Dear Kathy,
 
My OB says should I not progress by my next appointment, she wants to induce labor. What does “being induced” entail?
 
Sincerely,
 
Ready to serve eviction notice

Dear Kathy,

​As my due date approaches I am so afraid I will tear while pushing the baby out. Is there any way I can avoid this?
Expecting Prana Mama

Dear Expecting Prana Mama,

Tearing is not always preventable. Sometimes when everyone does everything right, a tear happens anyway. However, there are some things you and your provider can do to decrease the chances of a tear.

What you can do:
Eat a healthy diet! Good nutrition is so important for healthy tissue that can stretch without tearing. Eat lots of protein, lots of vegetables and fruits for all those vitamins, and drink plenty of water.

Dear Kathy,

What is pubic symphysis?  What are some ways to relieve the pain and discomfort? 

Thanks, Pregnant With a Third 

Dear Pregnant with a Third,
The pubic symphysis is part of your pelvis. It’s a joint where the 2 pubic bones connect in the middle of the front. You can feel it by putting your fingers on top of the area where pubic hair grows.
Unlike other joints in our body, the pubic symphysis usually moves very little. However, during pregnancy, there is a hormone called relaxin that loosens joints to make it easier for the pelvis to change shape slightly during childbirth. Relaxin loosens up the symphysis, causing increased mobility and sometimes discomfort.

The symphysis can separate slightly during pregnancy and childbirth, which is normal. Rarely, it separates more than usual and causes instability of the joint and pain. If you are diagnosed by your medical provider, often they will recommend you work with a physical therapist who can help to realign the joint and provide pain relief and strengthening exercises. Before you get to that appointment, ice packs and a maternity belt can help with pain and stabilization. 

Love, Kathy