Posts Tagged 3D ultrasound

Can I get a 3D ultrasound while on bedrest?

Once in a while, someone will ask us if they can get a 3D ultrasound if they’re on bedrest.  Once, the fact that one of our customers was on bedrest came out after the appointment was made.

By the way, I’m on bedrest. Is that okay?

It used to surprise me whenever one of our pregnant friends would meet up with us for dinner and casually mention that she is supposed to be on bedrest.  I thought you were supposed to take that seriously!  It turns out that there are many different levels of bedrest:

A decrease in your activities – usually a decrease in exercise, heavy lifting, sex, and other specific activities related to an individual’s career or lifestyle.  For example, a doctor who is pregnant may be advised to not take overnight call while pregnant. Of course, not all pregnant doctors need to avoid call, but certainly, this may be prescribed for some pregnant doctors with specific risk factors.

“Taking a break” – which is not bedrest, per se, but is a way for a doctor to prescribe a pregnant woman to take a break from work or get light duty at work.  This is also used to encourage the children, husband/significant other to help out with chores.

Scheduled resting – In order to avoid full bedrest, scheduled resting requires the expectant mom to lie down and rest for a few hours each day.  This is especially prescribed for pregnant moms who may not have specific problems currently but have risk factors, such as a history of early delivery or miscarriage in previous pregnancies.

Modified bedrest – This is a balance between minimizing the risks to the baby while still allowing some flexibility with the understanding of the inconvenience that strict bedrest imposes.  Strict bedrest is not without risks itself, such as bedsores, hypercalcemia (too much calcium in the blood), muscle atrophy, and depression from not being able to continue activities that you enjoy.   Strict bedrest may not even be feasible for some pregnant women without access to outside help.   Modified bedrest allows for going to the bathroom, walking to different rooms in the house, making yourself a meal, and other tasks around the house.  In some circumstances, depending on the pregnant woman’s specific situation, a health care provider may suggest that going out once a week for dinner or a movie is fine as well.  Modified bedrest is sometimes called “house arrest.”

Strict bedrest – This means staying in bed.  This is strict and is reserved for situations where the mother or the baby are at risk for miscarriage or early delivery.  It is very important to stay in bed while on strict bedrest, except for going to the bathroom, taking a shower, and sitting up to eat.  Health care providers will often give a detailed breakdown of what can and can not be done.

Hospital bedrest – This isn’t actually bedrest, per se, but all out hospitalization.  This involves getting IV fluids and using a bedpan instead of getting up to go to the bathroom.  This is done in the most urgent of situations, such as when a pregnant woman shows signs of labor at 22 or 23 weeks, just before the age of viability, or during placental abruption, severe pre-eclampsia, or eclampsia.  There is usually also monitoring of the baby as well as other medications given to the mother.  There are some cases of hospital bedrest which may be delegated to the house, such as when compliance is guaranteed or when there is no hospital nearby, and there are some cases of what should be strict bedrest that are treated in the hospital, such as when compliance is expected to be poor or the social situation is unstable, or if there is no access to help in the house, or in certain politically sensitive situations,  (such as in the military, women of the prison population, minors under 18 years old, illegal immigrants, refugees, and where domestic violence is present).  If illegal drug use, alcohol use, or heavy smoking is a factor in the preterm labor or risk for preterm delivery, hospitalization may be preferred to ensure avoidance of these substances as well.

So can you get a 3D ultrasound?

Decrease in activities/taking a break/scheduled resting: If you are simply told to decrease your activities or “take a break” or take off from work or take scheduled rest breaks, and if, in general, it is expected that you can leave your home for errands, then you can generally get a 3D ultrasound.   This is of course assuming you live not too far from our 3D ultrasound studio.  We do often get pregnant customers coming from out of state, as far as Michigan, Indiana, Wisconsin, Kentucky, and Ohio. So if you have to drive or ride in a car for more than a couple hours to get here, you should generally discuss this with your doctor before coming.  Definitely, a long road trip to First Peek Ultrasound does not fall into the category of “taking a break.”

Modified bedrest: If you are on modified bedrest, this usually means that you should not go out for non-essential activities.  Although your ob/gyn physician or midwife will of course allow you to leave your bed to go to your ob/gyn (or midwife) appointment, this allowance generally does not carry over to your 3D ultrasound appointment.  As much as seeing and bonding with your baby may seem to be essential to your well-being, the health of your baby is the most important, and you will have to wait to see what your baby will look like after he or she is born.

That being said, there are some levels of modified bedrest where you may generally be allowed to go out once in a while, or once a week, depending on how urgent or severe your situation is.  This decision is made on a case by case basis, and so, if you are on modified bedrest, you should discuss your desire to get a 3D ultrasound with your physician or midwife before making your appointment with us.  Your health care provider should weigh the benefits and harms while taking your desires into account so that you can make an informed decision based on your physician’s advice.  You may be surprised that your ob/gyn physician or midwife may allow or even encourage you to go get your first peek of your baby in 3D, since it has been shown that visualization and bonding with your baby through 3D ultrasound can improve compliance with health recommendations (such as adhering to bedrest) and discourage unhealthy behaviors (such as smoking and alcohol use).  At First Peek Ultrasound, we strongly discourage going against your physician’s advice regarding bedrest.

Strict bedrest: Strict bedrest is just that. You are just one step away from having to stay in the hospital. You’re lucky you are still allowed to get up and go to the bathroom.  You can definitely not get a 3D ultrasound while on strict bedrest, unless you plan on having a 3D ultrasound machine and an ultrasound technician come to your house.  However, once you are on strict bedrest, this does not mean you will be on strict bedrest for the rest of your pregnancy.  Your level of bedrest may change based on the course of your pregnancy and how far along you are. Consult with your doctor for when it’s safe to go out again.

If you have a 3D ultrasound appointment with us and you later find out that you have to be on bedrest, please contact us as soon as possible to reschedule or cancel your appointment.

What are your thoughts of getting a 3D ultrasound while on “bedrest”?  Do you have any advice for expectant moms who have to go on bedrest?

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Trisdesonographophobia – abnormal fear of 3D ultrasounds

As Friday the 13th comes around the corner, many people are talking about triskaidekaphobia, or  fear of the number 13.  You may have even heard of the terms, paraskevidekatriaphobia or friggatriskaidekaphobia, which refer to the fear of Friday the 13th.  But there is a far more insidious fear that specifically affects some pregnant women.  It is trisdesonographophobia (pronounced TRIS – dee – SON – o – graf-o- fobia) – an irrational fear of 3D ultrasounds.

Of course, there is nothing to be afraid of with 3D ultrasounds.  3D ultrasound uses the same sound waves as the ultrasounds used in your doctor’s office, and the safety of ultrasounds in general have stood the test of time, over 35 years without any known harmful effects.

There are a few other fears regarding 3D ultrasounds besides safety concerns.

For couples who do not want to know the gender of the baby, there is a fear that seeing your baby will reveal the sex of the baby.

There is no way to tell the sex of the baby just by looking at the baby’s face on 3D ultrasound.  If you request to not find out the gender of your baby, your appointment will be especially flagged and our entire staff will make sure to not discuss the gender. Also, if the technician needs to put the ultrasound probe in that specific region, such as may be necessary to get a better angle, our technician informs the mom to look away and our technician looks away as well! This way, our ultrasound technician won’t accidentally reveal the gender of your baby by referring to your baby as he or she.  At First Peek Ultrasound, you can rest assured that you have nothing to fear of 3D ultrasounds if you do not want to know the sex of your baby.

The fear that your baby will look like an alien

Babies do look fish-like, alien-like, or, the term we prefer, embryonic, when you are very early in your pregnancy.  Although we can generally determine the gender of your baby as early as 15 weeks, if you are coming for the purpose of seeing and bonding with your baby and getting good pictures of your baby, we do not recommend you come in before 17 weeks, and preferably after 20 weeks.  The ideal time to come in for pictures is between 24 and 30 weeks.

To get a general idea of what your baby may look like at each stage of pregnancy, check out our 3D ultrasound gallery to see a week-by-week breakdown.

The fear that your baby will not be cute

Don’t worry.  Every mom thinks their baby is cute.

The fear that you may find out something wrong

Our 3D ultrasound sessions are not medical, so we do not do any diagnostic evaluation.  If we do happen to see something, we will notify you and your doctor. If you did not get a call from us, then we did not notice anything wrong, but this does not mean that your baby has a clear bill of health.  It is important for all pregnant women to get proper prenatal care and a medical diagnostic ultrasound as may be indicated.

The fear that you can not afford it

This is a very common fear among pregnant women regarding 3D ultrasounds – that 3D ultrasounds are too expensive and that they will not be able to afford it.  At First Peek Ultrasound, you have nothing to fear.  Our 3D ultrasound packages start at $39, and our most popular package, the First Peek Package, is only $59.  (Prior to First Peek Ultrasound’s existence, a similar package in Chicago would have been at least $100.)

Have you experienced trisdesonographophobia?  What are some of the fears you had regarding 3D ultrasounds?

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Latest WikiLeaks entry reveals secret of local pregnant woman

WikiLeaks leaks secret mystery inside the womb:  You’re having a girl.

It is no secret that WikiLeaks, the largest source of leaks on the internet, comprises mainly of embarrassing military secrets.  But it could come as a surprise that among the 2,000+ pages of unconfirmed reports and hush-hush innuendos that comprise Wikileaks, there are some secrets that are more of a personal nature.

Since, at least as it was originally planned, anyone can leak anything onto the website, “Anybody can post to it, anybody can edit it,“ you would expect to find even more mundane and personal things leaked, such as a surprise birthday party that  your friends are trying to arrange for you.

One local Chicago pregnant woman was surprised to find out, during her weekly perusal of WikiLeaks, that she was having a girl.

I was about to receive a 3D ultrasound at First Peek Ultrasound next week, and I had told them that I definitely did not want to know the gender of the baby.  I don’t know how the technician could have known I was having a girl even before my ultrasound session.  Now I look onto WikiLeaks and it turns out the whole world knew even before I did that I’m having a girl.

The PR spokesperson at First Peek Ultrasound, a 3D ultrasound studio in Oak Park, IL, stated that

No one at First Peek Ultrasound was responsible for the leak.  If the customer does not want to know the gender, we do not even look at the gender.  The leak could have been put forth by a family member or any other secret service agent.  The report is unsubstantiated and may be wrong anyway.

The standard operating procedure, or SOP for short, for gender check determination procedures at First Peek Ultrasound itself was leaked at WikiLeaks by an anonymous Chicago 3D ultrasound blog.  According to the WikiLeaks entry, the technician asks if the pregnant woman wants to know if it’s a boy or a girl.  If she does not want to know, the technician herself will turn her head away when getting close to the region where you can tell the gender and will instruct the pregnant woman to do likewise.  Thus, there is no chance that the technician will slip up by referring to the baby as he or she during the session. She also warns the customers to look past the section on the DVD recording that may reveal the gender.

Many pregnant woman try to keep the gender of their baby a secret to family and friends even after they find out at First Peek Ultrasound.  However, the sex of the baby usually slips out during innocent conversations, such as when discussing the future plans for the baby.

“My mom noticed I was no longer worrying about whether I should have my baby circumcised or not if it’s a boy, and so she soon guessed that we knew it was going to be a girl,” one Cicero pregnant woman confided to us.

“When I gave in and chose a blue teddy bear for the baby heartbeat package, my sister immediately guessed I was having a boy, and we hadn’t even left the First Peek studio yet.  I was like, ‘No! Pretend you don’t know yet! I haven’t even told Mom and Dad yet!’ ” – a customer from Evanston told us during an anonymous interview.

Gender can be determined as early as 15 weeks at First Peek Ultrasound, and can be leaked onto Facebook pages as early as 15 weeks as well.

If you do not want to know the sex of your baby, feel free to get your 3D ultrasound at First Peek Ultrasound.  Your appointment will be specially flagged in our scheduling system and our entire staff will be notified before your visit, and great care will be taken to not show you or tell you the gender of your baby.  At First Peek Ultrasound, you can rest assured that your uterine secrets will not be leaked.

Also, some customers choose to not want to know the sex of the baby but want the results to be placed in an envelope to be opened later with family.  This can be fun for your whole family.

Nothing is 100% until your baby is born, but with our Gender Check Guarantee, you can come back for free until we can determine the gender of your baby with reasonable certainty.

How have you leaked the gender of your baby to others?  Did you plan it in a ceremony or did it slip out in conversation?  We’d like to hear any interesting stories of how you told others the gender of your baby.

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What is wrong with this picture? – 3D ultrasound scam alert: Sales tax on services

What is wrong with the following statement, found on an actual 3D ultrasound company’s website:

What is the price of the service?

The 3D/4D packages range from $119 to $179 depending on your needs.  Gender determination is now only $75.  (Please account for 5% sales tax on all VISA, Master Card and Discover sales.  Cash sales are exempt from sales tax.  Sorry no personal checks or Americal Express cards).

First, ignore the hefty price of their cheapest gender check package – this 3D ultrasound company is from another state and so they do not have a First Peek Ultrasound to compete with.  (In keeping with our mission to make 3D ultrasounds accessible to as many families as possible, we shook up the rest of the 3D ultrasound centers in the Chicago area by being the first to set our prices to start at $39, forcing the rest of the centers to lower their prices dramatically to keep up).

1) Sales tax is being charged on a service! When have you ever paid sales tax on other services, such as a haircut, massage, or car wash?  This company (which shall remain nameless) is charging sales tax on a service.  They may be uninformed and paying this sales tax to the state government, but if they are pocketing the money (to pay for credit card transaction fees), then this is illegal.

2) Cash sales are exempt from sales tax! Taxes are never discriminately applied depending on whether the purchase is made with cash or credit card. If this company was actually selling something that required sales tax, then not charging sales tax on cash services would be considered to be tax fraud.  However, in this case, sales tax is not required on any of these services, which makes me think again, where is this sales tax money going to?

3) Using an illegitimate sales tax  in advertising to get more money is a form of advertising fraud as well. Unless they are dutifully handing over this sales tax on some of their service sales to the state government, that is. In that case, they are just hurting themselves and making prices higher for their customers unnecessarily.

When we first started First Peek Ultrasound in 2008, we noticed other 3D ultrasound centers, including one in the Chicagoland area, charging sales tax on 3D ultrasounds for years, which went against my own understanding of tax law.  I confirmed the illegitimacy of this charge with the Illinois Department of Revenue and never charged sales tax on our services.  It was only after blogging about this situation in this post that this shady practice was stopped by the other ultrasound clinic in our area.

The ultrasound studio in the above quote charges the local Virginia sales tax of 5%, but there are two other studios in North Carolina that add on a whopping 8.5% to all 3D ultrasound packages.  (I double-checked the state laws and they do not have a special tax on 3D ultrasounds. North Carolina does charge a sales tax on specific services, including dry cleaning and cable tv and some specific entertainment services. Do these specifically enumerated entertainment services include 3D ultrasound services and are these local centers specifically asked to charge sales tax by the state of North Carolina? It’s possible, but I doubt it, especially since there are other 3D ultrasound centers in North Carolina that do not charge the sales tax.)

It is entirely possible that many states will eventually require  sales tax on services, and this requirement will probably start with entertainment or recreational services.  For example, the State of Washington already imposes a sales tax in general for “recreational services” and the one 3D ultrasound facility in the state of Washington does in fact charge this sales tax.

What is the purpose of this article? I hope that a few customers of these 3D ultrasound centers will stumble upon my blog and will let these 3D ultrasound centers know that it is not okay to add on a surcharge and call it a sales tax in order to boost the profit margin.  While most customers may not notice and happily pay the extra amount, the practice is in fact illegal and advertising fraud and may be considered tax fraud as well.   The fact that some 3D ultrasound centers within the same state charge a sales tax while others do not and the fact that 3D ultrasound centers, on at least one occasion, have discontinued the sales tax when they are called out on it, at the very least belies the fact that the sales tax is not required and is either ignorantly being charged to consumers at best or fraudulently kept by the 3D ultrasound centers at worst.

Do you have any comments? I especially want to hear from owners of other 3D ultrasound centers who were confused by this sales tax issue.  If you do not charge sales tax while another 3D ultrasound center in your area does, has this helped or hurt your business in any way?  If you do charge sales tax, is this required by the state?   If not, is there another reason why you charge sales tax (i.e. the requirement by the city of Oak Park for all businesses who want a storefront location to charge sales tax).  We would love to hear from you.

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Ob/gyn Hypocrisy Regarding 3D Ultrasounds-Part 2

In part 2 of my slowly advancing series, I will explore the often repeated argument that the ultrasound machine is a medical device and should not be used for non-medical purposes.  This is the stated position of the FDA and is what many ob/gyn doctors repeat to their patients.

So what falls under a non-medical purpose?

1. Seeing your baby

2. Determining if your baby is a boy or a girl

Yet a few hospitals in the Chicago area have 3D ultrasound machines in their ob/gyn clinics, and after the patient is done with her appointment, the doctor will quickly switch over to 3D mode and show the baby to the mother.  (This quick add-on period is added onto the medical ultrasound session which normally lasts 30 minutes.  In other words, the ultrasound session now exceeds the 30-minute threshold touted by the ob/gyn community.)

Also, it must be pointed out that ob/gyn doctors routinely check the gender of the baby at the 20-week ultrasound.  If the gender can not be determined at this time, the insurance company usually does not pay for an additional ultrasound.  The pregnant woman can sometimes plead for the ob/gyn to check the gender at another visit, ”off the record,” as my wife did when she was pregnant, or she can wait another 20 weeks not knowing whether her baby is a boy or a girl.

Ob/gyn physicians who happen to have the privilege of having a 3D ultrasound machine in their hospital often go against the rules and perform 3D ultrasounds off the books, as they have done in the past by checking the gender on extra ultrasound visits.

If 3D ultrasounds used for non-medical purposes were truly harmful and if there was truly a consensus among ob/gyn physicians that these elective ultrasounds are harmful, there would not be this growing trend of ob/gyn clinics and hospitals, including Northwestern Memorial Hospital in Chicago, to offer free 3D ultrasounds during routine screening visits of  their pregnant patients.  In fact, many of these ob/gyn clinics are starting to offer these 3D ultrasounds as a “free” service in order to attract more patients, sometimes also offering CD’s and DVD’s of the session.  By offering it for free, it appears that they are providing a service with no economic benefit out of the goodness of their heart, yet the economic benefit for these clinics from the increased number of patients is very real.

In other words, the argument currently held by most ob/gyn physicians is that elective non-medical 3D ultrasounds are harmful to pregnant women and their babies and is an affront to the medical profession and an embarrassment to the profession of ultrasound technicians, unless it is provided off the record by ob/gyn physicians in ob/gyn clinics or hospitals for their own economic benefit.  It’s fine if we do it, but no one else should do it.

This hypocrisy can only be explained by my overall premise that the current bias against 3D ultrasounds among ob/gyn physicians has nothing to do with the concern for pregnant women or their babies but has to do with money, which is a rerun of the routine elective circumcisions performed by ob/gyn’s without informed consent in the 1970′s while rabbis were prohibited from performing circumcisions without a medical license (remember that?).

(Of course, there are many other ob/gyn physicians and ultrasound technicians who are genuinely concerned for the welfare of their patients and have only had the misfortune of having been taught this bias in school and in residency training and so they have carried this bias as well.  But the source of the bias is still originally based on economics.)

Please note that this is a risky subject to deal with head on, as there is a genuine risk of sounding angry and at odds with the medical community.  As a pediatrician myself, I definitely do not want to alienate other physicians or sound like I know better than ob/gyn physicians when it comes to dealing with pregnant patients.  I simply want to point out this one isolated instance of a medical bias based on non-medical reasons.  Please note that at First Peek Ultrasound, we have a very good working relationship with the physicians and midwives of our customers, and more and more physicians are actually actively referring their customers to us.   In this series, I am only speaking about some ob/gyn physicians.

When we first started First Peek Ultrasound, the majority of ob/gyn physicians were deeply against 3D ultrasounds.  Also, it was very difficult to find good ultrasound technicians due to the fact that these technicians are taught in school that 3D ultrasounds are definitely harmful to babies (which is untrue) and other related falsehoods.  Now, we are seeing that the percentage of ob/gyn physicians  in the Chicago area who are against 3D ultrasounds have dropped (roughly to about 50%), and this is in part due to many of their patients coming to see us and other 3D ultrasound centers and reporting their experiences back to their physicians.

For our physicians who want to learn more about what we do, please visit our dedicated 3D ultrasound page for Chicago-area physicians and midwives.

Do you have any comments? We especially want to hear from ob/gyn physicians, the ones who agree and disagree with what I have posted here.

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3D ultrasound for Father’s Day

This Father’s Day is June 20, 2010.
A gift certificate for a 3D ultrasound makes a perfect gift for Father’s Day.

As a first-time father, I was amazed to see my baby while my wife was still pregnant.  The 3D ultrasound really helped me become more involved with the pregnancy and with the whole bonding process.  I was stationed in Iraq during the entire time my wife was pregnant, so I missed a lot of the milestones of the pregnancy:

  1. The first ultrasound
  2. The first episode of vomiting
  3. The first pregnancy argument about nothing
  4. Choosing  a name for your child
  5. The baby shower
  6. The first stretch mark
  7. Finding out if it’s a boy or a girl

So it really helped my morale when I saw my baby’s pictures and DVD of my baby’s movements before he was born, and it gave me something else to look forward to when I came home.

We started First Peek Ultrasound for all our expectant fathers out there as well as for the expectant mothers.

For all you pregnant women who are wondering what to get him for Father’s Day, or even whether to celebrate Father’s Day if you’re still pregnant, I urge you to get him a 3D ultrasound. It will be as much a Father’s Day gift for him as it will be for you.

Hint: If you get the Premium Plus Package, the prenatal massage comes with the package.  So you can tell him the 3D ultrasound is a Father’s Day gift for him, but you can enjoy the prenatal massage as well.  Hey, you can’t help it–it’s included!

For all you Dads out there, how was your experience seeing the 3D ultrasound of your baby. I would love to see your comments below on how you especially benefited from the 3D ultrasound experience as an expectant father.

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Should pregnant women celebrate Mother’s Day?

Are women who are pregnant for the first time considered mothers and can they celebrate Mother’s Day?

By the looks of the websites of many 3D ultrasound centers, this seems to be true.  But maybe we’re biased.

What do you think?  Should pregnant women celebrate Mother’s Day?  Should they receive gifts for Mother’s Day, or should they wait until they actually have a baby?

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3D Ultrasound Checklist

3D Ultrasound Checklist

  • Fetus
  • Friends
  • Family
  • Toys and books for other kids
  • CD of music you want playing in the background of your DVD (optional)
  • Cell phone (to call friends and family immediately when finding out if it’s a boy or girl)
  • Kleenex (in case you or Dad get emotional)

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Twenty-one Benefits of Prenatal Massage

If you have ever experienced a prenatal massage during your pregnancy, you will know that a prenatal massage feels good.  But did you know that there are many other benefits as well, including many health benefits?

At First Peek Ultrasound, we are proud to now offer prenatal massage in our very own pregnancy spa located inside our ultrasound studio, by our certified prenatal massage therapist.

Here is a list of twenty-one benefits of prenatal massage.  If you can think of any others, please write to us in your comments below.

  1. Helps ease back pain
  2. Helps with headaches
  3. Decreases pelvic pain
  4. Reduces sciatic pain
  5. Increases circulation
  6. Improves digestion
  7. Reduces fatigue
  8. Helps reduce stretch marks
  9. Helps reduce swelling and edema in the legs
  10. Reduces stress
  11. Improves sleep
  12. Prevents post-partum depression
  13. Relaxes and soothes the baby
  14. May prevent ADHD, PTSD, and anxiety in your baby
  15. More likely to touch and smile at your baby
  16. Reduces nausea
  17. Helps with labor pain
  18. Lower rates of prematurity
  19. Can help you quit smoking
  20. Can help improve your sex life
  21. Helps get the baby to move during your 3D ultrasound

1.  Prenatal massage helps with back pain

Back pain is the number one reason pregnant women get a prenatal massage.  In many surveys conducted, it has been shown that over half of all pregnant women have back pain at some point during their pregnancy.  10% reported to have severe back pain. And the back pain can start even long before you feel like you’re gaining any weight.  This is because the back pain has more to do with the slight shift in your center of balance than with the actual extra weight placed on your back.  That extra little mass, about the size of a pomegranate, can shift the balance enough for you to feel it.

If you’re not scared of physics, please read this. Otherwise skip the next two paragraphs.

Let’s take a closer look.  If a 1 kg force is applied downwards (what you would expect to gain when you’re 4 weeks pregnant), pushing down on your back, about 10 cm in front of your center of gravity (which is where the center of your belly may be), then that would apply a torque of 10 kg-cm, and you would have to apply an equal force of 10 kg downwards, using the muscles around your lower spine, which is located just 1 cm behind your center of gravity, in order to balance out the torque (10 kg x 1 cm = 1 kg x 10 cm), in order to keep you from spinning forward or falling over.  So that little embryo actually puts a total pressure of 11 kg (or 24 pounds) on your lower back, while you are putting constant tension on muscles that are very rarely used.  No wonder you have back pain!  This is also why some women may have back pain before they even know they are pregnant!

But what happens if you just shift your center of balance forward 8 cm.  Now, your little fetus is pushing down 1 kg at a point 2 cm in front of you (or 2 kg-cm), and your lower back muscles are now 9 cm behind your center of gravity instead of 1 cm behind, and so you will have to push down with a force of 2/9 kg (2/9 kg x 9 cm = 2 kg-cm = 2kg-cm), or 0.2kg, about half a pound.  So you would feel a total weight of 1.2 kg on your back and the weight will be better balanced.  Thus, your back pain is alleviate without pain medication and without any weight loss needed.

Prenatal massage helps alleviate back pain by 1) helping shift your center of balance so that you can utilize the physics of torque to your advantage.  Back pain is also caused by 2) the slight external rotation of your knees, which can also be corrected by alleviating fluid buildup through prenatal massage.  As if that is not enough, during pregnancy, you produce hormones that relax some of the ligaments in your body.  One of these hormones, relaxin, is critical in helping your baby come out through the narrow birth canal by relaxing your pelvic ligament.  But before then, the softening of the ligaments can 3) disrupt your posture and the way you walk, which can promote back pain.  Prenatal massage can help reset your posture, thus alleviating your back pain through this third mechanism.  There are many other additional ways that prenatal massage helps back pain as well, including alleviating stress, anxiety, allowing for the relaxation of lower back muscles, improving circulation in your lower back, and even alleviating the inflammation around the nerves of your lower back.

In a randomized study conducted by the University of Miami, pregnant women who were between 7 and 9 months pregnant were given two free prenatal massages every week. These expectant mothers ended up having less back pain as well as a number of other positive outcomes.

Here are some other ways of alleviating back pain during pregnancy.

2. Prenatal massage helps with headaches

Let’s face it. Pregnancy can give you headaches. But there are a lot of causes of headaches, and some may have nothing to do with the actual pregnancy.

  • Different hormones of pregnancy may cause headaches
  • Increase in blood volume that occurs during pregnancy, may cause headaches
  • Pregnancy can slightly alter the shape of the lens of your eye, causing you to have a slight nearsightedness that is virtually undetectable except that you get headaches!
  • Stress–a major cause of headaches.  What could be causing you so much stress?
  • Lack of sleep
  • Low blood sugar
  • Dehydration–you’re not only drinking water for two but you also have to keep your amniotic tank full.
  • Caffeine withdrawal–that no coffee rule really starts to hurt right around now
  • Nicotine withdrawal
  • A very mild insidious chronic respiratory failure, caused by a very slight but progressive deficiency of oxygen caused by not getting enough oxygen to your brain, which is caused by decreased blood flow to your brain, due to the weight of your baby resting on your superior vena cava while you are sleeping lying down on your back.  If you wake up with a headache every morning, and it gets better through the rest of the day, this could very well be the cause, and this can be helped by lying down on your left side while you sleep.

Prenatal massage can help with headaches by alleviating stress and tension, helping you relax, and improving your ability to sleep (your sleep architecture).

3. Prenatal massage helps decrease pelvic pain

Pelvic pain should be distinguished from lower back pain.  Pelvic pain is caused by 1) the actual uterus pushing down on the pelvis, and 2) the effects of hormones on the pelvis and pelvis ligaments.  The hormones relaxin, estrogen, and progesterone, cause softening and widening of the pelvic ligament and pubis symphysis, which can throw off your gait and center of balance and can cause pelvic pain, and then, as a result, the muscles surrounding your pelvis can compensate and then get fatigued or strained, thus causing even more pelvic pain.

Although you may not be able to prevent the normal havoc of the hormones of pregnancy on your pelvis, you can prevent the fallout from the aftereffects from the surrounding muscle.  This is best done by wearing a pelvic belt, much like how you see weightlifters wear in the gym (or on TV, if you don’t go to the gym).  Another thing that helps with pelvic pain caused by this secondary muscle strain is prenatal massage.

Other tips to help with pelvic pain during pregnancy:  Keep your knees together while rolling over in bed by wearing a very large rubber band around your knees (the kind you can get for physical therapy), and taking smaller steps when walking.

On a side note, another cause of pelvic pain in pregnancy can be endometriosis, which may get worse during pregnancy (though it is supposed to usually improve with pregnancy), and some cases may get diagnosed during pregnancy.

4. Prenatal massage can help with sciatic pain

Sciatic pain is a nerve pain caused from swelling, pinching, or some other effect on the sciatic nerve.  This pain can be electrical in nature, but can also be sharp, dull, or throbbing.  The pain is usually intermittent and is worse with walking, but can also be constant, and it may be a combination. For example, someone may have a constant dull pelvic pain, with intermittent sharp pains when standing up from a seated position, with occasional shooting electrical pain originating from the lower back and going down the back of the leg down to the knees or even to the ankles.  Sciatic pain can be caused by prolonged overuse or can be caused by sudden trauma.  In the cases that we are talking about here, sciatic pain can be caused by the weight on the lower back and pelvis from pregnancy and weight gain.

If your weight gain is more than the recommended amount during your pregnancy, then controlling your weight may be the best way to control sciatica.  However, prenatal massage can also help with sciatic nerve pain.

Sciatic nerve pain is experienced by many women in pregnancy as the uterus pushes down on the muscles of the lower back. The pressure of the uterus adds tension to the muscles of the upper and lower leg as well as the lower back, causing the muscles to swell and put pressure on nearby nerves.  These nerves can then get inflammed. Massage therapy helps heal the inflammed nerves by helping to release the tension of the associated muscles and their pressure on the nerves. Many women have experienced significant reduction in sciatic nerve pain during pregnancy through regular prenatal massage.

5. Prenatal massage can help increase circulation

6.  Prenatal massage improves digestion

It’s unknown whether massage helps digestion by increasing circulation, by relaxing the muscles associated with the digestive tract, or by alleviating stress and anxiety.

7.  Prenatal massage reduces fatigue

In addition to being able to get some much needed rest and relaxation, prenatal massage has been shown to improve sleep architecture (the ratio and timing of the different stages of sleep).

8.  Prenatal massage helps reduce stretch marks

There are very, very few things that have been proven to prevent or reduce stretch marks. Yet the stretch mark industry is a multi-million dollar industry.  Cocoa butter and many other creams have been recommended, but they serve more to cover up stretch marks, since lotions and creams generally don’t get to the deep layer of skin, where stretch marks occur.  However, massage has been shown to reduce scarring in general and prenatal massage has been shown to help prevent stretch marks by improving circulation to the skin.  Regular prenatal massage, such as on a weekly basis, before stretch marks occur, in combination with careful weight control during pregnancy, can help prevent or reduce stretch marks during pregnancy.

Another great way to prevent stretch marks is to closely monitor your weight gain to make sure that you do not gain too much weight and that you do not gain weight too quickly.  However, stretch marks are also genetic, and sometimes, there may be nothing you can do to prevent them.

Here are some additional ways to prevent or reduce stretch marks during pregnancy.

9.  Helps reduce swelling and edema in the legs

Prenatal massage helps reduce swelling in the legs and ankles, called edema, during pregnancy.  This swelling can be caused by poor circulation in the legs, increased blood volume, decreased protein in the blood, and obstruction of the veins that come from the legs due to pressure from the uterus causing a backup of blood flow into the legs and feet.  The edema can also be a symptom of pre-eclampsia.  Whatever the cause, many pregnant women notice at least a little swelling in the feet and ankles. If your shoes are getting too tight, you may want to help alleviate some of the strain by resting and relaxing more and spending more time with your legs elevated.

A prenatal massage by a certified prenatal massage therapist can help reduce ankle and foot swelling.  Prenatal massage helps in more than one way.  First, just the time spent in a relaxed position with your feet elevated, doing nothing else, can help wonders.  Second, prenatal massage can help improve circulation to and from the legs.  Third, prenatal massage can even help lymphatic flow, another factor in leg swelling.  Last but not least, by increasing blood flow and circulation throughout your body and by reducing anxiety, prenatal massage can help make it easier for your heart to pump blood throughout your body and reduce the stagnation of blood in the legs, another cause of swelling.

10. Prenatal massage reduces stress

A prenatal massage not only reduces stress and anxiety by forcing you to relax and calm yourself through the sights, sounds, textures, and smells of the massage experience, but the actual physical act of massage has been shown to increase serotonin levels (the neurotransmitter of energy, happiness, and contentment) and decrease epinephrine, norepinephrine, and cortisol levels, the hormones of stress.

Also, the prenatal massage therapist can instruct you on ways of continuing techniques to help reduce stress throughout your pregnancy. By improving the efficiency of your sleep, reducing your aches and pains, and by overall providing a comforting and nurturing environment to fall back on during times of high stress, you will find that your overall anxiety throughout your pregnancy, even when you are not getting a massage, will be much better.

Best of all, women who have less anxiety during pregnancy generally will have less anxiety during labor and childbirth, which helps dramatically with a whole slew of medical outcomes.

11.  Prenatal massage can help improve your sleep

As stated before, prenatal massage helps you sleep and helps you improve your sleep architecture–the proportion of your sleep that is set for deep sleep, light sleep, and REM sleep.  Pregnancy-related insomnia is a common complaint that can become debilitating, and sleeplessness can aggravate stress, anxiety, and even make minor aches and pains more bothersome.

A common cause of sleeplessness is not being able to “get in a good position.”  This is because when a pregnant woman lies flat on her back, the uterus may be pressing down on her veins (the superior vena cava) and block blood flow to the brain.  This can be sensed as discomfort.  But if you spent your entire life sleeping on your back, then no other position will seem right to you either.  Prenatal massage can help retune and reset your comfort zones and can help you feel comfortable falling asleep on your side

Another cause of sleeplessness in pregnancy is poor oxygenation and circulation. Prenatal massage helps with circulation and oxygenation.

Another cause of sleeplessness in pregnancy is anxiety.  When you are under a constant tension, your body will not let you fall asleep.  Prenatal massage helps you relax and fall asleep in a soothing and stress-free environment.  Your body can then re-learn this ability to relax and fall asleep.  Sometimes, one prenatal massage can help you know what the stress-free mode feels like so you can get back into that mode on your own when you need to at other times.

12.  Prenatal massage helps prevent postpartum depression

It’s true.  The following study shows that prenatal massage can help with depression during pregnancy and postpartum depression.

Pregnancy massage reduces prematurity, low birthweight and postpartum depression
Pregnant women diagnosed with major depression were given 12 weeks of twice per week massage therapy by their significant other or only standard treatment as a control group. The massage therapy group women versus the control group women not only had reduced depression by the end of the therapy period, but they also had reduced depression and cortisol levels during the postpartum period. Their newborns were also less likely to be born prematurely and low birthweight, and they had lower cortisol levels and performed better on the Brazelton Neonatal Behavioral Assessment habituation, orientation and motor scales.
Infant behavior & development. 01/08/2009

13. Prenatal massage relaxes and soothes the baby

Prenatal massage not only can help relax you while you are pregnant, but it can help relax and soothe your baby as well. If your baby is “going crazy,” swimming around and kicking constantly, it can sometimes be due to certain stresses and anxiety that you are feeling yourself.  It has happened many times where a prenatal massage will help soothe the baby.

14. Prenatal massage may be able to prevent ADHD, PTSD, and anxiety in your baby

A wonderful article on the benefits of prenatal massage speaks to the amazing effect of massage on the baby.  The following excerpt was taken from Kate Jordan Seminars, and originally appeared in the August 2007 issue of Massage Magazine.

When women experience stress in pregnancy, blood levels of the neurotransmitters cortisol, adrenaline and norepinephrine surge. Conversely, levels of dopamine and serotonin are suppressed by stress; low levels of these hormones are associated with mood states like anger and anxiety. Not only would Marcy’s continued anxiety fuel more anxiety, it would lead to increased levels of these stress hormones in her body. Recent studies have shown extensive effects on the growing fetus of stress experienced by pregnant mothers. Not only do infants of stressed moms show higher levels of cortisol and lower levels of serotonin and dopamine, they seem to cry and fuss more as babies, and perform less well on such measures of infant development as the Brazelton scale.

Doctors in New York City studied expectant mothers who were in the area of the World Trade Center when it was struck on September 11, 2001. They found that their infants had smaller head circumferences and were more likely to suffer post-traumatic stress disorder.

In the study mentioned above, women who were pregnant in the third trimester who lived in the area of the World Trade Center on September 11, 2001, and who had PTSD, had babies who had smaller head circumferences and had lower salivary cortisol levels.  Having a lower cortisol level is a known risk factor in the development of PTSD later in life.  (Transgenerational Effects of Posttraumatic Stress Disorder in Babies of Mothers Exposed to the World Trade Center Attacks during Pregnancy – Rachel Yahuda, et al.)

15.  Women who receive prenatal massage are more likely to touch and smile at their baby

Who knew that prenatal massage can help with bonding of your baby?  The following study, quoted from Kate Jordan Seminars, originally appeared in the August 2007 issue of Massage Magazine.

Keep in mind that the following study compared two groups, where one group of pregnant women were randomly made to receive prenatal massage. The women did not have a choice as to which group they would be in.  Thus, this can not be explained by reverse causality (as in, maybe the mothers who touch their babies more would have chosen to have more prenatal massage in the first place).

Reva Rubin, a nursing professor at the University of Pittsburgh’s nursing school was able to show that mothers who received what she called “appropriate, meaningful touch” – back stroking delivered by office nurses during prenatal visits – were later able to touch their own babies in a “meaningful, effective and caring” way. Other research has shown that the more touch mothers receive in pregnancy, the more likely they are to stroke, smile, and talk to their infants, and thus to bond with them.

16. Prenatal massage helps with nausea

This may be due to the fact that anxiety has often been implicated as a cause of nausea and vomiting during pregnancy, and prenatal massage can help with anxiety.  Also, nausea can be caused by impaired digestion, and prenatal massage can help with digestion.

17.  Prenatal massage helps with labor pain

Prenatal massage, or perinatal massage, can help with the pain of labor.  This is due the mechanism of distractive pain therapy.  By stimulating the nerves on a different part of the body, the body is distracted and does not process the pain impulses from the other part of the body.

18. Prenatal massage can lower rates of prematurity

The study already quoted above shows that prenatal massage can help reduce prematurity and low birthweight in babies.  This is an amazing discovery.  The mechanism is not known exactly. However, it may be due to improved placental circulation, improved blood flow to the baby through the placenta, thus providing more oxygen and nutrients to the baby.

19.  Prenatal massage can help you quit smoking!

With First Peek Ultrasound‘s proprietary method of prenatal smoking cessation, prenatal massage can be used to help you quit smoking.

During pregnancy, dopamine levels increase–this is one of the reasons why cigarettes can sometimes taste bad to pregnant women who normally smoke.  Pregnancy is the ideal time to quit smoking because not only do you now have plenty of health reasons to quit for you and your baby, you have the biological processes of pregnancy working in your favor!

Prenatal massage has been shown to increase dopamine levels as well as serotonin levels.  Dopamine is the neurotransmitter responsible for addiction (and many other things), and increases with smoking.  Serotonin is the neurotransmitter associated with pleasure, which can be artificially increased with many drugs, including nicotine.

During your prenatal massage, dopamine and serotonin increases in an environment not associated with smoking, thus allowing you to fulfill the craving of cigarettes in an alternative way.  This association of the relief of the craving of smoking with something else besides cigarettes can retrain the body and mind to stop its dependence on smoking.

With our prenatal smoking cessation program, you would come in for your first prenatal massage appointment during a time when you know you will have a craving to smoke.  Basically, you would not smoke during that day and you would come in that morning or afternoon to our 3D ultrasound studio.  You may feel irritable, anxious, nervous, but instead of reaching for a cigarette, you alleviate the nervousness and anxiety with a prenatal massage.  The first time will be the most difficult.  Then, you repeat this step a few more times, either with scheduled appointments, or coming in as a walk-in on Saturdays right at the time that you feel the craving for cigarettes.  The prenatal smoking cessation program comes with four prenatal massage appointments.

Another weapon in our arsenal of the prenatal smoking cessation program is the 3D ultrasound service we offer.  When you see your baby for the first time in 3D, pregnancy will be more real for you.  Some mothers have expressed to us that seeing their baby in 3D ultrasound has helped motivate them to quit smoking.  So the prenatal smoking cessation program also comes wth a Premium 3D/4D ultrasound package.

You will also get a smoking cessation discussion session led by a First Peeker specifically trained in smoking cessation.  This member of our team has a degree in psychology, experience in counseling and stress management, and specifically trained in smoking cessation.  More importantly, she does not talk down to you or lecture you.  Instead, there is a one-on-one discussion on practical ways of changing smoking behavior.  If you require more than one discussion session to complete the conversation and strategies, then this will be included in the total package.

The final weapon that we use is purely behavioral–using reward and punishment.  Our prenatal smoking cessation package will be charged up front at a price of $350.  But if you actually quit smoking, you will get a $50 check back at the end of your pregnancy (two months after your baby is born).  You can use this money to buy diapers, take your friends out to eat to celebrate, or even get a massage with us.  But by this time, you will not want to use the money to buy cigarettes.

In summary, the First Peek prenatal smoking cessation program comes with four prenatal massage therapy sessions, timed specifically to your needs, one Premium 3D/4D ultras0und package, one smoking cessation discussion session (more if needed).  The cost of this total program is $350.  You also will get a $50 check back at the end of your pregnancy, approximately 2 months after your baby is born, if and only if you have successfully quit smoking and have not returned to smoking by that time, so that the total amount you have invested to change your life will be just $300 in total.

You can purchase this package online by visiting our website, www.OakParkUltrasound.com, and scheduling your first prenatal massage online and typing in “prenatal smoking cessation program” in the Special Instructions box.  Or you can call us to set up this package for you, at 708-870-0808.  Due to the investment of setting up the program, the entire payment is due when you first sign up for the program.

Note: We can not prescribe medications as we are not a medical facility.

20. Prenatal massage can help improve your sex life!

The following is taken, somewhat out of context, directly from the blog, Sheknows.com, and the full article can be found here.

The best sex of your life: 4 Tips to improve your sex life

Elizabeth Cullen

Not only do massages feel good, but, as an added bonus, they warm up your skin and connect you with your partner.

Finally, last but not least…

21.  Prenatal massage can help get the baby to move during your 3D ultrasound

At First Peek Ultrasound, when you get the prenatal massage with your 3D ultrasound, if your baby is not in the best position, you can try your 3D ultrasound again after your prenatal massage.  Many pregnant moms say that the prenatal massage relaxes their baby and gets them to shift position, almost like they are getting comfortable.  Sometimes, this is just enough to be able to capture the perfect memento of your baby on 3D ultrasound.

So there you have it.  21 benefits of prenatal massage, courtesy of First Peek Ultrasound.

Is there a benefit of prenatal massage that you have experienced yourself which was not mentioned here?  We would love to hear about it.

Add to this list and get $10 off your next prenatal massage at First Peek Ultrasound.

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Worst gifts for pregnant women

These are the gifts you want to avoid giving your pregnant loved one this Christmas, Hannukah, Kwanzaa, or winter solstice. 

In the last article, I mentioned some excellent gifts for pregnant women, including a gift certificate for a 3D ultrasound and a pregnancy massage.  Here, in this article, are the worst gifts you can give to someone who is pregnant and why these gifts are so horrible.

  • Breast pump

Unless you know her very well and you know for a fact that she is planning on breastfeeding and pumping, this gift can be in poor taste.  Also, if she is not planning on breastfeeding, this gift can be considered overbearing or offensive if she feels like you are pressuring her to breastfeed.

What can be given instead:  A luxury baby bottle set, which can be used for storing pumped breastmilk or used for bottlefeeding, and is one step removed from the actual secretion of bodily fluids.

  • Gomco circumcision clamp

In addition to requiring a physician license to purchase and use this equipment, a circumcision clamp will not be an appropriate gift for a pregnant woman unless you know that 1) she is having a boy and 2) she plans on having her baby boy circumcised and 3) you know that she is planning on performing the circumcision herself.  Unless she is a pediatrician or ob/gyn physician (or in some cases, a family practice physician), she is probably not qualified to perform her own baby’s circumcision.  Plus, if she is not religiously or culturally inclined towards circumcision, she may object to such a gift and may believe that you are subtly encouraging her towards having her baby boy get a circumcision.

What can be given instead:  A diaper cake makes a great gift regardless of whether your pregnant loved one is having a boy or a girl.  And if she is having a boy, whether her baby boy will be circumcised or not, he will still have to pee.  And for that, he will need diapers.  A diaper cake makes an excellent gift for a baby shower or for the holidays for your pregnant wife or girlfriend, and no blood will have to be lost with this gift.

  • Explicit pregnancy sex book

This is probably not the best gift to get her if you don’t know the pregnant woman really well.  For example, if she is your employee, a friend of a friend, your postal carrier, your dentist, or your next-door neighbor.  This can be considered in poor taste, at best, and sexual harrassment, at worst.  Such books have titles such as, How to Have Orgasms During Pregnancy, and Your Orgasmic Pregnancy: Little Sex Secrets Every Hot Mama Should Know.

Unless you are giving this gift to a girlfriend, wife, partner, or significant other, you may be better off sticking with a safer alternative.

What can be given instead: What to Expect When You’re Expecting, now in its third edition, is still the best selling book among pregnant women.  Other great books for pregnant women are books of baby names and books showing the pregnancy week by week.

If you know nothing about pregnancy, before you give a gift to a pregnant woman, you should find out which things are not generally allowed to be consumed during pregnancy.  The big ones are cigarettes, alcohol, coffee, and sushi.  Also, exotic fish and tuna in large quantities can also be harmful.  Belly creams and other cosmetics should be looked at to make sure they don’t contain vitamin A.  Giving a gift that could harm her fetus would be a major faux pas.

What can be given instead:  Instead of sushi, a gift certificate for ice cream will always be appreciated.  Instead of alcohol and coffee, there are non-alcoholic beverages that are specially designed for pregnant women, such as Preggatinis.  Here is a unique list of non-alcoholic beverages written by pregnant women themselves.

However, a gift certificate or gift card for sushi at Kamehachi or coffee at Starbucks can actually work very well for some pregnant women who can’t wait to splurge on sushi or coffee as soon as their baby is born.

What is the worst gift you received during your pregnancy?  Anything that was in very bad taste or even offensive? We would love to hear from you.

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