MOTHERWISE MAGALOG

FOR HOLISTICALLY-MINDED PARENTS-TO-BE

MotherWise THE REST-ACTIVEREST SANDWICH Explaining these three important phases of Pregnancy

HOW TO BOOST YOUR IMMUNE SYSTEM WHEN PREGNANT with practical specifics

UNDERSTANDING GESTATIONAL DIABETES How you can make sure it doesn’t harm your baby INTRODUCING KATHY FRAY World-renowned International Maternity Guru

www.MothersWise.com

THE MOTHERWISE MISCARRIAGE PREVENTION PATH

SPECIAL EDITION

Message from the Editor Dear fabulous expectant Mothers, As a best-selling birth-babies-motherhood Author, semi-retired Midwife, and international thought-leader in Perinatal Integrative Medicine, I genuinely get up every morning with a burning passion to reach more Mothers-to-Be, across the world, with the most comprehensive-yetaffordable education available anywhere, specifically with the goal that those mothers and their Babies (and their Partners & families) can experience the very best possible starts to their growing family’s life. My motto: I want you to have the most beautifully extraordinary pregnancy-birthpostpartum experience you can imagine – regardless of how natural it can be, or how medicalized it needs to be.

Table of contents 2

3 The Pregnancy RestActive-Rest Sandwich

4 Boost your pregnancy compromised immune system

When it comes to all the topics related to fertility, pregnancy, labor preparation, childbirth, the postpartum and newborns, KNOWLEDGE IS POWER – and lack of knowledge can be incredibly disempowering!

MotherWise clients generally come in two categories – the HECK YES’s and the HECK NO’s.

Editor’s Message & Contents

5 Kathy’s Best Selling Books

Which are you?

The HECK YES’s are typically those first-time mothers-to-be who want to know everything about everything. To you we say: Welcome to the MotherWise Tribe! We can hold-your-hand along the way to ensure you can feel confident every step of the way, and help you to avoid those painful preventable pitfalls.

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The HECK NO’s are typically those second-timers who carry disappointment, regret and/or trauma from their previous birth experience(s), who are adamant they and this baby will never ever go through a similar ordeal, and are now determined this time around to get themselves wayyyy more informed, because they don’t want to repeat any of those previous painful preventable pitfalls. They’re on a journey from Victim, to Survivor, to Warrior. Welcome to the MotherWise Tribe too!

We’re here to completely empower you with powerful knowledge.

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The MotherWise Miscarriage Prevention Path

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Love & light,

MotherWise Masterclass Virtual Online Prenatal Education

Understanding Gestational Diabetes

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y a r F y h t Ka 2

MotherWise Masterclass Virtual Online Prenatal Education

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Postnatal Depression article continued…

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HE PREGNANCY REST-ACTIVE-REST SANDWICH

So get all your baby nursery equipment sorted, attend your antenatal education classes, fill the freezer full of heat-andeat nutritious all-in-one dinners for after the baby arrives … bearing in mind one in twenty babies arrives early too!

First Trimester During your First Trimester of pregnancy, the one thing your body wants to do more than anything else on the planet is to maintain the pregnancy.

To accomplish this, your ovary (the one where the pregnancy egg originated from) sends out MASSIVE amounts of the muscle relaxant hormone Progesterone, as a huge effort to prevent your womb from contracting and miscarrying the pregnancy.

The side-effect of all this Progesterone, is that you feel TIRED! Oh so, sooo, TIRED! Oftentimes more tired that you can ever recall being in your whole life. And the ONE thing you should do during this First Trimester, is REST, REST, REST! Listen to your body! Your Body is trying, real hard, to maintain your pregnancy and grow a whole new organ: the Placenta.

Third Trimester During your Third Trimester, this is the time when you are most at risk of developing obstetric medical complications, especially Pre-eclampsia, Diabetes, slowed Fetal Growth, and Premature Labour – all of which have significant risks to your Baby’s wellbeing.

This is the period when you also need to remind yourself you don’t have a “Due Date” – you have a “40-Week Estimated Gestation”, because it is normal for a fully ‘Term’ baby to be born from 37 weeks to 42 weeks.

So, absolutely the most important thing you can be doing for Yourself and your Baby at this stage, especially beyond 30-32 weeks, is REST, REST, REST! … Listen to your body! Your Body is trying, real hard, to grow your baby and maintain a healthy pregnancy.

Second Trimester During your Second Trimester of pregnancy, the Placenta is now taking over production of pregnancy hormones – and did you know a pregnant woman will produce more Oestrogen in one pregnancy, than a non-pregnant woman will produce her entire life?!

This is your period of Activity. This is when you can typically be feeling physically pretty comfortable, and emotionally reasonably energised, making this the perfect and most ideal time to prepare for childbirth, and the arrival of your baby.

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OOST YOUR PREGNANCY COMPROMISED IMMUNE SYSTEM

Not since the Spanish Flu a century ago has the benefit of having a robust Immune System been so important to mankind, globally!

However, pregnancy naturally weakens the immune system making women immuno-compromised.

For a long time the normal physiological effect of pregnancy aggressively altering a woman’s Immune System, was believed to occur to avoid the woman’s body attacking the growing fetus, with more recent research believes this natural response is part of successful embryonic implantation.

From the integrative maternity wellness expert, Kiwi/British Midwife Irene Chain-Kalinowski, here are some excellent practical things you can do to boost your compromised immune system during pregnancy: Add crushed garlic to hot milk (cow/soy), plus a spoon or two of Manuka honey, and drink it at night.

Take a zinc supplement (available at most pharmacies and supermarkets).

Avoid refined foods and sugars.

Eat natural carbs and plenty of protein.

Consume lots of bone and stock soups (or lentil and bean soups if vegetarian).

I’ll add to that list, that capsules of Olive Leaf Extract are fantastic to take, because Olive Leaf Extract is a anti-viral, anti retro-viral and anti bacterial. Brilliant stuff! My personal recommendations are: Purchase the best quality (highest dose) Olive Leaf Extract available at your local pharmacy. If there is a good brand that combines Olive Leaf Extract with Echinacea, that is even better. Remember is not a Drug – it’s like a dehydrated salad in a capsule – so realise it is safe to take.

Take the recommended daily dose for general wellness maintenance.

If a little unwell, take the recommended daily dose for treating disease.

If feeling very unwell, at least double the recommended daily dose (remember, it is a salad in a capsule).

Take a higher dose at bedtime.

Don’t stop taking the capsules as soon as your symptoms disappear – keep going on a maintenance dose.

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Kathy’s Best Selling Books SCAN ME

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“OH BABY ….Birth, Babies & Motherhood Uncensored” has been the #1 best-selling childbirth and infant guidebook in Kathy’s country since 2005!

Often nicknamed by women as their ‘bible’ this is your go-to guide to birth preparation and the first 12 months after your baby is born.

If you were to invest in just one book to have a hardcopy of, to feel better prepared for labor, and for it to live on your coffee table for that first year of your baby’s life, then OH BABY is the book to have at your fingertips!

“OH MAMA …Perinatal Integrative Healthcare” is the handbook to holistic maternal and neonatal wellness for Birth Practitioners (Obstetricians, Midwives & Doulas). However it is also written as an easy-tounderstand guidebook for mothers-to-be.

OH MAMA provides explanations of effective natural wellbeing practices from Pre-conception health, to Pregnancy wellbeing (normal and complicated), to Birth preparation, to Labor tinctures, plus of course the Postpartum period for both mother and newborn healthcare.

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“OH GROW UP …Toddlers to PreTeens Decoded” is the popular sequel to OH BABY, and a revolutionary encyclopedic-style guide to parenting 1-12 year olds.

Divided into four distinct sections, OH GROW UP explains the Stages of a child’s development physically, intellectually and socially-emotionally, through each different Age. Then it imparts the groundbreaking ‘Triadic’ philosophies parenting children’s Bodies using Physiological IQ; parenting their Minds using Intellectual IQ; and parenting their Spirits using Soulful IQ.

“OH GOD – What the Hell do I tell Them?!” is a unique guide for ‘vaguely spiritual parents’.

For parents raised devoid of religion or raised with a religious doctrine they don’t wish to pass on to their children, that can be a tricky road to navigate with powerful authenticity.

OH GOD is not for everyone – it is for the ‘hardcore’ of parents fiercely determined their children are supported to embrace their own (and everyone’s!) soulful essence.

“OH GOD was 1st Runner-Up at the prestigious Ashton Wylie Body-Mind-Spirit manuscript awards.

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SPECIAL FEATURE

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Even though around half of all preg majority of women - once aware miscarriage to occur (and for a mi can be a h

Everyone is different, and there are our own individual m

Considering the great majority of unknown cause” couples often w causes; what are the symptoms of m be prevented; how do we best treat do some women/couples expe

STEP 1 - Appreciate the Statistics

What are all t

The first thing to understand is what is “normal” for human reproduction: Firstly, it is normal that 70% of fertilized eggs don’t implant in the wall of the uterus - so that means that roughly only around 30% of fertilized embryos try to establish a successful pregnancy in the womb.

For the woman she may simply experience this unsuccessful pregnancy as an unusually late and unusually heavy period. However, if she has done a home pregnancy test during these very early days/weeks, it may potentially register as positive (because there is HCG pregnancy hormone in her system) but there will never be anything visible on an ultrasound scan. This is often termed a “Chemical Pregnancy”. What happens to the discarded 70% of fertilized eggs? The tiny embryonic cells are reabsorbed, and it is generally regarded that the woman’s body ‘sensed’ the embryo was abnormal.)

Secondly, of the roughly 30% of fertilized eggs that do implant, roughly 1/3 don’t result in successfully establishing into a viable pregnancy. These levels of miscarriage are normal for human reproduction - and again, the hypothesis is that the mother’s body senses anomalies in the embryo so aborts the pregnancy.

So in summary, with human reproduction, only twothirds of 30% of fertilized eggs (ie, only one-in-five) actually ever establishes into a successful viable pregnancy.

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gnancies are unplanned, the great they are pregnant - don’t want a inority, experiencing a miscarriage uge relief).

no ‘rights’ or ‘wrongs’ ...we’re all on maternity journeys.

f miscarriages have a “medically wonder just what are the potential miscarriage; how can miscarriages a threatened miscarriage; and why erience multiple miscarriages...

the answers?

STEP 2 - Signs & Symptoms of a Threatened Miscarriage & Actual Miscarriage There are two distinctive Signs & Symptoms of a threatened (or actual) miscarriage. But we do know, for sure, that STRESS IS VERY UNHELPFUL to your body trying to successfully establish a pregnancy. So, if you know you are feeling very worried about potentially miscarrying, you need to intentionally and consciously dial-down that anxiety!! (Read a wonderful novel, talk to your baby, meditate, bingewatch Downton Abbey - whatever it takes - but know the pregnancy is looking for an optimal environment to establish itself into, and a women’s body who is under emotional turmoil is farrrr from an optimal vessel.)

Signs & Symptoms Vaginal Bleeding: Any vaginal loss, from very light amounts of brown spotting, to a much heavier blood loss such as soaking a sanitary pad in half an hour.

Abdominal Pain: Any abdominal pain, from just very light period-like cramps that are a little uncomfortable, to excruciating pain.

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STEP 3 - Management of a Threatened or Actual Miscarriage The best management all depends on the severity of the symptoms. However, a fundamental point to understand is that until your baby can be successfully delivered by emergency C-Section and live (say, 24-28 weeks onwards), there is not a lot that modern medicine can do to halt a miscarriage — treatment becomes about managing the symptoms of the miscarriage. (NB: Beyond 20-24 weeks, a “miscarriage” is renamed “preterm labor of a premature baby,” which on occasion can result in stillbirth.)

With Mild Abdominal Pain and/or Mild Vaginal Spotting: Take some paracetamol and put a pantyliner in your undies, then rest! Rest!! Bed rest!!! until well after the symptoms have stopped.

Afterward, within a day or so, have an ultrasound scan to check the pregnancy's viability (commonly, a visible fetal heartbeat and “subchorionic hemorrhage” will be noted, indicating that your baby is still fine, but that most likely you have been overdoing life, and you need to drastically slow down). Remember, never push through your feelings of tiredness in early pregnancy; that is your body trying to make you rest so it can successfully establish your pregnancy. Listen to your body!

With Severe Abdominal Pain and/or Heavy Vaginal Bleeding: If you need strong pain relief (such as IV opioids) and/or potentially a blood transfusion (due to excessive blood loss), definitely present at the emergency department for assessment, because it is very likely you are currently miscarrying or have already miscarried. Though certainly, not all miscarriages are so dramatic, and some have no symptoms at all.

STEP 4 - Treatment of Recurrent Miscarriages Experiencing 2-4 miscarriages in a row is not “normal” (though it is also not that uncommon).

Such a situation deserves not just modern medical obstetric investigations but also (in my VERY STRONG opinion) investigations by a holistic naturopathic medical doctor specializing in fertility/subfertility/ infertility, such as a medical herbalist. (Remember, modern Obstetrics' specialty is pathological disease — they are not the experts in maternity wellness.)

NOTE TO THE DADS: Suboptimal sperm commonly causes miscarriage too — it is not all about what is going on in the woman’s body. I strongly recommend both partners invest in PreConception HealthCare, involving 3-6 months of naturopathic health supplements for the man, and 6-12 months for the woman, before trying to conceive. [Refer to Kathy Fray’s OH MAMA book for specific advice on PreConception HealthCare regimes.]

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When we consider that only 3-4 percent of all babies are born with any type of congenital birth-defect abnormal anomaly (from very mild to very severe), this “natural selection” process of the mother’s body rejecting 80% of her potential pregnancies is how over 95% of all babies born are anatomically and physiologically perfect - which must never be taken for granted as a given, as every single time it is frankly an extraordinary miracle,

because there are just so many MANY things that need to “go right” for that to happen.

Light & Love,

Kathy 9

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ONLINE COURSE INCLUDES 10 Modules that hold-your-hand, like a kind and caring wise Aunty, gently guiding you through the maternity journey, from Newly Pregnant, to Overdue.

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NDERSTANDING GESTATIONAL DIABETES

What is Diabetes?

Usually before becoming pregnant we know of Type-1 and Type-2 Diabetes Mellitus, however, we usually have not yet come across the term Gestational Diabetes, which is a condition that uniquely affects some pregnant women.

DM (Diabetes Mellitus) is primarily an insulin-level disease, as insulin is the hormone that facilitates our body’s cell tissue converting glucose (blood sugar) into energy.

Type-1 IDDM (Insulin Dependent Diabetes Mellitus) is when a person is born unable to produce normal insulin levels, and this is usually diagnosed during childhood or adolescence. IDDM is treated by supplementing the body’s insulin through tablets or injections.

Type-2 NIDDM (Non-Insulin Dependent Diabetes Mellitus) is typically associated with aging, due to inadequate levels of insulin production and/or increasing insulin resistance and/or Western lifestyle of very rich diets (now becoming more commonly diagnosed in younger generations due to childhood obesity).

But the big problem with Diabetic insulin imbalances, it is an escalating downward spiral: As cellular tissue becomes low in glucose energy, the body releases higher and higher levels of glucose sugar into the bloodstream to feed the “starving” cells. But it is not the lack of blood sugar that is the problem – the problem is the lack of insulin for cell tissue to convert the glucose into energy. This leads to worsening hyperglycaemia (high blood sugar) which can cause serious permanent damage to blood vessels.

Type-3 GDM (Gestational Diabetes Mellitus) is a unique phenomenon within the physiology of pregnancy: Pregnancy hormones increase the mother’s insulin resistance, to boost energy available to the baby, resulting in the mother’s insulin levels doubling by the 3rd trimester. But, if the pregnant woman’s pancreas is unable to produce enough insulin to keep up with demand, then she will develop high blood sugar (hyperglycaemia) – and all its subsequent pathological obstetric complications.

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Diagnosing & Treating GDM (Gestational Diabetes Mellitus) Our renal kidneys filter (clean) our blood, excreting our urine as waste product, so an early sign can be detecting glucose in urine. This is because when our nephrons (kidney cells) are bombarded with sugarrich hyperglycaemic blood, it damages their glomerulus capillaries allowing large glucose molecules to leak into the urine. Subsequently, midwives routinely ask pregnant women to do a urine dipstick test at each antenatal appointment.

Apart from Glucosuria (glucose sugar in the urine) other signs & symptoms of Diabetes Mellitus include: Fatigue, Weakness, Excessive hunger & Infection (all due to lack of energy) Large volumes of urine, intense thirst and dry itchy skin As an extra double-check for undiagnosed Gestational Diabetes, at around 24-28 Weeks pregnant, midwives recommend to women a Polycose screening test for Diabetes. This screen takes one hour and includes a blood test on arrival, drinking a sugary drink and returning exactly an hour later for a second blood-test.

If the results come back with mildly elevated blood sugar levels, then it’s recommended the test is repeated in 3-4 weeks.

If the results come back with higher than normal levels, then it’s recommended a 12-hour fasting diagnostic GTT (Glucose Tolerance Test) is done.

If the results come back with very high blood sugar levels, or if the GTT test result is positive, then the midwife or obstetrician must recommend the woman receives a referral consult with the DIP Team (Diabetes in Pregnancy team).

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“The Diabetes in Pregnancy team will educate the woman on managing her blood sugar monitoring, including diet and exercise.

Some GDM is able to be controlled through diet modifications alone, and some GDM becomes insulindependent (just while the woman is pregnant).”

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Gestational Diabetes: Affects on Baby

Gestational Diabetes: Affects on Baby

Although maternal blood sugar crosses the placental barrier, insulin molecules do not, so all babies produce their own insulin for converting blood sugar into cellular energy. If maternal Diabetes Mellitus goes undetected or is poorly managed, then this will affect the baby including: High levels of fetal insulin which inhibits lung maturity, leading to potential neonatal respiratory distress after birth.

High levels of fetal insulin also act as a growth hormone, leading to fetal macrosomia (large cherub-like baby).

Macrosomic babies have increased risk of shoulder dystocia at birth (shoulders getting stuck after the head is born).

Macrosomic fetus has increased demands for oxygen, leading to possible fetal hypoxia and subsequent growth-restriction (small-for-dates baby).

Fetal hypoxia leads to ruddy-red newborn with polycythaemia (increased red blood cells), which increases the risk of severe neonatal jaundice.

Large for dates uterus due to Polyhydramnios (excess amniotic fluid around baby from baby’s increased urinating) can have another whole set of additional potential complications.

And after birth, severe neonatal Hypoglycamia due to the baby’s insulin-rich blood loosing its supply of sugar-rich maternal blood, rapidly leading to transient dangerously low blood sugar levels.

All in all, quiet a can of worms – which is why signs and symptoms of GDM are so routinely monitored during pregnancy – because all pregnant women are at risk of Gestational Diabetes just from the fact of being pregnant.

The good news is that after childbirth the great majority of women’s bodies return totally back to their normal insulin and blood glucose levels. However due to an increased risk of Type-2 Diabetes later in life, a GTT test every couple of years is recommended.

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30% OFF

Are you feeling worried or anxious or fearful about ANY aspects of your Pregnancy, Labor, Birth or mothering a Newborn?

If so, just know that is NORMAL and means you're right-on-track. BUT what you should not do, is nothing!

Get informed. Get knowledgeable. Get empowered

ONLINE COURSE INCLUDES 10 Modules that hold-your-hand, like a kind and caring wise Aunty, gently guiding you through the maternity journey, from Newly Pregnant, to Overdue.

More than 60 Video/Podcast audios to listen to, ranging from just a few minutes long, to Kathy's extraordinary 90-minute video on Understanding the Secrets of Natural Labor for Normal Birth.

Nearly 40 fascinating Articles, most only taking a few minutes to read.

Plus bonus content of nearly 30 one-hour deep-dive discussions into specialist maternity topics of Kathy interviewing international clinical experts.

ALL OF THESE ARE FOR ONLY ₱4,000-₱2,600?

For a limited time, use the Special Discount Code: MOMWISE30 to slash the price from ₱4,000 to an incredible ₱2,600! How incredible is that?

🕒 Offer Valid Only Through This Special Edition Magazine!

ENROLL NOW! 15

P OSTNATAL DEPRESSION

Real Causes – Real Cures – Real Preventions

There is usually an exhausting, painful grief a new mother goes through – no matter how good her pregnancy turned out to be, or how thrilling the birth was, or how beautiful breastfeeding has ended up becoming, or how crazily in love she is with her new baby.

It is okay and normal for new mothers to sometimes feel at their wit’s end with the 24-7 role of motherhood, with its selfsacrificial relentless devotion and shocking loss of Self. We’re not bad to think that way.

Heck, this is the one job we can never resign from and it’s unrealistic to expect that we should like our work all the time. ​However, about 15-20 percent of mothers (though from my observations I believe it’s more like 20-25 percent) find that during their normal postpartum adjustment, they experience an episode of moderate to severe depression.

Inwardly you may feel an unrelenting sad hollowness, and be unable to understand why you’re feeling like such a moody, irritable, grumbling, crumbling lost-soul that is no longer living, just existing.

You’re feeling like there’s no way out and life is never getting better, optimism is vanishing before your eyes, and is being replaced instead with an intense inability to chill-out anymore – like a pressurecooker about to implode, and being sick and tired of feeling so sick and tired!

MotherWise Your Maternity Companion www.motherwise.app

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Some mothers are clever enough to publicly maintain an everythingis-fine persona, while robotically functioning with tight-lipped martyrdom and seething resentment. These angry feelings then mutate into perpetuating shame, guilt at not feeling happy, and an inexplicable psychodynamic of aching darkness. You may be coping, or not, with your baby and household tasks, but you certainly are not enjoying your life!

Feeling like this is not normal – and like a tooth cavity, the decay won’t go away without treatment. This is a postnatal stress disorder or postpartum depressive reaction – with the most common variety being Post Natal Depression (also called Postpartum Depression).

Tragically, PND was historically viewed to be just a feeble-minded housewife who needed to simply ‘pull herself together’.

Fortunately, neurological scientific research now clearly understands that for many mothers, PND is actually simply a physiological imbalance of neuro-transmitters (primarily serotonin) manifesting in the emotions of happiness and contentment being inhibited – primarily caused by the seismic hormonal upheaval of pregnancy and birth, and often intensified by REM (rapid-eye-movement) sleep-deprivation. Modern science and modern doctors know PND can be little to do with the woman’s personality, and much more to do with her collective predicament.

If you’re wondering if you have a postnatal depressive or distress disorder, then the first thing I recommend, is to read Chapter-11 of my OH BABY book. I provide very user-friendly specifics to assist you to identify which particular postnatal disorder you likely have developed, and some wonderful proven remedial cures.​ The other specific thing to do, is to complete the multi-choice questionnaire EPDS (Edinburgh Postnatal Depression Scale) which you can do at www.mothersmatter.co.nz/epds.htm .

If your EPDS score is 9-12 then know you are border-line. The herbal supplements of 5-HTP, Ginkgo Biloba or Siberian Ginseng could assist tremendously to improve things, along with a boost of Essential Amino Acids and a general multi-vitamin.

For mild depression, a popular natural herb in Europe is St John’s Wort. [Note: Do not combine St John’s Wort with prescribed medications as its metabolic properties can cause detrimental drug-drug interactions, including deactivating the contraceptive pill. Also St John’s Wort, like pharmaceutical antidepressants, takes 2-6 weeks to become therapeutically beneficial.]

If your EPDS score is 13+ then know you probably have undiagnosed clinical depression, and really should visit a kind and caring doctor, who will probably prescribe you with an antidepressant such as Aropax SSRI (selective serotonin reuptake inhibitor).

But at the end of the day, please know in your heart that there is NO wisdom in hesitating to find help. For ignoring your own needs mean you lose, your partner loses, and your baby loses.

It is your job to look after your baby’s Mother.

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READY FOR A CONFIDENT PREGNANCY JOURNEY? Get expert guidance on pregnancy health, labor preparation, and newborn care, with our comprehensive MotherWise Masterclass Virtual Online Prenatal Education.

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