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Hello everybody. I’m Dr. Claudia Anrig. I am maybe one would call Queen B on pediatrics and prenatal chiropractic. You may know me from my first, second, or third edition of the textbook, pediatric Chiropractic, and we’re just super excited about this development here and. Something that’s available for our profession.
I want to thank ChiroSecure. It’s what a wonderful opportunity to share with amongst my colleagues. And my topic today that I’m gonna be talking about is called the fourth Trimester Wellness Care. And so we’re gonna go to our slides at this time.
So when it comes to wellness trimester care, a lot of times we think about preconception first, second, and third trimester. And very interesting. Many of our colleagues out there think that they’re prenatal family wellness chiropractors, but sadly if you think about statistically, what percentage of your practice is preconception.
And first is second trimester. If you consider yourself a prenatal chiropractor, but you’re only getting last minute Webster patients, you’re gonna run into a little bit of trouble. It’s called disappointment cuz those individuals are coming in for the last minute, Webster. They within a week or two of giving birth or even a few days, the baby’s in the wrong position.
They get a last minute referral from a midwife. They’re looking. On, just looking up on the internet, what are some solutions and chiropractic pops up as a possibility, but those are not really what we call wellness prenatal patients. So for many of you, you may think you have a pregnancy practice, but you may not because it’s really should start with preconception.
But there’s a another area that’s starting to take a little traction and that’s what we call the fourth month trimester. And basically what that is an opportunity is for our. Individuals are future families that are out there with their new babies. How do they get the best that’s going out there? So one way of also, by the way, staying connected with me, Is go to my website, dr claudia onri.com.
There you we’ve got something called free stuff. You can see all my adjustments out. My summers I put out there. One is a first adjustment where we cover 12 hours of ce over a hundred pages of notes. I teach pelvic floor there as well. Just, and it and the art of communication, how to grow a family wellness practice or if you just wanna reach out and do a survey with me that’s another thing that you can do.
And when we talk about the textbook, please Weather Amazon, live in Cock Williams and Wilkins, wherever you might get the textbook, please get that. That’s gonna just enrich your ability to go and. Find stuff that you just don’t have fi time to to study it. And these are fellow chiropractors who have written different chapters of the book.
Everything from technique, history, examinations, subluxation, everything is there for our for our colleagues. So please go to getting a textbook as a reference book for your practice. So when we think about what. Fourth trimester is our western culture here, particularly in North America in Canada as well as in the us.
We we just think about women go off, stop half the babies and depending on where they live, maybe they get four to six weeks off if they’re lucky. And then back to work. They have to go because the majority of women are not gonna be stay-at-home moms. They have to return to work. And depending on your state, Any other health complications?
The average woman is within four to six weeks returning back to work, which is totally opposite. If we go to certain countries out there Norway and countries like that where they allow for the women actually sometimes to take a year to year and a half off. Now, I know that would be a luxury item talking mainly since I’m probably speaking to US and Canadian doctors.
We know that would be luxury. But what’s really missing if somebody only has four. Six weeks if they’re missing something called rest. Recovery and bonding, and that is so important. So many women, I think, who are getting in the postpartum depression, anxiety can’t milk produce is the fact that they never thought about the fourth trimester.
Who’s gonna be there, who’s gonna fill their gap? They just were thinking, oh, beautiful pregnancy. I’m gonna give birth, and I’m just gonna have this little cute cargo here in my arms and it’s gonna be so easy and go figure. The one who thinks is gonna be the easiest is gonna have the biggest challenges.
And it is so unexpected and so many people, spouse, partner, isn’t ready to be supportive friends or family. If they’re a far away, they might just come in for a week. That’s not good. That’s not a good enough network to have. And so in the need or requirement in rest recovery basically I wish we were like a lot of other countries, they realize how important it is and to have support for the mom, have support.
For the newborn, and then also have support for for dad, the partner certainly for for the children. How do we support them? They don’t need support in six months from now. It’s usually the first 40 days, and that bonding recovery time is really very essential. A part of it is if there was an ideal number that want, that seems to be floating around, it seems that the ideal number of days, if we’re gonna call it days, it’s about 40 days.
40 days of quietness. 40 days of just relaxing, getting, know your baby, latching, sleeping baby, pooping mom, recovering from sleep, her pelvis. Recovering from just all the soft tissue microtraumas that happened. Hopefully it’s not one that she’s had a c-section, which is another sort of issues because of lifting and so forth.
And so this bonding time, the need is about 40, 40 days. Not two weeks, not a month, but about 40 days. And the thing is if nobody is talking, it’s very interesting, often doulas. Midwives, they may have this conversation with the women and some of them may not have it. And certainly if you go through the allopathic world, nobody has that discussion whatsoever with quote unquote their patients or clients.
And so who better than a family wellness chiropractor to start redirecting this conversation with them, even in preconception and in the first and second trimester, if you’re waiting until the third trimester. Then that’s too late. It’s way too late because they will not be able, they’re gonna be scrambling too much.
And so what it is it’s his support and the support needs to show up in many different ways from people support emotional support and. Food support, but that support needs to be there for every family member. So how do we help our patient on this? It’s called a, it really should be a quiet journey, not festivities, not people coming in left and right and visiting the baby and disrupting.
By the way, if that baby’s on the sleep pattern or if that baby is, on a feeding pattern, you have to set up the ground rules. You can only come in during these times, these hours, and it’s a short visit. You’re not gonna spend a half a day bouncing the newborn up and down. You’re not shaking ’em up there are martini folks.
You have to really, it’s all about the quietness of the family, calming things down and not exciting things. And often a family member, they just get so excited, they wanna be involved and their involvement. Could be so different if it just was more supportive role and not just making sure that they get a thousand pictures of the post on Twitter or Instagram, that it’s just so important to help ’em with this journey.
One of the things that we need to do, As we think about is create a list, ask what’s the top five things? If you could have like a nanny in a sense, somebody who would be there for you just, or, write down the, not only what your physical needs are for the home, your needs for your family.
Have them write that down. Another thing they could write down is, what do you think the needs for your spouse would be during this first 30 or 40 days? And so write down what are these needs? What are they afraid of? What about that? Hey, what are you afraid of? What are your concerns? And if you can get ’em to start thinking about it, start writing it down, and then in between, You’re adjusting schedule with them.
You say, Hey, let’s go address this one here. And then maybe you could problem shoot maybe from your own experience. If you’ve had your own family, you’ve found ways of adapting and pivoting and compensating and so forth. Share your great ideas and so forth. Or if you are one that doesn’t have children don’t worry.
You, you’ve gotta know half a dozen people that have had children and get their advice, how you can advise and help others. With this help time, one of the most important thing. Is nutrition. What I find with my women is that they are, if they’re not prepared with food, they stop eating.
They’ll eat junk food. They’ll eat, they’ll reintroduce a food that they shouldn’t be, like some fast food or go to something, and all of a sudden the chemicals are reintroduced to their bodies. And the result is that not only does that create a problem, maybe with their indigestion Probably can cause issues with their elimination of having constipation or diarrhea cuz they’re introducing food that’s not prepared for in their body, but also then you upset the baby with the breast milk.
And so it’s really important I consider the facts lists. If it’s 40 days. You need menu for each of those days. How are you gonna accomplish breakfast? What are your snack options? What is the possibility for everybody for, the breakfast, lunch, and dinner? Maybe the breakfast is the easiest thing that they can do on their own, but could a lunch and a dinner option be something that there’s well prepared and then go figure it out, folks.
You may have friends, they may have family members that said, you know what, I’ll cook these meals again. Maybe they’re just, queen or king be on certain kinds of foods, and so it’s prepped. So maybe it can all be frozen and so forth. Or somebody actively will prepare a warm meal and deliver it and so forth.
But look at your hub. Who could be in your, spoke, in your wheel of life, who could help you? And it might be you’re the worst. Your patients could be the worst. And food planning and so forth. So could they find us like a food nanny that somebody that would orchestrate their meals and get everything synced up and so forth?
So this, because this is where, when this ball gets dropped, the women stop eating less milk production. They’re under stress and bad eating. I just, I’ve seen too much of, and I tell my women, forget knives and forks. Forget, sitting down and dealing I’d say chop up your food and just grab it and just stick in your mouth.
I don’t care if you’re, just with your fingers. Do whatever it takes to get the protein in, the fat in hydrating and so forth. But it’s so important. And again, over and over again, I’ve seen it with my own patients. Just your lack of getting that type of support. And then what do we do with their children?
What are their children’s ages and maybe some of the older children can help out. That’s one thing. What is their schedule gonna be? The first few weeks do can somebody take ’em over for overnights? Can somebody, take ’em to the park? We need to orchestrate this. So once, when the mom’s pregnant, or the family ha it’s in their pregnancy stage, they have this pretty well ordered in organized format.
But it’s the, afterwards with the Oopsy daisy, something might have happened. With this baby being, a little bit more challenging, getting into a sleep or feeding pattern. So what would be a plan of of action that you could get a college student to come in after hours, a high school kid, a group of people that are just wonderful re resources or.
Homeschool kids. They’re very they’re super polite. One of the best crowd to be around. Very responsible, super responsible, and you just they could be hired out just to help play with the kids and take ’em outdoors and different things like that. This is a perfect area right now to stop and part one and part two, we’re gonna finish up this talk about the fourth trimester.
I’m real excited to see you again. So again, thank you ChiroSecure. And you can again check me out at Dr. Claudia Arnig. Dot com check out my seminars. I have a wonderful mentoring program called Generations where we just do everything turnkey to grow family practice. And typically within under two years, we have everybody being basically the, and the number one family wellness practice in their communities.
So check out generations.
Today’s pediatric show.