Vaginal Exams. Are They Necessary?

 The months leading up to those final few weeks of pregnancy can seem like they are fooooorever. The first few months fly by and then suddenly you are in your final few weeks that just seem to drag by. The emotions are high, you are so excited to meet your baby, and you are probably wondering when you will go into labor. Your provider might bring up checking your cervix for dilation around 36-37 weeks. During this time, your provider will check to see if your cervix has dilated, effaced, and they also can get a better gauge of what station baby is (how high or low baby is in the pelvis). This can be exciting, but it can also be disappointing. Imagine feeling all the contractions and pains towards the end of your pregnancy and you are feeling like possibly there is some changes going on down there. Your provider comes in the room and asks if you want your cervix checked. You get excited and say “Yes!”. All those contractions and pains should have done some changes to your cervix by now, right? The excitement is everything BUT- your provider tells you that you are only 1cm dilated. This is where disappointment can set in. It can be very discouraging to have someone tell you that you are ONLY 1cm dilated or maybe not even dilated at all. That disappointment can also hinder your body’s natural ability to labor. 

 

What happens if you don’t do anything and deny any cervical checks? Absolutely nothing. Cervical dilation is NOT an indication of when labor will begin. You can be 40 weeks with zero cervical change and go into labor the very next day. OR you can be sitting at 4-5cm dilated for weeks with labor not beginning. There really is no telling when you will go into labor. Cervical checks can also be invasive on yourself and sometimes baby, especially during labor. There really is no need to continuously check the cervix, unless you want it checked of course. 

 

Basically, wrapping it up, cervical checks are NOT super necessary. They can be declined at any time, even during labor. If you feel like you are unsure of the decision to decline or even consent to a cervical check, talk to your provider, or reach out to a birth professional! And lastly, always remember to be patient with yourself, your body, and your baby. Your body and baby know how and when to be born and I promise the uncomfortable doesn’t last forever! 

Written by: Natalie Story

2020 Name Trends

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While much of the world has slowed and changed, babies are still being born. And having a baby still means parents are searching for the perfect name to give their children. 

How do you decide? It is so personal! Some names are "classic" and stay relevant regardless of social influence, and some names are linked directly to significant cultural events.  

We are halfway through 2020, and babies are still being born. With all of the global events that have happened in these first months, it's not hard to imagine a group of names that could come out of the news: 

Names From The News: 

  • Rona

  • Covid

  • Pan

  • Meghan

  • Harry

  • Royal

  • Brexit

  • Duke

  • Kobe

  • Gigi

  • Bernie

  • Elizabeth

For some people, the reality of becoming a parent is a welcome distraction to the stress and anxiety that 2020 has offered. For those folks, reading through lists of popular names from times past can be fun and rewarding, with ideas that you may not have thought of on your own. 

Below are some of the most popular names from SSA, Nameberry, and Babycenter

Boys: 

  1. Liam

  2. Noah

  3. William

  4. James

  5. Oliver

  6. Benjamin

  7. Elijah

  8. Lucas

  9. Mason

  10. Logan

  11. Alexander

  12. Ethan

  13. Jacob

  14. Michael

  15. Daniel

  16. Henry

  17. Jackson

  18. Sebastian

  19. Aiden

  20. Matthew

  21. Samuel

  22. David

  23. Joseph

  24. Carter

  25. Owen

  26. Wyatt

  27. John

  28. Jack

  29. Luke

  30. Jayden

  31. Dylan

  32. Grayson

  33. Levi

  34. Isaac

  35. Gabriel

  36. Julian

  37. Mateo

  38. Anthony

  39. Jaxon

  40. Lincoln

  41. Joshua

  42. Christopher

  43. Andrew

  44. Theodore

  45. Caleb

  46. Ryan

  47. Asher

  48. Nathan

  49. Thomas

  50. Leo

  51. Isaiah

  52. Charles

  53. Josiah

  54. Hudson

  55. Christian

  56. Hunter

  57. Connor

  58. Eli

  59. Ezra

  60. Aaron

  61. Landon

  62. Adrian

  63. Jonathan

  64. Nolan

  65. Jeremiah

  66. Easton

  67. Elias

  68. Colton

  69. Cameron

  70. Carson

  71. Robert

  72. Angel

  73. Maverick

  74. Nicholas

  75. Dominic

  76. Jaxson

  77. Greyson

  78. Adam

  79. Ian

  80. Austin

  81. Santiago

  82. Jordan

  83. Cooper

  84. Brayden

  85. Roman

  86. Evan

  87. Ezekiel

  88. Xavier

  89. Jose

  90. Jace

  91. Jameson

  92. Leonardo

  93. Bryson

  94. Axel

  95. Everett

  96. Parker

  97. Kayden

  98. Miles

  99. Sawyer

  100. Jason

  101. Genesis

  102. Saint

  103. Bake

  104. Kairo

  105. Watson

  106. Kenzo

  107. Jaxtyn

  108. Kylo

  109. Dakari

  110. Karsyn

  111. Mordechai

  112. Bowie

  113. Kamdyn

  114. Bode

  115. Ashton

  116. Zaid

  117. Onyx

  118. Benicio

  119. Wells

  120. Archie

  121. Krew

  122. Santana

  123. Zakai

  124. Elian

  125. Aries

  126. Koda

  127. Kabir

  128. Deshawn

  129. Denver

  130. Wallace

  131. Benedict

  132. Crew

  133. Kamryn

  134. Ledger

  135. Korbyn

  136. Marcellus

  137. Imran

  138. Cairo

  139. Huxley

  140. Ralph

  141. Koa

  142. Kaiser

  143. Luka

  144. Harlem

  145. Elon

  146. Sonny

  147. Gatlin

  148. Memphis

  149. Gianni

  150. Brixton

Girls: 

  1. Emma

  2. Olivia

  3. Ava

  4. Isabella

  5. Sophia

  6. Charlotte

  7. Mia

  8. Amelia

  9. Harper

  10. Evelyn

  11. Abigail

  12. Emily

  13. Elizabeth

  14. Mila

  15. Ella

  16. Avery

  17. Sofia

  18. Camila

  19. Aria

  20. Scarlett

  21. Victoria

  22. Madison

  23. Luna

  24. Grace

  25. Chloe

  26. Penelope

  27. Layla

  28. Riley

  29. Zoey

  30. Nora

  31. Lily

  32. Eleanor

  33. Hannah

  34. Lillian

  35. Addison

  36. Aubrey

  37. Ellie

  38. Stella

  39. Natalie

  40. Zoe

  41. Leah

  42. Hazel

  43. Violet

  44. Aurora

  45. Savannah

  46. Audrey

  47. Brooklyn

  48. Bella

  49. Claire

  50. Skylar

  51. Lucy

  52. Paisley

  53. Everly

  54. Anna

  55. Caroline

  56. Nova

  57. Genesis

  58. Emilia

  59. Kennedy

  60. Samantha

  61. Maya

  62. Willow

  63. Kinsley

  64. Naomi

  65. Aaliyah

  66. Elena

  67. Sarah

  68. Ariana

  69. Allison

  70. Gabriella

  71. Alice

  72. Madelyn

  73. Cora

  74. Ruby

  75. Eva

  76. Serenity

  77. Autumn

  78. Adeline

  79. Hailey

  80. Gianna

  81. Valentina

  82. Isla

  83. Eliana

  84. Quinn

  85. Nevaeh

  86. Ivy

  87. Sadie

  88. Piper

  89. Lydia

  90. Alexa

  91. Josephine

  92. Emery

  93. Julia

  94. Delilah

  95. Arianna

  96. Vivian

  97. Kaylee

  98. Sophie

  99. Brielle

  100. Madeline

  101. Meghan

  102. Dior

  103. Adalee

  104. Palmer

  105. Oaklynn

  106. Haisley

  107. Keily

  108. Novah

  109. Yara

  110. Ensley

  111. Kamilah

  112. Amaia

  113. Keilani

  114. Journi

  115. Anais

  116. Aitana

  117. Kailani

  118. Berkley

  119. Ezra

  120. Everlee

  121. Meadow

  122. Zora

  123. Dream

  124. Aislinn

  125. Ailani

  126. Everleigh

  127. Arlette

  128. Kaylani

  129. Oaklyn

  130. Miley

  131. Brynleigh

  132. Alianna

  133. Rosalee

  134. Malani

  135. Kehlani

  136. Elina

  137. Reign

  138. Austyn

  139. Della

  140. Kataleya

  141. Harmoni

  142. Octavia

  143. Antonella

  144. Legacy

  145. Emory

  146. Promise

  147. Kamiyah

  148. Davina

  149. Itzayana

  150. Romina

How did you pick your baby's name?  Share with us below where your baby's name came from and if there were any other names you were considering! 

Reducing the Risk of SIDS

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SIDS is the sudden unexpected death of an infant under one-year-old that cannot be explained after a thorough investigation, including an autopsy. SIDS is the name when there is no known name, Sudden Infant Death Syndrome. For that reason, it is incredibly difficult to give any assurance when it comes to avoiding the causes of it.  

But there is data, and with that data, there are some well-established risk factors that can be taken into account when making decisions for your family.  

In 1992 the American Academy of Pediatrics (AAP) gave the first recommendation to place babies on their back to sleep as a result of a broad study of SIDS. Later in 1996, the AAP revised their recommendation and started the "Back to Sleep" campaign (later renamed Safe to Sleep), stating back sleep is the only safe form of sleep for infants.  

This one change in education to new parents, and a broad campaign to help teach caregivers and communities, saw a drastic reduction in SIDS cases from 1990 to 2017 From 130.3 to 35.4 per 100,000 live births. 

Putting your baby to sleep on their back is one of the best ways you can reduce the risk for SIDS along with the following recommendations from the Mayo Clinic:

  • Keep the crib as bare as possible. 

  • Don't overheat your baby

  • Room share, with baby sleeping in his or her own sleeping space

  • Breastfeed your baby if possible, for at least six months

  • Don't rely on commercial devices that claim to reduce the risk of SIDS, as they are ineffective and have safety issues

  • Use a pacifier, but don't force your baby to take it and don't attach it to your child

  • Immunize your baby

Other recommendations that are also beneficial to reduce SIDS are to quit smoking during and after pregnancy, and quit drinking and using illegal drugs during pregnancy.

Alternatives to Glucola for Diabetes Testing

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Of all the tests pregnant women go through, the Glucose Challenge Test is arguably the one you hear about most often. Down an electric orange drink, wait, and have your blood drawn...sounds fun, right? Some people don’t mind the drink (called Glucola) while others search for alternatives. There are alternate options for both what you consume and how you test.


Guidelines currently call for a glucose challenge test around 24-28 weeks of pregnancy. The test is typically drinking a sweet drink and then having a blood test done an hour later to determine blood sugar levels. This test is used to help determine the occurrence of Gestational Diabetes which can pose a host of issues to both mom and baby during pregnancy.


If the pregnant person passes this test, they won’t be re-tested. Should they fail it, they’ll have to pass a longer test that involves a higher level of glucose.


Rates of GD have risen in recent decades so it is important to get tested. It’s estimated that anywhere from 5-10% of pregnant people have Gestational Diabetes and it’s important that those people be identified and treated to avoid complications.


Some people just hate the way Glucola tastes, some take issue with the ingredients...for whatever reason, there are definitely people searching for alternatives. The research put out found that the important part of the test was the 50g of sugar, not the source, and concluded that results were the same when a group of women given Glucola was compared to a group of women given Jelly Beans. The tests were the same.


It’s important to always refer back to your OB or Midwife when considering alternatives.


Common alternatives include:


6 oz Orange Juice and 1 Banana

28 Jelly Beans

A Soda with 50g Sugar

16 oz Orange Juice


These are options used by doctors and midwives around the country and definitely worth exploring.


Alternate ways of testing include Blood Sugar Monitoring as well as Hemoglobin A1C Testing. These both require much more testing, more time, and more involvement for you and your healthcare provider and it’s important to consult them on your options.


Blood Sugar Monitoring is exactly what it sounds like. You’ll monitor your own blood sugar levels by pricking your finger multiple times a day for a week and using a blood sugar testing unit.


Hemoglobin A1C Testing is a draw that monitors blood sugar levels over a three month period. It has been used as an alternative to the normal Glucose testing and is routinely used for those with Diabetes outside of pregnancy.


It’s also important to remember that the GD testing is a screening process and not an actual diagnostic. If you happen to fail the first screening, don’t panic immediately. It’s possible that you’ll be fine with the more extended testing!


Gestational Diabetes is something we should definitely monitor and treat but there are alternatives to the traditional screening. By working together with your provider to create a plan for you, you’ll find the perfect way to monitor and ensure your health is optimal and your baby is thriving through your whole pregnancy.


It's Time: Foods that (Maybe) Induce Labor

You’ve reached it. 38 Weeks. Technically full-term.


And you’re mis-er-a-ble.


You’re also probably hungry.


(Same.)


What to do when you’re waiting for baby and hungry? Try some foods that allegedly induce induction, of course.


Let’s serve that baby an eviction notice with these 4 super delicious and possibly-labor-inducing foods!

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1. Pineapple

Pineapple contains an enzyme called Bromelain which is supposedly responsible for sending people into labor. Ideally eat it fresh, but canned works too if it’s too cold for Pineapple season!


BONUS: you can make a tea out of the rind that extracts the Bromelain as well. (If you prefer organics, definitely do so here so your tea doesn’t end up with non-organic pesticides in it.)

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2 Red Raspberry Leaf Tea

This tea is actually very helpful all through pregnancy for toning the Uterus. It can bring on contractions so make sure that’s okay with your provider (it usually is in low-risk pregnancies). Generally speaking, if you’re able to have sex, you’re able to have this tea.

Try brewing double strength (two tea bags or two tablespoons of loose tea per 8 oz of water), sweeten it with a bit of honey, and keep it in the fridge for a refreshing possible way to help bring labor on.

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3 Basil & Oregano

It’s not known why but these herbs are supposed to be miracle workers when it comes to getting baby out the natural way. For this reason, many pregnant women have turned to Eggplant Parmesan to induce labor. Honestly, this one’s worth a shot because yum. (Here’s a simple baked version!)

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4 Spicy Foods

Spicy foods have long been a standby for moms who have HAD IT with being pregnant and want to get the show on the road. While there isn’t a lot of science behind it, it’s thought to induce a laxative effect that stimulates the uterus to contract.


Lucky for us here in Charlotte, we can pop over to Hawthorne Pizza and try the nationally-known spicy pizza dubbed “The Inducer”. A buffalo chicken pizza featured on Food & Wine, Fox News, and even Live! With Kelly Ripa, this pizza has reported magic in it that helps mothers who eat it go into labor.

No matter what you’re craving you can likely find something delicious that may, in fact, get that baby to make their appearance. Regardless, you may as well have some fun trying, right?

Sick and Pregnant: Safe Cold and Flu Remedies

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With cold and flu season upon us, we’re all taking precautions. Vitamin C, soup, supplements...anything we can do to avoid catching the nasties floating around.

When you’re pregnant, your immune system is actually slightly lowered. Pregnancy also doesn’t allow for most common remedies. What’s an expectant person to do if they catch the dreaded bug? We’ve got a few tricks up our sleeves to help ease the struggle of being sick and get you back to normal.

 

While the old adage is to drink Orange Juice or pop some Vitamin C, Zinc is actually the supplement you want. It’s been clinically proven effective at shortening the length of colds. Ideally it should be taken within 24 hours of the onset of cold symptoms. Options include capsules and even kind of delicious lozenges and it’s completely safe for pregnancy. Some foods rich in Zinc are lamb or beef, Yogurt, and Dark Chocolate. So the next time you get a craving, grab some dark chocolate and tell yourself it’s for your immune system.

 If you find yourself with a cough, the best recommendation (even from doctors) is honey. Dark honey is generally regarded as best but any honey will do. If you’re looking for some soothing for a sore throat, add some honey and lemon into some hot water. For a kick of flavor and a natural antibiotic add a slice of ginger root as well. Kick up your feet, turn on a movie, and enjoy some honey and lemon tea. You deserve it.

 

When it comes to medication, some of them are actually considered low-risk for pregnancy. Generally speaking, it’s recommended to avoid all medication if possible before 12 weeks of pregnancy and caution is advised after week 28. Common ones that are generally regarded as safe are Acetaminophen (for aches and pains), plain cough syrup (not multi-symptom ones), and cough drops. It’s very, very important to check with your doctor before taking any medication.

 

Hot Tip: Download the app MommyMeds for a quick reference of meds you can take that are GRAS (Generally regarded as safe) for both pregnancy and for breastfeeding.

 

We’re hoping you stay healthy this season but should you find yourself with the dreaded cough or flu, never fear! There is hope!


Pregnancy Dreams and Why They're So Screwy

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You are walking down the street on a normal fall day. As you walk, you notice the breeze pick up and leaves start to swirl more than usual. You look behind you and then turn back to face front only to see a huge purple and yellow cow standing in your path. The cow stand on its back two legs and asks you for a breath mint. As you hand the cow a breath mint, you realize you’re carrying a Star Wars lunch box as a purse.


Dreams during pregnancy can be absolutely wild and downright scary sometimes! Women who are pregnant often experience changes that include more frequent dreaming, nightmares, anxiety-based dreams, and the ability to remember dreams. Since your body is going through so many changes, it’s not shocking that you experience these changes!


Since our mental, physical, and emotional states are all intertwined, as your body changes so does your mind. One likely cause is due to the increase in hormone production. Pregnancy hormones (like Progesterone) often have the ability to affect and increase emotional distress as well as Anxiety. They also impact the way your brain takes in information and processes it. It’s very possible those strange dreams have something to do with that! (This also may be an explanation why a lot of pregnant women find themselves having sexual dreams.)


During pregnancy our sleep schedule is also disrupted. Whether it’s due to an inability to fall asleep, physical discomfort from an expanding body, or just needing to pee in the middle of the night (a million times…) this changes our sleep cycles and disrupts what is known as REM sleep. The REM or Rapid Eye Movement stage of sleep is the stage in which dreaming happens. When this is disrupted it can affect the length, frequency, or even ability to remember the dreams. This may sometimes be the cause of the more vivid or easily remembered dreams.


Some experts also believe that pregnancy dreams are a way of your unconscious mind dealing with the increased stress or anxiety that accompanies bringing a new life into the world.


While there is no actual scientific answer for why dreams during pregnancy are so weird, there are many contributing factors that definitely make sense! If your dreams aren’t bothering you, simply return back to sleep and visit the purple and yellow cow again. If they’re a bit disturbing or unnerving, consider keeping a dream journal either on your phone or in a notebook by your bed. It may be your unconscious mind trying to process something important! If your dreams, however, veer into dangerous or scary territory frequently, it may be a good idea to talk with a counselor, therapist, or friend to check in and make sure everything is okay.


No matter what crazy, alarming, or sexual dreams you’re having at night, make sure you’re still doing your best to rest as much as possible! We do a lot of healing and growing at night and your body is literally making a human being. Relax, take a deep breath, and dive back into some REM sleep.


Sweet (or slightly weird) dreams!


How to Induce Labor Naturally: A Doula's Guide to Natural Induction

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37...38...39...weeks keep passing and your baby is still hanging out? We’ve heard it said before that the first part of pregnancy goes so quickly and the last month lasts a year. It totally feels that way. Between a baby that has grown to nearing the size of a watermelon to your shifting center of gravity and ligaments stretching and loosening, there is often a lot of anticipation and discomfort that comes with the final days of pregnancy.


As doulas, we’re often asked about natural induction techniques.


Now, while anything involving induction is clearly some sort of augmentation of normal labor, there are some home remedies that have been suggested to begin or help labor progress. Bear in mind, each person is different and not every technique will work for every person. Some of them are kind of funny and some of them have an origin of scientific evidence. No matter which you choose, always be sure to check in with your doctor and pay close attention to how you’re feeling.


1. Pineapple Juice/Spicy Foods


One of the widest known (and easiest techniques is eating or drinking something to help bring on labor. Pineapple juice is a very common suggestion (and a pretty delicious one). It’s said that the enzymes it contains can help jump-start labor. Honestly, this one is probably worth a shot. If nothing else, it’s a nice, fruity pick-me-up.


Another edible option is spicy food. Wives tales tell us spicy food can help naturally induce labor. The two main theories why this may work are that the spicy foods may stimulate the digestive tract, bringing on contractions. Another is it may stimulate Prostaglandin, one of the things known to help soften the cervix. Regardless, this is a great excuse to grab yourself some Indian food or chips and salsa.


2. Chiro Care


This is a big one! While Chiropractors don’t claim to be able to start labor, Chiropractic care has been known to help get baby into a good position in the pelvis. In order for your cervix to dilate, thin, and efface, baby’s head must be against it. It’s not too far-fetched to think that getting baby positioned properly may help bring on labor. The other main benefit of Chiropractic care is increased comfort throughout pregnancy. Make sure you seek out a Webster Certified Chiropractor, which is one that works specifically with expectant parents.


3. Massage


There is both scientific and anecdotal evidence to back this one up. Anecdotally, there are some pressure points that may help bring on contractions. This is why people often have to be careful when getting pedicures and often seek out acupuncture or acupressure to bring baby out. Scientifically, touch stimulates the production of Oxytocin in our brains. This hormone (also called the “love hormone”) is responsible for the progression of labor. When you get a massage, you’re spending an hour or so stimulating Oxytocin in your brain.


This is also a great opportunity to help your partner connect with you through the process (and spoil you a little bit).

4. Sex


Ah, yes. Sex. We’ve often heard it said that you get baby out the same way you got baby in. Frankly, there’s some truth to that. Semen contains Prostaglandin, the same hormone found in Cervidil which is often used to help induce labor in the hospital. The gel is placed against the cervix in hopes of helping it soften. The DIY version of this is to...well...get it on. In addition, sex and, more specifically, orgasms produce a lot of Oxytocin in our brains. The combo of Prostaglandin and Oxytocin may just be exactly what you need to send you into labor. And, honestly, it’s a fun way to pass the time even if it doesn’t.


Natural Induction of Labor is a highly searched term on Google and a frequently asked question from our clients. We’re often walking people through exactly how they can serve their baby an eviction notice. The last month or so of pregnancy can often drag on so sometimes even just giving these methods a try can help you get through.


Have you tried a Natural Induction? What methods have you heard of? Let us know in the comments!