We often get questions regarding acupuncture done before and after embryo transfer and wanted to explore how these treatments can be used to support an IVF cycle, why we highly recommend them, and how to add these to your upcoming cycle.
What the research says:
Research supports the use of acupuncture before and after embryo transfer. In a well known study, acupuncture done before and after embryo transfer resulted in higher rates of pregnancy (42.5% in the acupuncture group versus 26.3 in the control group). This study gave us the well known “Paulus Protocol” that we base many of our pre/post transfer treatments on. Although, we typically add or subtract points depending on each patients’ diagnosis and symptoms.
In research published by our acupuncturist, Sarah Prater, similar results were seen. Patients receiving acupuncture had pregnancy rates for 57.1% versus 45.8% for those not receiving acupuncture. Additionally, this study followed patients a bit longer and discovered that the clinical pregnancy rate (gestational sac seen on ultrasound) was much higher in the acupuncture group: 55.1% versus 34.4% for those not receiving acupuncture. Even better, the overall miscarrage rate for patients who received acupuncture was only 3.4% compared to 22.7% in the non-acupuncture group. It is easy to see how these two simple treatments can have a big effect on live birth rates after IVF.
Embryo transfer acupuncture at our clinic
Pre and post embryo transfer treatments are done as a part of our comprehensive IVF treatment protocol. Beyond the increase in pregnancy rates, some additional benefits include reducing any symptoms from the hormones like headaches, irritability, hot flashes, etc and helping you relax. Transfer day is a big day often filled with a mix of emotions that can range from excitement and optimism to anxiety and even fear. Acupuncture on transfer day can be such a wonderful way to relax and emotionally prepare for your transfer. The treatments are painless and many times patients fall asleep or deeply relax during acupuncture.
Our patients know that we work very hard to time treatments throughout your cycle to help make sure you are getting the best benefit from each and every treatment and pre and post transfer treatments are no exception. We are willing to come in early, stay late, and even come in on weekends to help accommodate your transfer day schedule. We understand that you often don’t get your transfer time until the days leading up to the transfer and have a system in place to handle all the scheduling for your big day.
Serving patients throughout the country
In addition to seeing our own patients before and after embryo transfer, we are proud to serve patients traveling from other cities and states for their cycles. We work with many out-of-town patients doing embryo adoption cycles at the National Embryo Donation Center here in Knoxville or with any of the other local clinics. You don’t need to have previously had acupuncture to take advantage of this service. We are happy to answer your questions and make sure you get a spot on our transfer calendar.
A Recent study from the UK shed some additional light on an often overlooked cause of recurrent miscarriage. It was found that men in couples with recurrent miscarriage had much higher levels of molecules called “reactive oxygen species” (ROS) in their sperm. Produced naturally in the body, ROS can help protect sperm, but higher concentrations can damage sperm and affect fertility.
Increased levels of ROS can be attributed to many causes including:
Genito-urinary tract infection
Chemical pollutants and occupational hazards
Heavy metal exposure
Removal of seminal plasma during sperm preparation for assisted conception
Drugs – cyclophosphamide, aspirin, paracetamol
How can you lower ROS levels?
After understanding more about how levels of ROS can profoundly affect your fertility and be a cause of miscarriage, the next step is to come up with plan to lower it. Taking a look at the causes, there are probably some things you identify here to work on.
1. Anti-oxidant Supplements and Male Fertility:
Supplementation with an antioxidant has been shown to be helpful in reducing levels of ROS. At our clinic, we recommend Conception XR to our male patients. This supplement contains high doses of antioxidants like selenium, vitamin C, and vitamin E along with other nutrients shown to support male fertility. For men that also experience issues with sperm motility, they make a product with additional supplements specifically for motility.
2. Lifestyle Changes and Male Fertility:
Anything done to improve your overall lifestyle will be helpful for improving ROS levels. Maintaining a healthy body weight through diet and exercise is top on the list. Also, if you are a smoker, developing a plan to quit (acupuncture can help with this too!) and reducing the amount of alcohol consumed.
Avoid exposure to toxins at work and at home If you work in an environment where this exposure is common, consult your supervisor to make sure you are taking the proper precautionary means to prevent or reduce exposure.
3. Pay a Visit to your Doctor:
Since high levels of ROS can be caused by many common conditions, a visit with your doctor to rule some of these things out is a good idea. In many communities, there are urologists who specialize in male fertility. Here in Knoxville, we recommend Dr. Kim at UT Medical Center for our male patients wanting to discuss their options.
4. Acupuncture for Male Fertility:
Regular acupuncture treatment can help reduce inflammation, increase the flow of oxygenated blood to the reproductive system and help to reduce high ROS levels. We recommend all male partners receive acupuncture at least every other week to support healthy sperm production. More about our approach to using acupuncture for male fertility here. Acupuncture can help you ensure your sperm are as healthy as possible
More and more research is pointing towards the importance of healthy sperm. Their role in creating healthy embryos and babies cannot be overlooked in the diagnosis and treatment of infertility. We encourage everyone to discuss this with your doctor and see if any additional testing is appropriate. In the meantime, working towards a healthy lifestyle and changing some of your bad habits can have a big impact on your fertility.
If you have more questions about acupuncture can help support male fertility. Please reach out via email or phone (865)-315-3845. We are always happy to help!
If you’re ready to begin your integrative fertility journey and add acupuncture to your treatment plan, we have online scheduling available at our website.
Just in time for the holidays! Here is some beautiful fertility jewelry!
I would like to share the work of a local artist right in Knoxville who creates beautiful fertility jewelry! These bracelets and neckless can help support you along your own fertility journey. Because each bead is carefully chosen for its specific energetics, the complete piece works synergistically. Her work is all handmade and can be customized to meet your needs.
Many of our patients find comfort in wearing a symbol of their own journey as a way to honor their process of becoming a mother.
We are so excited to share our postpartum recovery kit with you! Most of our mama’s take so much care planning for their birth, the weeks after baby arrives are often neglected. To follow up with our recent post on planning for this time, we’ve put together a kit with our favorite postpartum must-haves!
Sarah, our acupuncturist, developed this kit personally. After the birth of her daughter in February, she tried everything in this kit (and more that didn’t make the cut) and put together something that would really benefit postpartum mamas.
So we’d like to go through exactly what’s in each kit and why it was chosen:
Urban Herbs: Nourish the Mama Bone Broth Herbs:
This herbal mix put together by Urban Herbs is a fabulous addition to a bone broth (or vegan/vegetarian bone broth) to help nourish your body after birth. According to Chinese Medical theory, new mothers should try to consume warming foods in the month after birth. This herbal mix is the perfect way to add extra warming nourishment to yourpostpartum diet. These herbs help support your energy level, sleep, stress, and general recovery after birth.
Tip: Make your herbal broth ahead of time and freeze so it’s ready to go quickly. You can use it as a base for your favorite soups or drink on its own.
Mother Warming is another Chinese Medical treatment that helps the new mother recover after birth. Typically done a few days after birth, the warming, soothing moxa treatment done over your lower abdomen feels absolutely delightful! Moxa, a Chinese herb also known as mugwort, strengthens and tonifies the body. It is wrapped in paper, like a cigar, and burned near the skin to gently warm specific acupuncture points supporting recovery. Mothers love this treatment! There are more specific guidelines in our longer post on Mother Warming.
We cannot say enough good things about this herbal perineal spray from Earth Mama Angel Baby. After birth, using the bathroom can be uncomfortable! You’ll find many women recommending ‘padsicles’ to relieve this swelling. We don’t recommend these as they are often too cold for too long a time and can prevent blood flow and hinder the healing process. Instead, use this perineal spray every time you use the restroom or as needed. It is wonderfully cooling, refreshing, and can support healthy perineal healing. And, as a bonus, if you don’t use all of it before your perineum is done healing, it makes a wonderful after sun toner for your skin!
Tip: For extra cooling, keep it in the refrigerator.
Herbal Sitz Bath:
According the Earth Mama Organics website: Take care “down there” with herbal compresses filled with organic herbs traditionally used to soothe and comfort “down there” during pregnancy or after childbirth. Packed in easy-to-use, individual herbal sachets, each one is perfect for one use. The compresses can be cooled and gently “tucked” to help ease those pretty places, or use the brewed infusion to make postpartum padsicles or use as a sitz bath. Which is kind of like making tea for your nethers. Which is a totally lovely and perfectly polite thing to do.
Imperial Tonic Recovery Herbs:
This Chinese herbal formula from Evergreen Herbs is an adaptogenic formula designed to support recovery after childbirth. It helps boost energy levels, support the immune system and healthy blood production, and promote general physical and psychological wellness. Generally, this formula is recommended 1-2 weeks after birth and taken for about a month to promote optimal recovery.
Earth Mama Angel Baby has, again, knocked it out of the park. Many mothers will claim this the best nipple cream on the market. While breastfeeding should not be painful (if it is please seek the care of an independent IBCLC), a good nipple cream applied after breastfeeding can keep nipples from drying out or cracking.
Tip: This is also an excellent salve for cuts and scrapes and make a great lip balm.
So there you have it! All packed up in a cute little storage bin perfect for the nursery, our postpartum kit is a great way to get your postpartum recovery off to a great start! After all, your body, mind, and spirit deserve to be celebrated after your transformation into a new mama!
Postpartum recovery kits are available in the office or online. We do ship, if needed. These also make a great gift for a friend or loved one!
Mother warming is a treatment given to women in their postpartum time to support recovery from birth. Mother warming also helps to increase energy, and support healthy milk supply. Mother warming is usually done as part of the Chinese Tradition of “Sitting the Month.” This is a system of postpartum recovery involving a full month of staying in bed, nutritional recommendations, and herbal supplements. While that does sound a bit strict, postpartum recovery is often overlooked in planning for a new baby. Women are praised for “bouncing back” quickly, but this can come at an overall cost to health and wellbeing and we believe there is something to be gleaned from revisiting this tradition, modernizing it, and making it your own.
The process of mother warming is very simple: Moxa, dried mugwort, is burned near the skin and warms specific acupuncture points. This supports the healing process and feels absolutely wonderful to the mother receiving it Mother warming is typically done at least once in the days and weeks after birth and often continued throughout the postpartum time.
When To Do Mother Warming
Vaginal Birth: For a vaginal birth, you can do your first mother warming treatment 3-4 days after birth.
Cesarean Birth: If you gave birth via Cesarean, you can begin your mother warming about 2 weeks after birth.
After the initial mother warming session, it is typically done as needed throughout the first 3-4 weeks postpartum. Please consult your acupuncturist for specific guidance on how to perform and when to begin mother warming.
Contraindications to Mother Warming
Mother warming can be done safely for most women. However, avoid mother warming if you have an infection of any kind (incision, uterine, or even a cold/flu). Consult your acupuncturist for advice on when to begin or if you have any questions.
Your acupuncturist will give you detailed instructions along with a moxa stick to use. Mother warming kits come as part of our postpartum recovery basket along with everything else you’ll need to get your postpartum recovery off to a great start! These kits are available in the office or online.
If you have any questions, please contact us, we’re happy to help!
There is a saying in Chinese, “zuo yue zi,” or “Sitting the Month” that refers to the idea that the month following the birth of a baby is a sacred time reserved for rest, regeneration, and bonding with your new baby. After all, birth is an incredibly transformative event, it is rather silly to expect your body, mind, and soul to bounce back to normal activity in a short period of time. In fact, this rush to get back into action quickly is not healthy and can lead to a much longer recovery period.
Unfortunately, our society idolizes women for bouncing back and rushing back into work, life, exercise, and their pre-baby bodies. Celebrities, likely with extreme diet and exercise regimens put forth by their teams of professionals, often are the examples of this unattainable image.
If this isn’t your first child, you know how tough those first few weeks can be. Your newborn is dependent on you for everything and you are working so hard to figure out what each cry means, teaching yourself how to breastfeed or quickly make bottles while your baby gets more and more upset, and, all the while, expected to feed yourself and maybe sneak in a shower. The whole thing is exhausting and can be emotionally draining.
In China, women are encouraged to “sit the month” after birth and remain in bed with baby. Family, partners, and friends take care of the house, cook nourishing meals, and ensure the mother gets the rest she desperately needs. I think we should take a lesson from China and incorporate these theories into our postpartum plans.
During pregnancy, you likely found yourself researching, downloading, and revising your birth plan until it was a perfect vision of what you wanted for your birth. The time after baby comes is often ignored. We should, in fact, be putting at least as much effort into the weeks following baby’s arrival to allow for space for healing and recovery.
Aside from a much needed list of delegated tasks, desires, meal trains etc, a plan should be worked out to allow you to get the rest and recovery you need and the time you want to bond with your new baby.
So here are our tips for navigating your postpartum time:
1. Rest: Your body just went through one of the most single transformative times of your entire life. Give it a break! You nourished and grew a new person, birthed that person, and took on a new role as a mother. This is an amazing feat and it takes time to recover from and get acquainted to your transformed life.
For the month after birth, rest as much as possible. Lay in bed with your baby, sit on the couch with your baby, sit outside with your baby. Spend time staring at your baby and, of course, catching up on your favorite Netflix shows. If you feel like getting up and walking a little, by all means get off the couch, but listen intently to yourself. If you feel any soreness, increased perineal pressure, notice an increase in your lochia (the bleeding you will have postpartum), or have any discomfort back off and get back on the couch.
Spend time skin-to-skin with baby. Skin-to-skin was likely something you remember from your birth plan, but the benefits of this go well beyond the hour after birth. Skin-to-skin can help support good breastmilk supply, help baby regulate body temperature, and facilitate bonding. So, put on a robe or button up shirt, cuddle up, and enjoy!
Limit guests: I know everyone will want to come see the baby, but give yourself a few weeks without a stream of well-intending friends and family. Allow those who will take on a task, laundry, dishes, etc, and tell everyone else to come back later. Entertaining, or feeling like you have to entertain, cleaning your house, and preparing snacks is a lot of unnecessary pressure while you’re becoming familiar with your new role. Additionally, your new baby does not need the exposure to the coughs and sneezes your guests might bring.
2. Eat warm nourishing foods: One very big part of Sitting the Month is proper nutrition to replenish your body and support your recovery. The Chinese recommend a diet of warming foods and herbs. Some examples of things to add to your diet are:
Ginger: Use in soups or teas. Caution: Occasionally ginger can increase bleeding, so if this is the case for you, stop using it.
Wam spices: Use cinnamon, cardamom, chile, etc for cooking.
Bone broth (or vegetarian/vegan bone broth): with added warming spices or herbs.
Mushrooms: you can add these to your soups and broths for benefit to your immune system.
Eggs: These are a great source of protein and are great for pregnancy and postpartum support.
Red raspberry leaf tea: to help regulate hormones and reduce your uterine size back to normal.
Water, water, water! When your milk comes in you will find your thirst increases quite a bit. Combat that by increasing water consumption. This will also help reduce water retention and prevent headaches and muscle cramps.
Avoid cold foods: ice water, smoothies, ice cream, salads, raw veggies/fruits, etc.
3. Perineal Support: Whether you gave birth vaginally or not, you will notice some perineal soreness.. If you’ve had stitches or minor tearing you will definitely have some discomfort or even pain as your body heals.
Say No to Padsicles: We recommend against the ‘padsicles’ you might find on Pinterest. That much cold placed right on tender, healing skin can reduce blood flow, increasing overall healing time. Instead, if you’d like to use something cold to reduce swelling, wrap an ice pack in a towel, so the cold you feel is more cool. Combine with an herbal perineal bath and/or spray to speed healing.
Perineal sitz baths: A sitz bath made from healing herbs can increase healing time and soothe your sore perineum. You can also use these herbs in a bath with epsom salts for extra relaxation.
Perineal Spray: Earth Mama Angel Baby makes a fantastic herbal perineal spray that will quickly become your best friend. The combination of herbs in this spray is soothing, cooling, and can help promote healing. Use every time you use the bathroom or as needed. If you have any leftover after healing, it makes a great after-sun face toner!
Prevent Constipation: Your first bowel movements after baby can be really tough, especially if you’ve had any pain medication or dehydration causing constipation. Taking magnesium or a stool softener in the first week or so can really help make going to the bathroom much more comfortable. Also, make sure you are drinking enough water, as this, of course, will help.
4. Lactation Support: So many women wanting to breastfeed go into it assuming it is a natural and easy process. And, for some, this is absolutely true. For others, it couldn’t be farther from the truth. It is so important to have an ally for your breastfeeding journey. They can make sure you are getting accurate, up to date information. We recommend a prenatal breastfeeding class and a visit from an independent IBCLC in the days after birth to check for tongue/lip ties and check baby’s latch to help support breastfeeding. Check out our resources page for our favorite lactation consultants. Many will do home visits, so you don’t even have to leave your house.
5. Mother Warming Ritual: Moxa, made from the leaves of the mugwort plant, is used to gently warm points along the lower abdomen in mom’s who’ve given birth vagainally or through a Cesarean birth. This is typically done about 3-4 days after birth and promotes healing, milk production, and alleviates discomfort. It is used on an as-needed basis after the initial warming.
This is a great way for partners to help out with postpartum healing.
6. Acupuncture: There are so many benefits to a course of postpartum acupuncture. We can begin work on restoring your body, support healing, and help treat any issues you might be having with breastfeeding, digestion, sleep, anxiety/depression, etc.
Our recommended postpartum protocol is just 3 weekly visits starting at 2-3 weeks postpartum and as needed after that.
We look forward to working with you during your pregnancy and into your postpartum time! Please give us a call at 865-31503845 or contact us via email with any questions!
Short answer, yes. It is safe and effective to combine acupuncture with any type of fertility treatment including medicated cycles, IUI, IVF, FET, donor IVF, etc. We have worked closely with all of the Knoxville fertility doctors and clinics and even clinics from out of state and have the experience needed to support you throughout whatever cycle your doctor is recommending.
Long answer, there are quite a few reasons why you might consider combining acupuncture with any type of fertility treatment cycle.
1. Increase your chances of success: Acupuncture has been shown in many research studies to increase chances of ovulation, conception, clinical pregnancy, and live birth when combined with fertility treatment.
In IUI cycles, a study showed pregnancy rates for those using acupuncture with their treatment was 65.5% vs 39.9% for those doing just an IUI cycle.
Doing acupuncture only before and after embryo transfer leads to a 42.5% pregnancy rate vs 26.3% in women who did not use acupuncture.
In women doing clomid, femara, injectable or other medicated cycles, one study showed rates of ovulation of 67.8% vs 51.9% and a conception rate of 51.9% for the acupuncture and treatment group, vs 30.4% for the treatment only group.
2. Reduce overall cost of fertility treatment: While there is a cost to receiving acupuncture treatments, adding acupuncture to your fertility treatment plan can reduce the number of cycles needed to achieve pregnancy, thereby significantly reducing costs.
3. Decrease side effects of treatment: Acupuncture is often used symptomatically during a treatment cycle to decrease side effects such as:
Help increase cervical mucous production
Cramping or pain during cycle
4. Support throughout the cycle: We’ve been working with patients going through fertility treatments for a long time and know the how tough the emotional rollercoaster can be. We also know that it isn’t often a topic discussed with friends and family. So we strive to support you and help answer any questions along the way.
5. Acupuncture can be used to support your doctor’s treatment for conditions such as:
6. Decrease Side effects of treatment: Acupuncture is often used symptomatically during a treatment cycle to decrease side effects such as:
Help increase cervical mucous production
Cramping or pain during cycle
When should I begin treatment? In an ideal world, we would see our patients 3 months before the begin any fertility treatment. We refer to this treatment phase as “Preconception.” During these three months, we work to regulate the menstrual cycle, correct any hormone imbalances, and increase blood flow to help your body give the best chance for a good response to treatment.
However, we don’t always live in an ideal world. Often we see our patients at the beginning of their cycle. Of course, we can start treatment at any time throughout your cycle, so it is never too late to receive benefit from acupuncture.
We are always available for questions via phone or email and encourage you to reach out and discuss your situation so we can find an acupuncture treatment plan that is right for you!
As our patients struggling with infertility finally get pregnant, aside from the joy of finally seeing those two lines, there are many decisions that need to be made. What provider is right for my pregnancy? What type of birth do I want?
Many of our patients have never allowed themselves to consider any of these things for fear of ‘putting the cart before the horse,’ so to speak. So this process, while exciting and wonderful, can be overwhelming and stressful.
One thing we often discuss with our patients, as they get closer to delivery, is their birth plan. It is our desire for our patients to be informed about their choices and have a provider they trust and feel totally comfortable with. One thing that can really help during your pregnancy and birth is having a doula. As highly trained, non-medical birth experts, they can walk through your needs, fears, desires, etc and help you come up with a birth plan and guide you and your partner through labor.
I asked a trusted doula friend of mine to do a post for our blog about what role a doula can play and why you would consider working with one. So, without further adieu, here is Hillary Ebling with East Tennessee Doulas.
I am Hillary Ebling, and I am a birth doula and postpartum doula in Knoxville, TN . I work with fellow doula, Danielle Anthony, at East TN Doulas. Working as a doula, we work with expectant families so they may have the best chance of achieving their ideal birth. Our goal is that you feel confident, cared for, and respected during your childbearing year.
As you begin researching how to have a happy, healthy childbirth, you may run across the words “birth doula” and see that this is a person who supports a family during pregnancy and birth. That sounds awesome… but you already spent money on a medical provider, birth location, and higher price tag baby items like a car seat and a crib. You may think a doula is a luxury you should go without. Before your accept this, however, check out these compelling reasons to spend the money on a birth doula.
First, what is the role of a doula?
“Doula” is a Greek word meaning a woman who serves. I’m using a more formal definition of birth doula to refer to a specially trained birth companion (not a friend or loved one) who provides labor support. This labor support includes comfort measures and emotional support. “Comfort measures” means using massage, position changes, water, hot/cold packs, mindfulness, and breathing to help deal with the intensity of labor. “Emotional support” means using reflective listening, positive presence, and reassurance to help increase your confidence and satisfaction of your birth experience.
It is important to notice that doulas play a completely “non-medical” role. Doulas do not diagnose or treat in any modality, nor do we take blood pressure or temperature, fetal heart tone checks, vaginal examinations or postpartum clinical care. What this means as a client, is that you also need a medical provider, whether that is a midwife or a doctor, to attend your birth. In short, your medical providers keep you and your baby safe, provide all medications, deliver the baby, and take care of the mother postpartum, whereas the doula keeps the mother encouraged, comfortable, and confident.
Now that we have clarified the role, what are the benefits of having a doula for my clients?
First, a doula is the only team member entirely focused on the laboring parent’s physical comfort and emotional well-being.
Your medical providers attention is inherently split between two different people – exactly as it should be! We all want a happy, healthy mother and baby at the end of a birth. Their training is scientific and this is where their focus should be. Medical providers are often expected to care for multiple patients at a time and usually work shifts of time in the hospital or on-call period.
A doula’s training, on the other hand, focuses on the “art of labor support,” that is, the emotional needs of people in labor, and non-medical physical and emotional comfort measures (as mentioned in the examples above). Our sole focus is on the needs of the mother, not the baby. Unlike medical providers, doulas work with one client at a time. We will join you when asked, either in early labor or later in active labor. We will stay with you throughout, often with only very brief breaks.
Second, having a doula can help you have shorter, more satisfying birth with less interventions.
Although the exact reasons for this are unclear, there have been numerous studies showing that doulas help families. The largest systematic review of continuous labor support, reported the combined findings from 20+ randomized controlled trials, including over 15,000 women. These trials focused on the benefits of continuous support (having a support person constantly present throughout labor, not coming and going as family and medical providers often must). Women with continuous labor support are
28% less likely to have a cesarean section
31% less likely to use synthetic oxytocin to speed up labor
9% less likely to use any pain medication
34% less likely to rate their childbirth experience negatively
Why can’t a family member or partner fill the same role for free?
Outcomes were most improved and intervention rates were most dramatically lowered in the group with doulas as their support person, not a nurse, friend, or family member.
But do you need one if your partner is really supportive?
In a perfect world, your doula and your partner work together to give you the best birth possible. We cannot possibly replace the loving, intimate relationship of your partner. We don’t stand in the way of your partner being great labor support – we help him or her achieve it!
Our birth culture puts a lot of pressure on partners. A pregnant parent often expects her partner to be knowledgeable – and good – at a host of new things. You may expect your partner to help you emotionally (by providing reassurance, encouragement, and confidence in you) or physically (by encouraging coping mechanisms like breathing and relaxation and providing comfort measures like massage). Lastly, you might expect your partner to fulfill other roles, like updating family and friends of your labor progress. That’s a lot of expectations for one person to handle! For many partners, this may be the first time he or she has ever set foot in a delivery room or seen labor! Add the love your partner feels for you and your discomfort to the equation, and it can be completely overwhelming!
With a birth team of both a partner and a doula, though, we share the weight of these expectations. You will have twice the emotional support and reassurance. We can alternate providing physical support so your partner is less fatigued by the labor. We stay with you if your partner needs a break for food or to update your family. This way, you are never unsupported and your partner can have peace of mind while handling these tasks. We have seen many labors and can use our experience to provide helpful suggestions for new things to try for both you and your partner.
Last but certainly not least, doulas provide informational support to the family.
By “informational support”, I mean explanation and discussion of practices and procedures, and assistance in acquiring any knowledge necessary to make informed decisions about your care. We help you find reputable, evidence-based information that will help you make informed decisions about your birth and your new baby’s care.
In essence, a doula doesn’t tell you how you should give birth. Instead, we share information with you so you can make informed decisions and then support you, whatever your choices.
Ok, so you definitely want a doula, but aren’t doulas expensive?
Often, yes – we are trying both to answer a calling and make a living. Although not usually covered by your insurance, some insurance companies will pay a portion or allow you to pay for your doula out of a health or flexible savings account. Contact your health insurance provider for more information about your specific situation.
DONA International’s Vision is “A doula for every woman who wants one”. With this in mind, many doulas offer some way to cut costs. I offer gift certificates so friends and family can donate to help financially (consider asking for this for baby shower presents!!). We do offer some packages of our services to save a little bit of money when bundling services. I am of course happy to answer any questions you have about my current options email us or give us a call at (865)315-8548.
Bottom Line: With all this information in mind, I urge you to consider carefully the benefits and options to offset the cost before you write off having a doula off as a luxury you can’t afford!
Heather Huddleston is a young woman who has struggled with severe endometriosis since puberty. At the age of 19, she had her first of many surgeries. It was so extreme that the surgeon told her she would never have children—he had removed 2/3 of one ovary and 7/8 of the other. Drugs and surgery were the solution offered her by traditional western medicine, and she took the solution seeing no other option. She managed to get through both undergraduate and her graduate studies by allowing the doctors to put her body into medically induced menopause to cope with the 10 level pain. She thought this was her only option—even doing as told, her quality of life was greatly diminished.
While finishing her graduate studies she got married. She maintained her treatments. Two years later, she and her husband were eager to begin a family. She ceased all hormonal therapy although she was terrified to come off of the drugs remembering the severity of the constant crippling pain. Yet she knew she had to begin somewhere, in her quest for sustainable good health.
The pain was as bad as ever. She trudged through and she and her husband sought the help of fertility specialists. After being unsuccessfully treated by 2 fertility specialists and undergoing 2 more extensive surgeries she was no closer to achieving her goals. The last surgery was performed by a surgeon specializing in excision and was very thorough even removing tissue from her diaphragm. After she recovered, she went back to the fertility doctor—unsuccessfully. Feeling frustrated and hopeless, she decided to go back on the hormones and regroup.
A year later, she began to have new symptoms—this time in the colon and bowel. This was quite concerning. After consulting a specialist, she was told that the surgery required was extremely dangerous. He recommended pursuing pregnancy before taking that step. She found a new fertility doctor. She achieved a pregnancy through IVF only to be disappointed with a miscarriage 6 weeks in. As bad as this was, the doctor was encouraged because she had achieved a successful pregnancy. He advised them to try again immediately, this time recommending that she do so with the addition of acupuncture.
She took the doctor’s suggestion and made an appointment with a Practitioner specializing in infertility, Sarah Prater. The hormones that were a part of the treatment protocol caused the endometriosis to flare up resulting in crippling pain. This time both she and Sarah hoped to not only achieve a healthy pregnancy but a measure of relief from the crippling pain—.
Heather went into her first treatment with level 10 pain. After the treatment, she walked away pain free! She was amazed—wondering how long the relief from the pain would last. It not only lasted through the night but continued until her next session and beyond. She never experienced that crippling pain again through the treatment, even though she followed the protocol for the hormones which previously made life almost unbearable.
She continued with acupuncture following Sarah’s treatment plan for her all the way up to the transfer, after the transfer and subsequent treatment. Her transfer was successful—she achieved a healthy pregnancy!
Heather is now 12 weeks pregnant and being released by the fertility doctor to an obstetrician. She is headed to Japan for the next year with her husband where she will continue acupuncture and by God’s grace deliver a healthy baby!
The Power of Hope
Sarah Prater has had the honor of helping many women give birth to happy, healthy babies and has a diverse background that enables her to fully support her patients. Her passion for helping women struggling with infertility led her to found the Tennessee Center for Reproductive Acupuncture. Acupuncture has been shown to increase success rates for women struggling with a variety of issues and conditions associated with reproduction.
Acupuncture can increase fertility by reducing stress, increasing blood flow to the reproductive organs and balancing the endocrine system, according to several studies and medical research.
According to A recent study from Tel Aviv University, when used in conjunction with Western fertility treatments, acupuncture increases conception rates by 26%. It found that when combining IUI with Traditional Chinese Medicine treatments, 65.5 percent of the test group was able to conceive, compared with 39.4 percent of the control group, who received no herbal or acupuncture therapy.
A well-known German study done in 2002 followed 160 women who underwent IVF. Eighty of them received acupuncture as well and 34 of those women got pregnant: a success rate of 42.5%. Of the other 80 women, those who received IVF without any acupuncture treatments, only 21 women (26.3%) became pregnant.
An American study, of 114 women showed that 51% of the women who had acupuncture and IVF treatments became pregnant compared to 36% of women who had IVF alone. Further analysis of the data revealed a much lower rate of miscarriage for the women who had acupuncture as well as IVF.
Sarah strives to stay up to date with current research in her field and is constantly updating her protocols to offer the maximum benefit. Her wide breadth of experience allows her to work cooperatively with reproductive endocrinologists and OB/GYN’s to provide the best care for her patients.
Many of our patients have been told they have poor egg quality or diminished ovarian reserve, or even poor embryo quality and this is the reason why they are having trouble conceiving or carrying a pregnancy to term. While it is true that your egg health diminishes over time, it is not true that there is nothing that can be done to help support your egg health.
Even if you don’t have any specific ovarian or egg quality issues, helping support good egg health will help increase the chances your cycle will be a success!
The total time it takes for one egg to fully mature is about 90 days. It is during this window of time that we are able to have the biggest impact on egg health. So, we recommend that all of our patients looking to plan a treatment cycle take advantage of this time to prepare and consider acupuncture, supplements, diet, and lifestyle changes to help support their egg health.
Some of the main factors affecting egg health are:
Diet and Nutrition
Blood flow to the uterus and ovaries
Oxygenation of your blood
Our three favorite ways to improve all of these factors affecting egg health are acupuncture (of course!), diet and exercise, and specific supplements.
Each of our treatment protocols (IUI, IVF, and medicated cycles) begins with the recommendation of preconception acupuncture. Preconception acupuncture is treatments given weekly in the 1-3 months prior to any fertility cycle specifically designed to support egg health and hormone balance.
By now, you probably know that acupuncture done alongside a fertility cycle can improve the chances of pregnancy for that cycle. What you may not know, is that acupuncture’s effect is cumulative, much like exercise. Each treatment and treatment cycle builds on the previous. Research done on fertility acupuncture supports this idea. Generally, the more acupuncture one receives, the better the pregnancy rates.
The reasons why acupuncture done in the months prior to a fertility cycle can have an impact on your egg health and the overall success of your cycle are:
Dramatically improved blood flow to the uterus and ovaries: This increases the delivery of oxygen and nutrients, and facilities waste product removal, improving overall egg health.
Hormone regulation: Many women notice changes in their cycles during preconception acupuncture: less pain, more regular ovulation, and normalization of menstrual flow.
Reduced stress: Help your body and mind get ready for the upcoming cycle.
2. Diet, Exercise and Lifestyle:
Diet: A healthy diet can dramatically affect one’s fertility (and overall health!). Taking the preconception time period to focus on eating a clean, whole-food, plant-based diet can help improve egg health. Our favorite general fertility diet comes from a Harvard Medical School research study, but many diagnoses related to infertility, such as endometriosis or PCOS, call for some specialized nutrition.
Overall, the basics of a healthy fertility diet include:
Low amounts of saturated fat: Choose plant based fats such as nuts, seeds, avocados, and healthy fats like those found in salmon and other fish.
Local, grass fed, organic meats whenever possible
Fresh fruits and veggies: We suggest eating foods from every color of the rainbow and making sure at least half of your plate is filled with veggies as an easy way to maximize your fruit and vegetable intake
Vegetable protein sources: Try to replace one serving of meat per day with a vegetarian protein source like beans or tofu.
Lots of fresh water: Try to avoid water bottled in plastic and stick to filtered when possible.
Whole grains: brown rice, quinoa, whole wheat bread and pasta, etc instead of simple, white carbs,
Iron rich plants: spinach, pumpkins, beans, tomatoes, and beets.
Full fat dairy instead of low fat varieties.
Minimal (or no) sugar intake: be sure to watch added sugars and high fructose corn syrup as they can hide in many unsuspecting foods as well as sugary drinks and desserts.
For women who have endometriosis, we recommend following an anti-inflammatory diet. For those with PCOS, a low-glycemic index diet is best.
Exercise: Regular aerobic exercise improves the oxygenation of blood and increased blood flow throughout the body. It is also a great stress reliever and helps maintain a healthy BMI, which is associated with higher pregnancy rates. Yoga is also a great way to strengthen your core and help reduce stress.
The preconception time is perfect for implementing a consistent exercise routine as exercise is commonly limited by your doctor during a fertility treatment cycle.
Lifestyle: There are many lifestyle habits that can have an effect on egg health. Our top suggestions are the following:
Allow personal ‘down-time’ to meditate, read, or just relax.
Listen to fertility meditations via Circle Bloom to help de-stress and foster a healthy body/mind connection
Work to reduce stress and overwork as much as possible
Seek counseling or a support group if you feel it is necessary.
3.Supplements and herbs: In addition to a good quality prenatal vitamin, there are some supplements that you can take that will help support egg quality and overall fertility. One supplement that has some evidence showing it’s efficacy is CoQ-10.
CoQ-10 is a vitamin-like substance (meaning our bodies can make some on their own) that functions within the energy production centers, called mitochondria, present in each cell. As we age, the efficiency of the mitochondria declines. The idea is that by supplementing CoQ-10, we can help support this energy production, which is especially needed for high-energy processes like the cellular division involved in egg production and embryo development. There is some preliminary research showing an egg-health benefit in mice and we await further research. CoQ-10 is generally regarded as very safe to take while trying to conceive and most experience no side effects. It also shows some promise in helping support male fertility as well.
Other supplements that we typically recommend are:
Fish Oil: high in omega-3 fatty acids to help reduce inflammation in the body
Probiotics: to support good digestion and absorption of nutrients.