Dee Anne Domnick, Founder & Director Barefoot Doctors ’ Academy

1. Dee Anne Domnick, Founder & DirectorBarefoot Doctors’ Academy Natural Remedies for Pregnancy

2. Build digestive fire Eat small, frequent meals Drink fluids between, but not with, meals Avoid cold drinks & cold foods Avoid food that are fried & greasy Avoid sugary and other refined foods Chew well Drink hot ginger tea Drink red raspberry leaf tea Drink hot peppermint leaf tea Drink hot chamomile tea Avoid fluids upon rising Eat dry crackers first thing in morning Nausea in early pregnancy is a condition that often can be managed nutritionally:

3. ….More on ‘Morning Sickness’ • Avoid going long periods without food • Vitamin B6: 25 mg., 3-4 times/day • Drink Sparkling cider or ginger ale • Wear loose clothing • Increase raw, fresh foods (as tolerated) • Avoid foul & unpleasant odors • Eat a high protein snack before bedtime

4. Also Try: ‘Pericardium 6’(PC6) or Nei Guan pressure point pressure--located 4 fingers above lower wrist line, in center of wrist Smelling cut lemons Chiropractic adjustments Cold wash cloths applied to face Warm blankets from the dryer Lavender oil Rest when you are tired Fresh air Sunshine Prayer and meditation Positive visualization Listening to good music Singing Deep Breathing More on Nausea in Pregnancy

5. Ginger Zingiberofficinalis • Anti-emetic • Anti-inflammatory agent used for arthritis • GI protectant • CV stimulant • Anti-tumor • Antioxidant • Anti-microbial & anti-parasitic Caution: • May be too stimulating for a woman who’s prone to miscarriage • May affect bleeding time by inhibiting platelet function

6. Red Raspberry Rubus sp. • Smooth muscle stimulant (tones the uterus, making labor shorter, more comfortable & with less blood loss) • Anticholinesterase • Spasmolytic • High in minerals

7. Bleeding GumsGums may become more spongy as hormones & blood flow increase during pregnancy, causing them to bleed easily. This symptom usually disappears after pregnancy. • A pregnant woman should continue to take care of her teeth and gums and go to the dentist for regular checkups. • Make sure of adequate Vitamin C intake • Red raspberry tea

8. Miscarriage • Threatened miscarriage • Inevitable miscarriage • Incomplete miscarriage • Missed abortion

9. ‘Welcome Womb’ Tincture Helpful in preventing First Trimester Miscarriage • Wild Yam (tubers) • False Unicorn (root) • Black Haw (bark of root & stems)

10. Wild Yam Dioscoreavillosa Uses: • Miscarriage • Adrenal exhaustion • Inflammatory rheumatism • Rheumatoid arthritis • Dysentery • Diverticulosis • Stomach & muscle cramps • Spasmodic asthma • Intermittent claudication • Menopausal symptoms • Pain in the womb & ovaries • Gall or billiary stones Also used as an antispasmodic or diaphoretic

11. False Unicorn RootChamaeliriumluteum • Uterine tonic (apparently due to steroidal saponins) • Stimulant activities for genitourinary weakness • Ovarian tonic effects • Diuretic effect For women who have a history of miscarriage, begin taking 3 drops of False Unicorn root tincture 4 to 5 times daily, one month before conception and through the entire first semester.

12. Black HawViburnum prunifolium • Antispasmodic • Helps prevent miscarriage • Dysmenorrhea • Stops uterine bleeding • Encourages recovery from childbirth • Allays menopausal discomfort Also used for: • Diarrhea • Asthma • Nervousness • General aches & pains

13. Increase calcium & magnesium Increase potassium (eat bananas) Salt to taste Sleep with legs elevated slightly Massage—especially before going to bed Pelvic rocking Squatting Taylor sitting Avoid pointing toes or stretching too hard Leg Cramps

14. Cramping in the Arch of Feet 6 Comfort Measures • 1. Before you get out of bed, write the alphabet with your feet -- in cursive preferably! Sounds crazy, but if done each day, it promotes good circulation and stretching of the ligaments before they must take the strain of the total body weight. • 2. Apply ice to the feet. Sit down, put your feet up and ice for 10 to 15 minutes, four times a day. • 3. Wear supportive shoes. Sometimes shoe inserts, which support the arch, work very well for this. Birkenstock makes supportive shoes, as well as arch supports. • 4. Consult with a podiatrist or a physical therapist. They can offer a wealth of information and exercises to help relieve this complaint. • 5. Time should heal your pain. Unfortunately this pain might not go away immediately after you give birth. This may take from six months to one year to resolve completely. Using other comfort measures, should help you in the meantime. • 6. Massage your own feet or do an exchange with a friend or your partner.

15. To Stop a Leg Cramp in Progress: • Point heel • Stand on affected leg • Massage leg

16. Varicose Veins • Hereditary • Exacerbated by hormones of pregnancy • Exacerbated by impaired circulation in the legs

17. Varicose Veins • Vitamin E supplements: • Start with 200 I.U. daily • Build up to 600-800 I.U. daily by the 7th month • Gradually cut back to 200 I.U. by 37 weeks gestation

18. Exercise Swimming is good gentle exercise Walking Yoga Pelvic Rocking Do ankle circles (not pointing toes) several times each day Lay on slant board several times per day Lay down & elevate feet often Taylor sit on floor--avoid chairs Avoid prolonged sitting or standing Wear loose clothing Wear pregnancy support hose Abdominal support to take weight off of legs (belly binder) Vitamin C (500mg. or to bowel tolerance) with Rutin (50mg.) and bioflavonoids Homeopathic Ruta 30c Tissue salt: Calc. fluor.–- take 1 - 2 times a day. Witch Hazel soaks Nettle tea Oak Bark tea compresses Hot Comfrey compresses More on Varicose Veins

19. Prenatal Cradle V2 Supporterfor Vulvar Varicosities • During pregnancy, vulvar varicosities can occur for many reasons. Increased weight of the enlarged uterus sometimes creates pressure on veins in the pelvic area and interferes with the flow of blood returning from the legs. Naturally higher levels of estrogen promote growth, while increased progesterone tends to relax the smooth muscles of the vein walls. The relaxed veins can become distended and "pop out" as vulvar varicosities. Wearing the V2 Supporter before rising in the morning, helps prevent excessive swelling of the vulvar veins.

20. Eat high fiber foods Avoid refined foods Eat lots of fresh & dried fruits Drink lots of pure, fresh water Chamomile tea (some people are allergic to) Prune juice (at least 2 - 4oz., twice daily) Get daily exercise Avoid Straining. ConstipationBecause of increased pressure on the rectum and perineum, and the increased likelihood of becoming constipated as the pregnancy progresses, hemorrhoids are common in late pregnancy. Certain iron supplements can contribute to constipation. Chelated iron is preferable.

21. High Fiber Diet Whole grains & legumes Increase fruit & vegie intake Increase fluid intake Herbal Sitz baths (use same herbs as for varicosities) Witch Hazel on soft cotton material placed into anus or against it (or ‘Tucks’) Avoid hydrocortisone creams Pelvic rocking Kegel exercises Put feet up on small stool while sitting on toilet for B.M. Homeopathic Hammamelis Aloe vera gel mixed with cooked rolled oats, refrigerated, and used as a pack HemorrhoidsCaused by impaired circulation and/or constipationAvoid straining!

22. Fatigue • Common & considered normal in early and late pregnancy • Get more rest—Your body is trying to tell you something! • Check for anemia • Review lifestyle: Emotional, nutritional, work, activity levels, etc., and make adjustments where necessary

23. Comforting the Back & LegsAs a woman's weight increases, her balance changes, which can increase chance of back strain. Pelvic joints that begin to loosen in preparation for childbirth also can contribute to this back strain. Proper posture and proper lifting techniques throughout the pregnancy can help reduce the strain on the back. • Do Hatha Yoga. Pelvic Rocking or the ‘cat’ exercise in yoga and ‘wagging the tail’pumps blood to the low back & pelvic area. Avoid double leg lifts. Practice good posture. • Always squat rather than bending over to pick things up. This protects the back from strain & injury. • A body pillow helps reduce muscle discomfort during sleep. It can provide support under your tummy and behind your back. Sleep on a firm mattress. • Hot stones, a hydroculator, heated rice sock, or hot water bottle will relax the muscles wherever applied. Very soothing for your back, neck, leg, etc. • Flat shoes with arch support can ease the back pain associated with pregnancy. You might even want to invest in one pair of shoes half a size larger and/or wider than you normally wear. Avoid high heals. • Getting a massage can fill the body with endorphins — feel-good hormones — that can soothe both mother and baby. Also, learn self-massage or use a massager on your feet as well as on your neck and shoulders to ease tension throughout your body. • Scented essential oils can also ease sore backs and tired legs. Rose oil helps relieve backaches, tangerine and geranium invigorates achy feet and legs, and relaxing lavender helps you sleep. • Put your feet up often to alleviate swelling and improve circulation. Avoid standing for long periods of time. A muscle relaxant, lavender flowers were traditionally heated and pounded into a poultice, then placed on the woman's lower back to ease tension and loosen tight muscles during childbirth.

24. Sore Breasts • Well fitted Support bras can ease breast tenderness. • A maternity bra or a larger-size athletic bra will often be comfortable for sensitive breasts. • Do not wear a bra while sleeping.

25. Stretch Marks • Cocoa butter • Vitamin E • Aveda’s Miraculous Beauty Replenisher • Pregnant Belly Balm • Live foods • Can be caused by zinc deficiency • Watch weight

26. Pregnant Belly BalmA rich, nourishing balm to prevent stretch marks.Apply daily to the abdominal skin surface, breasts, buttocks and thighs. • Shea Butter • Jojoba Oil • Coconut Oil • Olive Oil • Beeswax • Lavender Oil

27. Identify offending foods & eliminate eat smaller meals throughout the day, chew thoroughly avoid lying down shortly after eating Teas of chamomile, alfalfa or peppermint Avoid soda preparations & antacids Avoid gassy foods & fats Eat apples, yogurt or toast Yogurt & honey Chew on lemon peel Umeboshi Plum Aloe vera Papaya Milk can neutralize Heartburn and Indigestioncaused by pressure on the intestines and stomach (which, in turn, pushes stomach contents back up into the esophagus)

28. Gas • Identify offending foods & avoid • Build digestive fire • Hot ginger tea • Avoid cold drinks • Lie down & do abdominal breathing • Pelvic rocking • Knee chest position • Avoid soda preparations

29. Itchy Skin • Stick to wearing natural fabrics. Cotton or linen allow quick evaporation of moisture and let your skin breathe. • Use gentle, natural, biodegradable, plant-based laundry and body care products. Rinse well. • Take oatmeal baths. • In hot weather, take frequent cool showers. • Drink plenty of filtered water and blood-cleansing teas, such as: Dandelion root, Burdock root, Nettles

30. Headaches • Relax, especially facial muscles • Calcium supplements • Chamomile tea • Be cautious with aspirin use • Tea or tincture of hops, skullcap, or catnip • If persistent or severe, call healthcare provider

31. Sharp pain towards GroinOverstretching of round ligaments which support the fast- growing uterus • Do pelvic rocks • Lean forward until it subsides • Drink red raspberry tea • Avoid double leg lifts • Always turn to the side & push oneself up from a laying position to avoid further straining of round ligaments

32. Avoid coffee, cokes, chocolate & other caffeinated substances Be sure to get enough exercise Sleep with more pillows supporting back & knees Use visualization & breathing exercises to relax Drink chamomile tea before bedtime Enjoy an orgasm Sleep Challenges Husbands: Help ensure that emotional climate is serene.

33. Bladder Infection • Notify your healthcare practitioner • Drink extra fluids Spring or filtered water Cranberry juice, unsweetened Uva Ursi tea Marshmallow Root tea • Vitamin C—1000mg./ 3 times per day • Avoid sugars • Urinate frequently, emptying the bladder completely • Echinacea tea or tincture,1/2 dropperful, 4 times daily

34. Urinary Tract InfectionsSigns & Symptoms: • Burning on urination • Frequency of urination • Blood in urine • Leukocytes in urine With kidney involvement: • Fever • Nausea & vomiting • Back pain--costovertebral angle (CVA) tenderness Seek medical support!

35. CranberryVacciniummacrocarpon • Acidifies urine • Decreases bacterial adhesiveness to cell wall of bladder UTI preventative: • Drink 15 oz. cranberry juice daily UTI treatment: • Drink 15 to 32 oz. cranberry juice daily

36. UvaursiArctostaphylusuvaursi • Its antibacterial properties, which can fight infection, are due to several chemicals, including hydroquinone. • Contains tannins that have astringent effects, helping to shrink and tighten mucous membranes in the body. That, in turn, helps reduce inflammation and fight infection. • Used to treat urinary tract infections and cystitis (bladder inflammation) • to be most effective, a person's urine needs to be alkaline --acid destroys Uva Ursi’s antibacterial effect

37. UvaUrsiArctostaphylosuva-ursi • kills bacteria in the bladder • requires cautious use during pregnancy as it is a strong diuretic • Avoid using for more than 5-10 days at a time as Hydroquinone can cause liver damage • Avoid using altogether in those with compromised livers.

38. Report to your healthcare provider Eat good quality yogurt with live acidophilus Take one acidophilus capsule, 1 hour before each meal, continuing for at least 7 days after symptoms have disappeared Low-pressured douche of diluted vinegar or Pau d’Arco tea, followed by insertion of yogurt or acidophilus capsule (just before bedtime) Avoid yeast-containing foods (alcohol, yeasted breads, fermented anything) Avoid any type of sugar, including juice, dried fruit Homeopathic remedies for yeast infections Taylor sit Wear cotton panties or none Vaginal Yeast Infection For immediate, temporary relief from itching, wash with Johnson & Johnson Baby Shampoo

39. Water Retention (Edema) • Get daily exercise • Increase protein • Drink lots of fluids—water, juice, cranberry juice • Rest periodically throughout day on left side • Watch salt intake, but don’t eliminate • Elevate feet often • Have blood pressure & urine checked

40. MoodinessCommon in pregnancy due to hormonal changes, extra blood & fluids • Avoid Caffeine • Meditate or chant • Change Scenery • Go for a walk • Visit with a friend • Aromatherapy • Bergamot, Cedarwood (Atlas, Texas, Virginian), Chamomile (German and Roman), Frankincense, Hops, Jasmine, Lavender, Linden, Sweet Marjoram, Melissa (Lemon Balm), Neroli (Orange Blossom), Patchouli, Rose (Cabbage and Damask), Sandalwood, or Ylang Ylang. • Talk out your feelings with your mate • Cry—releases tension, you’ll feel better • Make love, not war

41. Hardening of UterusPre-labor warm-ups called Braxton-Hicks contractions • Generally a good thing • Remote possibility of premature labor ----watch for other signs • Change activity • Rest • Abdominal breathing • Good for baby • Helps make labor easier

42. Abdominal pain other than ligament pain or Braxton Hicks contractions Painful urination or vaginal discharge that itches or has a strong odor No movement in utero for 24 hours Excessive puffiness in hands or face in connection with other signs Sudden uncontrollable gush of water from vagina (ruptured membranes) Anything coming out of vagina (bag of waters, foot, etc.) Persistent vomiting Vaginal bleeding Temperature above 100 Dizziness that persists Persistent headache Visual disturbances Danger SignsCall Healthcare provider immediately!!

43. Your body often knows best and tries to tell you if there is a challenge!Remember: • Pregnancy is often a very healthy time for most women. • Pregnancy lasts for such a short time—relax & enjoy it. It’s an amazing and wonderful experience to feel a live person developing inside of you!

44. Phone: (808) 987-7008 Dee Anne Domnick, CPM, LM, MHBarefoot Doctors’ AcademyP.O. Box 371Hawi, HI 96719