OK. That’s it. It’s eviction time. This baby has outstayed his or her welcome and now you’re desperate to go into labour. Are there any ways to start labour naturally at home? Your gran or best friend or work colleague has probably come up with some suggestions. What really works? Read on to find out more about inducing labour naturally.
Why do we go into labour?
There are lots of factors which seem to play a part in starting labour. Unfortunately, these factors work in differing amounts on different people. It is therefore impossible to give you a list of things to do which, once you’ve done them all, will start labour. I know this is frustrating. I wish it could be that simple, especially when I see ladies who are so very ready to see the end of pregnancy and meet their baby. However, I can tell you all the factors and you can see if any of them work for you.
Please do not attempt any of these ideas before your baby is ready to come out. This means not before you reach 37 weeks of pregnancy. Even if you are really fed up, you need to keep baby safe inside you until that point if you can so that they are ready to face the world when they arrive.
Factor 1: Pressure
Here’s where I start talking biology again. Those of you who are regular readers know that I like to explain why something happens, not just tell you that it does. Sorry. You can skip this part if you want to. For the rest of you, here is the physiology behind inducing labour naturally.
The bottom of your uterus is where your cervix is. Your cervix is the baby’s exit. It is the cervix which dilates and reaches that magical 10 centimetres everyone goes on about!
We have discovered (not me, but some very clever scientists) that putting pressure on the inside of the cervix, where the baby is, causes your body to release oxytocin. Oxytocin is the hormone which cause your uterus to contract. Contractions push the baby down onto the cervix. Pressure on the cervix causes more oxytocin to be released. This is an example of a positive feedback cycle and is the reason why you keep being told to stay upright!
So how do you make this reflex work for you? Here are some things to try:
Stay upright. Lying down or leaning back reduces the pressure on your cervix.
Try walking at a good speed, or bouncing on a birthing ball. These movements cause regular bumps to the cervix and can stimulate Ferguson’s reflex.
You can also try going up and down stairs sideways or doing some good bum wiggling!
Factor 2: Relaxing
I know what you’re thinking. You’re so uncomfortable and tired that you can’t relax. Perhaps your mind keeps going over what might happen and you’re worried about problems you might face in labour. These are very natural feelings. The problem is that all these feelings and overthinking can hinder labour.
You need to do whatever you can to stay relaxed. Our favourite hormone, oxytocin, doesn’t flow well when you are stressed. Have a look at the oxytocin vs adrenaline graphic below.
Ways to help you relax might include:
Taking time to pamper yourself. Read your favourite book, sing your favourite song, paint your toenails. Whatever works for you.
Trust your body. Look at how well your body has managed in pregnancy. Your body grew and supported a beautiful healthy baby all this way. It is designed to go into labour. It is designed to give birth.
Trust yourself. You are stronger than you know. You can cope with more than you think. Whatever happens during labour you will find ways to manage.
Don’t google it! The joys of the information highway can also bring some lows. Unfortunately people tend to share their negative experiences more readily than any positive ones. Don’t be tempted to read everyone else’s experiences. If some one starts sharing a bad experience, it’s OK to ask them to stop or to turn the page or click out of that site.
Surround yourself with people you trust. Choose birthing partners that are calm and positive. You need those who will encourage you when you are flagging and need a boost. Choose people who will stand up for you and what you would like if you can’t express it.
Factor 3: Oxytocin
As you can see from the points above, oxytocin is the key to inducing labour naturally. So lets looks at some ways you can increase the oxytocin levels in your body.
Oxytocin is known as the hormone of love. It is released at three main times.
When you have an org*sm (spelt this way to avoid website warning notices)
While you are breastfeeding your baby
When you have contractions in labour
Take a moment and consider the circumstances that usually surround this first instance of oxytocin release. I think I can assume that you are in a place that feels safe and secure. There probably isn’t a lot of busyness around you, and you are probably focusing on the matter in hand. You are likely to be with someone you love and trust.
Use those circumstances when you want to encourage labour. Don’t invite all and sundry to your house for a labour cheer along. Be close, be intimate, be relaxed. If you feel like it, try having one or more org*sms, with or without the assistance of another person.
Your breasts can also be stimulated to encourage oxytocin release. You could try hand-expressing, whether or not you have noticed any milk production over the last few days or weeks. If you get any milk flowing, you can keep it in a sterile syringe to give to the baby when they arrive. Massage is another great way to stimulate the breasts. Rubbing, rolling and tweaking are all options. See what works for you.
Things I don’t recommend for inducing labour naturally
There are other options you’ve probably heard of for inducing labour naturally. Curry or castor oil for example. The idea behind have a strong curry or a teaspoon of castor oil is to give yourself an upset stomach! I suppose people think that as your uterus sits next to your intestines, if we can get the intestines contracting and cramping, the uterus might follow. It might have worked for someone you know but it isn’t very common. Most of the time, the only thing that happens is that you get a lot of pain and discomfort, and spend a while in the bathroom! In my opinion it’s not a method that is reliable enough to be worth those side effects.
One more thing to try
It is definitely worth considering having a membrane sweep if one is offered to you. Read all about membrane sweeps here to find out how it could work for you.
Hopefully, one or more of the suggestions above will help you get into labour. Don’t leave just yet! Why not read the post on early labour here to find out what happens next and help with some coping strategies.
Raspberry leaf tea occasionally comes up in discussions with mums about labour and induction of (starting) labour. What is the big deal about raspberry leaf tea and will it really help you? Read on to find out.
First, a bit of biology. Try not to zone out, I promise to keep it simple and it will help you understand how raspberry leaf tea makes a difference.
The physiology bit
Your uterus is a muscle. As a muscle it is made up of lots of little muscle cells which all work together to contract. The muscle cells in the uterus need to work together to contract in a wave and help make the space inside your uterus smaller. This wave pushes baby down towards the exit.
The important point is that the muscle cells need to work together in a coordinated way. Think of a person trying to start a Mexican wave in a football stadium. If one guy on one side waves, but no one else around him does, no big wave happens. If two guys on either side try waving but aren’t looking at each other and those around them, you still won’t get a good wave.
A good stadium wave needs communication between everyone in the stadium. Everyone needs to be watching and they need to join in at the same time as those around them. When each person is watching those around them and moving in time with them, the wave moves efficiently around the stadium.
The same needs to happen with your uterine muscle cells. They need to work together and communicate with each other so that they coordinate their contraction with the cells next to them. This makes stronger and more effective contractions.
How does raspberry leaf tea help?
The amazing thing that scientists have discovered in recent years it that raspberry leaf tea seems to help your muscle cells communicate. Studies show that drinking raspberry leaf tea increases the number of gap junctions in your muscle cells.
Gap junctions are the communication channels between the cells. They spread messages from one cell to the next. Messages like ‘I’m contracting now. So should you!’. You already have gap junctions in your uterine muscles. The more gap junctions you have, the better the messages pass from one cell to the next. This may make a difference to improve the waves of contractions in your uterus.
Bring on the tea drinking!
The optimum time to start drinking raspberry leaf tea seems to be from about 34 or 35 weeks. This gives time for the gap junctions to develop ready for the end of pregnancy between 37 and 42 weeks.
Just one glass of raspberry leaf tea per day will make a difference. There is no need to drink 15 cups per day unless you really like it! Most women stick to a maximum of 3 cups per day. If you don’t like the taste of the tea, you can buy raspberry leaf tea capsules instead.
If you get any side effects, such as strong Braxton Hicks contractions, bleeding or nausea, please contact your local maternity services provider straight away!
Please be careful when using herbal remedies. Because they are not regulated in the same way as other medicines, the quality and concentration of the tea can vary between brands and between batches.
In conclusion, there may be a small benefit to drinking raspberry leaf tea towards the end of your pregnancy. However, the benefit seems to be in the coordination and efficiency of your contractions, not in making labour happen sooner. If you do not drink the tea, your body can and will still be able to go into labour, have contractions and deliver baby. It’s designed to do so, so trust it!
For more tips and tricks on making labour happen and coping when it does, have a look at the other articles on this site here.
Welcome to the next instalment of my ultimate equipment checklist. This post covers all that you might need for bathing baby. You can find the full checklist here and follow the links on that page to the other posts covering other equipment categories.
There are several options for baby baths. Most people start with a basic baby bath tub, which enables you to do the bathing in any room in the house. You simply move the tub to the room you choose. You can get small simple tubs or ones with integrated seats or supports to help keep baby in position.
I can not emphasise enough that you should never rely on a bath seat to support baby in a bath. They can slip or fail and baby could end up under the water. Never ever leave a baby unattended in the bath even for a second. Ignore the phone and door or remove the baby from the water and wrap them in a towel. After that, you can put them in a safe place like a Moses basket before you leave the room.
As baby grows and is more able to sit up in the bath, you might like to try a bath seat to support them. You should still not leave them unattended in the seat.
There are also bath dividers available which can be useful if you don’t want to buy a smaller baby bath tub. These fit into your existing bath so that you can just fill a portion of it. As a result, you save water and filling time. It also means that toys can’t float so far away from little one during play!
These are brilliant for drying baby after the bath. The hood keeps precious warmth from escaping from little one’s head. Their shape also makes swaddling much easier.
I would always recommend using two towels to dry the baby to start with. That’s because you might be a little slower at putting on the nappy and dressing them when they are new and small. In order to keep baby as warm as possible, dry them off with one towel first, then throw that in the hamper and use a fresh dry towel to wrap around baby while you dress them.
Small washcloths or flannels can be helpful for washing baby in much the same way that you would use it on yourself. It holds water, so you can wet all the areas of their skin and their hair. It also offer a little more friction than just using your hands, which can be helpful in the early days. That’s because in the first six weeks after birth we recommend that you don’t use any skincare products on baby, no matter how many midwives might use them, according to their adverts!
Baby’s skin is very sensitive and adjusting to being in the outside world. It has to develop a set of normal healthy bacteria and acids. If you use anything other than plain water you risk disrupting this developing balance and this may be linked to increases in eczema and other skin problems. Once the baby is 6 weeks old, you can begin using skincare products. I will be writing another post on newborn skincare shortly, so look out for that for more information.
Baby shampoo or bubble bath
As I’ve mentioned above, for first six weeks after the birth, the recommendation is to avoid products for skin care. Instead, use plain water and a washcloth to gently rub at any mess, particularly in their hair. I know that some of their messes, including in their first nappies, can be hard to wipe off in one go. It will come off with gentle repeated strokes of wet cotton wool pads though!
One of my favourite mum tips I’ve stolen from a friend is really helpful if you just want to use water for the first six weeks rather than baby wipes or water wipes. Buy a tube of cotton wool pads, like the ones you would take eye makeup off with. They come in this plastic bag which you can fill with water and squeeze out again. As a result you are left with a tube of damp cotton wool pads, so when it comes to changing nappies, you don’t need to go and find some water in a bowl. Plus, you haven’t paid out for baby wipes or put all those chemicals on baby’s skin! Win-Win for everyone!
When those first six weeks have passed you may want to start using baby products like shampoo or bubble bath. There are plenty of choices out there. I find the lavender scented ones can be really soothing and help babies wind down to sleep.
Brush and Comb
While it’s true that many babies come out with very little hair, some actually have long hair, even in the early days. If you need to brush out any mess that is in it, I would recommend a baby brush or comb as they have much softer bristles.
Keeping the water temperature right when bathing baby is something lots of parents worry about. I would recommend testing it by dipping the inner side of your wrist into it. If it feels too hot, then cool it down with cold water. If you would prefer a specific reading and visual guide then invest in a bath thermometer. They float on top of the bath water and show exactly how warm the water is, giving a colour coded measurement for you to easily understand.
I have another useful tip when it comes to filling baths and keeping baby safe if you don’t have a mixer tap. Always start by filling the tub with cold water. Put the hot water in after this to raise the temperature. This ensures that if you are called away before the bath is fully filled and someone else thinks they are being helpful by putting the baby in the water for you, it’ll just be uncomfortable for baby rather than burning!
Babies are born with amazing fingernails! It always fills me with awe and wonder that they are so perfectly miniature. Unfortunately they can be very sharp and when babies are still learning that they have control over their arms, hands and fingers, their own nails can scratch their little eyes and faces.
Every parent will recommend a different technique for trimming baby’s nails, which could be a god thing, as you know you’ll find something that you feel comfortable doing. There are ordinary nail scissors or baby nail scissors, which are smaller and have a larger body for stability. Some parents say they use their teeth to bite off the nails, or roll off the excess nail when the nails are soft from the bath. Another tip from another mum friend of mine is to use a nail file, which fits onto your finger like a thimble. It’s called a thumble, and you can see it here.
Baby Lotion or Cream
As I’ve mentioned above, for the first six weeks while the skin is adjusting, it is best to avoid baby products. However, once you’ve past that point and the skin has settled and developed its natural bacteria/acid balance, lotions and creams can be great. You can use them during baby massage or just after bathing baby. They can help keep skin soft and somehow enhance that magical ‘baby smell’ we all secretly love!
Bath Toys and Storage
At some point when baby gets a little older, they will really enjoy baths and having some toys to play with can be brilliant fun. However, since this won’t necessarily be for the first few weeks, this section can definitely be one where you can wait to see what gifts you might receive before you spend your own money on them. Just remember that as with most of your life, your bathroom will eventually be overrun by baby stuff, so planning some sort of toy storage is a good idea!
I want to let you in on a secret. It’s one that the press and social media and even your friends don’t want to tell you.
Sometimes pregnancy sucks.
You might be looking at all these stylised photos and posts telling you how wonderful women are finding their pregnancy. They describe how they feel as if they are glowing and finding fulfilment and a new purpose.
If you read those posts and feel inadequate or upset by them, you are not alone! I can’t tell you the number of women who come into my clinic each week feeling tired and exhausted and fed up and very unglamorous!
They have aches and pains in very private places, they can’t sleep and can’t eat and are too exhausted to do more than crash on the sofa after work. Some of them are physically sick every day well beyond the expected 12 weeks. For some, migraines sometimes get better during pregnancy but sometimes they get much much worse. Other women develop crippling pelvic pain which leaves them on crutches for weeks until the baby is born. Still others suffer with heightened levels of anxiety and fear over the what if’s and unknowns of pregnancy, labour, birth and parenthood.
The problem these women face is that society expects them to be glowing. It expects them to be radiant and smiling and excited. Society might make you think that any other reaction to pregnancy makes you a bad mother.
Things to remember
A miserable pregnancy does not automatically lead to a miserable life as a new parent. You will probably feel a whole lot better once you aren’t carrying 8 to 15 pounds of extra baby and placenta around inside you.
Any feelings of frustration or dread don’t mean that you don’t or won’t love your baby. It simply means that pregnancy is hard for you, and that’s ok to admit.
There are things your midwife or health professional can do to help you. Don’t suffer in silence for fear of judgement. What you feel is valid and won’t be the first time they’ve heard someone struggling with pregnancy.
What you can do
Talk to someone you trust. It might be a close friend or family member you know had a difficult pregnancy themselves. Sharing your feelings enables people to encourage and reassure you that everything will be alright.
Speak to your GP or midwife. If you have sickness, pelvic pain, migraines or some other physical symptoms, they may be able to suggest treatments for you. If you are struggling with anxiety around your pregnancy, birth or parenthood, they can refer you to local counselling services where trained professionals can guide you through the anxiety to find your calming and coping strategies.
Take time to rest and give yourself some grace. You don’t have to live up to society’s expectations and post a glowing selfie every day! Just getting out of bed might be a major success for you, so celebrate it!
Keep your eyes on the prize! However hard this pregnancy might be, focus on the baby and your parenthood to come. It will be worth it. They say parenthood is the hardest job in the world, which I definitely agree with, but it is also the most rewarding. There are so many stages to look forward to. If you aren’t keen on newborn babies, that’s ok. You might feel more confident looking after children when they reach the toddler stage. I promise that time will fly and that favourite age you like most will be here in no time!
It’s time to talk about leaving the house! For many new mums, this seems like a massive step which takes military precision to accomplish. It’s not unusual to make it out of the house several hours after your originally intended time. As part of my ultimate baby checklist series, here are my equipment ‘must haves’ to make getting out and about easier.
Unless you live in central London you’re probably going to need a car seat. Even if you do live in central London and don’t have a car, car seats can still be useful. They are helpful for transporting baby between venues, including on the tube or train or other public transport.
There is plenty of guidance available on car seats and ways to keep your baby safe. Read the brilliant Royal Society for the Prevention of Accidents website here for all you need to know about current UK laws and regulations.
Unfortunately, I don’t think this is an area where you should buy second-hand. You may be told that the seat you are buying has never been in an accident or had a fault, but you don’t have a guarantee of that. By buying a new seat, you know that it is structurally sound and have a manufacturer’s guarantee.
However, there are a lot of fancy seats and travel systems out there that are more bells and whistles than substance. You don’t need to buy something that costs more than your first car!
My favourite car seat on the market is the Doona. Visit their website here.
These gifted and brilliant people have figured out a way to integrate wheels into your car seat. It makes travelling with baby so much easier! You lift baby’s seat out of the car and don’t have to spend hours unpacking the boot to get out a separate wheeled base.
The integrated wheels means a quick conversion from car seat to stroller when you get out of the car, then another quick change from stroller to car seat if you have to climb stairs. It also frees up lots of space in the boot of your car for those trips to relatives you have to make or the normal supermarket shopping trip.
The price is pretty fantastic too and you can get extra add on’s like storage accessories, insect nets and rain covers. Everything you need in one neat little well-priced package! Yes, you will need to buy a car seat base as well as the seat itself. This is about £130, which still makes the whole package extremely good value for the flexibility of the product. It is a category O+ seat, so is suitable from birth to 13kgs, which is about 12-15 months old.
Having mentioned my love of the Dooma car seat, which transforms into a stroller, I have to admit that I don’t think a pram is necessarily essential. If you decide to buy one, I would still recommend buying new to avoid any worries over undeclared damage or faults. It’s also really important to check how easily it folds and make sure that it and it’s wheeled base will fit in your car. For that reason, you may want to go in store to check these things first, then you can either haggle for a great deal or walk away and buy online to save yourself some pennies.
Sling / Carrier
Baby wearing is a contentious issue for some mums. I believe it can be a wonderful way to bond with your baby and make life that little bit easier to maintain when your little one wants to be close to you. Please make sure that you read the safety guidelines below and apply them every time you put your baby in a sling or carrier.
Getting out and about is so much easier if you have a hand or two free. This is where slings and baby carriers can come in very handy! There are lots of different styles to choose from. You can make your own with fabric or buy ready made fabric or more fitted, shaped designs.
Simple fabric ones can be easier to store and transport when not in use, but sometime require a bit of origami style fabric folding to get the baby in to them! Others have easier clips and belts that make getting baby in and out easier, but they can end up being bulky.
If you get a chance, try and find a local sling group before you buy. These groups allow mums to swap slings and try out different ones to find out what works for them and their child at whatever stage of life they’ve reached. It’s also a great way to meet new friends!
Car Window Sun Shade
Travelling in sunny climes with little ones can be wonderful. However, if the sun gets into children’s eyes they can find it uncomfortable and they may wake if they were previously asleep. Adding a window shade to the car can reduce the glaring sun as well as protect little one from any harmful UV rays.
For many years, parents have been using suction cups to attach shades to windows, which is really straightforward. These kinds of shades come in all sorts of sizes and shapes to fit various window sizes. They can also have pictures of cartoon characters or cute animals for your child to look at.
However, we now have alternatives which can make life even better. There are some newer styles of shades which fit over the door itself. This enables you to open the window with the shade still in place. It also prevents any tiny fingers from pulling the shade off over and over again as part of a new and apparently exciting game!
Car Seat Mirrors
Driving with children in the car can be stressful for everyone. It’s sometimes hard to concentrate on the road, when world war seven is breaking out in the back seat! Luckily, someone has figured out how to help you monitor those back seat brawls without having to turn around and take your eyes off the road.
Buying a rear seat mirror is a very good investment. For rear facing baby car seats there are lots of inexpensive mirrors which tie around a back seat headrest to show you little one’s face. There are also mirrors you can fit under the main rear view mirror which enable you to see the full back seat and all those sibling squabbles!
Having a new baby always means more travelling. Family and friends can be many miles away and having maternity leave often helps make travelling to see them more feasible. If it has been many years since those friends or family have had small children of their own, you will probably need to take a travel cot along with you.
Usefully, travel cots can be playpens too, if you aren’t confident letting baby loose in a strange house. They can be pretty reasonably priced if you would like the flexibility of having your own. However, if you aren’t expecting to do a lot of travelling, it might be worth just borrowing one from a friend if and when you need it.
Apparently the latest fashion accessory, this will be your lifeline when getting out and about with baby. You can keep all the essentials in it so you can handle any surprises your baby has in store for you. I’ll spend another post discussing what to put into your bag. For now, why not explore the various options out there. They range from short handled handbag styles, to backpack types. There is something for everyone.
Options to consider: a fold up changing mat included – to make nappy changes on the move easier; waterproof or removable lining – there will be spills!; lots of compartments to keep things organised; fewer compartments to keep things simple; shoulder straps or backpack styles to keep your hands free; pram or stroller clips to attach the bag to the stroller.
So there you have it. My equipment suggestions for your new baby’s travelling comfort. Don’t forget to comment if there is something you think I should have included or if you have any tips on great products out there.
Here we go. You’ve read my Ultimate Baby Equipment Checklist, but don’t quite understand why I’ve included some things and not others. Perhaps you’re intrigued by my promise that all this stuff doesn’t have to cost the earth or could be done using stuff you already have. Well let me explain myself more thoroughly.
This is the first of several posts where I break down my ultimate checklist into smaller chunks. I’ll add the links to the others as I’ve written them. We’ll start here with the nursery.
Read the post on equipment to help you when you are out of the house here.
**This post contains affiliate links. If you make a purchase from one of my links, I may receive a commission or credit at no additional cost to you. For more info, please read my disclosure policy.**
A Moses basket or crib is simply a smaller version of a cot. It’s a safe flat bed to place baby in when they need a nap. It is a lot more portable than a full sized cot, so you can move it around the house. It is great if you want to put baby down to sleep while you do some housework or have a coffee, but don’t want them far away in their cot in your bedroom.
There are lots of different styles of Moses basket. Some have stands so they are off the ground. Some have rocking stands which might be useful if your baby likes movement to settle them. Just be careful with the rocking style as older siblings or pets might get their feet, fingers or paws trapped. They might also start rocking the baby by mistake which could wake them when you’ve just got them settled!
Whichever design you decide to go for, I wouldn’t recommend spending a really big amount on this. Babies often outgrow their Moses basket very quickly so it isn’t a long term investment. You could even try finding a second hand basket on Ebay, which will save you some pennies. If you decide to do this, please do buy a brand new mattress for the Moses basket even if the second hand one comes with it. There are certain stains and things you don’t want to share with a previous owner!
A cot is an essential item and here I do recommend buying new if you can. That is because you know that every new cot sold has to meet the current safety standards. If you buy a second hand cot, you might not know when it was manufactured or if it has a fault. More information on cot and sleep safety can be found here at the Infant Sleep Information Source.
The recommendations to reduce the risk of Sudden Infant Death Syndrome (SIDS) include the baby sleeping in their parent’s room for their first six months. It is worth buying one which is height adjustable. That means that as little one gets bigger, you can drop the base of the cot to reduce the likelihood that they can climb out. It also means that in those early days, you don’t have to strain your back lifting little one up or down quite as far. You can even buy cots that can be converted into beds for toddlers. That saves you the expense of replacing it with a separate new bed.
You may want to consider a co-sleeping style cot for the early days. These are designed to attach to the side of your bed, making it easier for you to reach baby when they need you at night.
Whether you decide to buy a second-hand cot, or you are reusing the cot your older child had, please buy a new cot mattress for each new baby. Make sure that the size of the mattress fits your cot, leaving no gaps around the edges which could trap or hurt the baby. Also, makes sure it meets all current safety standards. This should be stated in the seller’s paperwork or website.
Don’t believe what your local department store baby section says. You don’t need a specific baby furniture suite with fancy wardrobes and drawers and cabinets etc. A standard set of drawers or a dresser is really all you’ll need to start with.
I promise that your baby won’t mind if it isn’t white with pictures of cartoon animals on it. You can buy second hand and upcycle it if you prefer.
When getting heavy furniture for the nursery, please make sure you buy and fit some wall anchors. This prevents the drawers falling onto baby if they pull on them. Our favourite Swedish furniture store has some tips on anchoring furniture here.
To start with I would go for something with plenty of drawers. That way you can have one drawer for vests, one for babygrows, one for hats and socks, one for cardigans and jackets etc. You won’t be folding stuff neatly and even if you do, a middle of the night scramble for a new babygrow will undo all that hard work!
I’m a bit of a sucker for the Ikea Kallax range, as you can be quite unique and inventive in the style of drawer inserts you choose. The drawers are also deep, which is good for all those extra clothes you’ll get as gifts!
Changing areas can be fancy or simple. You can have a specific changing station which has a place to hold your bowl of water and drawers to hold your nappies and wipes.
You can manage just as well with a simple changing mat that you can place on the floor or on top of your bed or dresser.
I would recommend a changing mat as a minimum. Some mums like to simply change their baby’s nappy whilst the baby is lying on their bed. Unfortunately, a projectile poo can mean you have to change your entire duvet set at 2 am. I wouldn’t want to risk it!
The great thing about using a changing mat rather than having just one changing station, is that you can have multiple mats around the house. One will easily slide under the bed or beside the sofa. That means you can change nappies anywhere in the house rather than having to go upstairs every time.
It’s also worth having a nappy changing kit close by. I’ll write more on that in the post on equipment for changing (coming soon). Suffice to say for now, get a small basket or box which can hold some nappies, nappy bags, nappy cream, wipes or cotton wool pads and hand sanitiser. One basket per changing mat, and one changing mat per floor of the house makes everything a little easier.
To be honest, I’m not totally convinced that this is really essential. Feeding chairs do support you in an upright position and can enable soothing movement for an unsettled baby. However, you can also just stand and move or sit in a fixed chair and rock your torso yourself.
Some nursing chairs come with foot rests, which can definitely be helpful for those times when all you seem to do is feed your baby. Others are just really comfy for long feeding sessions. There is no right or wrong answer here. See what your budget can stretch too or make do with your favourite armchair.
Really, you’ll need one. A lot. Babies are messy little people. They will get poo and urine and milk and vomit over themselves and their clothes frequently. Having somewhere to throw the clothes needing a wash means you don’t have to go back and forth to the machine hundreds of times a day.
Co-sleeper e.g. Sleepyhead
A big cot can be very disconcerting for a baby. They’ve spent nine months inside mum, where they can only stretch a little before they meet the resistance of mum’s body. When they then get placed in a cold flat cot where they stretch and stretch and find nothing within their reach, they don’t like it!
Recent trends include the emergence of co-sleepers like the sleepyhead. These can be really useful as they seem to reassure the baby by fitting around him or her. You can have a look at them on Amazon here. If you decide to get one, it’s worth getting a couple of extra covers at the same time, as middle of the night accidents happen, and that’s not the time to run a fast wash and dry cycle on your washing machine!
However, before Sleepyhead arrived on the market and started pulling hundreds of pounds from new parents, midwives had other tricks which use items you already have in your house! Grab one of your big bath sheets or towels. Roll it into a long sausage shape and place that sausage in a U shape around the sides and head of the baby. Magic! Your baby reaches out and feels reassured by the towel being close, and you’ve not had to spend any pennies!
Many babies sleep better if there is a little light in the room. It also saves you from stumbling around the nursery in the dark as you answer their cries at 3 am. No more stubbed toes as you search for the new pack of wipes or nappy bags!
You can use any light for a night light. Just adjust the bulb wattage so that it isn’t too bright for you, and you’re all set. However, if you want to get a specific baby night light it might be worth looking at this one by The Gro Company.
I like this type of night light because it actually has another function, so saves you money! Two products for the price of one is definitely a bargain. It also serves as a room thermometer….
Now, as I’ve recommended a night light which doubles as a room thermometer, you might think this is an essential. If you feel unsure about the temperature of your room, or your house as a whole, a thermometer can give you concrete measurements of heat. This might be really reassuring for you, in which case, buy one and rest easy trusting that little LCD screen to guide you about open vs closed windows and one blanket or two.
A thermometer is not completely essential though. Every house I visit as a midwife has a different ambient temperature. Some people like their houses cooler and fresher. Others (like me!) want to be wrapped in warmth as soon as they cross the threshold. Babies learn to adapt to their environment. They can be dressed in extra or fewer layers depending on the air temperature.
If you want to keep a cooler house, just add an extra cardigan, babygrow or blanket to what baby is wearing. The general rule is one extra layer than you have. If you are wearing a shirt and jumper, baby will need a vest, babygrow and cardigan or jacket. When you are feeling really warm and just wearing a camisole top, baby might just need a vest on.
If you feel comfortable being guided by your own temperature and clothing levels, that’s brilliant. Just make sure you check a baby’s temperature by putting your hand on their chest or the back of the neck between their shoulder blades. Their hands and feet are always cold so don’t be guided by that.
If you feel too unsure about that way of checking, then use a room thermometer to keep the temperature within the recommended range so that you have one less thing to worry about. It’s entirely up to you!
Checking on baby is a natural instinct, so most parents like to have a baby monitor of some kind set up. This means they can check that little one is ok, even if they’re in a different room. It can be really useful if you have a big house, where you wouldn’t necessarily hear the baby crying in the nursery if you were in the living room.
It can also be useful if you are having a night in with friends, because being a parent doesn’t mean you can’t be sociable! As sociable and fun as the night gets, you’ll still be able to hear baby from the monitor even if someone is in the middle of a funny anecdote.
Sound and/or vision monitors
The type of monitor you buy is entirely up to you. You may want to just be able to hear when your baby stirs or cries. In that case a simple sound monitor is for you. You can go a little fancier by getting one with a camera. This enables you to see your baby from another room if you prefer.
If you and your partner have the same type of smart phone, you can set them up together as a baby monitor. A simple app will turn one phone into the transmitter that you leave in the nursery. The other phone stays with you and receives any sounds signals the first phone picks up. This certainly works wonders except for those of us who might be a little addicted to our phones. The idea of leaving it in the nursery or by the cot all evening might not be something you can contemplate!
Some parents prefer a little more functionality in their baby monitors. You can get some which have a pressure pad which lies underneath the cot sheet. This picks up on the breathing movements of the baby and can sound an alarm if these movements stop. You can even get monitors which clip onto your baby’s nappy or foot. These provide a continuous assessment of their breathing or blood oxygen levels.
*the Owlet baby blood oxygen monitor seems to only be available via Amazon.com at the moment. You would need to add in import charges if you decide you want one and live in the UK.
One great recommendation for helping babies to settle and sleep is white noise. This sort of background noise helps to mask any other household noises. Therefore that means baby won’t be woken by you flushing the toilet or watching the latest episode of your favourite TV show. It also helps to cover the noise of older siblings or even just adult conversations.
You can get really clever, and expensive, with noise machines. Some will play heartbeat sounds, so your baby thinks it is back in the womb. You can even get ones which upload your own baby’s heartbeat recorded from an antenatal scan! Some noise machines play nursery rhymes, whilst others go for nature sounds like rivers and rain.
There are quite a few white noise apps for smart phones too. Some of them are free, which also makes sense for any budget conscious parents out there. Unfortunately, as with the baby monitor apps, you do need to leave your phone with the baby. Those parents who like to check on social media or news or communication apps might find that hard.
The alternative is a tablet or laptop and a good wifi signal. Youtube has some great videos with white noise. I like this channel and use it when I’m writing. You can find rain falling on a car, or on a tin roof. Similarly, there are river sounds and thunderstorms. Lots of them have black screens too, if you don’t want to damage your device by playing it for 10 hours straight!
There we have it. My guide to what a nursery really needs, and a few tips to make it less of a strain on the purse strings. I hope you found it helpful. Above all, I hope you can see that babies don’t need extra special stuff although if you do feel more comfortable and reassured by having it that’s fine too.
Let me know what you think and any stuff you think I’ve missed by leaving a comment below.
So much of the planning and preparation that happens during pregnancy is focused on the baby. This is wonderful and very helpful indeed. However, I’d like to remind you that you have another person to take care of too – you! Here are some of my tips for looking after yourself in the postnatal period.
None of us can see the future so I don’t know what type of labour and birth you’ll have. It might be really long and painful with lots of complications. It might be really quick and intense. You might deliver the baby by pushing him or her out yourself. Perhaps you’ll need a little extra help like a forceps or ventouse delivery (oh, look, another blog post explaining them to be written in my future!). You may have an emergency caesarian or you may know the date already for your planned caesarian.
However this baby arrives, you will be tired and sore and sensitive in various ways and places. In all of the excitement about finally meeting your little one, you need to take some time to take care of yourself. Having a postnatal care kit set up already can make doing this much easier.
Here are my recommendations for your postnatal essentials. Feel free to choose them all or just pick one or two that you know will be helpful for you.
If you are looking for gifts for friends who have had or are about to have a baby, check out my gifts for new parents post here.
**This post contains affiliate links. If you make a purchase from one of my links, I may receive a commission or credit at no additional cost to you. For more info, please read my disclosure policy.**
1. Maternity Pads
What to expect after birth:
You will bleed after you’ve had the baby. Women are always asking me how long they will bleed for, but unfortunately, that’s one question I don’t know the answer to! Every woman bleeds for a different amount of time and in a different way. There is even a difference in bleeding after each baby a woman has. Some women will bleed red blood for 6 weeks. Others have a really heavy loss for a couple of days then it changes to brown then creamy before disappearing about 10 days after the birth. I know some who bleed heavily for a few days, then the bleeding seems to settle down, only to come back heavier again when the baby is 10-12 days old.
Most of the time the bleeding will be like a heavy period for the first couple of days before settling down. It will probably be a little heavier if you have a busy active day and be lighter if you are resting at home. You might have a gush of blood after feeding your baby or when you first get up in the morning. You will also notice some contraction-like feelings after the birth. These are perfectly normal and are helping your body reduce the size of your uterus so you can fit into your pre-pregnancy clothes!
The time to seek medical advice is if you have a gush of blood unrelated to feeding or getting up after sitting for a long period; if you think the blood smells funny or infected; if you are passing clots of blood over 4cm diameter after the first day or two; or if you have severe abdominal pains.
What to buy:
Anyway, all that information leads me to my first recommendation: Buy some maternity pads. Don’t get too fancy with them. The thick unscented kind are softer for the first couple of days. You may want to wear two of them – one towards the front of your underwear, layered over one towards the back of your underwear – to catch any leaks or gushes. Eventually, you’ll probably want to go for the thinner kind with the fancy coloured lines of super absorbent somethingorother, but not for the first couple of days.
Even if you have a caesarian, you will still bleed after the birth. Having some maternity pads on hand is essential. They can even provide another benefit for you. Your scar will be covered by a dressing for the first 5 – 10 days. After that the dressing is removed, and whilst this is good for healing, it can be nerve-wracking! Put a maternity pad in the front part of your underwear over the area of the scar, and you’ve got some padding. This makes you a little more confident when moving around and prevents clothes rubbing on the area.
2. Big Undies!
Your inspiration for this period should be Bridget Jones, not a Kardashian of some kind. Get the underwear that reaches right up above your bikini line, towards your umbilicus. Honestly, you are not going to be showing it to anyone so no one needs to know, and comfort is essential for the first few days and weeks. Leaks are also inevitable, especially overnight, so it might be worth buying some mesh underwear which you can either wash and re-wear or dispose of after one use. Big undies help to pull in your stomach, which will look a little like jelly for a while. They are also really helpful if you end up with a caesarian as they don’t end right on the scar line like normal underwear tends to do!
3. A jug or glass
Weird recommendation? Maybe, but entirely essential. Keep it in the bathroom, right next to the toilet. When you go in to pass urine, fill it up first with warm water, then pour it down over yourself as you relieve yourself. The warm water will be soothing and help to dilute your urine so that it is less stingy!
4. Pain relief
You’d think having the contractions was the most painful part of the whole giving birth process, right? Although this is true for most women, I must warn you that you’ll find lots of achy painful bits after the birth too. Whether it’s your breasts, your perineum or even after pains, you may well need some pain relief. Stock up on paracetamol and ibuprofen before the baby arrives. That way you won’t have to send your partner out to the 24 hour supermarket for urgent supplies in the middle of the night.
Sometimes, ibuprofen and paracetamol won’t be enough to control the pain. This might be because of the type of delivery you had or if you get an infection. If you find the pain is still unbearable, please speak to your doctor or midwife about it as they may recommend taking something stronger. There are other pain killers that are safe to use in the postnatal period and while breastfeeding. Generally, if you need these it is just for a couple of days to get the pain under control before it naturally settles and subsides.
5. Breast pads
Even if you aren’t planning on breastfeeding, it’s worth grabbing a pack or two of these. That’s because your body is going to automatically make milk, and that milk might well automatically flow when your baby cries! Having pads on hand to catch any wayward leaks saves the need for multiple changes of top each day.
6. Nipple cream
If you are breastfeeding, you need to check out my post on Breastfeeding Essentials. If you don’t have time to read another post, then let me encourage you to at least get some nipple cream. Nipples can get sore, even when the baby has a good attachment. Nipple cream will be your best friend for the first few days or weeks.
Ok, this one is a big deal! It’s one of the most frightening things you have to do after birth – opening your bowels!
Some women find that they don’t need to open their bowels for a few days after birth. This is very normal, especially as some women have a clear-out as they go into labour (yes, I do mean diarrhoea). Other mums empty their bowels as the baby is born – this is also very very normal and shouldn’t be something you worry about.
The key is to keep eating and drinking, including plenty of fluids, fruit and fibre. It’s also really important to go to the loo when you know there is something there to get rid of. Don’t hold it in out of fear! The longer it stays inside, the more water gets reabsorbed from it, so the harder it is to push out!
When you decide to face the music, make sure you have someone you can leave baby with, so that you can relax and sit on the loo for as long as it takes. Try holding a maternity pad over the front area to give that support as you push. Most importantly, don’t worry! I’ve never seen anyone split apart from opening their bowels. It’s definitely a psychological challenge rather than a physical one.
If you decide that you need to go but it won’t happen naturally, ask your doctor about getting some laxatives. There are some that are safe to use when breastfeeding and can help ease things along.
8. Pregnancy pillow – v or c shaped
Pregnancy pillows must be the world’s best kept secret! I really don’t understand why everyone doesn’t have one. They make everything so much comfier! You may well have found a V shaped pillow helpful during pregnancy to get into a good sleeping position. In the postnatal period, that pillow comes in very handy again. You can sit up in bed, or lounge on the sofa. It can be useful to support as you feed. So many uses!
You can also get C shaped pillows, generally described as breastfeeding pillows. They can be really useful for some mums, as they can help support the baby at your breast during a feed, or give some cushioning to a caesarian scar. However, some people find that they are more of a hindrance than a help to good positioning and attachment. They seem to report that the V shaped pillows or ordinary rectangular ones work better. Try it out for yourself and find out what works for you.
This is a definite essential because ‘Baby Brain’ is real, people! After a night of non-stop feeding and a day without naps because all your friends want to hold the baby, you might not even remember your own name!
Keep a notebook and pen handy wherever you go. You can makes notes on baby’s feeding and nappy habits. You can write down which breast you fed from last and how long for. Keep a record of your gifts so you can write thank you cards later, or simply start your to-do list for the day. Whatever you can think of, a notebook will help. It can be a fancy smart phone app, or an old-fashioned paper one. It doesn’t matter, just as long as it helps you to stay sane and remember bin day! How does a little one fill up the rubbish bin so quickly?! Personally, I think a paper one might be a lovely memento to keep and look back on in the future, but I’m just a sentimental kind of gal. 😉
10. Water bottle and snacks
This one shouldn’t really require too much of an explanation. You are going to be busy being a mum and partner and life coach and cheerleader and friend and comforter and all the other brilliant things that make you you. It can be hard to remember to feed yourself, so make it a little easier by keeping a water bottle close at hand and some pre-packed calorific goodness by your side. That way, even when you don’t manage a proper meal, you’ve got some supplies on board to keep you going.
11. Wine and chocolate
Also an essential that should go without saying, but I’ll say it anyway. Having a baby is hard work. Keeping that baby alive is seriously stressful. Staying kind and welcoming to an endless procession of visitors who want to hold the baby when you can hardly keep your eyes open is a feat of strength! Treating yourself is not only OK, it’s important. One glass of wine at lunch is not going to be the end of the world, and if the only calories you get for a 12 hour period come from a chocolate or two, it doesn’t matter.
I would recommend keeping the wine as a midday treat if you can. That’s because often newborn babies like to co-sleep, and co-sleeping is safest when you don’t have alcohol in your system. A small lunchtime glass will have worn off by bedtime, so it’s less to worry about on that score.
So there we have it – my list of essentials for a smooth and comfy postnatal period. Let me know what you think in the comments. Have I missed something? What helped you most in those early days?
You know how it goes. You want to be organised in time for baby’s arrival and the world wide web must be full of great ideas on what you need. Unfortunately, you discover exactly that! The internet is bulging with baby registry lists and new mum lists and equipment lists. Some seem incredibly short so you worry that they’re missing things. Others consider a baby bouncy chair that looks like a space rocket and has 273 modes to be essential!
Don’t panic! In my ongoing efforts to simplify the whole ‘having a baby’ thing for you, I’ve scoured those lists and created my own. I’ve taken lots of great ideas and left out the weird and wacky ones. Check it out below and let me know what you think in the comments section.
I’m going to be creating several blog posts over the next few weeks which will split this list down. I’ll discuss my reasons for adding and excluding certain items. I’ll also give hints and tips on how to save money by using cheaper alternatives or repurposing items you already own! Having a baby doesn’t have to ruin your bank account. I will help you find those great equipment deals and cost savings. Check back at the blog page to catch all my tips as I post them.
The first few posts are up! I cover the equipment for baby’s nursery here. For the ‘out and about’ equipment, read this. You’ll find health supplies here and bath-time equipment here.
Are you worried about your supply of breast milk? Are you anxious because your baby doesn’t seem to want to do anything except eat? Does he or she never seem to settle fully between feeds or only settle for short periods? This can all be normal behaviour for very new babies, but no matter how old your baby is, there are some things you can do to increase your milk supply. That way you’ll know that if there is a problem, it doesn’t lie with your breast milk supply.
**This post may contain affiliate links. If you make a purchase from one of my links, I may receive a commission or credit at no additional cost to you. For more info, please read my disclosure policy.**
Supply and Demand
Your body produces milk on a very simple supply and demand system. If all of your milk is removed, hopefully by a baby, your body produces even more for the next feed. This enables us to strategically increase demand artificially to increase your supply.
You may have thought or heard about expressing or pumping milk. This is an excellent way to increase the amount of milk your body produces and can produce results fast.
There are many ways to express milk. Some people like to hand express, others will use a hand pump, others prefer an electric pump. You can even get a double electric pump. Yes, you can feel a bit like a milking machine, but let’s be honest, pregnancy isn’t all that great for dignity or glamour. This is for your baby, right? You’ll do anything to keep them well fed. That includes attaching yourself to an electric pump several times a day. For suggestions of good quality double pumps, trying this search on Amazon.
The key to expressing or pumping to bring in more milk is to do it after the baby has fed. That way you know that the baby is getting everything they want before you collect the remainder or put in the order for more.
Try expressing or pumping for 10 minutes on each side after every other feed to begin with. Obviously, a double electric pump will be finished in 10 minutes, whereas hand expressing or a single pump will take 20 minutes to do the same. However, some people may get a better let down reflex from hand expressing and end up collecting more milk than they would using a pump. That might be because they feel more comfortable hand expressing – the milking machine analogy can certainly make some women feel uncomfortable enough to slow production. There is no right or wrong way to express and sometimes only trial and error will show you what your body prefers.
You may not collect a lot for the first couple of sessions but this is very normal. It simply means your body will be getting clear signals that the supply needs to increase. Just keep going and over the next 24-48 hours you will find the amount you collect increasing.
If you don’t want to spend extra time expressing after you’ve fed your baby, you can get your baby to make the demand for more milk. Sometimes babies will get so very comfortable and relaxed during a feed that they don’t eat everything they could before they fall off to sleep.
If your baby seems to fall asleep after only a short time at the breast, why not try switch feeding?
Start feeding the baby on one breast. When you notice the baby slowing down take them off and put them onto the other breast. You need to switch breasts before baby gets sleepy if possible. This means they may only feed for 2 minutes before the sucking and swallowing rhythm slows down. That is the time to switch breasts. Do this 3 times over the feed if possible so that both breasts have been fed from twice. This will definitely remind your body that there is a big demand for milk!
When you take the baby off the breast to switch onto the other one, try talking to them before you put them on the second breast. Lift them so that they are facing you vertically and try to catch their attention with soft encouraging words. This may help them wake up a little more.
Another classic midwife trick for waking up a rather sleepy baby in order to put them on the breast is letting them hang. Holding the baby securely with both hands under their armpits, lift them up into the air so that their legs are no longer supported by the bed or your lap. Although the baby is perfectly safe, they don’t like the sensation of having their bottom half unsupported, so it may wake them or even make them a little upset. I don’t recommend doing it for long periods! Just use it as a 2-second thing to wake them up enough to put them back on the breast. And tell them it was the nasty midwife’s idea if they complain!
Passive milk collection
Have you noticed that your breasts are leaking milk? Does that feel like a waste of the good stuff? There are ways to collect this leaking milk so that it can be used to feed your little one, rather than getting lost in a muslin cloth or your favourite nursing top.
Try using a silicone breast pump. This is a pre-formed silicone cone which is shaped to fit onto your breast and collect the dripping milk without any pumping action, manual or electric, required!
I like this one at Amazon:
Nipple shells can also collect the dripping milk if you don’t feel you have such great quantities. Shells are also great for wearing even when you aren’t wanting to collect the milk. If your nipples are really sore, nipple shells can help reduce the pressure on them from your bra or top.
Amazon has this twin pack with great reviews:
Keep to a schedule
The easiest way to boost your milk supply requires no extra money to be spent, which is great news since babies are very expensive little creatures! It’s such a good job they’re so cute!
The simplest technique is simply putting the baby to the breast more often. Babies are definitely the most efficient at removing milk from a breast. You may find you get nothing when you use a pump or hand express but your baby is getting plenty of milk when they feed at the breast. That’s absolutely fine!
Keep sleep periods short if you want to increase your milk supply. For healthy babies, demand or baby led feeding is recommended. That means as long as the baby gets at least 8 – 10 feeds of 10 minutes or more in 24 hours, we don’t mind how long the gap between feeds is.
However, if you think you need to increase your milk supply, try planning for a feed every 2.5 – 3 hours maximum. Gaps of 4 hours or longer might be normal in healthy babies who feed 8 – 10 times in 24 hours, but they won’t stimulate an increase in milk supply.
You can be kind to yourself and try waking the baby more frequently for feeds during the day. Let him or her have longer sleeps during the night. Don’t make your sleepless nights even harder by waking yourself and baby every 2.5 hours overnight!
Keep watching for hunger cues
Sometimes we miss an opportunity to put the baby on the breast because we haven’t noticed that they are hungry.
Keep your baby close to you, preferably in the same room. You can then notice the signs of hunger which come before crying, such as licking their licks, searching with their mouths open and sticking out their tongues. If you have left your baby in a safe place in another room you may want to consider bringing them back to your side when the 2.5 hour point comes, as they may already be beginning to stir.
Don’t use a pacifier all the time. Pacifiers can be really useful as a baby gets older or if your newborn just seems to be a very sucky baby who wants to suck even though they’ve fed well.
However, if you want to increase your milk supply, then the baby needs to be using your breast as its pacifier instead. You can still use the pacifier overnight if you would rather have that help for settling the baby to sleep. Just consider avoiding using it during the day.
IF YOU THINK YOUR BABY IS UNWELL BECAUSE THEY ARE NOT GETTING ENOUGH MILK, SEEK ASSISTANCE FROM YOUR DOCTOR, MIDWIFE OR HEALTH VISITOR AS SOON AS POSSIBLE. DO NOT WAIT TO TRY THESE TECHNIQUES AND SEE WHAT HAPPENS.
THE TECHNIQUES ON THIS PAGE SHOULD ONLY BE USED BY MUMS WITH HEALTHY BABIES WHO WANT TO INCREASE SUPPLY FOR CONVENIENCE OR PRACTICAL REASONS.
Burning, stinging, smelly urine? Yeah, pregnancy is all about the glamour! Unfortunately, women are more likely to get urine infections when they are pregnant. Find out more about what causes them, what you can do to prevent them and what treatments are available.
Why urine infections are common in pregnancy
During pregnancy, you have many different hormones at different levels in your body. These hormones help your body to nurture and develop your baby. They also help prepare your body for birth. One of the hormones involved is called Relaxin. This hormone is brilliant at relaxing (yes, really) the small vessels in your body. These vessels might be blood vessels or the tubes which carry your urine from your kidneys to your bladder or from your bladder to the exit! Relaxed blood vessels make it easier to send more blood flow to the baby to help them grow. Relaxed tubes for urine make it easier for bacteria to enter these tubes and cause urine infections. You can also find more information on the effects of Relaxin in my article on pelvic pain in pregnancy.
How do I know if I have a urine infection?
The symptoms of urine infections include:
pain when passing urine;
lower back pain on one or both sides of your back;
feeling generally unwell;
and needing to pass urine urgently but only passing small amounts when you do.
That last one can simply be because your baby is bouncing about on your bladder and making you think it’s full. However, if you have any of the symptoms of a urine infection, you should get a urine sample checked by your midwife or doctor. You can also have a urine infection without any symptoms, which is why your midwife checks your urine sample at every appointment just in case.
When the midwife checks your urine, she is looking for things like proteins, nitrites and leucocytes. Proteins can show up because the bacteria are made of proteins, nitrites because some bacteria produce these, and leucocytes because your body is producing them to fight off the infection.
Treatment for urine infections in pregnancy
The standard treatment for a urine infection is antibiotics. You will be asked to provide a urine sample which will be sent to the hospital laboratory. They will check which antibiotics work best to kill the bacteria. However, you can be started on antibiotics before the results come back, as there are general groups of antibiotics we can start with. The doctor will contact you within a couple of days if we need to change the antibiotics or if your sample actually showed that you have no infection.
It is important to complete the whole course of the antibiotics and to provide a sample at the end of the antibiotics to confirm that the infection has gone. Untreated urine infections can occasionally spread up into your kidneys and make you very ill, even possibly needing hospital care, so please ask for help if you think you have an infection.
Ways to prevent urine infections
So how can you reduce your risk of a urine infection, even if you do have that troublesome Relaxin hormone floating around your body?
Make sure that you are keeping clean. When you go to the loo, wipe from front to back. You can even get wet wipes to use after you’ve used the toilet just to keep everything fresher.
Change any pad or liners regularly. You do tend to have a heavier discharge during pregnancy, so you may be using liners or pads to keep your underwear clean. Just remember to keep changing these if they become wet or soiled.
Drinking plenty of fluids is really important. It keeps you and baby hydrated, which regulates your own and the baby’s heartbeats. It also means that you are passing urine a lot. This might be inconvenient but passing lots of urine means you are flushing out any nasties before they can start an infection.
Good sexual health
Mother told you to wee after sex and she was right. Any sexual intercourse can introduce bacteria into the area, some of which might want to set up shop and cause you an infection. By passing urine, then perhaps using a wet wipe or two, you are going to help flush them out of the area before they do.
Other things to consider
Some women find out during their pregnancy that they have a bacteria called Group B Strep in their urine or around their vagina. If it is in the urine it should be treated as usual but this bacteria can also impact upon your labour, birth and baby. I will be writing another post on Group B Strep and will link to it as soon as I have, but in the meantime, here is the link to the Royal College of Obstetricians and Gynaecologists patient information on Group B Strep.