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Article

Returning to the Lost Art of Caring for a New Mother

Friday, November 3rd 2023 10:00am 7 min read
Dr. Jessica Peatross dr.jess.md @drjessmd

Hospitalist & top functional MD who gets to the root cause. Stealth infection & environmental toxicity keynote speaker.

Picture a scenario where, following childbirth, you’re given the opportunity to simply rest and bond with your newborn for an extended period, possibly a month or more. During this time, caring family members handle cooking, cleaning, and assist in caring for your baby. You’re pampered with warm baths infused with healing herbs and soothing hot teas. Experienced and compassionate women are present to provide valuable maternal advice and guidance, particularly concerning breastfeeding and newborn care challenges. Throughout this period, you, the new mother, are treated with utmost tenderness and reverence. Your environment is kept tranquil and serene. As the weeks pass, you gradually gain the confidence and strength to reintegrate into the outside world, sharing your joy and your newborn with others.

It may be surprising, but the practice of setting aside a considerable period of thirty days, forty days, or even longer for postpartum recovery is a widely observed tradition globally, with roots stretching back thousands of years. Ancient wisdom, as found in various cultural texts, emphasizes the importance of nourishing and rejuvenating a new mother through practices like massages, therapeutic baths, specialized diets, and herbal remedies designed to promote vitality and safeguard against infections.

The concept of cherishing and supporting mothers during the postpartum phase is not limited to any particular culture or era. Numerous societies, from various corners of the world, have comparable customs and rituals. These practices, spanning from Asia to Latin America, involve family, friends, and knowledgeable individuals collaborating to pamper both the mother and the newborn. This includes tender herbal-infused baths, gentle massages with nurturing oils, and the preparation of nourishing foods. While the specifics of these customs differ across cultures, they share common traits: warmth, healing properties, rich in essential nutrients, and easily digestible. Many of these foods are meticulously chosen for their capacity to aid organ healing, boost lactation, and provide essential nourishment.

In stark contrast, what we might refer to as “modern” times often present a different narrative in Western societies. Here, women are often pressured to rapidly recover from childbirth, both physically and emotionally. Paid maternity leave might be insufficient or unavailable, and extended family support might be lacking due to distance or other constraints. Even well-intentioned partners may not entirely grasp the profound physiological and emotional changes brought about by childbirth.

As a result, new mothers might find themselves feeling overwhelmed and unsupported. While their newborns receive attention and care, the mother’s own needs can go unmet amid the significant lifestyle adjustments and sleep deprivation that come with motherhood. Feeling exhausted in the initial weeks becomes commonplace, and without proper care, the chance for adequate rest and nourishment might slip away during what should be a cherished period of bonding with the newborn.

The consequences of neglecting a mother’s well-being during this critical postpartum window can be far-reaching. In some cultures, it’s believed that such neglect could impact a woman’s health well into her menopausal years. Regardless of this belief, it’s clear that postpartum care often remains a neglected facet of women’s health in many countries, including the United States.

It’s important to note that the hormonal shifts and shifts in family dynamics following childbirth can naturally lead to emotional changes. Mood swings and moments of sadness are not uncommon, especially after a difficult birth. Unfortunately, some women experience more enduring issues like severe depression, anxiety, and extreme fatigue. According to the National Institute of Mental Health (NIMH), about 15 percent of women face postpartum depression.

Many experts hypothesize that postpartum depression can, in part, be traced back to the significant nutritional deficiencies often found in women today. The physical demands of nurturing a child require substantial nutritional resources, a reality acknowledged by traditional societies that practiced a three-year gap between pregnancies to allow mothers to restore their nutritional reserves. In contrast, the average modern woman might already be nutrient-depleted before even conceiving and might consume a diet high in processed foods and sugars during pregnancy. In these cases, the body can prioritize the fetus’s nutritional needs, depleting the mother’s resources and potentially leading to imbalances.

The spectrum of nutrients that might be lacking includes iron, folate, calcium, vitamin D, potassium, vitamin A, magnesium, omega-3 fatty acids, iodine, phosphorus, zinc, selenium, and B12. This deficiency can have lasting effects on both the mother’s physical and mental well-being. Cognitive function, emotional stability, and even physical appearance could be impacted.

Numerous women hold a misconception that relying solely on prenatal supplements before, during, and after pregnancy will sufficiently address any nutritional deficiencies. The idea of an easy solution in the form of a pill might seem appealing, but the reality is far more complex. While certain high-quality supplements can provide support, they are by no means a complete remedy. Synthetic tablets lack the diverse range of isomers and related compounds present in natural sources, making them less recognizable and absorbable by the body. Additionally, the lab-based synthesis of these molecules often results in unnatural byproducts that could potentially be harmful.

A study examining the use of prenatal vitamins among American women discovered that even with supplement usage, deficiencies in niacin, thiamin, and vitamins A, B6, and B12 persisted into the third trimester and likely beyond. Prenatal supplements also fall short in addressing the vitamin D, long-chain essential fatty acid, and choline requirements essential for pregnant women. Notably, commonly available prenatal vitamins in the United States do not incorporate choline. In essence, while select premium prenatal formulations can be beneficial, the primary focus must shift to our dietary choices.

Nourishing through nurturing meals

The postpartum diet features a list of recommended foods and those to avoid, a familiar sight for those who follow the a mindful lifestyle.

The list includes locally sourced organ meats and pasture-raised meats, rich in iron, selenium, and B vitamins. It also advocates for choline-rich eggs, vitamin D and fatty acid-loaded egg yolks, iodine and zinc-packed wild-caught seafood, vitamin K2-laden grass-fed butter, vitamin A-rich natural cod liver oil, immune-enhancing cultured dairy and raw milk, and the comforting warmth of bone broths, soups, and stews that can be enjoyed throughout the day.

Advance meal preparation, freezing meals ahead of the baby’s arrival, or arranging a “meal train” with friends and family could prove immensely helpful. Seeking assistance with household tasks like cleaning, laundry, or errands, as well as indulging in soothing practices like essential oil massages or herbal infusions, can all contribute to restoring a new mother’s sense of calm.

Enriching breastmilk through nutrition

The increased caloric needs of breastfeeding women necessitate a diet rich in warming and nourishing foods. Staying well-hydrated through fresh water or herbal teas is equally crucial. The book recommends foods like raw milk, bone broths, soaked oatmeal, and lacto-fermented beverages like kombucha to enhance breastmilk production. Interestingly, these are the same foods my body naturally craved during the initial months of postpartum, when constant nursing was the norm. A poignant memory involves the delivery of raw milk; the creamy richness was irresistible and deeply appreciated. It’s reminiscent of the traditional wisdom that “Milk makes milk!” – an insight that could greatly benefit those who have been misled by prevailing dietary notions and are suffering the consequences unnecessarily.

Postpartum thyroid issues

New mothers experiencing prolonged fatigue might want to consider having their thyroid gland assessed. Signs of hypothyroidism encompass mental cloudiness, dry skin, weight gain, cold sensitivity, constipation, and hair thinning. This could be identified as Hashimoto’s thyroiditis or postpartum thyroiditis. In the context of postpartum thyroiditis, this pattern is generally preceded by a phase of hyperthyroidism, during which women might feel overly energetic, struggle with insomnia, experience diarrhea, anxiety, and substantial weight loss. These are the individuals who seemingly rebound quickly after childbirth, only to confront significant challenges around nine months later. Roughly 10 percent of women encounter this condition, often without proper identification or accurate diagnosis.

Practical kits for home-based thyroid assessments are now available, enabling comprehensive testing. Moreover, these kits extend to examining essential nutrients pre-conception or postpartum, including omega-3 fatty acids, B vitamins (including folic acid), and vitamin D. Some companies even offer home kits to evaluate the amount of DHA in breast milk.

Caring for new mothers

For those anticipating the arrival of a newborn or supporting someone who is, it’s crucial to plan for a dedicated month or two following childbirth. While the infant certainly warrants affection, attention, and adorable accessories, it’s equally essential to provide solace, tenderness, attentive care, and a listening ear to the new mother. Reintroducing the overlooked practice of nurturing and nourishing the new mother, despite requiring some preparation and explanation in our fast-paced world, can likely yield remarkable benefits not only for her immediate well-being but also for the entire family. The lasting dividends could extend across decades and generations to come.

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