Chinese Medicine in Obstetrics
Pregnancy
Chinese medicine is highly effective in caring for both mother and baby during pregnancy. Acupuncture gets excellent results for morning sickness, even where there is constant, countless episodes of vomiting, and with a foundation of 200 years of clinical observation, Chinese herbalists and acupuncturists are the experts when it comes to knowing what is safe and beneficial for mother and child alike. It is used in cases of threatened and recurrent miscarriage, for the numerous common problems which can arise during pregnancy. Closer to the due date, acupuncture is used to prepare the perineum and enhance cervical ripening.
Chinese medicine can care for maternal health while avoiding antibiotics and other strong drugs, and by caring for maternal health and building the mother's strength, has been found to improve labour outcomes. The best outcomes occur when the mother's health and 'qi' are at optimum levels. Prolonged labour is often the result of deficient 'qi'.
Morning Sickness
Statistics suggest that some 75% of women suffer from morning sickness, ranging from mild occasional nausea to constant and severe vomiting. In some cases, the condition is so severe that the loss of fluids, electrolytes and nutrients leads to an urgent situation, culminating in ketosis, potentially giving rise to kidney and liver damage, and if not properly managed, there is a risk of maternal death. Acupuncture is not only highly effective, but has the advantage of not requiring the drinking of herbs, which may not stay down.
Breech Presentation
The optimal position of the baby for birth is where the buttocks are up and the head is down; this means at birth the head is the presenting part. When the buttocks are the presenting part, it is called breech presentation. The baby frequently changes position during the earlier stages of pregnancy, and even if lying head upwards, will often spontaneously turn before 34 weeks' gestation. The Western medical intervention of physically trying to manoever the baby by pressing and pushing on the abdomen has largely been discarded, due to its low rate of success, and the risks of pre-term labour, placental rupture, cord injury and uterine rupture. Acupuncture and moxibustion are not always successful but have been shown in a number of studies to double the incidence of the baby turning when compared to spontaneous version. Breech presentation occurs in about 3-4% of women going into labour. Western obstetricians are not concerned until 36 weeks of pregnancy. In most cases, caesarian section will be recommended. However, the optimal time for using acupuncture and moxibustion to turn the baby is between 34 and 36 weeks, before the baby grows further and 'drops' lower in the abdomen - in other words, when there is still room to move.
Overdue Dates
Western obstetric practice manages overdue dates with the application of prostaglandins to the cervix, rupture of the membranes (breaking the waters) and the administration of syntocinon (synthetic oxytocin). The last option usually results in a more intense and uncomfortable labour, and is associated with hypertonicity of the uterus, raising the risk of uterine rupture. Acupuncture is more acceptable to many women because it results in a smoother and more comfortable labour.
Childbirth
Acupuncture can be used to facilitate labour in many ways: it is used at the time of delivery to promote the descent of the baby, to establish labour, to moderate (but not weaken) the contractions and to ease back pain. Best results are obtained when the mother has had treatment prior to the birth, where acupuncture can prepare the perineum and enhance cervical ripening. As described above, the best outcomes come for a mother in good health. Prolonged labour can be the result of deficient 'qi'. A Chinese medicine practitioner can determine if this is so quite early in the pregnancy and prescribe herbs to take during the pregnancy.
Post-Natal Health
Chinese medicine can replenish the maternal energies depleted by the growth of the child, to whom Nature gives priority for the 38 weeks of pregnancy. By doing this, not only does the mother feel better, but breast milk can be augmented, lochia can be reduced, and the chance of post-natal depression ca be reduced. It is also very effective in treating post-partum bleeding and in replenishing health where there has been a heavy loss of blood.
Infertility
Age is not seen as a major issue unless the end of the normal child-bearing years has been reached. Chinese medicine views infertility from a different perspective, although parallels can be drawn with Western medical theory. A number of factors play a part in fertility - the quality of the man's sperm (number, shape and motility); the quality of the woman's ova (number, size, development, maturation and timely release); tubal health (mucus, tubal motility), health of the uterine lining or endometrium; viability and healthy development of the egg after conception; the process of implantation; the secretion of hormones which support the pregnancy for the first 12-13 weeks until the placenta is fully developed and functioning. Chinese medicine focuses on each of these factors. By enhancing and supporting the natural processes of conception and pregnancy, the aim of achieving a natural pregnancy can usually be achieved.
Although in women’s reproductive health there seem to be more factors which potentially could present a problem, modern statistics suggest that problems with sperm quality are more prevalent than previously thought. One of the reasons for this is that the “normal range” cited in sperm analysis tests is lower than the optimum level. In other words, the cited range is not really quite good enough. Not many are aware how many sperm samples are rejected by sperm banks because they do not meet optimum standards. Modern research looking at men 40 and over has also shown the age of the father to be implicated in miscarriage. This is thought to be due to declining sperm quality associated with aging, even though 40 is far from ‘old’. Sperm quality can be improved with Chinese medicine.
And so, if both the prospective mother’s reproductive health and that of the prospective father are “not quite right”, even if there is no major problem, then the chance of conception and of carrying a baby to full term is significantly reduced. Except where the sperm being used is not that of the father, better results are obtained when both prospective parents attend the clinic for assessment and treatment.
IVF & Assisted Conception
Chinese medicine works well alongside Western fertilization techniques. In broad terms, IVF works by artificially controlling the hormonal environment. In this way, it increases the number of eggs developing in the ovary, ensures that ovulation takes place, and supports the early stage of conception until implantation is established. It does not address the status of tubal mucus or endometrial health, nor does it address the underlying health of the prospective mother. When Chinese medicine is used in combination with IVF treatment, optimum results are obtained if the Chinese medicine treatment is taken for 3 months prior to the start of IVF treatment. Statistics suggest that when IVF is used alone, the success rate is about 30% in women under 38 years of age. There are few statistics available for the success rate of Chinese medicine, however studies in Europe and Australia show that the success rate of IVF is increased when combined with Chinese medicine, and in our clinic, we often achieve success where IVF has failed.
For more information on any of the consultation
services please contact us.
