preconception

Staying Healthy and Active During Pregnancy

Congratulations…you’re pregnant!! So now what? There is so much focus early in pregnancy for finding healthcare provider, having early tests done, and starting to modify daily life as your body changes due to hormones and growing baby…but what about what to do to stay healthy and maybe even prevent some of the undesirable pregnancy symptoms. Here are a few things you can do to help support a healthy and functional pregnancy:

1. Focus on nutrient dense foods: Consuming more whole foods and high nutrient foods is not only good for you but also for growing baby. The vitamins and minerals in our foods serve as the building blocks for our bodies including essential hormones needed during pregnancy and for baby to grow optimally. What are some high nutrition foods to consider during pregnancy? Grass-fed meats (even organ meats!), local/free-range eggs, fish (salmon is a great option! Keep in mind to avoid high mercury fish), fresh fruits and vegetables (local and organic if possible), nuts and seeds, homemade soups/stews, grass-fed butter (if dairy is tolerated), and coconut oil are great options to incorporate into your diet. It can be challenging to get all the nutrients only from what eat/drink so supplementation may be helpful and is often recommended. Talk to a holistic healthcare provider (i.e. functional medicine provider, naturopath, chiropractor) to learn how to best support your body’s needs

2. Stay hydrated! Yes, drinking plenty of water is important, but making sure your body is absorbing and actually hydrating is essential. Typically, the recommended intake for water is half your body weight in ounces per day. During pregnancy, drinking at least 80 ounces per day is a common recommendation. Even for people who are consuming enough fluids may still feel thirsty or not hydrated. So what you can do? While drinking water is important and beneficial, there are other options for getting fluids to stay hydrated. Fresh fruits and vegetables are full of water and your body actually retains more water than just drinking water alone due to the digestive process which allows for more optimum fluid absorption. Other liquids such as herbal teas (be sure to check with your provider for which ones are best during pregnancy), bone broth, coconut water, and electrolyte drinks are great options for hydration. We love LMNT and Nooma as electrolyte supplements! Electrolytes contain mineral salts which are necessary for the body to properly absorb and retain fluid for hydration and optimally body function.

3. Keep moving! Movement is essential for health, especially during pregnancy. During different phases of pregnancy, movement can feel different and your body may have different needs. Typically, walking and stretching can be done throughout pregnancy. Prenatal yoga can be a wonderful way to incorporate movement, stretch, work on breathwork, reduce body tension, and even add some strengthening. Often during the first trimester, due to fatigue and all the hormone changes, movement and exercise can be challenging. Be patient with yourself and listen to your body. Incorporate movement/walking/stretching that feels right for your body. Stretching is important, but so is strengthening during pregnancy. Working on optimally breathing, core function, pelvic stability, along with general body strength can help keep the body healthy during pregnancy and help prepare for birth. Of course, consult with your healthcare provider before starting any new routines and/or if you are experiencing any pain or symptoms.

4. Manage stress: We all experience stress. Stress is often looked at as a negative part of life, but actually anything that causes our bodies to change or grow is considered “stress” or a stressor (yes, food and exercise can be considered “stress”). Stress, as we commonly think, is more running late, endless errands, traffic jams, overwhelming work loads, family issues, etc. Some of these stresses we can avoid, some we cannot. The important thing to keep in mind is that we cannot or should not avoid all “stress.” We don’t always have control of what we experience but we can do things to help manage our response, so we don’t feel stressed. This is especially important during pregnancy. Unnecessary stress, of course, can cause physiological responses including tension, headaches, and increased blood pressure (all not ideal during pregnancy), but can also affect hormones and the balance of our sympathetic/parasympathetic system (fight or flight/rest and digest). Some ways we can help reduce the stress or tension our body holds include breathwork (think slow deep breaths), walking, journaling, doing things we enjoy, and even talking to someone (working with a counselor or therapist may be beneficial, too!). Talk to your provider if you experience a lot of stress or are having issues/concerns about how your body handles stress.

5. Body work: Our last recommendation (but certainly not least!), consult a professional to help identify tension, imbalances, and dysfunction in your body. We recommend chiropractic, acupuncture, prenatal massage, and pelvic floor therapy during pregnancy…even if there isn’t pain or a “problem.” The body goes through so many change during pregnancy; working with one or a few of these providers can help identify issues/imbalances before they cause problems and recommend ways to maintain optimum function. In addition to identifying issues, body work can help release tension, improve nerve/blood/lymphatic flow, and allow for proper movement and changes (especially in the pelvic region!). Typically, you can seek care for body work at any stage during pregnancy. We are proud to offer chiropractic, acupuncture, prenatal massage, and pelvic floor therapy at our clinic and also collaborate with or recommend other providers in northeast Ohio to help best serve our patients and community. Pregnancy comes with so many changes and often challenges. Having some tools and tips to support your body and growing baby during pregnancy is important. As always, we are here to support you through all stages of pregnancy, including preconception and postpartum.

If you have questions or would like to schedule a consultation, please contact our office at 216-952-3830.

Tips for Working out With a Baby/Toddler at Home

Me before kids: 5-6 workouts a week including a mix of CrossFit and running

 

Me after kids: uhhh, how is there time to workout???

 

We all know exercise is good for us and as mothers we need to make time for ourselves…and let our kids see us making healthy choices.  Are you as sick of seeing fitness coaches talk about this on social media as I am? 

 

Real talk.  Being a mom is hard.  Being a mom in 2021 (and 2020) is even harder.  It is so hard to entertain children, take care of a home, make meals for your family, work, and take care of yourself.  We cannot  do it all.  I repeat, we cannot do it all.  Believe me, I try to…and it doesn’t happen. 

 

It can also be super hard to see a mom rocking out a workout on Instagram when you don’t have clean pants to wear because you haven’t had time to do laundry.  I try to give myself friendly reminders that we all don’t have the same 24 hours in a day.  We all have different resources and different obligations each day.  Our support teams are completely different. 

 

So, if you’ve found this post and you’ve made it this far, you’re probably wondering… how the heck can you workout with a baby and/or toddler at home. 

 

Here are some things that have worked for me over the years as a mom of now 2 (3.5 and 1.5 year old boys…who don’t sleep ;) )

 

1)    Walk with your baby in a baby carrier.

I am a big fan of baby wearing.  I personally used the Moby Wrap and a ring sling when my babies were really little.  When they were able to hold their heads up, I started using a soft structured carrier, the Ergobaby 360.  I found all of them comfortable! 

 

2)    Stroller walks.

The motion of the stroller may soothe your baby and the fresh air is good for everyone!  Older kiddos may not want to be in the stroller too long.  They may want to take breaks to collect sticks, rocks, and bugs!  As they get older the stroller walks may take more patience.

 

3)    Wake up just a little earlier or workout during nap time.

This one was ALWAYS hard for me, but the more I let my expectations go, the easier it felt.  I recommend trying a short 12-20 minute workout- something that you can commit to consistently.  Consistency is key with this one!

 

4)    Workout with your baby/toddler.

THIS.  This is how I was able to consistently workout.  As I mentioned above, this one also took some letting go of expectations.  This is why I co-wrote my e-book “Baby/Toddler + Me Fitness”.  Some days I can get through the whole programmed workout and other days I am just doing the conditioning portion.  In the summer, we get outside and the boys play in the yard while I workout on the driveway.  Sometimes my oldest asks to workout with me.  Sometimes my youngest wants to be held while I am doing step ups and lunges.  My book is half off for the rest of the 2021!

 

Baby carriers can also be used for workouts!  Of course you may be limited in the intensity you are working out and need to be mindful of how comfortable your baby is, but my boys were big fans of air squats in the baby carrier!

I hope you find some of these suggestions helpful! 

In health,

Dr. C

Snag my Baby/Toddler + Me Fitness E-book here!

Meet Dr. Abbey!

Hi! I’d like to introduce myself: my name is Dr. Abbey Crouse…you can call me Dr. Abbey! I am so honored and excited to be part of the Cleveland Chiropractic + IHC team!  I have been practicing chiropractic for over 9 years. Chiropractic is truly my calling. I love helping others achieve optimal health and wellness naturally. My passion is to help women and their families live healthy, active lifestyles. I specialize in a variety of adjusting techniques including hands-on approaches and using the Impulse iQ instrument. I have advanced training in functional rehab including DNS (dynamic neuromuscular stabilization) and advanced soft tissue techniques, am a Certified Chiropractic Sports Physician (CCSP), and specialize in concussion care and management as part of the Ohio Concussion Registry.

Caring for women is a very important part of my practice. To better serve my female patients, I continue to learn and expand my knowledge to support them and their families. I am Webster Certified and have taken many advanced courses in prenatal and postpartum care. I love caring for children, too! I am an active member of the International Chiropractic Pediatric Association and have had advanced training in pediatric care. Personally and professionally, I’ve found that a balance of physical health, nutrition, and emotional wellness are essential to optimal health. I help patients address any imbalances in these areas and help provide them with the tools and resources to maintain health and wellness.

Fun Fact: I am a Cleveland native! I was born in Cleveland and grew up in Northeast Ohio near Warren. I graduated from Ohio State with an engineering degree and then earned my Doctor of Chiropractic degree from Palmer College of Chiropractic in Iowa. After graduation, I moved to Canton with my husband where we have lived for over 9 years. Cleveland has always been my home, and we are excited to be back in The Land!

I am a mama to a sweet, active 2-year-old boy (and a sassy silver tabby cat!). I love to be active, especially outside! I am looking forward to exploring all the wonderful parks in the area and spending more time on the lake! I love to dance and practice yoga. I do have a creative side to me and can often be found crafting or making something. I enjoy cooking and make a lot of healthy recipes for my family…I’m excited to share and swap ideas and recipes! I enjoy being active in my church and volunteering in the community. My husband and I love all things Cleveland and enjoy everything this great city has to offer!

I am looking forward to meeting you and being part of your healthcare team!

Health and Blessings,

Dr. Abbey

"You Deserve Better than the Standard of Care" - Dr. Candace Gesicki

“You will never get pregnant naturally.”

“You had a baby, you’re going to have low back pain and incontinence when you exercise.  There’s nothing you can really do about it.”

“We can’t do any testing until after you have had your third miscarriage.”

“You are pregnant, you are going to have low back pain and pelvic pain.”

“Your thyroid is normal.  Your symptoms are normal.”

“The pain and numbness around your cesarean scar are normal.”

These are all things patients have shared with me in the last month.  And I wish it was just once, but unfortunately, I am hearing stories like these almost weekly. 

It is not the standard of care to order a full hormone panel, thyroid panel, vitamin D, and more before trying to conceive or after a miscarriage, but far too often do I find patients with a hormone imbalance that can be treated with diet and lifestyle modifications (and occasionally medications).

It is not the standard of care in the United States to refer to a pelvic health therapist after having a baby, yet many women experience incontinence, pain with intercourse, and prolapse.

It is not the standard of care to refer to rehabilitation or soft tissue therapy after a cesarean, yet it is a major abdominal surgery.

It is not the standard of care to order a full thyroid panel initially, but far too often I see patients with a TSH in normal range and (extremely) elevated thyroid antibodies.

 

Conventional medicine has a time and a place, but it is set up to treat symptoms and diseases with drugs, radiation, or surgery.  Conventional medicine providers use the tools that they have to provide treatment.  Their knowledge in alternative or natural treatments is limited.

 

How does what we do vary from conventional medicine?

We take a functional approach to your health.  We want you to be an active participant in your healthcare.  This does not mean that we never believe drugs, radiation, or surgery is warranted.  We absolutely refer out to specialists and co-manage when appropriate.   

A functional approach is more complex than “this is low, take this”.  We want to find the root cause of what is going on.  Where is your low back pain stemming from?  Why is your testosterone low?

We don’t have the answers to everything, but I can tell you that if we don’t have an answer, we have no problem telling you this and will help you find a referral to someone that might. 

We are here to listen, to support you, and to provide the best care we can because you deserve better than the standard of care.

 

Sending love,

Dr. C

Acupuncture for IVF

If you are reading this, I’m sorry.  You were brought here for a reason.  Looking for more answers, looking for hope, maybe looking to “do everything you can do”.  This may be your first round of IVF or this may be your last round.  Every couple or person undergoing IVF does it for a different reason.  You (and your partner) may have been diagnosed with unexplained infertility or an ovarian disorder, you may be working with a sperm or egg donor, you may have a genetic disorder and are planning to test your embryos.  Whatever brought you here, I want to thank you for being here and considering alternative medicine.  This journey is not easy and IVF is not easy.  I want to remember that you are strong.  I hope this blog can provide information on acupuncture and Chinese medicine methodology so that you can have a better understanding on what to expect during acupuncture treatments and can decide if acupuncture is something you would like to incorporate into your treatment plan. 

 

How can acupuncture help?

Acupuncture is beneficial before and after both an egg retrieval and embryo transfer.  It can improve overall fertility, regulate hormones, and normalize the menstrual cycle. 

·      Acupuncture can help improve blood flow to the pelvis and reproductive organs. 

·      Undergoing fertility treatments is stressful: from the appointments, to the medications, to the constant fluctuations of emotions, and the financial burden, acupuncture can help your body respond to stress.  It helps your muscles relax, it slows your breathing, and it calms the mind.  Sometimes during treatments, some people are so relaxed they fall asleep.

·      Acupuncture improves the changes of having a baby:  we are looking at more than just getting you pregnant.  We want you to bring a baby home.  Acupuncture doesn’t stop after the embryo transfer. 

 

 

What does an initial acupuncture appointment for preconception look like?

An initial acupuncture appointment for preconception will typically last about 1.5-2 hours.  Your practitioner will want an in depth understanding of your medical history and fertility journey.  Your provider will use visual inspection, feel your pulse, and look at your tongue in their assessment.  A Chinese medicine diagnosis will be given based on your history and examination. The acupuncture needles may be placed in your arms, legs, head and face, abdomen, back, and even your ears depending on your Chinese medicine diagnosis.

 

What do follow up treatments look like?

Expect your entire appointment to last about 1 hour.  Your acupuncturist will likely ask about any symptoms you are experiencing, check your pulse and tongue while they perform a visual assessment, and then he or she will insert the needles!  The needles are retained about 30 minutes and then your practitioner will remove them and discuss any of your concerns.  No two women are the same.  Even when working with two women, both diagnosed with diminished ovarian reserve from a Western Medicine doctor, their acupuncture treatments may look very different.  When supporting women using the Chinese medicine methodology, many providers will give women dietary recommendations, lifestyle recommendations, and supplementation as this takes a whole systems approach.  

 

What will my fertility doctor (or reproductive endocrinologist) say about this?

Honestly, it depends on the provider.  I have had some patients have their RE say they are “wasting their money”, but can “do what they want” and I have seen other RE’s strongly encourage their patients to do acupuncture.  Some fertility clinics have an acupuncturist on site that patients work directly with.  Over the last few years, however, I have been noticing more and more RE’s suggest acupuncture and other types of alternative medicine for their patients.

 

Quick Details:

·      Dr. Candace prefers acupuncture weekly leading up to IUI or IVF.

·      She recommends acupuncture before and after IUI or IVF.  

·      Dr. Candace recommends continuing acupuncture throughout the first trimester.

Stay turned for Part 2: Acupuncture to support early pregnancy.

Candace Gesicki is a Doctor of Chiropractic and Diplomate of the American Board of Chiropractic Acupuncture.  She has been supporting women .  She is offering free 15 minute phone consultations for those wondering how acupuncture can support them on their fertility journey.  Email Dr. Candace directly to schedule a phone consult or schedule your initial appointment online