meibographyTreatment Options - ZEST or BlephX, meibomian gland treatments including thermal pulsation and IPL/LLLT, Amniotic membranesWillingness to Prescribe Medications - Meibo, Tyrvaya and othersDifferent dehydrated amniotic membranes are processed in different proprietary ways which could impact their effectiveness on the eye.While amniotic membranes can certainly be used for complex, severe cases, the earlier they're used the better the outcome the patients will have. Any moderate dry eye patient having difficulty with ocular surface healing would benefit. When managing patients with dry eye, always be on the lookout for patients that would benefit from an amniotic membrane and do not hesitate to educate on the option when appropriate. Dr. Robben is now using K-DISK 80% of the time patients need an amniotic membrane. The bidirectional nature and ease of handling make application easier than other membranes and has seen significant improvement in patients' outcomes. Dr. Robben recommends bringing the patient back for a follow up visit to place the amniotic membrane v. doing it same day in practice for both reimbursement purposes and patient expectations/ deductible considerations. What Jerry is reading:The Lifestyle Investor by Justin Donald** Don't miss out on an extra $5 rebate for all commercial VSP Eye Exams extended through December 31, 2024. Earn up to an additional $15,000 in 2023 and up to $30,000 in 2024. Visit www.pecaaexamrebate.com now!**
Amniotic fluid embolism remains one of the most devastating conditions in obstetric practice with an incidence of approximately 1 in 40,000 deliveries. The associated mortality for this condition has been reported to be 20% at the low-end, to 80% at the high-end. The use of atropine (1 mg intravenously [IV]), ondansetron (8 mg IV), and ketorolac (30 mg IV) (AOK) as an adjunctive treatment has been widely discussed by obstetric providers as a treatment option which should be considered to supplement other treatment modalities. In this episode, we will review the pathophysiology of AFE and discuss its first-line treatment regimens, as well as the AOK/AOK – T protocol.
In today's episode, I sit down with Dr. Mila Ioussifova and Roger Kennedy to discuss the clinical and business impacts of cryopreserved amniotic membranes in practice, especially with patients with dry eye. Key Takeaways:The easiest way to bring amniotic membranes into your practice are by just doing it. Learn about application tools, patient education, billing and coding from the companies themselves and just go for it.Amniotic membranes aren't just for train wrecks. Persistent ocular surface disease, reduced corneal sensitivity, and moderate dry eye are all great cases for amniotic membrane use.Knowing the patient's deductible status ahead of time aids in the conversation. Dr. Mila presents amniotic membranes as one of hte only treatments that are covered/ billable to insurance and it's the only regenerative approach to corneal tissue and nerves. Knowing the deductible status prevents the patient from being surprised. The wow effect matters.Don't be afraid to publicly market your dry eye and amniotic membrane treatments to patients on your website and patient communication. Have a word of mouth strategy and execute it.Communicate the service and value of your products to other specialists in the area treating patients with conditions that cause dry eye.What Mila and Roger are reading:Think Again by Adam GrantShift Your Brilliance by Simon BaileyBecoming Supernatural by Dr. Joe Dispenza** Don't miss out on an extra $5 rebate for all commercial VSP Eye Exams extended through December 31, 2024. Earn up to an additional $15,000 in 2023 and up to $30,000 in 2024. Visit www.pecaaexamrebate.com now!**
“We are pieces of an important puzzle and there are a lot of pieces. Working together, we can effect a lot of change.”Joining Meagan on the podcast today is Dr. Elliot Berlin, a renowned prenatal chiropractor based out of Los Angeles who is making a huge impact on the birth community. Dr. Berlin is extremely knowledgeable and experienced in holistic birth preparation and advocacy. He is a birth doula, hosts the Informed Pregnancy Podcast, and his most recent project is the Informed Pregnancy Plus streaming service where birth documentaries and other educational videos can be found on one online platform. Dr. Berlin and Meagan discuss TONS of topics that come from your questions! Topics include: What happens during an adjustmentWhen to start prenatal chiropractic careBodyworkAdjustments during laborCPDBreech PresentationPubic SymphysisSupport at homeBreastfeedingAdditional LinksDr. Berlin's WebsiteInformed Pregnancy PlusPediatric Chiropractic Search WebsiteNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, hello everybody. You guys, we have a very special episode for you today. We have Dr. Elliot Berlin with us today and he's actually live with me so that's pretty cool that I actually get to see his face live via Zoom. Dr. Berlin: It feels like we are in the same room. I'll be honest. Meagan: Right? As live as you can get through a computer. I feel like this is our new norm these days. This is how live works. Dr. Berlin: Yeah. And you know, we got used to it. Meagan: Yeah, we did. We got used to it pretty dang fast actually. We're so excited to have you on today and we have so many amazing questions that our listeners and followers have asked. But I first want to just talk a little bit about you and who you are so if anyone doesn't know who Dr. Elliot Berlin is, you need to know and you need to go follow his page right now. Push pause unless you are driving. You can do that later and go follow @doctorberlin on Instagram because he's amazing and has so many incredible things and has done—I mean, for years—so many incredible things in the birthing community. Dr. Berlin is an award-winning pregnancy-focused chiropractor. If you don't know yet, on this podcast, we love chiropractic care. He's a certified birth doula and host of the Informed Pregnancy Podcast. So again, if you haven't followed his page or his podcast, press pause. Go follow along and go—what's the word? Subscribe to his podcast— Informed Pregnancy Podcast. He combines his passion for entertainment with his desire to educate and spread awareness about important issues in the birth industry. We know that in the birth industry, we have a lot of issues that need to be talked about. His latest project is the brand new streaming channel on Informed Pregnancy Plus dedicated to all things fertility, pregnancy, labor, and parenting. Informed Pregnancy Plus So, Dr. Berlin, I would love to actually start right there before we get into these questions. Will you tell us more about this new project that you've got going on? Dr. Berlin: Thank you for having me and for the incredible work that you do. I was just telling you recently that I feel like we are pieces of an important puzzle and there are a lot of pieces. Working together, we can effect a lot of change. The Informed Pregnancy Plus is a streaming platform. Everything grew organically from me really being a very medical-minded person wanting to go to medical school. Sometimes little arrows pop up. I see my son play video games and he's not sure where to go, then a big arrow pops up and says, “Go this way.” I get those arrows sometimes and it led me on a more holistic path. I fell in love with chiropractic and massage. I smooshed them together to make chirossage. I ended up with my wife and I having a fertility struggle. We ended up overcoming that with natural means when medical options ran out— and she is a psychologist. We started this mind/body program together, wellness care, with an eye on helping people boost fertility. Over time, that turned into babies and pregnancy. Again, coming from a much more medical background—I used to work in ambulances and emergency rooms—everything was brand new to me on the more natural front. Meagan: Mhmm, yeah. Dr. Berlin: I had never heard of doula. So I would get questions a lot that I didn't know answers to. It still happens regularly. I would go on to research. I'd talk to experts, read, and try to prepare an answer that was not, “This is what you should do or not do,” but “These are the facts as we know them. What do you want to do?” As I'd get the same questions over and over again, I started to write that as a blog. It became a magazine for a minute when people still printed stuff and then before I knew anything about podcasts, I was doing a podcast. Then I made a couple of documentaries, one of them about VBAC, Trial of Labor. It's a beautiful film and when we finished it, I realized that the only thing I know less about making a documentary is what to do with it once you have one. How do people get to see it? Right when it came out, there was this big flash of excitement about it. There were screenings and all sorts of people were buying it in lots of different ways and showing it in lots of different ways, but then that excitement fizzled out. It was out there in the blogosphere and the webosphere but people weren't finding it. I was getting these crushing emails saying, “Hey. I saw your movie, Trial of Labor, and I really loved it. I just wished I would have seen it before I had my baby.” I was like, “No, I made it so you could see it before you had your baby.” Meagan: Right. Dr. Berlin: So after talking to some of the other filmmakers in the space, I realized that I'm not the only one having this problem. There's not an easy place where people can go and get iconic films like The Business of Being Born, Orgasmic Birth, The Mama Sherpas, Breastmilk, so on and so forth. So I just decided, “Why not make it easy for anybody to access from anywhere without having to pay $25 for each film?” and just boom. You can have it on your phone or your TV. That's how Informed Pregnancy Plus was born. Every day, we are working on acquiring licensing for more great content. It's expanded from film to also web series, also mind and body like yoga and meditations and workshops. My wife has a workshop on there on relationships how to still like your partner after you have a baby together. We have one on birth plans. We have one on sleep. It's just growing all the time. Anybody can try it absolutely free at informedpregnancy.tv. It also has apps for Apple, Android, and Roku. After that, it's very affordable. It's $7 a month. Meagan: That's what I was going to say. It's $6.99 a month or $59 a year. That's pretty dang affordable. Dr. Berlin: That was our goal. If you have an internet connection, a device, and $60 for the year, you have access to all of this great content. That's what we were hoping to achieve. I don't know how I'm going to survive. It's like each element of this is a full-time job. Meagan: A full-time plus. Dr. Berlin: Full-time plus like Informed Pregnancy Plus but thankfully we have a small crew here but very dedicated to the project and very hardworking, very savvy. It's growing both in terms of content and in terms of viewership. The films are finally having an avenue where they can make a greater impact. Meagan: Absolutely. I love that so much. I wish I had something like this back when I was in my childbearing years or having babies, I should say because even the time. In my opinion, how much time I spent researching VBAC and all of the things during pregnancy, even those courses like yoga classes and all of these things, I spent way more time than I would have money. It would have been so much more worth it to just buy a subscription like this and have it all in one great platform. Dr. Berlin: I mean, that's the goal. Especially for people who live in areas where there aren't prenatal yoga classes. We don't have a ton yet, but we are always adding more. We have Baby by Simone on there for people who can't go to a prenatal workout class. She's got great workouts. The whole idea is that no matter where you are, these tools should be accessible to everybody. Thankfully, they are trickling their way through the internet and people are finding them. I'm getting fewer messages about, “I wish I had seen your film before I had my baby,” so that's very rewarding in the way that finances can't reward. Review of the Week Meagan: Okay, so we do have a Review of the Week so we are going to get into that before we jump into all of the amazing information that Dr. Berlin has. This is from 471046246me and it says, “My Labor and Delivery Nurse Told Me About The VBAC Link.” Oh my gosh, that makes me so excited. If you're a labor and delivery nurse, thank you, thank you, thank you for the love and we would love for you to continue sharing with your patients. It says, “I had an emergency C-section six months ago with my first baby. I planned and prepared my entire pregnancy for a non-medicated, vaginal birth with midwives in a hospital. I had an amazing team. Labor was going great. Hard, but I felt strong. But my son had other plans that involved wrapping himself in his umbilical cord so the sunroof exit he went. Ha ha,” she says. “In my recovery room, my nurse told me that she had an HBAC and told me to listen to The VBAC Link. I am so thankful that she recommended y'all to me because I already am stoked for my VBAC and I'm not even pregnant yet. Thank you for the work you do. I can't wait for y'all to come back from your break.” This was back in 2022. It says, “These stories fill my day with so much joy when I take my son for my daily walks.” Oh, thank you so much for your review. You guys, we do love these reviews. We appreciate them so much. We always welcome them in wherever you leave them. You can Google “The VBAC Link” and leave us a review. You can do it on Apple Podcasts. You can message us. You know it. Wherever, we love your reviews so bring them over and maybe they will be read on the next podcast. Q&A Meagan: If you guys are wondering, we will make sure to have all of his links for his platforms in the show notes so make sure to check out the show notes. Dr. Berlin: Thank you.What Happens During an Adjustment?Meagan: Without further ado, I mean there are so many questions. I don't know if we'll get to all of them today, but I was shocked, but then I thought, “Oh well, from someone that had never gone to an adjustment before during pregnancy, I didn't know either.” One of the questions is, “What happens during an adjustment? What does that look like?” Dr. Berlin: These, I'm sure, are going to be amazing questions because they come from real people who are very curious. This is a great question. The answer is it's different from chiropractor to chiropractor. Generally, the one thing we all have in common is that we're all looking for restriction in the bones—so where two bones come together, they form a joint. There should be good movement between those two bones, a certain amount of good movement. If they become restricted or totally locked up, they can create problems for you. It may be a problem like you feel like a loss of range of motion or swelling around that restricted joint that starts to become an issue that presses on nearby things like nerves or other tissue. Or it may be a problem that you don't feel. It might just be restriction where you should have fluid movement. If you're talking about your low back, hips, and pelvis, those kind of restrictions, that's the baby's studio apartment. So where the baby should be able to move freely, your body may not be able to accommodate that. So what we all have in common, really, is that we look for those restrictions and we try to release them. We try to restore motion between those restricted bones around the joint. There are a lot of different ways to find them diagnostically, a lot of different ways to restore movement therapeutically so if you go to a bunch of different chiropractors, you might have very different experiences. Then sometimes, chiropractors also add on top of that other modalities that they do whether it's a physiological therapeutic thing like electric stim or heat or ultrasound or other types of body work like massage. We tend to combine those two together in our practice. What the adjustment is a restoration of movement where it was previously restricted where two bones come together. Any two bones in the body can pretty much be adjusted but many chiropractors primarily focus on the spine and pelvis and maybe the major extremities. Meagan: Yeah. Like you said, it's the baby's apartment. I remember my chiropractor telling me how my pelvis shifted. My right side would shift forward, so it would kind of be off. She was like, “You need to have it aligned for the baby to come out of the apartment.” Dr. Berlin: Yeah. Meagan: I actually wasn't having a ton of pain. I couldn't have told you that my pelvis was wonky like that, but she was like, “It's so easy. You can do it getting in and out of a car or walking up stairs or putting a laundry basket on your hip.” There is so much that happens during pregnancy. Dr. Berlin: That's before the baby gets there sitting on your hip. Meagan: Right. Your body can get out of alignment through pregnancy. Dr. Berlin: That's one of the interesting things though. If you come in even if you do have pain but there's nothing restricted, then on the pure chiropractic front, there's really nothing for us to do. Sometimes it's the opposite. You can have hypermobility where things are moving too much. There are ways we can treat that as well, but the adjustment wouldn't be one of them in that direct area. But on the other hand, you could have restrictions that you don't feel. We would still want to address them if that's what you want to do.Bodywork Meagan: Yeah. You touched a little bit on bodywork. That was kind of a question that was answered a little bit farther down on our list, but what all does bodywork look like with that? You talked about massage and things like that. Is there more to it or is it just more like prenatal massage and then a chiropractor? Dr. Berlin: Bodywork is a vague term, even more vague than chiropractic. There are a lot of different kinds. In our office, what we do is massage therapy. It's more of a clinical massage therapy so it's focused. It's usually 25 minutes long. It's targeted in a specific area. When it comes to musculoskeletal health in general, I see myself as WD-40. I look for things that are stiff, tight, and restricted, and try to get more motion in there. The other side of that coin is duct tape where things are too weak or unstable, somebody's got to help bring that back together again. That's more like a personal trainer or a physical therapist. When we are working together, we can get really good balance and function and strength around the muscles and bones of the body. You can really feel wonderful even through all of the different stages of pregnancy, sometimes even with multiples all the way until the end. When things are out of whack, sometimes not even a month into pregnancy, you start to feel weird things happening to your body. Bodywork can be a lot of different things. For us, it's that more clinical medium to deep tissue, finding muscles, tendons, and fascia that are too stiff, tight, and rigid and trying to use massage strokes to elongate them, lengthen them, and restore normal tone. Other things that we infuse are trigger-point therapy. Sometimes you have a tendon coming to a bone or the center of a muscle where there's an accumulation of all of the tension in one area so we use trigger-points to release that. Back when I was doing birth work, we would also do a lot of reflexology, cranial massage, craniosacral therapy, jaw releases, and anything that's going to release the mind and the body through the process. Not so much in the office, we do craniosacral therapy a lot. We have two pediatric chiropractors that work from newborn through adolescence and they do a lot of craniosacral. Meagan: Yeah, my daughter had torticollis from my C-section actually. Dr. Berlin: Oh, interesting. Meagan: It was literally after birth when she was little. Then it just kept getting worse and all of a sudden, her ear was touching her shoulder but her shoulder wasn't going up. Her ear was going down. Dr. Berlin: Right. Taco neck, they call it. Meagan: Yeah. It was pretty dang bad. We went to PT and that was great, but ended up finding a craniosacral one. Anyway, it was amazing. They did this adjustment and suddenly she was back up. She wasn't fussy and having acid reflux and all of these amazing things. It is really cool. Dr. Berlin: It is so gentle yet powerful at the same time. Meagan: Right! PT was actually hard on us. It was a lot of forcing her to get in these positions and things then just a few chiropractor adjustments of craniosacral work was a game changer for us. Dr. Berlin: That's amazing. Meagan: And a lot more sleep for this mama, right? Dr. Berlin: Yeah. It's not just great for the baby. It's great for the parents. When to Start Chiropractic Care During Pregnancy Meagan: Yeah. Well, awesome. So when should someone start chiropractic care during pregnancy? Is it something like, “Hey, I'm thinking about conceiving. I should start now.” Should we always be seeing? What does it look like? Dr. Berlin: A lot of that depends on your goals. If you want to optimize your body for pregnancy, it would be great to know ahead of time when you're definitely not pregnant because there's a lot of stuff that we can work on that we can't get to once you're pregnant like all of the core muscles, psoas, hip flexors, and the ones that go behind the baby. Loosening that stuff up if it's tight before you get pregnant is ideal. That happens in my case more frequently either if people are on a fertility journey or they had a pregnancy that was either difficult or birth that was difficult and now they're thinking about getting pregnant again. They'll come in for some pre-pregnancy bodywork. Once you're pregnant, it really depends on the goals. If you're coming for maintenance, in my view, there's not really a time that is too early. We do make modifications in the first trimester then we make modifications again at different times as you get bigger and your body changes, but there are always ways that we can, almost always, get you comfortable, situated on a massage table and/or a chiropractic table and find those restrictions and release them.I would say our typical patient comes in the second trimester so maybe somewhere around 20 weeks unless they are coming for something specific like sciatic pain or positioning issues or just getting ready for birth and they come later. They tend to come maybe twice a month during that middle part of the pregnancy then at the end in the last month or two, they'll come once a week to get ready for birth. We don't prescribe a hard and fast number of visits or frequency of visits. It really depends on your goals, how you're feeling, and what your life looks like—what kind of resources you have or want to put into it. Meagan: Yeah. That's what I did at the end of my pregnancy. I did every other week so twice a month then in the very last few weeks, like my 39th to almost 41st, I ended up going a couple of times because I started getting some discomfort and feeling some sciatica pain and things like that. My baby proved his point. He was hanging out in my back. Dr. Berlin: Ouch. Meagan: Yeah. In labor, he did that for 42 hours. Dr. Berlin: Oh my goodness. Ouch. Ouch. I'm sorry. Meagan: It was fine. I was adjusted twice during my labor. Dr. Berlin: Wow. Meagan: I full-on believe—I mean, I believe that my team and everything and that space I had created was an impact, but I swear that my chiropractor really did impact my VBAC. Dr. Berlin: Some people swear by us and some people swear at us. Meagan: I know. Dr. Berlin: I'm really grateful that you were able to have the VBAC. Structure and function are important when you're trying to get a baby through.Can We Get Adjusted During Labor? Meagan: Yeah. I mean, I saw switches in my labors with both adjustments. It's so awesome. That was one of the questions. Can we get adjusted during labor? As a doula, I've been to a few births where we're seeing this lag in this labor and the same thing. We're working through all of the positions, but something is not quite working. We say, “Hey, let's go get an adjustment.” We'll go to the chiropractor with them and things big-time shift and we've got a baby. But yeah, are there signs that someone could use an adjustment? Maybe we've got people in a rural area where they can't have access to a chiropractor or maybe they're already in the hospital and sometimes chiropractors can't come in. Dr. Berlin: Yeah, nowadays they don't let too many people in. Always, ideally, that's why we switch to once a week as you're getting closer to the end so that ideally, you go into as a labor freely moving ball with enough WD-40 to carry you through. But yeah, there's no problem generally doing adjustments during labor. Some people just schedule it and say, “Hey, will you come check on me when I'm in labor?” Other times, we get called when there are some signs that labor slows if there is no progression like things don't progress in a “reasonable time frame”, if the baby's not in a great position, and if there's back labor like what you were talking about. Those are all signs that it's worth checking. Are there restrictions here in the pelvic bones? Your pelvis is not a solid bone. It is a bunch of bones connected by soft tissue. It has the ability to expand and contract and accommodate or even facilitate the baby's movements but if everything is just in a vice grip, then it may not be able to do that the same way. It can be more resistant to the movements. So we don't do anything to the baby. We're musculoskeletal specialists. We do things to your muscles and bones and make them more functional. That could make you a lot more comfortable. It could provide an environment in which the baby is better able to line up with the runway and things like that. Yeah. So you know, it's never a guarantee. Sometimes I'll get to a birth and there's really nothing to adjust. In my case, I also do body work so at the very least, I can do some body work. There are a lot of reflexology points that are just calming. There are those famous hip squeezes or counterpressure on the sacrum and lots of different massage stuff we can do to open up muscles. A lot of what I do in the office I've learned from birth. When someone is in labor and they're having these weird muscle spasms during contractions, you realize, “Oh, that is so tight.” I never would have guessed ahead of time that it was going to be so then as part of labor prep, I'll explain to somebody, “Do you want to release these muscles because they can play a role?” Sometimes you can't see what looks like the direct effect. It's all anecdotal. No one studies on this but all of a sudden, things start to loosen up where those spasms are occurring during labor and they loosen up, then all of a sudden, you start to see a healthy progression. The other thing you see a lot with bodywork is somebody, especially in unmedicated birth—I don't think there is anything like unmedicated birth. Either you get medications or you make your own. The ones that you make look pretty cool. But if there's someone who's not medicated medically, there's this major transition that you can see when a surge comes through and she doesn't feel totally safe or relaxed and she'll start to tighten up and sort of not consciously but fight the surge and fight herself, really. That can look pretty violent sometimes. With bodywork, you can sort of help the nervous system relax to a point where it doesn't feel like it's in danger. It doesn't feel like it has to fight even when intensity comes. That's the most rewarding thing to me from being at a birth. When I see that shift is when it's like, “Wait a second. This is more tolerable, much more tolerable if I don't fight it.” They get the confidence to relax into it and they realize, “Okay. I've got this.” So it's not always, in my case at least, the adjustments and bodywork. Things that people can do on their own, there are all of the doula tricks if the baby is not wanting to come down with the peanut ball but sometimes you can actually roll different parts of the low back, glutes, and piriformis if they're acting up. There is some stretching you can do. Some of the Spinning Babies exercises come in really handy. There is other stuff that you can do even if you can't get a chiropractor over there. Meagan: One of the clients that I went to, her chiropractor went during labor. He showed me this-- I don't even know what it was—tight ligament or something right down next to the bone. Dr. Berlin: Yeah, above it? Meagan: Kind of on the side. It was honestly by the butt crack. That's where it was, this tight thing. He was like, “Do you feel that?” I would feel it and it was so tense. Dr. Berlin: A spasm, mhmm. Meagan: He said, “During a contraction, press on that.” I would press and eventually, it just released and all of a sudden, we had transition coming. It was really interesting. I don't even know what that is. He said, “Press right here.” I could feel it. It was tight. It was really interesting. Dr. Berlin: Yeah. You'll find little things like that in labor. With permission, a little trial and error, you can sometimes really find a gem that is helpful for birth or that you can do ahead of time or that you can train a partner or doula to do. It can make a huge difference.CPD Meagan: Yeah. Absolutely. So we were just talking about our pelvis and how it moves and shifts and all of these things. CPD, cephalopelvic disproportion is a common, as you probably know, diagnosis in C-sections and people wanting to have a VBAC. It's given a lot. In my opinion, too often. I was given it myself. I was told I would never get a baby out of my pelvis. Dr. Berlin: Oh wow. Meagan: So that's a big question. How can someone tell the shape of their pelvis? Does it matter? How can we make our pelvis “bigger” during birth and what can we do to help these babies navigate through this pelvis without getting this diagnosis of, “Your pelvis is too small”? Dr. Berlin: Well, I think the first and most important thing always with a VBAC is to line yourself up with a provider who is really VBAC supportive, not just tolerant. If you feel really trusting that your provider is like that, then they are only going to tell you things. They know your goal and they are supportive of your goal. They are only going to tell you things that are well thought out or that aren't just fear-based. There are a few things coming together here. Number one, there is the pelvic paradox. You see someone with really tiny hips give birth to a 9 or 10-pound baby with no hiccups really smoothly. Then you see somebody who has big hips. Maybe they've been told their whole life, “Wow. You're going to have great hips for birthing,” and a 6-pound baby gets stuck and doesn't come out. How do you explain the pelvic paradox? One of the explanations is that there is a big difference between structure and function. Structure is your pelvis, the bones themselves, the soft tissues themselves, and how big they are. It is measurable to a degree and your baby and how big they are is measurable to a degree. But if you're just looking at structure without function, you're going to see what looks like cephalopelvic disproportion a lot partially because we don't have great measurements on these things. We have approximate measurements and partially because you're not taking into account function. The baby's head is not a solid bone. It's a bunch of bones meant to smoosh through a smaller passageway than it is at its full size and the pelvis is not a solid bone. It's a bunch of bones meant to expand and transmit something bigger than itself through while you're in labor. If those functions are working, then for sure, a larger baby can get through a smaller space even though on paper structurally, you have what looks like a baby that is too big to come through a pelvis that's too small. Sometimes they are too big and that's the issue. That's why it's really important, I think, to be with a provider who really gets you and supports you and is on board with you because if that provider is saying, “Wait a second. You have a head that is like this or the entryway to your pelvis is a concern,” then you're really going to not be second-guessing them in the moment which is really important, I think, for safety. That's the number-one thing is if you want to have a VBAC or even a vaginal birth the first time, is to have a provider that is really supportive. Number two—this is again really anecdotal. I see a lot of pregnant people every single day. What I did was a little poll on social media like, “How many people told you that your baby was going to be 9 pounds and it was substantially smaller?” A huge number of people came up. I don't think it's nefarious at all. I think that doctors in general and obstetricians in particular are trained to look or what might become a problem at some point which is sort of good. We want them to predict those things. But then it could get carried a little too far away because it's like, how likely is that to become a problem and what are the interventions that we take to prevent that and what are the side effects of those interventions? That's a much more complex equation where there's not always a clear answer. It is sometimes presented as a clear answer rather than, “These are the pros and cons, the risks and benefits as we know them. What would you like to do?” I think that's something all practitioners can learn over time. I'm certainly still a student every day 25 years later learning how I can do things better and more comfortably and more effectively. I think towards the beginning of practice for me too is that you know what you know and you want to be so helpful, but sometimes, the person on the receiving end of that doesn't want that and that's okay. That's your choice. It's 100% your choice. Even if it's not the choice that I would make, at the end of the day, I'm supposed to support whatever choice you want to make. That's a lesson that at least for me, took time as both a chiropractor and a massage therapist and as a doula especially. Meagan: Yeah. That's what I was going to say. It's taken a lot of time for me as a doula. Dr. Berlin: Yeah. Meagan: It can be really hard. Dr. Berlin: Yeah. It's really hard. And very well-intentioned practitioners who want the best for you, who would do the same exact thing for their wife or their daughter are trying to help you, but at the end of the day, it's an informed consent situation. What happens with the measurement is that there's no scale for the baby before it's born. It's a computer doing calculations. The calculations have a margin of error. Let's say that margin of error is a pound or a pound and a half. If I tell you that your baby is going to be 7.5 pounds at birth, based on those calculations, that means it could be anywhere between 6 and 9 pounds if the margin of error is a pound and a half. A) I could have probably told you that without the ultrasound. B) The problem with that is if it's ticking upwards if the baby is measuring 8 pounds in there, now all of a sudden I'm thinking, “What if it's 9.5? That could be too big. It might get stuck. We might have problems. We don't want an injured baby.” Nobody wants an injured baby, so maybe we should just induce you or do a C-section or whatever to prevent that. How many of those babies are actually going to come out at 9.5 pounds? That's the end of the margin of error on that side. On the other side, you have the same issue. If a baby is measuring 6.5 pounds, you start to think, “What if it's 5?” because of the margin of error. Maybe the baby's not getting enough nutrition. These are all logical things to think about and important things to talk about, but we can't forget that there is this margin of error and that there is a person who really should be the one at least involved if not making the decision. So that, I think is what happens and anecdotally what I see in the office happens with cephalopelvic disproportion. Either we're doing measurements and we're guestimating that the baby is a certain size but they may not really be that size and we're not really looking at function. There's a great episode of our podcast called “Labor Day Surprises” where there are two women who have both had surprises at the very end of their pregnancies and they are sisters-in-law. One of them had a breech baby and had quite a very interesting story there and the other one had a surprise 11-pound baby. Meagan: Whoa. Dr. Berlin: Now she is 5'8” or so. She is tall but very petite with tiny, small hips. She gave birth to the baby vaginally, unmedicated and are you sitting down? She didn't even tear. Meagan: Oh my gosh. See? That's amazing. Dr. Berlin: It was the most incredible thing to watch and it's one of the few where you saw a very ecstatic birth almost orgasmic birth at the hospital. She really talks about how she got into that mind frame. Her doctor knew the baby was going to be on the larger side and said, “What do you want to do with this?” She said, “I want to try.” He goes, “Well, if you don't try, we won't know.” Meagan: Oh, that just gave me the chills. If you don't try, we won't know. Dr. Berlin: We won't know. Meagan: Like you were saying, it's informed consent. It should be up to that mama to decide if she feels that it's a good thing to try, but we also have to respect that if we have a provider who is not comfortable with it, we have to respect them too. Maybe that's finding a new provider or working with their partner or something but yeah. It's interesting. Dr. Berlin: I mean, I know that I'm not a good match for everybody out there who is looking for a pregnancy chiropractor. I'm not a good doula for people who are looking for a doula. What's really important is that you find providers that you feel are on the same page and that they are a good match. This happens with dating all of the time. It's like, “You're not for me but I have a friend and they would love you.” I don't think– I'm never insulted if I meet somebody and they're like, “I don't want this type of care.” Great. Let me find someone you would love to see. It's the same with obstetricians. There are some obstetricians who are very paternalistic. They make all of the decisions for you and there are people who love that who don't want to make the decisions and who don't want that responsibility. You guys are a great match together, but you're not going to be a great match for my Prius-driving, vegan, hippie mom, who wants to have her baby hanging from a chandelier over a tub. You know? She's not going to be a match for them. Meagan: Not so good of a match. Dr. Berlin: It's not an insult. Neither one of you wants to be with someone who's not a great match. I always encourage people that if you're not with a provider that you feel comfortable with, if they're not on the same page or your interests are conflicting, then try to find a provider who is on the same page. It makes a huge difference and you don't get to do this very often. Meagan: I know and it's worth finding that provider. Just like it's worth dating and dating and dating until you find the one, it's worth going out and continuing to find that provider because like you said, my best friend went to a provider that may not be the best for me. I'm happy that she found him, but I might need to find someone else and that's okay to take that time and find that provider. Dr. Berlin: Totally and if you're going a more natural route, even psychologically if you end up having a Cesarean, which I don't think is the worst thing on the planet. I think it's a great thing. I've been known to say that I think one thing worse than a Cesarean being forced on someone who doesn't want one and doesn't need one is not having one available to somebody who does need one. A Cesarean is a great medical marvel of our time. The doctors who learn how to do them perfect them and do them with very little risk and a lot of skill. They're heroes to me. But you know, if you want a more natural birth and you end up with a Cesarean and you're not with somebody who you felt like you are on the same page with, you're very likely to leave that birth feeling like, “Did I really need that?” It leads to a lot of not-good mental thoughts at a time that you are already going through a tough– for most people, a big transition. Meagan: Yeah. Dr. Berlin: I can't say it enough. Having a provider that is good for you and that is a match for you is so important on all fronts. Breech BirthMeagan: Beautiful. I love that. I couldn't agree more. Finding that provider is so important. We were just talking about these two cute sister-in-laws. They had a surprise breech and that is a question. If the baby is breech, what things could someone do on their own to help their baby turn? How soon should they start to worry? How could chiropractic care truly help that baby turn? We know that there's not a lot. Breech is kind of dwindling away. It's unfortunate and it's really unfortunate that we're not having as much support in the breech world, but we're not. A lot of people get put in a corner that if they have a breech baby, they feel like they have to have a Cesarean whether they want one or not, but they want options. How can we work with these breech babies? Dr. Berlin: It's truly interesting. I think if there were more options for safe, vaginal breech delivery– not everybody's a good candidate for that– but if there was more of an option, primary Cesareans would be down. Meagan: I wonder too. Dr. Berlin: Substantially and as a result, secondary Cesareans would be down because all of those people who had C-sections are told, “Once a Cesarean, always a Cesarean.” They don't even get a chance. I think it would bring down the Cesarean rate greatly as a whole. The question is, what is a safe breech birth? There is a lot of debate around that but one thing is for sure. There are some people who are much better off seemingly having a Cesarean birth but they're breech and other people who are much better off with the option to try and deliver vaginally but they're breech. Meagan: You have an episode on your podcast talking about that specific topic with Dr. Brock and some other providers talking about what that looks like. Dr. Berlin: Yeah, we have a 3-part series called Breech 101. It's two midwives and two obstetricians just talking everything breech from all angles. With Dr. Brock, we have another episode called “Vaginal Breech After Cesarean Breech” with a mutual patient, Dr. Donna Lou who had a breech with her first and ended up in a Cesarean because her doctor didn't. She went into labor and didn't have the chance to meet Dr. Brock. At the hospital, her doctor just doesn't have the confidence or the comfort to deliver breech babies. He was very apologetic but she had a C-section. One of the few people I have seen over 20 years who was breech again with no known reason, with her second, Dr. Brock also equally baffled said that she is a great candidate for VBAC and a great candidate for breech birth. The two, the risks that come along with those, don't compound each other. It's just two different sets of risks. What would you like to do? She opted for the vaginal breech birth after a Cesarean breech birth. I have them both on and they talk about the decision-making that went into it and what the process was actually like. When it comes to breech, I have a premise which is that– let's talk about a singleton baby in a first pregnancy. That's where we have the most data. I have a premise that at the end of pregnancy, babies generally want to be head-down. The reason I have that premise is because according to Williams Obstetrics, these numbers are a little bit old, but still seemingly relevant. At 28 weeks into a singleton first pregnancy, about 50% of babies are not head-down yet. Meagan: 50%. Dr. Berlin: 50% at 28 weeks. Now, at 32 weeks, about 10% are not head-down yet. You go from 50 out of 100 babies that are not head-down to only 10 out of 100 babies in a 4-week period of time. Meagan: That's a lot of babies that turn in a very short period of time. Dr. Berlin: It's a big migration and it's seemingly because they run out of space. When they have space to move around, they can move all over the womb. It doesn't really matter. Nobody really cares. They are exploring so no big deal. As they start to run out of space, they have to pick a position that is most accommodating in the space that they have and generally in a typically-shaped uterus for a typically-shaped baby, that is head down. That is where they try to go. At birth, at 37 weeks and beyond in that first pregnancy, the breech rate is 3-4%. So it goes all the way down to 3-4 out of 100 from 50. That's where the premise comes from at the end of pregnancy, babies generally want to be head-down. If they don't go there, there must be a reason for it. There's usually a reason. It could be something structural. It could be something functional. Sometimes when we have no idea why, like in the case of Dr. Donna Lew. Why would babies structurally? Well, there's a lot to consider. Maybe the cord is wrapped around them funny. Maybe the placenta is in the way especially when it's on the front wall, it seems to pose more of a getting-in-the-way factor. None of these, by the way, are absolute factors. I have a lot of people that come in with a placenta in the front and the baby does turn. But it seems like of the ones that don't turn, more of them have the anterior placenta. Amniotic fluid seems to play a role. So if the amniotic fluid index normal is somewhere between 8 and 24, with all of those being normal is a big range. 8, 9, and 10 are healthy but not so much fluid volume for baby to move around. 18, 19, and 20 are also healthy but so much fluid volume that even after 32, 33, and 34 weeks, your baby may have a lot more room to move around than other babies and not have a trigger to pick a position and get head-down. If you add other things to that like it's your third pregnancy so there's more room in the uterus anyway and if you're tall and if the baby's measuring small, you can take all of those things into account. Not all breeches are exactly the same. The shape of the uterus is a big deal too. Sometimes if the shape is different, it seems not conducive for the baby to get head-down or for the baby to be able to. Functionally, it's your body. Your lower back, hips, and pelvis are supposed to be pretty loose, relaxed, and open at the end of pregnancy. Your body is doing that hormonally in several different ways but if everything is stiff, tight, and rigid for various different reasons– injuries or excessive workouts or other things like that without enough stretching, then especially if you're strong, you can have a pelvis that is strong, tight, and rigid. As the baby's running out of space, maybe down there is not where they are being invited to go. Maybe the end of the rib cage is a lot more inviting or if they're trying to move as we said before, the body may not be able to accommodate the movements the same way. When I work on breech, I'm not doing anything for the baby itself. I'm not doing anything to the baby. I'm not trying to turn a baby or move a baby. I'm working on the musculoskeletal structures of the baby's surroundings which is the mom and if they're stiff, tight, and rigid, we're creating more functional space using massage to loosen up the soft tissues and chiropractic adjustments to open up those restricted joints and maybe gravity. We have tables that invert so maybe a little bit of gravity if something is really stuck trying to give the baby an opportunity to move naturally with gravity. We also in our office have acupuncture so we also do moxibustion which seems to stimulate more natural movement so it's synergistic. I can create more functional space and they can create more movement in that space. It gives those babies a chance to turn more naturally. When do we start? Usually around 32 weeks but I always tell people, “Look. At this point in that first pregnancy, 10 out of 100 babies roughly statistically are breech, and in birth, it's only going to be about 3.” If I was a betting person, I would still bet that your baby's going to turn. The stuff that I'm doing is really insurance. It's going to be helpful for birth anyway but I tell them not to panic at that point. And then of course, you have to look at all of those factors that we mentioned to see who is more or less likely to turn and you can tell based on the fluid, the uterine shape, the placenta location, and so on. Meagan: My VBAC baby kept going breech. At 32 weeks, he was going breech. She would motion him and he would flip then the next visit, I was like, “His hiccups are up here again.” He would be breech. He did that until 36 weeks. I think it was 34.5 or 35 and she was like, “We have to trust this baby. We have to trust that this baby needs to be head-up for whatever reason” and I was kind of grouchy because I was like, “I don't want to have another C-section just because I had another breech baby.” I really wanted this VBAC, but yeah. At 36 weeks, I went in and he was head-down and he stayed head-down. Dr. Berlin: Do you remember if your fluid was toward the more generous side, middle side, or lower side?Meagan: It wasn't super high, but it was on the higher of the normal. He did have a shorter cord when he came out, so I don't know if maybe something was bugging him there, but yeah. He flipped head-down. It was great, but it was hard. It was hard not to get panicky. Dr. Berlin: Sure, yeah. That's the thing. A lot more people have to think about breech than actually have breech at the end. Meagan: Yeah. Yeah. Dr. Berlin: So if there are 4 million births in the United States every year and 10% of them are breech at 32 weeks, that's 400,000 people every year thinking about breech but only about 3-4% are breech at the end like 160,000. Meagan: Yeah, I even had a client. I'm going to jump off of the breech topic, but I had a client who was breech and was scheduled for a version the next morning but went into spontaneous labor that night. We went in at 1:00 AM and baby was head-down. She was 9 centimeters when we got there. Her body just needed contractions to finish rotating the baby. I have no idea but sometimes it can happen. Okay, so let's see. Post C-section. This is in regards to cupping fasical release and stuff like that that you guys do in your office as well. Is that something that you would suggest? This is another type of bodywork essentially. Dr. Berlin: New mama TLC. I think whether you have a Cesarean or a vaginal birth, it's a lot on the mind and body, and nervous system, so I try to do a longer session soon after usually by two weeks regardless of the mode of delivery unless there is some kind of injury then you are good. We can do most things. The goals are to– sometimes there are smaller injuries from birth like injury to a tailbone or pubic bone or something like that. We can address those right away. I've had people pop a rib out pushing so hard so we obviously can pop that back in after a vaginal birth right after birth. Meagan: Wow. Dr. Berlin: The goal is if there are any injuries, we deal with them right away. After that, it's sort of like the sports massage when you've run a marathon. Just wear and tear on the body and trying to move that excess fluid around and have it be reabsorbed so we do some lymphatic work and finding those overworked muscles and to relax those muscles and at the same time, if we can work it in, a little sensual nervous system relaxation work to help reboot the system. Meagan: Yeah. Dr. Berlin: And to come back online with calm and quiet. So either a little meditation and/or some cranial work. While our normal visits are 25 minutes at that point, we do an hour-long session to try and get all of that in during the first one or two postpartum visits. There's also a great opportunity at that point, especially for people with more chronic things that they deal with pain-wise. You still have the pregnancy relaxation hormone for a bit. You don't have the baby inside there pushing on you 24/7. You're kind of more moldable clay. I've had several instances of somebody who had a lifelong chronic thing from an injury and during that period, we have a better shot at making a lifelong correction there. Meagan: I've never even thought of that. I've got this long-term back issue. I've got this relaxin and great stuff in my body. Let's work with that. Dr. Berlin: Yes. Let's use that advantage. I had a patient who was really eager to do that and then she got COVID and she couldn't come back. It created a whole bunch of problems for her and she's like, “Damn. I'm going to have to have another baby.” Meagan: I was going to say. That's what I would say. Now I have to have another baby. That is really awesome. Like you said, it doesn't matter. C-section or vaginal, our bodies go through quite an event and take a lot of shifts and changes so chiropractic care can be beneficial after as well. We've talked about it with babies as well. They go through a lot and that can be impactful. My little boy didn't poop forever. It was 9 or 10 days. We got him adjusted and he had the biggest poop in the world. Dr. Berlin: We see that all the time. Meagan: He passed out and slept all night. I woke up all engorged and I was like, “Oh my gosh.”Dr. Berlin: I know. It's the number-one feedback. “My baby slept so well after the adjustment.” Meagan: I know. We need it. Babies need it. It's so impactful. Back in the day, way, way, a long time ago, I didn't love the idea. Chiropractic care scared me. It can be scary because you can hear some people talk about it. Like you say, someone is yelling at you. It can be scary sometimes how people talk about it but it doesn't have to be scary and if you find that really good, skilled chiropractor, they're going to take care of you. They're going to help you through this process. Pubic SymphysisThey're going to help you with pubic symphysis which is another question. I know we're running out of time but if you have anything you'd like to share on pubic symphysis, that is a really big one. The more babies we have, sometimes it starts earlier. Dr. Berlin: Yeah. And then it's weird also. Sometimes it doesn't happen at all. It'll plague somebody in the first pregnancy and then not be there. Just a comment on the scared about chiropractic bit, certainly chiropractic isn't for everyone, but it comes back to finding a good match. As I said at the beginning, there are a lot of different ways to find and release those restrictions. Some of them are very, very gentle. It doesn't have to be that cracking noise that a lot of people are off-put by or violent-looking maneuvers. If you want the benefits of chiropractic but that's what's holding you back, find someone who does a low-impact technique or network or activator. Meagan: Drop table. Dr. Berlin: Drop table. Meagan: Yes, I was going to say the activator. Dr. Berlin: Sacro-occipital technique. There are so many that are gentle. The neuro-emotional technique. Okay, so in terms of the pubic bone, there is a right and a left side to the pubic bone. They are separated by pubic cartilage. I've learned over time that there are different types of pubic pain and they present differently. It's still definitely a work in progress. I'm learning new things all of the time. The most common one that presents during pregnancy is pain on sort of the lower pubic bone, the underside of the pubic bone where the fine meets the bone. It's usually only on one side or substantially worse on one side and it's like when you separate your knees. When you bring that pubic bone apart, that right and left side apart, so if you get out of bed one leg at a time or if you get out of the car one leg at a time or when you engage it to roll over in bed if you haven't been moving for a while. A very common one is to lean over to put on pants and lift one leg then ouch, it's very painful. What seems to be happening there in most cases is that you have an imbalance in the right and left side of your pubic bone. Let's say that you have the muscle coming up your thigh attaching to the underside of that pubic bone and pulling harder on one side than the other side. When you're totally stable, your body can accommodate that. But as the relaxation hormones kick in and they kick in pretty early, the pubic cartilage that is holding it together maybe can't compensate for that imbalance so the right and left sides end up not lined up with each other anymore but they torque so every time you engage it and pull them apart, it's very painful. If you could get them to line up again, then it would be either not painful at all or less painful. The combination that I use in that case that tends to work pretty well but not always is either massaging out the upper adductor like a deep massage to lengthen that adductor so it's not pulling so hard and then a trigger point right where that adductor inserts to the underside of the pubic bone. It's sort of an act of release trigger point as I'm pressing into it. They engage the muscle and then release the muscle. Engage and release a couple of times and then there's a little test that I do for it also which is if you're laying on your back or in a semi-reclined position and your knees are bent, feet on the massage table, or a yoga mat, or anything like that, I'll try to gently pull the knees apart against resistance from the mom. If that is weak, first of all, it doesn't really have a lot of strength. It elicits that sharpness in the place where the pain has been bothering them. That's a pretty good sign that this is the mechanism and that doing that combination of massage and trigger point and then adjusting the pubic bone with a drop table will give significant relief. Meagan: Wow. Okay, so that could be a test to say, “Okay. This could be impactful if you do this technique.” Dr. Berlin: Right. Then if it's not, I wouldn't do it necessarily because it's not the most comfortable thing. It's always up to them. I could still offer it and see if they want to do it even if it's a long shot or not do it even if it's a sure bet. But other types of pubic pain that I have identified are definitely the pubic symphysis cartilage itself sometimes gets inflamed. It's not one side or the other. It's right in the middle and it's higher up on the pubic bone. Oh, that's you. Meagan: That was me. It was ow. Dr. Berlin: I find acupuncture and I'll tell you something else in a second. Acupuncture, icing, and a support belt that lifts the belly up off of the pubic bone are some of the things that are more relieving there. The third type is the round ligament. They attach to the soft tissue right near the pubic bone on sort of the top ledge of it towards the outside, the upper corners of it. If you have a round ligament that is tight and pulling all of the time, then that becomes very sensitive. In those cases, we try to massage out or gently stretch the round ligament until it relaxes. That usually takes the pressure off there. One thing I would also say if you're feeling it there in the pubic symphysis cartilage and especially if you're also feeling it in the back by the sacrum or tailbone is to look for hyperactive pelvic floor muscles, a hypertonic pelvic floor. The pelvic floor runs from the back of the pelvic floor to the front of the tailbone. When it gets really tight, it will pull on both of those areas. Especially athletic women but not only– sometimes you have a hypertonic pelvic floor from all of the activities to strengthen and tighten. You might also be doing that to your pelvic floor. Up until not that long ago, all we knew about pelvic floor was that it can get weak so everybody is instructed to do these kegels and strengthen them but if it's already hypertonic and you strengthen it, you might be making it worse. So thankfully, we have these pelvic healthy physical therapists as a specialty now. People are just training on that and how to strengthen the weaker ones and loosen the tight ones, making pregnancy and birth more comfortable, more functional, and postpartum wellness. Postpartum sometimes can be treated. Meagan: Yeah. So as you are saying this, I have a weird question. I had all of that during labor and then since, I am really active. I am a road cyclist and I like to lift and all of these things. I get adductor pain now where it's not as tight and burning right in that pubic symphysis but right in that adductor. Do you think something could still be connected through that pelvic floor?Dr. Berlin: It's always worth checking if you haven't had it checked. The adductor by itself could just be the adductor. Sometimes just from the workouts that you're doing– lifting especially could make it really tight and it just needs to be rolled out or dug out and you might benefit from those trigger points too on the ends or the inserts on the top and the bottom. Pelvic floor could be a factor. There sometimes are other factors too. Even a little drop incontinence when you get the urge, it's like, “I've got to go right now.” Meagan: Yeah. Dr. Berlin: Or pain during intercourse or things like that or if you jump on a trampoline or you sneeze and you pee, those are signs that something is up with the pelvic floor. It's not functioning quite right and worth investigating with a specialist. Meagan: Yeah. I think a lot of people don't even remember that even C-sections can impact that pelvic floor and our whole body and create that tension and restrict us from having good mobility. Dr. Berlin: That is an amazing point because it is absolutely true. The end of pregnancy puts a lot of strain on the pelvic floor no matter how you deliver. Body Support at HomeMeagan: Yeah, so again, definitely check out the chiropractors in your area. So for those who maybe can't have chiropractors or can't have access, are there any tips or maybe places on the Informed Pregnancy Plus channel where people can learn not to adjust themselves but do stretches and do those things that can help create that mobility and help them have these vaginal births that they're wanting? Dr. Berlin: Yeah, there are tons. Spinning Babies has a whole bunch of great exercises that you can do. It's a good idea. We have a course that we do called Labor Kneads. We only do it live right now, but it's where we're teaching partners and doulas and other support people to do bodywork before, during, and after birth. That's a great idea for us to shoot that and put it up on the streaming service. I can't promise it for one, but I will certainly try to do that. The other thing is that there is a great listing of chiropractors with separate post-graduate training. You should know that anybody who is a licensed chiropractor can work on pregnant people. It doesn't have to be a specialty. Meagan: Or Webster-trained. Dr. Berlin: Yeah, it doesn't have to be Webster-trained or it doesn't have to be somebody who is a prenatal chiropractor. There are some chiropractors who don't feel comfortable working on pregnancies. Some don't have all that much experience, but there are a lot who are not prenatal. They are just family chiropractors and as a result, they see a lot of pregnancies. You don't have to have a specialty to do it. So unless there's no chiropractic in your neighborhood, then there might be people who can work on you even if it's not a specialty clinic like in our case, we call it pregnancy-focused chiropractic. The other thing is that there's a great website by the International Chiropractic Pediatric Association that does a lot of postgraduate training in pediatric and prenatal chiropractic care. They have a listing by zipcode and their website is icpa4kids.com. You can search by zip code in the United States and Canada and maybe some other international options. Meagan: We'll make sure to also put that in the show notes for everyone listening. Last but not least, the big question is does anybody not qualify to receive chiropractic care? Dr. Berlin: Yeah, I mean, I would almost say that there are some conditions during pregnancy that come up that are delicate. During those very delicate conditions, I love to work together with the obstetric provider. At that point, it's usually going to be an OB/GYN or a maternal-fetal medical specialist and just access their comfort level with the things that we do. Almost always, it's going to be modifications. It's not that we can't adjust them at all or do any bodywork with them, it's going to be modifications. Sometimes we'll just wait a couple of weeks and then do the treatments but for the most part, you can do something for everyone who has things that are stiff, tight, and rigid and are either uncomfortable or want to improve their function. Meagan: Awesome. Well, thank you so much for taking this time out of your day with all of your projects. You've got so many hands in buckets. You wear so many hats these days so it's really been such an honor to have you on the show and answer all of these amazing questions. I full-on believe in chiropractic care. Like I said, a long time ago, I was like, “Ah!” and then I started getting into chiropractic and I'm like, “No, this is really impactful on so many levels.” Dr. Berlin: It is. Meagan: I mean, I'm not even pregnant or planning on conceiving but I still go to the chiropractor because it really does impact my life in a better way. Dr. Berlin: We have moms come in here and they make an appointment. They say, “I want to make a postnatal appointment with Dr. Berlin.” The reception team will say, “Oh, how old is your baby?” They'll say, “13 years old.” I'm like, “Yeah.” You don't have to only be pregnant or postnatal to come here. Meagan: A postnatal visit. How old? 13. Okay. That's just called a chiropractic visit. That's all that you have to say. Dr. Berlin: It is, but once you have the baby, you have all of the bending, lifting, holding, feeding, emotional stress, and things like that. The maintenance during that active phase of life is important. BreastfeedingMeagan: Yeah. Oh my gosh. I just said I'm going to end. I feel like I could talk to you all day. Dr. Berlin: Same. Meagan: But something I feel that impacted me and I know a lot of our doula clients is breastfeeding. When we're breastfeeding, we're hunched and curled. Our neck is down and we're in wonky positions then we're out and we're stretching then we're like, “Oh, this is painful” or all of a sudden, my milk supply is not that great, and weirdly enough, chiropractic adjustments can help your body and you nurse better and help your production because your baby is going to nurse easier. You're going to nurse easier. Everyone's going to be better. Dr. Berlin: When you're in a lot of pain, the stress hormones put you more in emergency mode, and making milk is not an emergency function. There's that and there's literally just the– here's one tip I would say that seems to help a lot of people. If you have a nursing station, especially in those early couple of months, you can put a full-length mirror in front of you so you can see what's happening without looking straight down. That seems to be helpful for a lot of people. Meagan: Absolutely. Yeah. To just be able to see and not be curled over. I mean, you are looking at your baby, but you can look down at your baby versus– Dr. Berlin: Across. Meagan: Yeah. Dr. Berlin: Yeah. One thing that gets a lot of people is that you're trying to get some sleep and the baby is in a comfortable position and it's not comfortable for you but you don't want to move because you don't want to wake them up. That's gold for the chiropractors. Meagan: It is. It is. Oh, well thank you so much again. It's such an honor. We're going to make sure to have all of the links to your channel, to your page, and to your website. This chiropractic search forum and everything. Everything will be in the show notes so everybody will be able to find you. Dr. Berlin: Thank you. Meagan: Like I said, if you're listening and you haven't been able to yet, hopefully now you're not driving if you were driving. Stop and go follow Dr. Berlin. Dr. Berlin: Than
Nisha, had her first born at Birth Village, Kerala, India. She is from Bangalore and moved cities to birth. She had a vaginal / normal birth there however, something within her felt rushed, unheard and ordered around . It did not sit right with her. She longed to know more and by following the Free Birth Society Podcast and other resources she realised not everything she experienced was in alignment with physiological or natural birth. Her birth space was hampered . Listening to stories of positive births from many women and with many conditions, she realised she can birth by herself too. She just knew it. There on began her journey to prepare for emergencies, seek midwifery support only to birth all by herself.And the experience, what did it make her feel? How did it make her see the experience she had with her first baby? Tune in to know more!Nisha Vijayan is a mother of two children, loves cats and is a birth advocate. She runs her handle @bring_birth_back_home. You can reach to her in case you have any more questions Support the showPrepare for Birth, explore Prenatal and Postnatal Preparation Classes, visit www.birthagni.comSupport the show: If you like what you hear, leave us a rating on Spotify app and answer the question at each episode! a review on Apple podcasts. Share on Whatsapp/Insta/FB Share on Insta and tag us @divyakapoorvox Support the production by making a donation at https://www.buymeacoffee.com/birthagni. This ensures the continuity and quality and a good coffee on sleepless recording nights! Subscribe to the FREE newsletter at https://www.birthagni.com/#subscribe and receive DISCOUNTS, SALE updates and GIFTCARDS on our premium 'Own your Birth' program You can book a 20 min FREE Discovery call at https://www.birthagni.com/bookfreesession ...
Dr. Cremers details how we use amniotic membranes to help heal the eye.
Ever heard of amniotic tissue being linked to ED treatment? It might sound like something from a sci-fi novel, but it's a real and fascinating topic in the medical world right now.Dive into this podcast episode as I unravel the intricacies and potential breakthroughs of this innovative approach.Get ready for a journey that might just change the way we look at ED treatments forever!--------------If you liked this episode, please SUBSCRIBE, like, leave a comment, and share so we can keep bringing you valuable content that gets results!--------------Follow Me On:InstagramTwitterFacebookTikTokYouTube--------------For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://sexualhealthformenpodcast.com/amniotic-tissue-ed-treatment--------------Want to regain control of your sex life? It's time to reverse the effects of ED on your life. Join the Modern Man Club and start your road to full recovery and community.--------------Reveal the FREE treatment most men ignore that solves thousands of erectile dysfunction cases every year, plus the 5 biggest mistakes you must avoid if you want to say goodbye to your ED. Uncover it all in my free eBook, available to download now.https://ed.truongrehab.com/ebook?utm_source=podcastandutm_campaign=eBook
There are, indeed, FDA indicated applications for purified, amniotic membrane (wound healing). Is there also a role for the use of purified amniotic fluid as a “regenerative medicine” treatment option? Can amniotic fluid injections help repair osteoarthritis and aching joints? Can it be used as EYE DROPS for dry eyes? The subject is trendy on certain social media channels and on certain websites. But this concept of injecting amniotic fluid into various body locations has landed one Texas healthcare professional in hot water. Specifically, the US Department of Justice, has pressed charges.
Links: Get your breast pump for free at aeroflowbreastpumps.com/birthhour and use promo code BIRTHHOUR15 at for 15% off supplies and accessories. Know Your Options Online Childbirth Course Beyond the First Latch Course (comes free with KYO course) Support The Birth Hour via Patreon!
Looking to grow your wound care center's range of healing solutions? NutraCyte's new human allograft membrane wraps will not only help you expand your practice's product offerings, but will also help increase your client inflow. Learn more at https://www.nutracyte.xyz/ Nutracyte.xyz 197 Barefoot Ln. #102 Unit 102, Okatie, SC 29909, United States Website https://www.nutracyte.xyz/ Email prc.pressagency@gmail.com
The Journal RETINA is devoted exclusively to diseases of the retina and vitreous. These podcasts are intended to bring to its listeners summaries of selected articles published in the current issue of this internationally acclaimed journal.
Listen to Richard Wagner gave his presentation of "Circular RNA profiles isolated from amniotic fluidscan distinguish between CDH survivors and non-survivers" at the first ever Best of the Best in Pediatric Surgery event.
Listen to Kasra Khalaj gave his presentation of "MicroRNAs in amniotic fluid stem cellextracellular vesicles modulate lung development in experimental congenital diaphragmatic hernia" at the first ever Best of the Best in Pediatric Surgery event.
Amniotic fluid embolism (AFE) is a life threatening condition in which there is a severe reaction to the amniotic fluid and fetal debris that enter maternal circulation during the birthing process, resulting in cardiovascular collapse. In this episode, you'll learn about the pathophysiology and how to care for patients with amniotic fluid embolism. Helpful links for this episode: Maximize your learning by reading this information, too. Check out the article and references here. DIC: Dive deeper and review the principles of DIC, which occurs in patients with amniotic fluid embolism. AFE Foundation: Discover helpful support resources for AFE. Study Sesh: Change the way you study and prep for NCLEX with PodQuizzes, case studies, and drills! Crucial Concepts Bootcamp: Prepare for nursing school by learning key foundation concepts and strategies for success. Power Guides: Amplify the podcast with a downloadable study guide delivered right to your inbox each week! Straight A Nursing app: Get notified when our flashcard app goes live! Med Surg Solution: Get notified when Med Surg Solution is ready for enrollment! 5 - Minute Pharm: Get notified when Nurse Mo's pharmacology program becomes available! RATE, REVIEW AND FOLLOW! If this episode helped you, please take a moment to rate and review the show! This helps others find the podcast, which helps me help even more people :-) Click here, scroll to the bottom, then simply tap to rate with 5 stars and select, "write a review." I'd love to hear how the podcast has helped you! If you're not following yet, what are you waiting for? It takes just a quick moment and the episodes show up like magic every Thursday. And, when I release a bonus episode, those show up, too! You'll never miss a thing! In Apple Podcasts, just click on the three little dots in the upper right corner here. Know someone who would also love to study with me? Share the show or share specific episodes with your classmates...when we all work together, we all succeed! On Apple Podcasts, the SHARE link is in the same drop-down as the follow link. Spread the love! Thanks for studying with me! Nurse Mo
Today, Dr. Stu and Blyss are discussing the “fluid of life” aka amniotic fluid! They answer questions like, what's too much? What's too little? How can you support your fluid amounts nutritionally? Whether spontaneous or artificial, Blyss doesn't like the word rupture and tells of a transport. Dr. Stu ponders mosquitoes and polar bears and gives updates from the road.In this episode of Birthing Instincts:The anatomy of the amniotic sackWhat is amniotic fluid & how the baby keeps it in homeostasisNormal range of fluid & why babies may have lower amountsWhat to know about amniotic fluid embolismsHow to support your fluid amounts nutritionallyHow to manage spontaneous water releaseImpatience with labor & artificial ruptureThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack!Connect with Dr. Stu:Instagram: @birthinginstinctsWebsite: birthinginstincts.comConnect with Blyss:Instagram: @birthingblyssWebsite: birthingblyss.comThis show is produced by Soulfire Productions
Anatomy scan. Amniotic fluid. Fluttering. Learn how drinking lots of liquids before your anatomy scan can lead to a better, clearer reading [16:33]. Celeste and Dave celebrate being halfway through their pregnancy with their sweet banana baby as they share updates for week 20. They dive into the results of their anatomy scan, the passing of meconium post-birth, and how sleeping cycles cause more fluttering kicks [1:23]. Karin Ashley, an Women's Health Nurse Practitioner, joins Celeste in an informative discussion on: Tools to prepare for conception and healthy prenatal care [24:19] The medical difference between infertility and subfertility [32:16] Advice for partners who are supporting the pregnant person [33:24] Advocacy within the medical field and women's health [45:13] Karin's experience of postpartum mental health as a mother of six [50:34] Expressing big feelings with toddlers and newborns [58:28] RESOURCES: American Pregnancy Association – Meconium Natural Health After Birth, by Aviva Jill Romm The Postnatal Depletion Cure, by Oscar Serrallach SHOW NOTES: KarinAshleyNP.com/weekbyweek Karin Ashley IG Celeste Busa IG Dave Hill IG THE SHOW: Please rate and review the show on iTunes. It helps the show grow and be discovered. Follow WEEK BY WEEK on Instagram, @weekbyweekpodcast Check out our playlist on YouTube Browse our blog at weekbyweekpodcast.com You can contact us at WeekByWeekShow@gmail.com © 2022 Gumption Pictures
Welcome and thank you for listening! In this episode we interviewed Mona, who is a stylist and personal shopper and resides in Jeffreys Bay with her husband and two girls. She's passionate about fashion, people and Jesus. Her mission is to help women feel confident and beautiful in their own skin, solving the problem of having a cupboard full of clothes, but nothing to wear. Mona has given birth twice and because of the support and education she was given as a pregnant mom (being someone who only knew c-section as an option) she is very pro ‘natural' birth. With her second pregnancy, she had planned for a home birth guided by her Doula. However when the time came, her Amniotic fluid started leaking without any contractions, which meant her birthing plans quickly had to change. Amniotic Fluid Leaking Amniotic fluid can vary quite a lot in quantity. Basic guidelines are: 500–1,500 by the end of pregnancy is considered normal Less than 300ml is called oligo-hydramnios and is cause for concern More than 1,500ml is called poly-hydramnios and needs further investigation Leaking amniotic fluid during pregnancy is dangerous because it can lead to the amniotic waters becoming infected and possible infecting Baby too. It's quite common to leak urine during pregnancy, and this can be confused with amniotic fluid. Generally urine leaks when: The muscles around the bladder are lax – often made worse by the increased levels of the progesterone hormone There is increased pressure, like when you laugh, cough, or sneeze Baby Is Pressing Against Your Bladder It's important to check that it's just urine and not amniotic fluid which is dripping from a small tear in the amniotic membranes. Your doctor will test the pH for acidity/alkalinity to determine whether it's urine or amniotic fluid. What You Can Do You can help to avoid urine incontinence by: Doing frequent pinching exercises with your perineal muscles and your buttock area Using the tissue salt remedies Calc fluor and Ferrum phos to help with ligament and other tissue strength Avoiding and treating constipation Doing exercises for overall body tone after birth to promote complete recovery. Thank you so much for joining us today. If you found this episode helpful please leave us a review or give us a rating as that helps us get the show out to more people. And don't forget to subscribe! We'd love to stay in touch and keep you updated with all our latest content & resources to equip & empower you. So if you're a midwife or any type of birth and baby worker go to sensitivemidwifery.co.za/freegift If you're a mom, visit sisterlilian.co.za/freegift for more training and resources. That way we can keep you up to date when we release new episodes like this plus a few other bonuses. Remember you're making a big difference because you're shaping the future of humankind. Thanks for listening and I look forward to journeying with you!
Laura talks about her two births and the difference between private obstetric care and midwifery group practice (MGP) in the public system. If you are trying to conceive or you're in early pregnancy and you're interested in learning more about your care options, this episode is a must-listen. As well as discussing her two very different vaginal birth experiences, Laura talks at length about her challenging breastfeeding journey including her choice to use donor milk and a supply line.
Interview with Hardeep Kataria, OD, FAAO, Avant Eyes Optometry, Porter Ranch, CA. Dr. Hardeep Kataria shares with us how to harness the power of biologics from the human body. Amniotic materials and blood-derived therapies are now widely available as choices for ocular surface dryness patients.
Gemma shares her experience with uterus didelphys; she has two uteruses, two cervix' and a vaginal septum. Most women with her condition have caesarean births before full term because it's common for their babies to have growth restriction or present breech and there's often doubts about how the uterus will contract and whether the cervix will dilate. In both pregnancies Gemma had planned caesareans at 37 weeks because her amniotic fluid levels were low. She talks at length about her breastfeeding challenges and successes as well as her postnatal anxiety.
What does it mean to keep the mother's health front and center? For Dr. Yasser El-Sayed, Obstetrician in Chief at Lucile Packard Children's Hospital Stanford, it's very important to keep mom's health a priority when you are dealing with complicated births, such as those requiring fetal surgeries. Dr. El-Sayed leads the maternal and fetal medicine programs at Packard Children's, offering specialized comprehensive care to expectant moms with high risk pregnancies. In this conversation, Dr. El-Sayed discusses how the maternal fetal medicine programs address complicated births and philanthropy's role in helping provide top-notch patient care at Stanford Children's Hospital. You'll also hear from Karen and Angel, who spoke about their daughter, Victoria's, experience with a groundbreaking fetal surgery to treat her spina bifida. 0:01 - Introduction to Karen and Victoria's story 1:50 - Why Dr. El-Sayed chose to work with mothers and babies 5:40 - Karen and Victoria's story, continued 7:17 - The fetal program at Stanford Children's Hospital and types of complications treated 13:02 - How Stanford Children's Hospital helped a pregnant woman give birth with COVID 15:59 - How a recent gift from David and Lucile Packard Foundation will impact care 22:48 - Developments in research around the placenta 26:40 - Karen and Victoria's story, continued 27:33 - Philanthropy's role 31:52 - Midnight Rounds, the hospitals unofficial band 34:37 - How Dr. Yasser El-Sayed relates to nature About the Podcast Care + Cures: Advancing children's health in Silicon Valley (a Lucile Packard Foundation for Children's Health podcast) unites families, donors, doctors and more to advance transformative healthcare for children. Echoing the innovative spirit of Lucile “Lu” Packard, the children's hospital's visionary founder, Care + Cures delivers stories of patient triumphs and challenges, medicine's successes and failures, and the power of community support—all coming together to change the world, one child at a time. About the Host Sarah Davis is a podcast producer and learning experience designer with interests in storytelling, healthcare, the science of learning, and design thinking. She splits her time between the East Bay and Des Moines, Iowa, where she enjoys finding new food adventures, biking the trail networks, and admiring sunsets after hikes in the hills. You can reach her at connectedpodcaster.com. Resources Dr. Yasser El-Sayed: https://profiles.stanford.edu/yasser-el-sayed (https://profiles.stanford.edu/yasser-el-sayed) Dr. Yasser El-Sayed's website: https://www.el-sayedliterature.com/ (https://www.el-sayedliterature.com/) Meet Victoria: https://www.youtube.com/watch?v=peDoyTjnV88 (https://www.youtube.com/watch?v=peDoyTjnV88) Lucile Packard Children's Hospital Stanford Receives $100 Million Gift to Reimagine a Leading-Edge Facility for the Care of Moms and Babies: https://supportlpch.org/blog/lucile-packard-children%E2%80%99s-hospital-stanford-receives-100-million-gift-reimagine-leading-edge (https://supportlpch.org/blog/lucile-packard-children%E2%80%99s-hospital-stanford-receives-100-million-gift-reimagine-leading-edge) Dr. Yair Blumenfeld: https://www.stanfordchildrens.org/en/doctor/yair-j-blumenfeld (https://www.stanfordchildrens.org/en/doctor/yair-j-blumenfeld) Fetal Spina Bifida: https://www.stanfordchildrens.org/en/service/spina-bifida/faq (https://www.stanfordchildrens.org/en/service/spina-bifida/faq) Stanford Children's Hospital Case Study on Twin Twin Transfusion Syndrome: Side by Side by Side: Saving the Luevanos Triplets: https://stanmed.stanford.edu/2015spring/side-by-side-by-side.html (https://stanmed.stanford.edu/2015spring/side-by-side-by-side.html) Facts about Diaphragmatic Hernia: https://www.cdc.gov/ncbddd/birthdefects/diaphragmatichernia.html (https://www.cdc.gov/ncbddd/birthdefects/diaphragmatichernia.html) Amniotic Fluid: https://en.wikipedia.org/wiki/Amniotic_fluid...
Eine CD von Johanna Borchert - vorgestellt auf NDR Kultur.
Have you ever heard of Amniotic fluid embolism? I hadn't until one of Nicole's videos showed up on my for you page. Nicole survived maternal death. Sounds wild and impossible, right? It's true, she experienced this rare condition that affected her just moments before she was set to deliver her third baby. Amniotic fluid embolism (AFE) is an extremely rare, but life-threatening complication that affects pregnant women shortly before, during, or immediately following labor and childbirth. And tragically a lot of women never make it. Nicole is a part of that extremely small percentage of women who experienced this and is here to share her story about it. This week we have the honor of hearing Nicole's story of AFE first hand as she shares her incredible story of survival and how she was able to literally survive death. She's using her experience to spread awareness, empowerment and education to all women in hopes of bringing peace to families who may have been touched by this condition as well as disseminating life saving knowledge. We are truly thankful she is here with us today and honored to share her story with you! To be a part of Nicole's growing community and connect with her, you can follow her on Instagram @beforeyoupush (https://www.instagram.com/beforeyoupush/?hl=en )Also you can follow along and learn more about her personal story on TikTok @beforeyoupush (https://www.tiktok.com/discover/before-you-push?lang=en )If you personally felt connected to the show and/or this episode and would like to purchase one of the few limited edition prints of the art that goes along with is as your own personal reminder to step into your own power you can do so on our website at www.iampower.club Print sales help us continue this mission to bring you inspiring stories that the world needs to hear. We would love for you to follow us on Instagram. Share and tag us in your stories @iampowerclub ( https://www.instagram.com/iampowerclub/ )You can also find us on Facebook @ https://www.facebook.com/iampowerpodcast/And of course don't forget to like and subscribe to our channel so you don't miss next weeks episode! Thank you so much for joining this community and we can't wait to meet you!
In this episode, we discuss the evidence for the best ways to measure amniotic fluid and diagnose oligohydramnios and polyhydramnios. We also discuss a new study about when to stop magnesium after delivery of patients with preeclampsia and then we discuss the CHAP study that has changed our management of chronic hypertensive patients while pregnant.
Sisters in Loss Podcast: Miscarriage, Pregnancy Loss, & Infertility Stories
Have you heard of the term Oligohydramnios? Low amniotic fluid (oligohydramnios) is a condition in which the amniotic fluid measures lower than expected for a baby's gestational age. Today's guest was preparing to conceive and had a myomectomy to remove her fibroids. Christina Danyo learned she was expecting after her fibroid surgery. During her 20 week anatomy scan she learned that her baby girl's kidneys did not develop and was covered in cysts. Her daughter was diagnosed with Oligohdramnios or low/no amniotic fluid and her lungs also did not develop. Christina was faced with the decision with the diagnosis not compatible with life. In this episode, we discuss the decision she and her husband made to carry to full term, she delivered her baby girl via C-section at 37 weeks, preparation for delivering a baby given a fatal diagnosis, and her time spent honoring her angel during her less than 2 hour life and beyond. Listen to this episode here: sistersinloss.com/ep249 Become a Sisters in Loss Birth Bereavement, and Postpartum Doula Here Living Water Doula Services Book Recommendations and Links Below You can shop my Amazon Store for the Book Recommendations You can follow Sisters in Loss on Social Join our Healing Collective Online Support Group Join the Sisters in Loss Online Community Sisters in Loss TV Youtube Channel Sisters in Loss Instagram Sisters in Loss Facebook Sisters in Loss Twitter You can follow Erica on Social Erica's Website Erica's Instagram Erica's Facebook Erica's Twitter
Sh*t Dad Podcast - Fatherhood Experiences of Average Aussie Blokes
Tune in with us as we sit down with father of 2 and superstar nutritionist Jono Steedman, who loves his food so much he's out to make eating clean great again! We talk alot of nutrition, but also parenthood, dadbods and of course... sh*tdaddery! Also tune in for your exclusive Smashing Fibres discount code!!
Lizzi Smith is a 2x Paralympian and 3x medalist from the United States. Most recently, at the 2020 Tokyo Paralympic games, she captured silver in the 100 Fly (S9). Lizzi was born without her left arm due to amniotic band syndrome. She trains in Austin, Texas with 3x Olympic gold medalist Ian Crocker. 00:00 Bratter PA, Immigration Law 00:04 Hello Lizzi Smith 01:05 Amniotic band syndrome 08:30 Feeling confident 11:00 Comfortable in the water 12:10 Getting into Paralympics 16:24 Weaknesses 18:20 S9 Classification 21:30 Coach Ian Crocker 23:00 Rhythm in butterfly 25:30 Underwaters 27:00 Arm attachment for lifting 29:00 Mark Rogers 29:50 Arena 31:30 Para combined Support Our Sponsors: BRATTER PA IMMIGRATION LAW: Exclusive immigration representation of athletes, entrepreneurs, artists, investors, and entertainers. SWIM ANGELFISH: Receive the tools and skills needed to teach swimmers with autism, physical disabilities, anxiety, sensory and motor conditions with Swim Angelfish, the global leader in adaptive swim. Get certified online today! BEINE WELLNESS BUILDING: Individualize your nutrition with genetic testing and personalized plans. Eat, supplement, and recover based on your genetics. VASA: Essential dryland for stronger, better, faster swimmers. Save 10% using the code "brett" at checkout! DESTRO SWIM TOWERS: Save $150 per double swim tower by using the code "brett" at checkout! SWIMNERD: Big and small digital pace clocks, virtual scoreboards, and live results. Subscribe & Listen: Apple Podcasts Google Spotify YouTube Produced by: SWIMNERD #swimming #paralympics #butterfly
We discuss the clinical presentation and management of AFE with guests Dr. Stephanie Martin (Twitter: @OBCriticalCare, Instagram: @criticalcareob), medical director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist in Scottsdale, Arizona with expertise in critical care obstetrics. She is also co-host of the Critical Care Obstetrics podcast. We're also joined for a … Continue reading "Episode 45: Amniotic fluid embolism with Stephanie Martin"
How much weight gain in pregnancy is normal? The answer is it's individual and unique for each woman. Excessive weight gain can pose problems in pregnancy and is not typically recommended but in general there are several factors that contribute to what is normal and what is an acceptable amount. There have been several guidelines outlining the appropriate levels of weight gain in pregnancy and they can vary. Generally physiologically weight gain is as follows Fetus – 7 to 8 lb (3.2 to 3.6 kg) Fat stores – 6 to 8 lb (2.7 to 3.6 kg) Increased blood volume – 3 to 4 lb (1.4 to 1.8 kg) Increased extravascular fluid volume – 2 to 3 lb (0.9 to 1.4 kg) Amniotic fluid – 2 lb (0.9 kg) Breast enlargement – 1 to 3 lb (0.45 to 1.4 kg) Uterine hypertrophy – 2 lb (0.9 kg) Placenta – 1.5 lb (0.7 kg) Weight loss can also happen and can even be considered normal in the beginning of pregnancy. In this episode, pregnancy (gestational) weight gain is meant to be a personal and individual discussion with a woman an her provider. We would love to hear from you about your birth experiences or anything you would like us to address about labor, birth pregnancy or postpartum on this podcast. Reach out to us at www.truebirthpodcast.com Integrative OBSTETRICS Social Facebook https://www.facebook.com/IntegrativeOB Instagram @integrativeobgyn Maternal Resources Social Facebook: https://www.facebook.com/maternalresourceshackensack |nstagram: @maternalresources Subscribe to the podcast on Apple Podcasts, Spotify, Google Podcasts, & Stitcher and leave a review!
This week we chat with good friend of mine Rob Medina. He is a loving husband and father of a 14 year old boy, 2 dogs and a lovebird named Chicken. A Film/Music/TV lover at heart, Rob has made a name for himself as a YouTuber on the NRW channel. He also hosts the “You're So Cool with Rob Medina” Podcast, all while being super cool himself. We have great discussion and he gives me some excellent advice for handling delivery room pressure. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
It takes a village not only to raise a child but to also give birth to a mother. Renée empahsizes this throughout her story. Renée is candid about her struggle with depression following a diagnosis of endometriosis. Can you visualize barbed wire wrapped around your pelvic area and it then being ignitied by fire? That's how Renée describes the pain she felt from months 4 - 7 of her pregnancy! This is only a glimpse into the trials of this endowarrior on her journey to motherhood. Listen to her story.
Today's episode is probably the toughest so far, and yet it is very eye-opening.Talking about this kind of subjects can help some people feel less lonely but also raise awareness and save lives.Donna will tell us about her pregnancy, and especially about AFE (Amniotic Fluid Embolism) that she developed while giving birth, how she literally came back to life and how it is impacting her family now.I have to warn you, it is the first episode where I shed a tear but please listen until the end and remember it is a happy story!https://www.facebook.com/AFEsupport (facebook page for survivors or family of those that have lost their life)https://www.afesupport.org/ (American charity)https://en.wikipedia.org/wiki/Amniotic_fluid_embolism#:~:text=An%20amniotic%20fluid%20embolism%20(AFE,and%20massive%20bleeding%20(coagulopathy).The best way to support this podcast is to subscribe if you haven't already and write a review if you are listening from Apple Podcasts!You can also find us on Instagram @TheBubblingAdventure for daily positive education content.Join the adventure: https://linktr.ee/TheBubblingAdventureOn Instagram - www.instagram.com/thebubblingadventure/On Facebook - www.facebook.com/TheBubblingAdventureOn Twitter - @TheBubblingAdv Hosted on Acast. See acast.com/privacy for more information.
I share a quick update about the pregnancy and a couple interesting tidbits about amniotic fluid.
Spirituality, mind-control, and some big babies! Listen in as Julia and Kristina talk to Darci about her 5 births, in Part 2 of the Power of Sisterhood. Last week we heard Darci's sister-in-law Stephanie's stories. Darci has a beautiful home birth on her patio under the stars with the baby still in the amniotic sac, a birth in her outdoor shower, a homebirth at 43 weeks, and a spiritual birth in the hospital. Stay tuned for another episode of The Homebirth Experience. New episodes every Monday. Please subscribe, rate, and review on iTunes and Spotify. Facebook Instagram Clevelandhomebirth.com
Dr. Derek began working with Stem Cell Therapy in his clinic in 2010. He was very intrigued with this new technology of Genetic Healing for Pain and Healing. Stem Cells are simply young cells with no receptors on them. In particular mesenchymal stem cell. No receptors on them means they have not differentiated into a particular tissue of the body and therefore can become anything. We have stem cells from the day we are born. As children we have 1 stem cell for every 10,000 cells we have. As we age that changes. In our 20's it is more like 1/100,000 and in our 60's it's 1/1,000,000. Meaning as we age, we deplete our stem cells. Harvesting stem cells Amniotic blood assures a very young stem cell From our own bone marrow or fat cells When we harvest our own stem cells, we create damage and inflammation in our body so naturally the stem cell is going to go there first for healing. That means there are less cells for the actual area we really want to heal. Stem cells will work best in a non-inflamed body. So, someone who is eating right and living a very non inflammatory lifestyle will benefit more. Delivery to the body Injected straight into the damaged tissue area Introduced through IV which means cells find their way through the whole body. Not as productive because stem cells will look for inflammation and damage through the whole body and not the intended area as much. Stem cells have a moderate success rate because of the age of the people using the therapy and the status of the person's inflammation levels. New Technology called Exosomes Exosomes are also stem cells but are communication cells. No receptors as well. These stem cells are communication messengers located outside the cell. Science is finding that one of the primary way's cells speak to each other is through extracellular messengers like exosomes. So unlike injecting stem cells into a damaged area, introducing exosomes allows them to talk to the cells that are damaged and activate the body's own healing mechanisms. Unlike stem cells, exosomes provide an ongoing healing as these exosomes keep communicating to the healing tissues and asking them what they need. Then telling the body to provide it. Lifestyle is still very important. Dr. Derek's own experience was that he was a 20/10 on the pain scale and was given exosomes via IV. Within 3O seconds he said, he could feel the body begin to talk. He said he was lethargic and down for the count for the following 2 days. The exosomes were so busy communicating and calling up healing his body literally was out of energy and he just rested. On day 3 he was pain free and felt like he could take on life normally. Exosomes had asked the cells that were damaged in his spine (and other areas from life) what they needed and called up the healing chemicals. Cartilage rebuilding Tissue rebuilding Inflammation was crushed. Every day is better as the exosomes can continue to work as they create massive reproduction. Lifestyle matters. He kept emphasizing that to us. Most physicians haven't even heard of this technology so the challenge if finding a provider to offer it. If you live in the Northeast or are willing to travel you can reach out to his office for this treatment. The link to his office is below https://www.drdferguson.com/ Spend some time learning about both these great technologies but really focus on exosomes which is the wave of the future.
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