Tried, Tested and True: Natural Induction Strategies to Bring on Baby

The doula in me wants to tell you to leave natural induction at the door. To trust the process because your baby knows the *perfect* time to enter this world. Sigh. Such a beautiful, romantic…. and patient, thought. And, yes, that’s definitely a viewpoint I buy into – provided it’s something the pregnant person also buys into.  On the flip side, aside from being a doula, I’m also a person.  A person who has been pregnant, several times, and who, upon reaching the full term of their pregnancy, knew in my heart-of-hearts, that I was completely, utterly, absolutely, done being pregnant.

Actually, rewind.  If I’m being completely transparent here, I’m a person who finds comfort in being proactive. I always started my preferred natural induction tricks once I was around that 38 week mark, never waiting for that 40 week mark to come (and go).  My thought process was that, if I started early, I would hopefully – at the very least – get my body warmed up in time to have my baby around the time of my due date. 

Was I successful?  I’m fairly (over) confident that I was. Over-confident is kinda the name of my game, though, so take that with a good ole grain of salt. However, I never actually made it to my due date with any of my three kids. Plus Number Two and Number Three were born at 38 weeks, to the day.  I know, I know - you don’t really care when my kids were born, you just want the goods so you can get your baby here. I hear you, loud and clear. First, I’m going to start with a plea. Please, for the love and good of all things holy, DO NOT attempt any natural induction before you are full term. The longer your baby stays inside, the better and that is especially true for babies who have not reached full gestation. As always, please run any and all of your ideas for natural induction by your care provider first. Your care provider, knows your specific situation intimately and might have pertinent information about why the natural induction method you’re interested in trying is not right for you. And with that, let’s start with some of the more well-known natural induction techniques before switching gears and diving into what *I* did to encourage my body to get ready – and maybe even bring on – birth.

The Traditional Techniques

Nipple Stimulation

Exactly as it sounds. For 15 minutes, on each side, up to an hour a day you use your hands to stimulate your nipples (sort of like a breastfeeding infant might). If you feel like living on the edge, use a breast pump. Nipple stimulation releases Oxytocin which can bring on contractions. It’s possible to go overboard with this one - too much nipple stimulation could result in very strong contractions. Follow the guidance of your care provider before embarking on the Nipple Stimulation Express.

Sex

This is my favourite technique to merely suggest to couples (who ask) just so I can get their reaction.  You’re either Team I’ll-Do-Anything or Team Not-A-Friggin-Chance. There are a few ways that sex is said to work to induce labour. Sex releases Oxytocin (a hormone integral to contractions). Semen may help soften the cervix and having an orgasm might push your uterus into action. Have fun, you crazy kids, you!

Castor Oil

I just can’t dress this one up, not even if I wanted to. Is there anything appealing to you about drinking castor oil? The lengths we’ll go to when we’re “done” being pregnant are truly amazing.  From what I’ve heard and read, the success rate of castor oil isn’t awesome at nudging your body towards birth but it IS really good at helping you bank time on the toilet with diarrhea or nausea. And I don’t know about you but, to me, that doesn’t really sound like a worthwhile investment of my time. Please don’t consume castor oil without getting your care provider’s opinion first.

“Midwives Cocktail”

So, a pregnant person walked into a bar and…. Just kidding, you definitely won’t be finding this castor oil based cocktail in a bar. This might be slightly more tolerable than straight up castor oil because it incorporates a few other ingredients - although, at first glance I’m not all that certain how well those, very distinct, flavours blend together… if at all.  Anecdotally, the success rate on this is considered quite good provided you’re over 40 weeks pregnant. Notice how I didn’t give you the specifics?  That wasn’t an oversight.  Ask your care provider for their thoughts on this before moving forward - if you’re passed the 40 week mark, and if you ask really nicely, they might even give you the recipe!

Acupuncture

This is the insertion of fine needles into different points in your body. It is said to help dilate and soften the cervix which is, obviously, important for labour. This is an option that I find intriguing but, if I’m being honest (which I always am!), I’m not a big fan of needles. If you also are not a big fan of needles, you may find it difficult to relax throughout this procedure which could hinder it’s effectiveness.

Stretch + Sweep

Using a (gloved) hand, your doctor or midwife inserts their fingers into your vagina in order to separate your lower membranes from your cervix. Fun… Times.  If that didn’t sell you on a stretch and sweep, my next point won’t either. The success rate of stretch and sweep is neither here nor there but, rather, everywhere.  Some people have had their babies within 24 hours of a sweep while some go for 2 more sweeps with no flippin’ change at all.  There is the risk of increased chance of infection with stretch and sweeps so, if this is a route you’re interested in, make sure you weigh the potential risks with the potential benefit.

My Tried-and-True Natural Induction Techniques:

Here are the goods. I did all five of these things, strategically, with all three of my pregnancies - and all three babies were early!

1. Prenatal Massage

Well, THIS sounds better than drinking castor oil or a stretch and sweep, doesn’t it?! If you’re thinking: “Now she’s talking,” you and I would be a good pair. There are several points in areas throughout our body that are said to induce labour through firm pressure. Schedule a couple of visits to see a prenatal massage therapist and let them spend some time massaging those magical points. Prenatal massage therapists can sometimes be hard to get into so schedule a couple of visits right off the bat.  One for 38 weeks and another for 40 weeks and three days (because three is my favourite number). You can always cancel that 40 week appointment.

Word to the wise?  Be honest about what you’re after when you speak with your massage therapist. Don’t expect them to read your mind or assume they know exactly why you’re there. Also, they will not even consider touching those pressure points if you aren’t full term. Don’t be sneaky - be full term. If I’m being completely forthcoming (and I’d suggest the same for you as well) I did my own research about the general areas where labour-inducing pressure points were located before my appointment so that I would know if the massage therapist was doing right it or not. Yep - it was a test.   And thankfully, my massage therapist passed because she’s one of my best friends (we were bridesmaids at each other’s weddings!) and our lunch date immediately after my appointment would’ve been more awkward than it already was when I ‘fessed up that I’d actually been testing her.

Prenatal Massage is also good for:

• Releasing Stress

• Relaxing muscles

• Promoting blood circulation (and increasing blood volume)

• And more!

2. Exercise

Yes, I’m a sadist who is going to tell you to exercise and move during pregnancy (and outside of it!).  Yes, I know that our natural inclination once we hit that third trimester (and more so the closer we get to term) is to sloooooooow down.  There’s a time and a place for slowing down.  Should you be resting as much as you can in the lead up to your guess date?  Of course. Rest is just as important to your health and wellness as movement is.  But we’re talking about encouraging labour here! And if you’re trying to bring on the main event, it’s not time to be horizontal on the couch binge-watching reruns of Modern Family (side note: that’s a great plan for postpartum!).  I’m not talking about anything overly vigorous or strenuous - I just want you to move your body, in some way because if you want baby to move down, birth boss, you need to be up.

3. Step Ups

This is sort of an extension of exercise, I’ll give you that, but it’s such a fantastic way to nudge baby down that it deserves it’s own mention. This was a trick I learned totally by accident and, sorry, I’m going to share the story with you.  A few days before I was due with Number One, we had ordered a new bedroom set. My maternity leave had just started, so I was home when the set arrived. Seeing absolutely no reason why I should wait for Derek to get home to help me when I was perfectly capable (sort of) of doing it myself, I got busy.  If I’m being honest, making the bed is not something I tend to do very often do so it took me an outrageously long time - over an hour - to complete.  To add to the challenge, the bed was really high so I had to step up onto the blanket box at the end of the bed in order to get on top of it and smooth out the sheets and duvet.  So, picture this:

1. Heavily pregnant woman, stepping up onto a 2 foot high elevated surface (the blanket box)

2. Stepping up to another elevated surface (the bed)

3. And then jumping back down (off the bed) to the floor.  

It should come as a shock, to no one, that Number One was born less than 24 hours later - before his due date.

Don’t have a blanket box? I’m not actually sure why we have one either. You’re smart, get creative! Look around and I’m sure you can find some sort of elevated (and very, very stable) surface that you can hoist yourself up onto. How about a large rock in your yard; a bench at a nearby park; the ledge of a bay window in your home; even a chair from your kitchen table will do.  Step up and land heavily, kind of like a graceful elephant, on your feet on the way down. Wherever you decide to do this, please be safe about it! We don’t need any tumbles right before B-Day.

4. Chiropractor

A good chiropractor is a great tool to have in your pocket.  The key here is finding a Webster’s Certified chiropractor – that means they have specialized training to work on pregnant bodies.  Seeing a chiropractor once you’re full term is amazing for relaxing and aligning the pelvis (just think about how important that must be for birth!).  Plus?  Like an RMT, chiropractors are knowledgeable about those labour-inducing pressure points.  And those pressure points combined with a relaxed pelvis are the perfect combination to nudge your body into the birth process. I’ve said it before and I’ll say it again: is there anything a chiro can’t help with?!

Are you ready for my number one natural induction trick?  Here it is:

5. Plan (and Want) to Go Passed Your Due Date

HA!  That’s not what you expected me to say, is it? What can I say, I like to keep you on your toes.  Let’s do this little exercise together. Think about your due date.  In your mind, pick a new date about 7-10 days later.  This is the date you now expect to meet your baby.  Then, whenever anyone asks about your due date (‘cause you know they will) you answer, totally casually: “Oh, I’m due on X but I’m probably going to be, like, ten days late.” Make sure everyone in your life hears that you expect to give birth well passed your 40 week mark. Remove the idea of a 40 week “due date” in your mind!

Want to up the ante? Of course you do!

• Plan something really fun. Like, super fun. Something you would really look forward to and something you really want to do. Schedule this super fun activity for around your 40 week mark. 

• Leave something important on your to-do list. And plan to do it in the 40th week of your pregnancy. Betcha it won’t ever end up getting done.

• Murphy’s Law means you probably won’t make it to your scheduled activity. And, even if you do end up making it to your scheduled activity, at least you got to do something really fun!

Full disclaimer: there is absolutely no scientific evidence to back this supposition up, it’s based purely on my own experiences with birth.  I always planned to be “late” with my kids (and actually welcomed it) and was significantly early with all three.

Some things to consider:

Natural Induction is Still…. Induction

While, obviously less invasive than medical or synthetic methods, natural induction is still considered an intervention. Essentially, you are acting to disrupt the physiological cycle of birth by bringing on labour yourself.  If true, physiologic birth is important to you, best leave natural induction out.

Are You Going To Become Overly Invested?

How invested are you in your efforts “working?”  Is your mood or mental state going to be affected if your attempts don’t pan out?  If you answer yes, letting nature play it’s course might be the better option for you.  We want you to head into your birth feeling confident, calm and with a deep trust in your body.  Feeling frustrated that your natural induction strategies “didn’t work” is not conducive to those goals.

If Your Body Isn’t Ready, It Won’t Work

Alright, so, don’t shoot the messenger but someone has to be the barer of bad news and I guess, right now, it’s me.  In order for the car to start, the engine needs to be a little warm.  Hopefully you follow that analogy. If your body isn’t ready at all, there isn’t a natural induction technique on beautiful planet earth that’s going to work (my sister will be nodding her head in agreement as she reads this). And before you go running to your care provider for a medical induction, you should know that if your body really isn’t ready, there’s a chance that strategy may not work either.  If you aren’t getting much response from your body following any of the induction strategies you’ve tried, press pause, decompress and maybe try again in a few days (if you still want to).

A Watched Pot Never Boils

Did you ever have a time where you were anxiously awaiting the arrival of your period?  And, you know, the more you thought about it, the longer is seemed to take to come? Okay, now let’s swap your period for your baby.  Same idea. I know you’re anxious and excited to meet your baby but go about your life, stay busy, focus on other things! Maybe I can’t guarantee that any of these natural induction strategies will be as successful for you as they were for me but what I can guarantee is that your baby will be born. And it’s kind of cool when your baby refuses all of your eviction advances and, instead, chooses their own birthday.

Disclaimer

The information in this post is purely based on my own experiences and should not be taken as medical advice. This post does not aim to diagnose, treat or provide medical advice. It contains only general information based on the writer’s personal experience. Do not attempt to any natural induction strategies before you are considered full term. As always, you are recommended to seek the guidance of a licensed medical practitioner before beginning any attempts induce yourself - even naturally.

10 Things To Do In Your Last Month Of Pregnancy

Hitting that final month in your pregnancy is a milestone. Excitement, nerves, anxiety all kick into high gear with the realization that, after all these months of waiting, your baby will be here pretty darn soon. If the month of your due date has finally arrived, these are a few things to start doing in order to get yourself ready for B-Day... and none of them have anything to do with packing a hospital bag.

1. Practice Your Breathing

Hopefully you’ve been doing this for several weeks already but, if you haven’t, it’s time to get started!

• Concentrate on taking slow, deep breaths. Inhale for four counts; exhale for four counts. Breath in through your nose until you feel your belly rise and back out through your mouth. Channel your inner horse (now that’s a strange phrase) and let your lips flap together. Do me a favour and actually do this, okay? Then it won’t feel so foreign when you’re doing it IRL.

2. Relax Yo’ Face

Training your body to release and relax will benefit you big time when you’ve started the birth process. Why? Because coaxing your body into a state of relaxation is KEY to labour efficiently.

• Several times a day, roll your shoulders back and pull your shoulder blades down and back. Let your arms hang like spaghetti noodles. Shake out your legs. Loosen your jaw and let your mouth gently hang. Visualize your entire face drooping as a result of being soooo relaxed.

3. Don’t Stop Moving

I know that the last month of pregnancy is a doozy. Things are, like, unnaturally heavy which causes a strain on the rest of your body. You feel sore. Your hormones are working overtime as your body prepares for birth which means you’re exhausted, irritable and maybe even nauseous. All that aside, don’t give in to the urge to spend the next 4 weeks (or so) horizontal. This may not be what you want to hear but I’m going to say it anyways: stay on your feet as much as you can! Stay active to keep your body loose (as opposed to tight). It doesn’t have to be intense to be beneficial! Keep moving in whatever way works for you.

• Walks - slow or brisk - are great. If it’s cold outside, go to a mall and do laps.

• If you’re still able to exercise, there’s no reason to stop. Keep goin’, you #fitmom, you! Just remember to be aware of how everything feels. If it hurts, stop immediately. Now is not the time to push it.

• Pick a few gentle yoga poses and do them every night to keep your muscles limber (also another chance to practice breathing).

4. Rest

So I just finished telling you to not stop moving and now I’m telling you to rest? As much as your body needs to keep moving, it also needs physical rest to rejuvenate itself in order to prepare for the marathon of birth.

• During the day (nighttime doesn’t count), follow the 50/50 rule - 50% rest and 50% moving. If that sounds like too much, aim for 60/40.

5. Visit Your Chiropractor

Okay, so a little bias of mine (if you want to call it that) is that I love chiropractors, especially during pregnancy. If you’re only going to see a chiro at one point in your life, as you approach your due date is the time to do it. They can adjust your body so that your pelvis is properly aligned. It’s a very gentle process (please find a chiropractor who is trained in Webster’s Technique). Often our pelvis shifts, or even twists, during pregnancy. Making sure your pelvis is aligned correctly can make for easier passage for your baby when the time comes.

• Time your appointments strategically so that you will be able to get two visits in before your due date (earlier if this is your second baby). Aim to have both appointments completed by 38 weeks or just over. Schedule another one for your 40 week mark and if you haven’t given birth by then (which you probably will not) go to the appointment.

6. Bounce on a Birth Ball

If you can, try to spend around 30 minutes every day on your birth ball. Try a mixture of these exercises:

• Roll your hips in a circular motion (switch directions)

• Gently bounce up and down

• Rocking your pelvis forward and back

7. Wash Your Baseboards

Ok, it’s not so much about making sure your baseboards are clean (although that is an added benefit to this one!). It’s just a really good excuse to spend several hours on your hands and knees which is a great exercise to get your baby in a good position for birth. If positioning is of particular concern for you (maybe you suspect your baby is back-to-back), head over to the Spinning Babies website (www.spinningbabies.com) for detailed, step-by-step instructions on their most efficient strategies to help with fetal positioning.

8. Positive [Birth] Vibes O-N-L-Y

At 36 weeks, I want you to think critically about everything birthy you expose yourself to. Positive birth talk and stories only. Let your mama’s wise words come back to you: “if you don’t have anything nice to say, don’t say anything at all.” If this person you’re talking to doesn’t have anything nice to say about birth or their birth experience, it’s time for them to stop talking. Advocate for yourself and your upcoming experience. Tell them you need to press pause on this conversation but will be happy to come back to it after you’ve had your baby. Or just tell ‘em to zip it. Whichever route you go, I won’t judge.

• Do spend some time watching positive births or reading about positive birth stories. Pump yourself up for what’s about to come. Get excited!

9. Go For a Massage

Visit a registered massage therapist who is trained to work on pregnant women. Massage loosens your muscles, helps you and your body relax and increases blood flow. Plus, it will help mitigate any soreness you’re experiencing. Schedule one massage once a week from at least 37 weeks until you give birth. Keep in mind that registered massage therapists (specifically in the South Delta area) are in high demand. Book your appointments ahead, you can always cancel them if you need to.

10. Forget Your Due Date

The average first time mom gives birth around the 41 week and 2 day mark. The term “due date” is really nothing more than a, half-educated, guess. Knowing when your baby has been gestating for 40 weeks is great. But it does not tell anything about when your baby will arrive. So, for your own sanity, treat your 40 week date as just another day in pregnancy paradise. Don’t count down to it. Help yourself manage your expectations: plan that you will still be pregnant at 40+ weeks.

Here’s a little mental trick: schedule something to look forward to at your 40 (and a half) week mark. Something you can only do sans newborn baby and that’s little more extra than a pedicure. Looking forward to something else beyond baby (not to say that there’s anything that could top the arrival of your new baby!) is a great way to distract yourself. Plus… in my personal experience, every time I did this, I went into labour before I could enjoy it.

There you have it - 10 easy things to do during the last month, or so, of pregnancy to get your body and your mind ready for birth. And if you get to the point where you’re just sick of waiting, I’ve got you. Head over and read my blog post about my Tried, Tested and True Natural Induction Strategies!

Have questions? Just want to learn more? Take my private childbirth education prep sessions. These sessions are in-person (not just watching a pre-recorded segment) and give you opportunity to ask questions or deep dive into topics that interest you. Learn More!

Now get out there and do it, birth boss.