Why is Nutrition in Pregnancy Important?

Nutrition in Pregnancy

‘You are what you eat!’

It is likely that you’ve heard this saying many times, but what does it actually mean?

From the moment of conception right through to old age, our bodies require a regular supply of food to survive.

And what you are eating during pregnancy will have a significant influence on the growth, development and long-term health of your baby, as food quite literally contains the building blocks needed to grow a healthy person!

Surviving VS Thriving: How Nutrition in Pregnancy Helps Bub Thrive

If we view health as a spectrum ranging from surviving to thriving, there is a significant gap between these two ends of the spectrum that is influenced by many factors including:

  • pregnancy stage
  • age
  • genetics and epigenetics
  • activity level
  • hormonal health
  • emotional and mental health
  • the presence or absence of disease
  • use of pharmaceutical substances
  • sleep quality
  • environmental exposures.1-3

Along with these factors, the quality of our dietary intake and consequential general nutritional status also play a key role influencing where we sit on this spectrum.4, 5

In addition, during pregnancy, there are particular nutritional considerations for what to eat to best support you and your baby.

There is a significant amount of research already available (and coming out each day) about the interconnection between diet and health including how different energy intake levels, dietary patterns, macro- and micronutrients and phyto-chemicals are used by the body and their role in health and disease.

(Such research is often mis-represented or reported inaccurately meaning there is a lot of nutritional misinformation around!)

In addition, we are all individuals, meaning how our specific dietary intake pattern and nutritional status are influencing where we are sitting on this health spectrum will vary from one person to the next (and within the same person at different life stages!).

Once you know you are pregnant, you may find yourself reviewing the food you eat so as to best support yourself and your baby.

To sum all this up – there is a lot to consider to ensure how you are eating is the best fit for you and your baby, what you need to tweak to achieve optimal nutrition in pregnancy, where you currently sit on the health spectrum and where you’d like it to be.

Nutrition spoiler alert: there is no one size fits all when it comes to optimal dietary intake for health.

What does a Pregnancy Nutrition Consultation Involve?

A Fertility / Pregnancy Nutrition Consultation and a Naturopathic Consultation are suitable for different needs. A naturopathic clinical consultation involves thoroughly assessing clinical symptoms and pathologies (past and present), body systems, lifestyle, environmental and dietary intake to identify the factors contributing to your current health status and reviewing the best strategies to shift you closer towards your health goals. (If you want to get started, you can book an appointment)

However, there are times that you just want to focus on what you are eating and if it is the best fit for you. If you want to focus on a deeper dive into your dietary and nutritional intake during these crucial life stages, you can now book in for a Fertility / Pregnancy Nutrition consultation to get you what you need to achieve better nutrition for yourself and your baby.

Who is it suitable for?

This fertility / pregnancy nutrition consultation type is suitable for women who are trying to conceive or are already pregnant.

Ok I’m interested, what do I need to know?

  • This requires a commitment from you of attending two appointments.
  • At the first appointment, we will do an initial assessment of your current general health status, health goals and dietary patterns (expect it to take 30-45 minutes).
  • Between the first and second appointments you will be required to record your dietary intake for 3 weekdays and 1 weekend so I can gather more detailed information about your specific dietary and nutrient intake (you’ll get the where and how for this during our first appointment).
  • At the second appointment, we will discuss the dietary analysis results and recommendations for your specific needs which will be provided to you in written format after your appointment.
  • Added optional extra: individualised meal plans.

What isn’t included?

These appointments do not involve assessments or recommendations for pathology or full body systems – a full naturopathic appointment is where you will get that.

Written by Senior Fertility, Pregnancy and Family Health Naturopath and Nutritionist, Georgia Marrion.

Book fertility / pregnancy nutrition consult

Head to bookings > Nutrition > Nutrition for Fertility / Pregnancy – initial TELEHEALTH

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REFERERENCES:

  1. Sharma et al. Reprod Biol Endocrinol 2013; 11: 66.
  2. Palomba S et al. Reprod Biol Endocrinol 2018; 16 (113).
  3. Bala R et al. Reprod Sci 2020; 28: 617-638.
  4. Gaskins AJ et al. Am J Obstet Gynecol 2018; 218 (4): 379-389.
  5. Lakoma K et al. Nutrients 2023; 15 (5): 1180.

Springtime Raspberry Lime Smoothie Bowl

Raspberry Lime Smoothie Bowl

As we launch ourselves into Spring, let’s let our cells and microbiomes sing with dietary delight and variation – and what better way to do that than putting your feet up with a Springtime Raspberry Lime Smoothie Bowl and bringing the essence of beachside Bali to your living room. Organic frozen berries are a beneficial and nutritious addition to your plate, bowl and drink all year round. Spring heralds the bonus of using fresh berries, with fresh raspberries starting to hit the shop shelves in the third month of Spring in Australia (early November). This recipe is safe and delicious at all stages of your fertility journey, whether you are trying to conceive, pregnant, or have already birthed your bub.

(1 serve = 250mL)

INGREDIENTS – Springtime Raspberry Lime Smoothie Bowl

  • 1 cup frozen raspberries
  • ½ frozen banana
  • ¼ raw zucchini
  • ½ cup raw almonds
  • 1-2 tablespoons protein powder
  • ½ cup Greek, natural or coconut full-fat yoghurt
  • Juice of 1 lime
  • To serve: ¼ cup each of toasted nut, seed and coconut mix and fresh berries

METHOD: 

  • Add all ingredients to blender and blitz until well-blended.
  • Serve with yoghurt and toasted nut, seed and coconut mix and fresh berries sprinkled on top.

NOTE: 

If you’re in the postpartum stage, add in 1 serve of collagen powder along with your protein powder for tissue healing support.

This Springtime Raspberry Lime Smoothie Bowl recipe is brought to you by senior fertility naturopath and nutritionist, Georgia Marrion. Keen to get some dietary support in your fertility, pregnancy or postpartum journey? Book in with Georgia for a free 10 minute telehealth consult to find out what’s possible for you > navigate to heading Naturopathy – Fertile Ground > 10 minute Free Naturopathic Introduction

Find Help for Recurrent Miscarriage

recurrent miscarriage

Miscarriage is a difficult yet (unfortunately) very commonly experience during pregnancy where a loss occurs prior to 20 weeks’ gestation. Recurrent miscarriage, where 3 consecutive miscarriages occur, while less prevalent, is still common and a condition we see and help manage in our patients frequently at Fertile Ground.

While in some cases the cause is unknown, there are many reasons associated with an increased risk and incidence of miscarriage including: anatomical, age, genetic, autoimmune, infectious, endocrine, chromosomal abnormalities, lifestyle and environmental factors. (1,2)

Following a thorough investigation to assess potential causes in each individual case, we usually recommend a broad range dietary, lifestyle, nutritional and herbal strategies to ameliorate the specific risk factors that may be contributing to miscarriage specific to each person/couple.

Dietary strategies we frequently recommend include reducing your consumption of refined sugars, processed, fried and vegetable fats, ‘junk’ proteins and processed foods and increasing your intake of vegetables, fruits, beneficial fats and whole food protein foods.

Why? Because such a dietary pattern will support both egg and sperm quality and many aspects of hormonal health (we know that this along with other therapeutic strategies is effective based on the many couples we have helped become parents).

Recently, a study has come out confirming what we see clinically in regards to diet quality and miscarriage – so let’s review what the investigators looked at and what they found:(Chung 2023)

What was the study asking?

The study was a systematic review and meta-analysis (which is an analysis of the findings of multiple studies) to summarise the association between preconception dietary intake and miscarriage risk in women of reproductive age.

What did they find?

It was found that eating a wholefood-based, seasonal, antioxidant-rich diet comprising increased consumption of vegetables, fruit, wholegrains and protein foods (eggs, seafood, dairy, meat) reduced the risk of miscarriage and was associated with good pregnancy outcomes.

They also found an association between a high intake of processed foods and increased miscarriage risk.

So quality matters – but so does timing and duration, as they also found that such benefits for miscarriage and pregnancy outcome involved following such a dietary pattern for between 1-4 years prior to conception.

Take-home message

If you have experienced miscarriage, or are starting out on your journey to conceive, preconception health for both females and males can make all the difference to your fertility and pregnancy outcomes. If you feel you need some help improving your dietary intake for fertility or general reproductive health, reach out and book an appointment today so we can help!

Written by Senior Fertility Naturopath & Nutritionist, Georgia Marrion

MHNut, BHsci (Comp Med), Adv.Dip HSci (Nat)

MNSA, MANPA, MFSA

Georgia is available for naturopathic & nutrition appointments at Fertile Ground Health Group, click here to book online.

REFERENCES

1. Hecthman L. Advanced clinical naturopathic medicine. Elsevier: Chatswood, 2020.

2. Chung Y et al. The association between dietary patterns and risk of miscarriage: a systematic review and meta-analysis. Fert Ster 2023 Apr; S0015-0282 (23) 00296-0. https://pubmed.ncbi.nlm.nih.gov/37061157/

Movement & Embodied Dance for Preconception, Pregnancy & Postnatal Care

Movement & Embodied Dance for Preconception
We have the delightful privilege of introducing you to our unique new practitioner – Katy Woods. Katy joins our Fertile Ground team as a Movement and Embodied Dance Coach.
Katy’s passion is working with people who want to cultivate a deeper connection within and to their bodies.

This can be at any stage of life, and is particularly useful when preparing for and experiencing all the physical and emotional changes that fertility, pregnancy, new parenthood (and other life-changing times such as peri-menopause and menopause) bring the body and mind.

Why are we offering this new modality? 

In early 2020 we were aching for something that would not only help us navigate our own emotional integration through the ever changing terrain of COVID, to keep us moving through Melbourne lockdowns and also to bring us joy.

Katy came to our rescue and AbunDance was birthed – a weekly online facilitated dance and movement group session that helped all of those in attendance move through their emotional landscapes and find connection and uplift too.

When the AbunDance series finished, we continued to have private sessions with Katy, focusing on feminine embodiment practices along with emotional processing. We did solo as well as couple’s consults, which offered a layer of deep connection as we rolled the shapes of our bodies through time and space together.

We found these sessions to be such an incredible asset to our personal resilience and capacity to navigate our lives through COVID that we just knew we needed to offer this widely to our community for all the benefits it brings.
Book for Telehealth/Zoom sessions with Katy on:
Thursdays 10am – 7pm AEST
Fridays 10am – 7pm AEST
Sundays 4pm – 7pm AEST
About Katy 

Katy Woods is passionate about offering practices that nurture your connection to yourself and your surroundings. She works with a movement-based approach to investigate issues related to your body, your emotions, and how your relationships to self and others are formed from that. Her coaching uses guided improvisations, rich imaginings and meditations, authentic movement discovery, and body science to give you long term-tools to become stronger, more confident, and help you refine a deep understanding of self.

Katy is like an old friend, welcoming, insightful, and attentive. She is currently running free toe-dipping 10 minute consults to help you get a sense of what this new connective practice could be like for you.

Read more about Katy in her practitioner bio and book in to get started with a new practice of self care and connection.

We look forward to seeing you at the practice soon,

Charmaine Dennis & Carly Woods
Directors
About Katy

Movement & Embodied Dance for Preconception

 

Katy Woods
Bachelor of Creative Art & Contemporary Dance

Movement & Embodied Dance Coach

Fertile Ground Health Group at The Melbourne  Apothecary
p: (03) 9419 9988
e: katy@fertileground.com.au
www.fertileground.com.au
Facebook & Instagram
a: 33 Smith Street, Fitzroy

Contemporary Birth Culture – a free webinar with Rhea Dempsey

Contemporary Birth Culture

We’re thrilled to announce that Rhea Dempsey (renowned counsellor, best selling author and childbirth educator) is offering a wonderful free event to all practitioners about understanding contemporary birth culture and its impact on birth experience.

Register your spot for this free 45 minute webinar with Rhea Dempsey, going live on Wednesday July 27, 2022 at 4pm AEST.

“I hear far too often of the dismay you feel as a practitioner when the pregnant woman, whose body and being you have been treating and preparing for birth returns with a distressing birth story. A birth story filled with interventions and just-in-time emergencies, leading to distress and trauma – and you wonder what on earth happened?

In this free 45-minute webinar I will introduce you to the key structural factors in contemporary birth culture that hijack so many women’s birth dreams and leave you puzzled.”

Rhea Dempsey

 

Contemporary Birth Culture

This webinar is open to all health professionals

In particular, this webinar is for those counsellors, psychologists, naturopaths, acupuncturists, doctors, birth workers and all supporting practitioners who are integral to the healthcare team of patients moving through pregnancy, birth and the postpartum period.

You’re most welcome to register for this event. Please share it with any colleagues you believe would also benefit.

Rhea’s classes and workshops have long been held in high regard by practitioners and patients alike. She has been doing incredible work in the birth space for decades and we’ve no doubt you’re already a raving fan (as we are).

 

 

We are honoured to be launching this digital offering with Rhea and creating a reservoir of her wisdom for people to access. It will feature in the Fertile Ground Legacy Series – an initiative we are creating to translate the decades of collective wisdom that Fertile Ground practitioners have amassed, because we want to ensure that this important knowledge is passed on to you and the next generation of practitioners to come.

Looking forward to seeing you there.
Warmly,

Charmaine Dennis & Carly Woods
Directors | Naturopaths
Fertile Ground Health Group

www.fertileground.com.au
Facebook & Instagram
a: 33 Smith Street, Fitzroy
(03) 9419 9988

PS – Register now for the Free Webinar with Rhea Dempsey – going live Wednesday, July 27 at 4pm.

The Two Week Wait

the two week wait with Naturopath Tess Doig, Fertile Ground Health Group

It’s important to explore your options for mind and body support during the two week wait, as this is the time between ovulation or transfer of an embryo during IVF,  to when you find out the outcome of your pregnancy test. It can be a time of great anguish, as you wait (for about 2 weeks) to find out if you are pregnant. 

Many women that have been on a fertility journey for a while often say they are living their life in 2 week increments. The 2 weeks leading up to their ovulation are filled with planning, and lots of sex in the days before ovulation, which then moves into stress and anxiety post ovulation, followed by a depressed few days when their period comes, to be repeated over and over. 

Seek Support

To help support you in this time, here are a few tips to help optimise your body in lowering stress, improving your mood and as well as optimising your body to hopefully lead to a positive pregnancy test. 

  • Reward yourself with a massage, a shopping trip or a delicious meal out with your partner (no wine though please). There is some evidence that supporting dopamine can help support implantation. Dopamine is produced when we feel a ‘reward’, so no better excuse to treat yourself than this. It doesn’t need to cost money either, it could be running a bath for yourself with some candles, chatting with an old friend on the phone or anything else that feels good. As well as supporting dopamine, it can also help as a point of distraction during the two week wait.
Sex for everyone
  • Commonly, when couples have been trying to conceive for a long time, sex can become a little mechanical and left for just the fertile window.  However, studies show that a woman being exposed to a male partner’s semen post ovulation or transfer can actually help implantation. When an embryo implants into a woman’s uterus, her body has to perform a miraculous feat of down-regulating her immune system to allow the foreign cells from the embryo to join into her body and allow her blood supply to continue to nourish and grow the embryo. In no other time does this happen, think of how many immunosuppressive drugs a person must take in an organ transplant. It is believed that a woman continuing to be exposed to a male partner’s cells through contact with semen, this supports that down-regulation of her immune system to support the embryo’s implantation. Sex can also be a wonderful way to boost dopamine, see above, as well as to strengthen the connection between a couple.
  • When going through the fertility journey, allowing sex to be for pleasure and not just baby making, can be a wonderful way to maintain your connection in any context you choose – be it to yourself, to your partner or otherwise. Sex can be supportive whether you’re conceiving naturally, through IVF or in a heterosexual or same-sex couple. For single women, self-pleasure can be just as beneficial. 
When is sex not recommended?

The only time I may consider sex may possibly not be safe during the two week wait, is if you have a significant vaginal infection such as Bacterial Vaginosis. Hopefully this has been looked into and treated prior to conception but if you are unsure, speak to your naturopath practitioner. 

Nutritional & Medicinal Support
  • Eat nitric oxide rich foods such as berries, beetroot, dark chocolate, pomegranate and leafy greens. Nitric oxide is a chemical in the body that helps to open blood vessels and promote blood flow. Increasing blood flow is important for implantation to help nourish the uterine wall and embryo. Some examples of how to include these foods could be a berry choc smoothie with cocoa and organic raspberries, or a roasted cauliflower and beetroot salad with a yogurt dressing and pomegranate sprinkled on top. The other benefit of these foods is they are often feel-good foods, boosting your mood. Another fantastic way to support blood flow can be getting acupuncture, and many studies support acupuncture for not only improving implantation but also relieving stress and anxiety.  
  • Take your progesterone or progesterone supportive herbal medicines. Progesterone is produced in a natural cycle post-ovulation from the corpus luteum, the temporary gland that is produced once an egg leaves the ovarian follicle. Progesterone supports implantation by down-regulating the immune system, lowering inflammation and maintaining the uterine wall for implantation. If during your preconception work up, your naturopath has found you have low progesterone, they may have implemented strategies through nutritional supplementation or herbal medicine to increase progesterone levels. If this is the case, please remember to take your medicines in this time as it is important to continue to work on your progesterone. During an IVF cycle, progesterone pessaries are very commonly prescribed, and please continue taking these as prescribed by your fertility team. There are other benefits too – low progesterone can increase anxiety and insomnia, so by supporting healthy levels of this hormone you can also support a happy mood. 
  • Take your probiotics: some strains of probiotics can support progesterone production which helps with implantation as well as supporting good bacteria that support implantation as well. Bifidobacterium strains, in particular, have some research they can increase progesterone, while the lactobacillus species are the beneficial species in the vaginal microbiome. As mentioned above, vaginal infections can possibly affect the implantation process, by increasing inflammation, and triggering the immune system, so support a healthy vaginal flora while helping to boost your progesterone levels. Speak to your naturopath about which probiotics are right for you, as different species have different roles in the body. 

These strategies can be really helpful in supporting your body to increase the chances of falling pregnant and lowering your stress and anxiety during the two week wait, but the real work comes in preparing your body BEFORE conception. Working with your naturopath for at least 4 months prior to conceiving, can increase your chances of pregnancy through natural conception or IVF by improving egg and sperm quality, supporting healthy nutrient levels, looking at microbiome issues and addressing hormone imbalances (just to name a few). There is a myriad of things we look at improving for people who are struggling to conceive. 

If you would like to find out more how I can help you, please book a free 10 minute consult and we can have a chat about your current fertility struggles and make a plan to move forward.

Yours in wellness

Tess Doig

Tess Doig is a highly skilled degree qualified naturopath with over 9 years of practice specialising in the areas of fertility, pregnancy, women’s health and mental health. She is skilled in complex infertility cases, helping support many women and couples through unexplained infertility, recurrent miscarriage, IVF, male factor infertility and more. 

Along with supporting singles and couples with fertility, she also has a passion for all areas of women’s health including hormone imbalance, gynaecological disorders, vaginal infections, autoimmune conditions and mental health.

Read more about Tess and make a booking to get started on your journey together.

Support After a Pregnancy Ends or a Baby Dies

Support After a Pregnancy Ends or a Baby Dies

As a counsellor, listening to and being present to the unfolding stories after a pregnancy ends too early, or when a baby dies, requires me to hold space for another’s sorrow in a way that can seep in, grow, and be held as a deepening sadness. This impact can be felt, yet remain as invisible and silent as the way society responds to these unspeakable losses.

Before you know kindness as the deepest thing inside, you must know sorrow as the other deepest thing.

Naomi Shihab Nye

Supporting someone after a baby dies as a loved one requires holding compassion for any perceived failings in supporting the unravelling of another in sinking downwards into an unfamiliar terrain. Allow them to decide whether to rise again or not and just be there alongside, being the doula for the other side of birth where a baby is missing in every part of their imagined shared futures. It is bleak and dark and unbearable and yet bear it you must as it is only a fraction of what the other carries. 

Often the joy of having babies is preceded with experiences of grief, and yet we only see the images around us of blissfully expectant mothers and smiling parents with their children. So rarely do we see the stories of loss, often born shrouded in silence such as with miscarriages, terminations or when a baby dies in utero, during birth or shortly after.

If you visit a maternity hospital, you will likely see image after image of the joy of having a baby. Go seeking a visual representation of the babies that will never be born, die in pregnancy, in labour or shortly after birth and you will notice little to no representation for this reality. With life comes death and the lifetimes in between the two are varied and many, yet we only champion live births and happy parents.

Sitting with

Being alongside such experiences is profound in its sadness, and yet there is honour in being a companion to such grief. Sitting with the love lost and the agony felt in letting go is an enormous task to hold. Forgiveness is needed when you fear you might get it wrong as it comes with the territory where ‘getting it right’ does not really exist. It is as much a fantasy as being a perfect mother. There is only what is.

Be present when others cannot be. Be there because there is a need. Hold self-compassion as you cannot be blamed for any failings as who taught you to hold the unbearable? Who taught you to know what to say, not say and when to do and give instead of speaking?  When you cannot ‘fix it’ there is no room for questioning, only sitting with, being with, sharing the uncertainty.

Anchor

Allow the depth of despair to be felt and be held. Give them an anchor to secure themselves to. Let them know their rights in honouring the loss, speaking of their loss, to expect to be heard for as long as they need to speak of their pregnancy, their baby, the child missing from the dinner table. Speak their baby’s name, ask them about their cherished one. Find ways to honour this experience, a tree that blooms at this time of year, a memory box full of all that is known and not yet known about their pregnancy, their baby. Allow for meaning making and disbelief to coexist.

Let them know it gets easier, you get to know the grief, recognise its needs, make room for it, be forever changed by it. Know your limits and encourage professional support so they can become more than the sum of their broken parts. Seek help yourself as you begin to feel that deepening sadness seep in and start to grow. You and I cannot ward this off for we are human, and it is too big to wriggle our way out of it. When attending to another’s grief we must attend to our own breaking hearts.

Know that a parent that has endured suffering on the path to parenthood will be better equipped to know something of their child’s suffering and may pass to them what has been learnt in reaching rock bottom and rising again. 

What a gift to give to another to reshape suffering into a way to comfort even if you have never received that yourself. Hold light where there is darkness and know if you only offer kindness, it is enough where there is sorrow.

Suzanne Hurley

Support After a Pregnancy Ends or a Baby Dies

Perinatal & Fertility Counsellor & Supervisor

Fertile Ground Health Group

If you would like help navigating grief and loss please feel welcome to make a booking with Suzanne.

Exercise during Pregnancy

Pregnancy and Exercise - with Osteopath Nicole Cukierman at Fertile Ground Health Group

Exercise during pregnancy should be done and is safe in a healthy, uncomplicated pregnancy. In fact, performing the recommended type and amount of physical activity during pregnancy achieves health benefits for mother and baby including reduced risk of pre-eclampsia, pregnancy induced hypertension, a reduction in instrumental delivery and unplanned caesarean section birth and may help to reduce the severity of lower back and pelvic girdle pain 

According to the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) evidence- based guidelines for physical activity in pregnant women, it is recommended that in a normal pregnancy woman participate in 150-300 minutes of moderate intensity or if previously exercising can continue 75-150 minutes of vigorous intensity exercise per week. 

This can be completed over a minimum of three days per week, however, being active every day (ideally 30 minutes per day, less if previously inactive) is encouraged and doing some physical activity is better than none. 

Training should be a combination of aerobic (brisk walking, cycling, swimming, dancing, exercise classes) and strength (body weight, light weight or resistance band) exercises and exercise intensity will vary depending how physically active you were or we not pre-pregnancy. Women who were active prior to conceiving can continue with their usual activities for as long as they feel comfortable but are advised to check with a health professional if they would like to continue with vigorous intensity or high impact sports and exercise 

 Additionally, some exercises may need to be modified as your pregnancy progresses due to biomechanical changes and pain i.e. After 16 weeks it is best to avoid exercises lying on your back. 

Exercise is not recommended in all circumstances. The following are cases in which exercise is not recommended; 
  • Incompetent cervix  
  • Ruptured membranes, preterm labour 
  • Premature labour 
  • Persistent second or third trimester bleeding  
  • Placenta previa  
  • Pre-eclampsia  
  • Evidence of intrauterine growth restriction  
  • Multiple gestation (triplets or higher number)  
  • Poorly controlled Type 1 diabetes, hypertension or thyroid disease  
  • Other serious cardiovascular, respiratory or systemic disorder  
Stop and seek advice from a health professional if you experience any of the following while being physical activity: 
  • Chest pain 
  • Persistent excessive shortness of breath – that does not resolve with rest  
  • Severe headache 
  • Persistent dizziness / feeling faint – that does not resolve with rest 
  • Regular painful uterine contractions
  • Vaginal bleeding 
  • Amniotic fluid loss 
  • Calf pain, swelling or redness 
  • Sudden swelling of the ankles, hands or face 
  • Decreased foetal movement 

 Still unsure what physical activity you can or cannot be doing during pregnancy speak with your health care provider before starting an exercising program 

*Exercise intensity ratings are based on ratings of perceived exertion on a scale of 1-10 where 1 is not moving and 10 is maximal effort. Activities in the range 3-7 indicate moderate-vigorous intensity and are considered safe and are recommended for health benefits in pregnant women. This can also be judged by the ‘talk test’ in which a conversation can be held during moderate intensity activities but difficult during vigorous activities. 

Written by Dr Nicole Cukierman, Fertility, Pregnancy and General health Osteopath.

Book in with a Fertile Ground Osteopath and find out what’s possible for your situation.

References

Brown, W.J., Hayman, M, Haakstad, L.A.H., Mielke, G.I. et al. (2020). Evidence-based physical activity guidelines for pregnant women. Report for the Australian Government Department of Health. Canberra: Australian Government Department of Health. 

Counselling for Fertility

Counselling for Fertility - Written by Suzanne Hurley, Perinatal Counsellor

Counselling for Fertility is an important aspect to consider for your Fertility journey. When fertility plans are interrupted or delayed it can cause great distress with feelings of helplessness and eventually hopelessness. My clients often decide that it just shouldn’t be this hard and maybe it is their fate to be childless. An incredibly painful conclusion as you can imagine.

When does counselling for fertility begin?

I can begin my work with you at any stage of the fertility pathway. Sometimes it is following a pregnancy loss, which then complicates how one feels about the next pregnancy. Or you may have been trying to conceive for some time and fear may set in that pregnancy may not happen. You may be at the point at which you have been informed you will need fertility assistance and as such may be struggling with this new identity of needing IVF.  Or you may have made many attempts with IVF and may be left feeling drained emotionally, mentally, and physically. Addressing the grief of what has and or is happening is fundamental to the work that I do to help you through these times.

How to make your way forwards

Acknowledging what this all means is vital to establishing a plan of what next. The impact of the whole experience can be extremely profound on work, health, relationships, family and mental health. Often those people facing these challenges have been running on empty for a long time, putting other life plans on hold to chase the elusive goal of wanting their baby yesterday. It can be heartbreaking, tender work that my personal and professional experience allows me some insight into the rocky terrain to navigate together with you. The life you may now be living may have been intended as a short term change to get the outcome you wanted, however adversity may have struck and now you may feel like you’re stuck, with your life on hold for too long, perhaps even devoid of pleasure. 

Finding your centre

Often this life is lived silently, in the shadows of others’ joys and celebrations of their own fertility successes. Sisters, colleagues and friends all seem to competently become pregnant and have the babies so yearned for. Self-esteem plummets, anxiety symptoms bring a sense of panic and the exhaustion of grief brings depression. I am often met by a person barely hanging onto life, so scared to pause and reflect lest the only opportunity they have to conceive will pass them by. This is often nothing like the ideal most of us aspire to for starting a family.

The task is no small one for either of us. A task too big for one person alone and best advised held in the warmth of company.  We build a care team and soon we find a path that embraces greater wholeness, joy, laughter, purpose, and clarity about what is needed and awareness of what is harmful. We develop strategies to walk through the treacherous forest of others’ seemingly blossoming fertility at every turn and find a quieter, kinder, position to begin to thrive once again.

For more support, Suzanne Hurley, Perinatal Counsellor, is available for consultations at Fertile Ground Health Group or you can make an appointment for a phone or video session for your convenience. Learn more about Suzanne.

Your Guide to IVF

Part 6 - Your Guide to IVF by Naturopath Sage King

What’s your Fertility Plan and are you considering IVF?

Welcome to this free 6-part article series designed to help you determine your fertility plan and understand the steps you can take to optimise your fertility outcomes. Below you’ll find Part 6 – “Your Guide to IVF” If you’ve already read articles 1 to 5 feel welcome to skip this intro and get stuck into part 6 below. If this is, however, your first time finding out about this series – please read on to learn what it’s about, how it can help you and what to expect over the coming weeks.

Over this free 6 week article series we are going to discuss all potential options for those of you who are:

  • single,
  • in same-sex relationships,
  • are gender non-conforming,
  • or are in a heterosexual relationship.

In these articles I will address information around:

  • trying to conceive,
  • options if you have been struggling to conceive,
  • considerations for those of you thinking about IVF,
  • considerations for those of you currently undergoing IVF treatment,
  • how beneficial naturopathy can be in optimising your fertility outcomes.

Opportunity to Ask Me Questions – LIVE

After each article release, you have the option to submit any questions you may have by 7pm Monday evening to the Create A Fertile Life Facebook group. If you’ve not yet joined that private group you are welcome to go there and request to join.

If you wish to submit your questions anonymously, you can private message the Fertile Ground Health Group Facebook page and admin will forward them to me.

Each Tuesday, I will be answering your questions live in this Create a Fertile Life Facebook group at 7pm AEDT, so we can all learn from each other. The first live session was Tuesday, June 8th at 7pm AEDT and these lives will run each Tuesday evening all the way through to Tuesday July 20th. Cut off for question submission is 7pm AEDT each Monday – the day before ‘live’ Tuesdays. You can always watch the recording if you miss the live, just jump onto the Create a Fertile Life facebook group and you’ll see it there.

Your Fertility Plan

Now, some of you may know exactly what your plan is, others may not have thought about it so concisely yet. Whatever stage you are at, I want you to provide you with the tools to determine what your fertility plan can look like and how you can optimise your outcomes with Naturopathy. Grab a pen and a piece of paper, or type in to a document on your phone/computer so that you can create the skeleton of the items that relate to YOUR individual journey and we will build on this each week over the 6 weeks of this series.

I am excited to be on this journey with you. If you’ve already registered for the whole free package, read on for part four below. If you’re just finding this free series now and would like access from part 1 all the way to part 6 – simply register here for your free access to the whole package

Part 6 – Your Guide to IVF

Did you know the first baby in Australia conceived using IVF was only born in 1980?1 The IVF process has developed quickly in the past 40 years, and has helped many individuals and couples successfully bring babies into this world. In some cases, the impact of IVF in achieving a successful live birth is undeniable, however IVF does not guarantee a successful live birth. One key and integral part of the fertility process that IVF can not do, is have the ability to positively influence the quality of the egg and sperm in order to optimise your outcomes. Even though IVF allows fertilisation to occur in a much more controlled environment, it can only work with the quality of egg and sperm you currently have. So if you begin the IVF process with suboptimal egg and sperm quality, which may very well be part of the reason as to why conception is not being successful for heterosexual couples for example, then you’re already starting the process on the back foot so to speak.

What is IVF?

In a nutshell, IVF is a process in which eggs and sperm are collected and placed together in a Petri dish to see if fertilisation occurs before transferring a successful embryo back into the uterus where hopefully a successful pregnancy occurs. But how do we get to that stage you may be wondering? IVF is a process that begins on the first day of your period (cycle day one) and involves hormonal stimulation to increase the amount of follicles (and therefore eggs) that your ovaries produce in one cycle, to try to maximise the chances of achieving fertilisation and successful pregnancy. For some individuals, this process may be omitted due to poor ovarian function and/or age, and involves the use of a donor egg in place of hormone stimulation.

Seems pretty straightforward, right? In some cases it is, in some cases it can be quite complex, and treatment may change from cycle to cycle depending on your results. However, no matter how straightforward or complex your case may be, there is always the opportunity to influence your egg and sperm quality, and endometrial health to support the transfer process to optimise your outcomes. But I’m getting ahead of myself. Let’s break down the IVF process from start to finish and understand what it entails. Then we can continue our outcomes optimisation later (may favourite part!).

The IVF Process
Each IVF cycle takes approximately 4 weeks, starting with treatment on the first day of your period, Cycle Day One, and finishes with your pregnancy (hCG) test which is conducted two weeks after embryo transfer. Many IVF clinics say that step one begins at the initial specialist appointment, but I count step one as seeing your GP to get a referral in order to book your fertility specialist appointment. So keeping in mind that these steps may have slight variations depending on your case (using donor eggs or sperm) and IVF clinic, starting from step one all the way to step thirteen, let’s break it down…

Step 1
Book an appointment to see your GP
You will need to see your GP in order to get a referral to see a fertility specialist. If you have a fertility specialist in mind, great. If not, your GP will be able to point you in the right direction.

Step 2
Initial fertility specialist appointment
At this appointment, your fertility specialist will review your medical history, previous investigations, and treatments. They may refer you for further investigations based on your case.1

Step 3
Pre-treatment fertility specialist consultation
At this appointment, your fertility specialist will confirm your treatment plan.1

Step 4
Fertility nurse appointment
Your fertility nurse will explain your treatment cycle timeline, the medication you need, and will show you how to administer any self-administered medications including Follicle Stimulating Hormone (FSH) injections.

Sign up below to read the next 13 steps. 

Want to keep reading? Sign up to get instant free access to Sage’s preconception article series and find out about the intricacies of egg freezing, your menstrual cycle, sperm donor considerations, intercourse, conception, egg quality, egg carrying considerations, assisted reproductive technology, home insemination, the answers to your questions and more.

Written by Fertile Ground fertility Naturopath, Sage King.