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Back Pain in Pregnancy
                       Easy take home answers for
                  improving maternal health and comfort
                          and labour outcomes




Heather Bruce www.simple-natural-solutions.com            1
Three magic helpers

  Moxa (sacral fan)


  Magnesium (no Calcium)


  Massage (opening pelvis) releasing whatever is
  blocking the Qi and Blood flow to the placenta, the
  birthing area and the reproductive organs.

    Heather Bruce www.simple-natural-solutions.com      2
Originating Experiences
  My focus was always maternity being a new mum when
  starting acupuncture college.

  35 years working with pregnancy and acupuncture in a
  specialised urban Brisbane practice. (Initially
  discovering that what was published did not touch my
  own personal maternal experiences, or those of my
  patients).

  Recently working with a closed community of Christian
  women In NZ who attempt to have at least 12 babies
  each; aiming past 16.

    Heather Bruce www.simple-natural-solutions.com         3
Use of moxa

  Moxa penetrates to the channel level, promoting Qi and
  Blood movement, removing stasis, warming cold,
  elevating yang and drying cold damp (Abbate, 2006).

  Whilst it is heating, ‘tonification with moxa provides
  gentle reinforcement to the patient’s deficiency
  condition’. (Abbate, 2002).

  By improving circulation, pain is relieved. (Flaws,
  2005).

    Heather Bruce www.simple-natural-solutions.com          4
Evolution of moxa on back
              pain

  When training dads to help in birthing, with the
  massage and deep pressure I was suggesting, hurt.
  Using moxa meant the pain in the preparation sessions
  eased right back – often to none felt.
  Side effects? Back pain gone, mum relaxed, baby
  repositioned.
  Anyone with back ache/sciatica is helped – not just
  pregnant women


    Heather Bruce www.simple-natural-solutions.com         5
Why choose moxa?

  Relaxes and rejuvenates
  Self help and self empowerment
  It is safe, cheap and effective
  I don’t have to be so hands on
  Dad gets to become more useful, strengthening the
  intimacy bonds and allowing them both to have faith in
  their preparation efforts when birthing.

    Heather Bruce www.simple-natural-solutions.com         6
Coincidentally
  Ki Qi strengthened and if baby can – baby moves to
  being perfectly positioned.
  This instantly often removes the source of the back
  ache - Baby turns into the right spot.
  OP and breech and lateral lie ..
  (No need to moxa Bl 67).
  MAJOR adjustment - get mum forwards facing
  (straddle chair) and relaxed (warm, Magnesium and
  moxa).


    Heather Bruce www.simple-natural-solutions.com       7
Sitting forwards – why?

  When using moxa, mum is astride a chair (facing its back).
  The pelvis as an organic structure opens or shuts depending
  on the state of tension and posture

  If mum is in a tilted forwards position, the pelvis opens 28%
  more, allowing an easier labour and birth.
  When mum tilts forwards there is more likelihood for the
  heaviest part of baby (the head) to move/fall forwards, away
  from her back and off her nerves, into the more optimal fetal
  position for birthing. (Scott, Sit Up and Take Notice 2003)


    Heather Bruce www.simple-natural-solutions.com                 8
Ideal working position in late
         pregnancy
                                                 Leaning forwards position
                                                 allows the body and pregnant
                                                 uterus to relax – giving baby
                                                 more room.
                                                 When using using moxa in
                                                 this position mum calms,
                                                 letting go, then giving more
                                                 space to allow baby to move
                                                 to the more optimal position.
                                                 This alone often instantly
                                                 reverts breech or OP baby to
                                                 OA – thus far easier to birth.
Heather Bruce www.simple-natural-solutions.com                               9
If breech - position for ease of
        natural birthing




  Heather Bruce www.simple-natural-solutions.com   10
If head down – lying in mum’s
       LEFT side - OA




 Heather Bruce www.simple-natural-solutions.com   11
Needles and sitting forwards




 Heather Bruce www.simple-natural-solutions.com   12
Missing link in
              changing fetal position

  Sitting forwards to have the moxa administered.


  This allows the pelvis to open up to 30% more, and the
  moxa use in the sacrum relaxes all of mum’s body.



  Often the reason why using moxa on Bl 67 does not
  have the desired result in turning babies.

    Heather Bruce www.simple-natural-solutions.com          13
Examples from your own clinic
  You may find if you ask women coming in for other
  pregnancy related problems that they also have
  extraordinary back or structural pain – but have
  stopped mentioning it as no one seems to have an
  answer.

  Here – you will – instantly.
  They can go home and use these techniques safely
  and with great results.

  This works for all – not just when pregnant

    Heather Bruce www.simple-natural-solutions.com     14
Back Pain in Pregnancy

  Back pain in pregnancy affects at least half of all
  pregnant women. (Greenwood, C and Stainton, C.
  2001)

  The Association of Chartered Physiotherapists in
  Women’s Health state in their online publication that
  lumbar pelvic pain is common in pregnancy with a
  prevalence ranging from 50-70%, with 14-22% of all
  pregnant women having serious PGP (pelvic girdle
  pain), 5 – 8% having severe pain and disability’.

    Heather Bruce www.simple-natural-solutions.com        15
Why is there pain?

  Pain in general is seen as result of a loss of adequate
  circulation of Qi and Blood (Flaws, 2005), and can be
  easily remedied by improving the quantity, quality and
  circulation of both.

  Lower back pain is seen as the most common sign that
  the Kidney Qi/ Yang /Yin and/or Jing is weakened.
  (Maciocia, 2005, Flaws, 2005).



    Heather Bruce www.simple-natural-solutions.com           16
Common pregnancy
                    pain triggers
  Past trauma (stuck Qi and Blood)
  Past cold invasion – general life or ‘therapeutic’ (esp in
  modern maternal hospital context)

  Not enough exercise (causing Stuck Qi)
  Not enough rest/relaxation – compounded in
  Magnesium and Blood/Yin deficiency

  Lack of Kidney Qi/Yin/Jing to nourish pregnancy and
  her own body.


    Heather Bruce www.simple-natural-solutions.com              17
Possible reasons for pain




Heather Bruce www.simple-natural-solutions.com   18
Mildred Seelig
  Seminal work on gestation and the role of magnesium
  http://www.mgwater.com/Seelig/Magnesium-Deficiency-in-
  the-Pathogenesis-of-Disease/index.shtml


  Early Roots of Cardiovascular, Skeletal
  and Renal Abnormalities
  Mildred S. Seelig, M.D., M.P.H., F.A.C.N.
  Goldwater Memorial Hospital
  New York University Medical Center
  New York, New York 1980

    Heather Bruce www.simple-natural-solutions.com          19
Magnesium supplementation
 works on all these levels




Heather Bruce www.simple-natural-solutions.com   20
Deviations from
                text book ‘normal’
             – people have had lives
1 - Past injuries (C. very bad car accident in years past, with
   engine lodged in her lap, massive head and body injuries,
   and a vast amount of scars)
2 - Coccyx pain from epidural
3 - Broken coccyx from earlier life accidents
4 - ‘Bad back’ from bad start to pregnancy - (in bed, can’t be
   mum – one of study group – maybe past maternal depletion,
   with no actual injuries or incidents)
5 - Spina bifida repair – scars to normal Qi flow


     Heather Bruce www.simple-natural-solutions.com               21
#1 – Acquired
                   traumatic injuries
  Last pregnancy C section as broken pelvis, intense
  pubic pain, ankles and legs not supporting body,
  stopped work, bed rest from 25 weeks.

  After extensive scar work, moxa and freeing all
  circulation, GV 1, eight extra work, with Magnesium,
  moxa often at home, is easily mothering active 10
  month old plus is 22 weeks pregnant.

  (Accidentally pregnant from the normalisation of her
  broken body work


    Heather Bruce www.simple-natural-solutions.com        22
#1 - Through windscreen, engine
          landed in lap,
      broken legs & ankles




  Heather Bruce www.simple-natural-solutions.com   23
Came to get help for terrible
         ankle pain
  As a result of earlier car accident, she has horrendous
  ankle and leg and pelvic pain.
  Also back.
  After treating all the scars, and giving her Blood tonics,
  Vit B Complex and Magnesium, she was accidentally
  pregnant – first baby only 6 months old.
  Couldn’t birth as back and pelvis too unstable.
  Now pregnant hopes to birth naturally. As another C
  section and a toddler and a newborn is too daunting.


    Heather Bruce www.simple-natural-solutions.com              24
#5 – Congenital - spina bifida
repair, back ache, wants VBAC




 Heather Bruce www.simple-natural-solutions.com   25
40 weeks - Lying on stomach,
 supported by ‘pillow towers’




Heather Bruce www.simple-natural-solutions.com   26
Induce . . but ..

  Will the energy flow with this amount of disruption?
   GV 1 and Bl 62, Moxa first in the sacrum to loosen, the
   needling – especially of all the scars.

  She felt cheated as was epiduralised ‘in case’ with 1st birth.
  Wants to be natural this time, but has terrible back pain, and
   pelvic instability.

  Awful home environment and scared to stay with her
   husband,; this doesn’t help starting labour. (Safety issues)


     Heather Bruce www.simple-natural-solutions.com                 27
Smokeless moxa is better than
           none.




Heather Bruce www.simple-natural-solutions.com   28
Ki Qi in Pregnancy

  Kidney Qi forms the foundation for the pregnancy, and
  circulation to the lower back. (Noll, & Wilms 2001).

  If there has been a past accident or local trauma, it is
  reasonable to expect that the lower back pain may be
  aggravated with the greater load of pregnancy. (Flaws,
  2005).




    Heather Bruce www.simple-natural-solutions.com            29
Calls on the Kidney Qi

  We can expect a decrease in maternally available Ki qi,
  as pregnancy calls for an increase Kidney Qi to be
  channeled to the uterus to make the new being. (Scott,
  1979)

  Whether pregnant or not, at times of lessened sleep,
  more work or stress load, or in general ageing, other
  manifestations of Kidney complex weakness are likely
  (Maciocia, 2005).


    Heather Bruce www.simple-natural-solutions.com           30
Back pain in pregnancy
                origins
  Deficiency of Ki complex - A state of pregnancy is
  possible when the woman has sufficient Qi and Blood
  and Jing to spare (Flaws, 2005).

  A weakening of these vital substances present with
  warnings such as lower backache. (Flaws, 2005,
  Maciocia, 2011)




    Heather Bruce www.simple-natural-solutions.com      31
Yang Qi is used for:




Heather Bruce www.simple-natural-solutions.com   32
Do women come in
                    with back pain?

  Whilst women typically do not come in for resolution of
  just the back pain some are crippled by it and the
  associated pelvic girdle problems.

  When researched over half of all women experience it
  to some degree.

  There may be a number of co morbidities that could
  lead to ‘high risk’ medical classification as the
  pregnancy progresses if left untreated.

    Heather Bruce www.simple-natural-solutions.com           33
Small random clinic sample
  Looking through my cases, I chose the pregnant
  women who had come in for any reason, and then
  selected the back pain ones to be included in this
  study.

  Other groups – for induction, changing fetal positioning
  and stopping miscarriage/stabilising pregnancy were
  removed.

  All who experienced moxa on their sacrum FELT better.
  No negative experiences.


    Heather Bruce www.simple-natural-solutions.com            34
Table one – common identifiers
 Name         Age       parity    Preg                                    Condition

   A           22        34        1st    Exceptional back /PS pain

   S           23        40        2nd    Acute back and leg pain and induction

   M           38        16        1st    Much bleeding/potential Misc/v bad back

   S           22        35        1st    Severe back pain/Gestational Diabetes

   C           34        28        2nd    Excruciating back pain

   K           33        27        2nd    PS pain and back ache

   A           35        33        3rd    Sacro iliac joints too painful to walk/back pain

   S           23        37        2nd    Back/body pain/anxiety/(previous dead baby 32 wks)   VBAC

   L           41        38        2nd    Anxiety/back ache

   V           37        32        4th    Acute pelvic girdle pain and back ache

   V           38        29        1st    Back pain/insomnia

   L           40        16        2nd    Back ache/anxiety/ Insomnia

   M           35        28        1st    Acute back/speed addict - needs to detox

   L           27        32        2nd    Gestational Diabetes, back pain, wants               VBAC

   M           36        40        4th    Backache/not coping

   J           35        26        2nd    Intermittent sciatica and severe anxiety             VBAC

 Heather Bruce www.simple-natural-solutions.com                                                       35
Valerie – 37yo Sample case
  32 weeks, in pregnancy lots of pelvic girdle instability, resulting in
   shooting pains down legs – mainly left.
  Stopped breastfeeding early last time thinking that would fix it but
   made it worse.
  Now pregnant again and it is crippling her.
  Moxaed sacrum. She couldn’t believe it - no longer feels as though
   she will break in half when she stands up.
  She did have ice to help with pain after all the babies. I assured
   her not to ever use ice again.
  Continued with moxa at home and did not need further treatment
   as the moxa nightly was enough to hold symptoms at bay.


     Heather Bruce www.simple-natural-solutions.com                         36
Alana – 22yo – 34 weeks
  No aches in her body at all, till 20 weeks. At this point
  her husband went with the army overseas and she
  fretted.

  All S & S started then. I gave her a Magnesium drink
  before I started working with her. She looked
  completely distressed and worn out in pain.

  She had been seeing a physio weekly for 14 weeks. It
  was not working – he only gets her to do an aqua class,
  where she can move around with no pressure on leg
  and do stretches

    Heather Bruce www.simple-natural-solutions.com             37
Life/sleep disruption
  Back and leg hurt unless lying down – but that hurts
  too.

  Also wakens her at night and it totally disrupts her
  sleep and life.

  Most painful when first gets up from any position, then
  it is OK after walking about for 200 metres, then after
  another 200 she is in severe pain again.




    Heather Bruce www.simple-natural-solutions.com           38
Easy answers
  Magnesium orally
  Magnesium transdermally
  Moxa on sacrum – and baby shifted off the ROA to
  LOA (perfect position for birthing)

  Allowed the pain from baby’s lie to instantly resolve.
  She got up off the chair and could not believe what that
  had just happened – it did not hurt to move – there no
  pain anywhere.


    Heather Bruce www.simple-natural-solutions.com            39
Acupuncture works!
  In a forwards seated straddling chair position, needles
  were inserted.
  deeply (3 inches) the three locations of GB 30, plus Bl
  60 and GB 34.
  I showed her husband how to massage her sacrum –
  and we continued to do this whilst the needles in. Liv 2
  sedated.
  In standing, she could not believe that she could – as it
  was a tricky position – and no pain anywhere in her
  back!

    Heather Bruce www.simple-natural-solutions.com             40
Enhances baby position, GB30,
all sacral points easily accessible




  Heather Bruce www.simple-natural-solutions.com   41
Pelvic girdle issues

  She now mentioned another problem - pubic symphysis
  pain – it had been totally overshadowed by the back.
  I used moxa directly on the point where the central
  midline and the pubic bone merge - CV 2 - and
  instantly all PS pain gone.
  Showed him again what to do, emailing him the
  instructional eBook. (This package and the ‘What Dads
  Can Do’ manual/DVDs are available from the shop on
  the site you are on presently)

    Heather Bruce www.simple-natural-solutions.com        42
Results

  No pain – although next morning she reported still not
  sleeping as the inner heat/hot feet at night and worry
  about husband going back to the front line taking up
  her time

  Her back and pubic bone not a problem at all.
  She needed more work on the Yin depletion, but
  choose to stop with just one session.



    Heather Bruce www.simple-natural-solutions.com          43
Modern maternal self care
  In Chinese medicine, maternal weakness can be
  explained through a combination of imbalances and
  deficiencies that may be partially relieved through
  simple lifestyle considerations and dietary additions.

  Modern women seem less likely to pay attention to their
  own levels of hydration and nutrition.

  In both pregnant populations studied, I find pregnant
  women are not drinking enough water, and not eating
  primarily for healthy baby development.


    Heather Bruce www.simple-natural-solutions.com           44
Maternal nutrition
  Baby is made from what mum ingests and how well her
  body works. (West, 2001)
  In my clinic, all patients are educated as to the role of
  more nutrient dense foods, and the need to supplement
  at least Vitamins B and C, Magnesium, and Zinc to
  allow better gut assimilation. (Bloemraad-De Boer,
  2007)
  In addition to a diet rich in protein, (Maciocia, 2005) fat
  and vegetables, Vitamin C in small frequent quantities
  is recommended for good collagen repair and structural
  regeneration. (McArdle, 1999)

    Heather Bruce www.simple-natural-solutions.com               45
Magnesium
                 Depletion Markers

  Ligament and muscle aching and cramps/spasms,
  twitching, irritability.

  Emotional unrest and insomnia, possibly with feelings
  of heat in the afternoon, with flushing; maybe extending
  into feelings of being overwhelmed and not coping
  emotionally. (Sircus, 2007)

  (Sound like Stuck Liver Qi overlain with Blood
  deficiency?)

    Heather Bruce www.simple-natural-solutions.com           46
Magnesium in life

  Magnesium is essential for muscle and nervous
  function, (Sircus, 2007) for resolving all spasms,
  cramps, restless legs, irritability and depressive
  tendencies as well as keeping cardiac and adrenal
  systems working optimally (Dean, 2007, Durlach 2004).

  Pre eclampsia, gestational diabetes and all clotting plus
  all gut and nervous and sleep problems may be simply
  Magnesium deficiency.


    Heather Bruce www.simple-natural-solutions.com             47
Mildred Seelig
  Seminal work on gestation and the role of magnesium
  http://www.mgwater.com/Seelig/Magnesium-Deficiency-in-
  the-Pathogenesis-of-Disease/index.shtml
  Early Roots of Cardiovascular, Skeletal
  and Renal Abnormalities
  Mildred S. Seelig, M.D., M.P.H., F.A.C.N.
  Goldwater Memorial Hospital
  New York University Medical Center
  New York, New York 1980

    Heather Bruce www.simple-natural-solutions.com          48
Where we get Magnesium from?
  From foods grown in soil containing Magnesium
  In 2004, the Journal of the American College of Nutrition released a
   study which compared nutrient content of crops at that time with 1950
   levels. Declines were found as high as 40%.11

  Dr. Donald Davis, lead researcher for the study, offers one explanation
   for the dramatic declines:

  During those 50 years, there have been intensive efforts to breed new
   varieties that have greater yield, or resistance to pests, or adaptability
   to different climates. But the dominant effort is for higher yields.
   Emerging evidence suggests that when you select for yield, crops
   grow bigger and faster, but they don’t necessarily have the ability to
   make or uptake nutrients at the same, faster rate.”12

  http://www.ancient-minerals.com/magnesium-sources/dietary/


     Heather Bruce www.simple-natural-solutions.com                             49
Processed foods
  It is these removed portions of the plant that often contain the highest amount
   of minerals such as magnesium.

  Refined oils remove all magnesium. The result of oil refining is a zero
   magnesium product. Safflower seeds, for example, contain 680 mg of
   magnesium per 1,000 calories. Safflower oil lacks magnesium entirely.8

  Refined grains remove 80-97 percent of magnesium.9 At least twenty
   nutrients are removed in refining flour. And only five are put back in when
   refined flours are “enriched”.10 Magnesium is not one of them.

  Refined sugar removes all magnesium. Molasses, which is removed from
   the sugar cane in refinement, contains up to 25% of the RDA for magnesium in
   one tablespoon. Sugar has none.

  http://www.ancient-minerals.com/magnesium-sources/dietary/




      Heather Bruce www.simple-natural-solutions.com                                 50
Why it is missing
                     in modern life
  Lowered magnesium availability in foods due to industrial
   farming practices
  Dietary habits leading to low magnesium uptake, such as
   consumption of sodas and carbonated beverages
  Excess stress or illness, which lowers the ability of the body to
   utilize magnesium
  Mineral imbalances, such as excess calcium, which blocks
   cellular magnesium activity

  Metabolic differences in individuals, such as excess magnesium
   excretion by the kidneys, sometimes resulting in magnesium
   losses and deficiency
  Stress: chronic, low grade creates adrenal deficiency

     Heather Bruce www.simple-natural-solutions.com                    51
Magnesium in pregnancy

  As per Mildred Seelig’s seminal work (small for dates,
  stillbirths, placental clotting disorders, unexplained fetal
  morbidity.

  Magnesium is crucial to prevent pre eclampsia,
  cerebral palsy, gestational diabetes, maternal
  depression and insomnia. (Sircus, 2007)

  As in dairy cows, a Magnesium deficiency leads to
  insufficiency of milk supply and mastitis/milk fever

    Heather Bruce www.simple-natural-solutions.com               52
Yin Deficiency = Dehydrated and
     Magnesium Depletion




 Heather Bruce www.simple-natural-solutions.com   53
2 issues of homework to
enhance the successful treatment

  Improving maternal Magnesium exposure (limit
  Calcium as it is a Mag antagonist). All pregnant
  literature stresses use of Calcium, not of Magnesium.



  Avoidance of cold. All Asian cultures protect women
  for their reproductive lives.




    Heather Bruce www.simple-natural-solutions.com        54
Yang deficiency is endemic in my
 pregnant women populations.

Cold exposure causes stagnation, contraction, lack of
  circulation. Ice is used as the treatment of choice for all
  trauma, is actively sought in all consumables, sleeping
  in air conditioning

  In acupuncture theory, cold consumes the Yang. (Tureanu &
  Tureanu, 1999) Cold weakens the Kidneys, as a source of
  energy. (Roemer, 1999)
  Yang Qi is seen as being unnecessarily exhausted through
  exposure to cold, (Betts, 2006), cold causing stagnation of
  its flow. (Roemer, 1999).


    Heather Bruce www.simple-natural-solutions.com              55
Yang deficiency S & S




Heather Bruce www.simple-natural-solutions.com   56
Where do we get cold?

  In Australia and NZ just birthed women are now
  routinely ICED as ‘best practice’ in hospitals.
  Damaged perineums, engorged breast and all labour
  wards offer and demand the use of ice - often in the
  birthing area as baby emerges.
  Repair work in theatre exposes traumatised new mum
  to cold transfusions (from fridge), freezing O2 in
  nostrils, ice as a recovery tool and very chilly operating
  conditions

    Heather Bruce www.simple-natural-solutions.com             57
How can back pain originate?

  Loss of vitality (centre marker of Kidney Qi expression)
  leading to many problems of Qi and Blood stagnation,
  causing back weakness and pain. (West 2006).

  Any past exposure to cold through previous ‘icing’ of
  injuries, the ingestion of cold food and drink, (Maciocia,
  2005) exposure to drafts or walking on cold floors with
  no footwear results in the cold energy ‘splinters’
  interrupting and wasting Yang Qi. (Tureanu & Tureanu ,
  1999)

    Heather Bruce www.simple-natural-solutions.com             58
Yin and Yang Depletion in
           pregnant population

  Yang Deficiency in pregnancy may present in many
  ways, but symptoms are more severe when concurrent
  Yin/Jing Deficiency is greater than the Yang deficiency.
  (Maciocia, 2005)

  She may present as having hot feet at night,
  sometimes with the entire leg out of the bedclothes.
  (part of ‘5 hearts hot’), very under noticed, yet endemic
  in ‘high risk’ pregnancy.


    Heather Bruce www.simple-natural-solutions.com            59
Results not only dependent on
        great clinician care

  Increasing hydration, protein and Magnesium intake
  may make a positive effect on the pregnancy, by
  improving maternal Yin and Yang Qi.



  Table 2 shows the spread of problems in the studied
  patient population.




    Heather Bruce www.simple-natural-solutions.com       60
TABLE 2 Acupuncture identifiers
    Name        Age    parity         Preg                          Condition         Yin Def   Yang Def

A          22         34        1st          Exceptional back /PS pain                  Y          Y

S          23         40        2nd          Acute back and leg pain and induction      Y

M          38         16        1st          Bleeding/potential Misc/v bad back         Y*         Y


S          22         35        1st          Gestational Diabetes/severe back           *          Y


C          34         28        2nd          Excruciating back pain                     Y*

K          33         27        2nd          PS pain and back ache                      Y          Y

A          35         33        3rd          Sacro iliac joints too painful to walk                Y

S          23         37        2nd          Body/back pain//(prev dead baby)           Y*         Y

L          41         38        2nd          Back ache/anxiety

V          37         32        4th          Acute pelvic girdle pain & back ache

V          38         29        1st          Back pain/insomnia                         Y

L          40         16        2nd          Back ache/anxiety/ Insomnia                Y*

M          35         28        1st          Acute back/speed addict                    Y*         Y


L          27         32        2nd          Gestational Diabetes, back pain, VBAC


M          36         40        4th          Backache/not coping                        Y*         Y

J          35         26        2nd          Intermittent sciatica & anxiety/VBAC       Y          Y




      Heather Bruce www.simple-natural-solutions.com                                                       61
How to make an
                      instant difference

  The focus of this work is the area directly affecting the
  nerve and blood supply to the pelvis - the sacrum.

  A lit pure moxa stick is to be held about 1 - 2 cm away
  from the skin, moving in an upwards direction and
  outwards as a sunray pattern, for three to five minutes
  in total. Away from a breeze.




    Heather Bruce www.simple-natural-solutions.com             62
Moxa Sacral Fan




Heather Bruce www.simple-natural-solutions.com   63
Holding moxa away from
    your own Lu 10,11




Heather Bruce www.simple-natural-solutions.com   64
Direction of moxa flow




Heather Bruce www.simple-natural-solutions.com   65
How long?

  Usually no more than 3 minutes.
  Ensure she is not in a draft.
  This may mean tenting’ towels around her so there are
  no breezes happen even if it is outside and windy.

  Have all hydrated and not hungry to start this as it can
  ‘space’ everyone out as the moxa is potent.



    Heather Bruce www.simple-natural-solutions.com            66
Massage

  Optional
  Does show her what depth and strength he needs to
  use at home.

  Enhances the back pain relief and is a huge help in
  moving the stuck qi.

  Childbirth education that works



    Heather Bruce www.simple-natural-solutions.com       67
Part of home care

  I usually start with the 3 minute moxa so they can feel
  just what could be achieved quickly at home.
  When the massage is completed, usually after the
  needle part of the session, she can feel just how easy
  and open her pelvis could feel with his home
  ministrations.
  Greatly increases partner intimacy, confidence and
  bonding leading into an easy approach to childbirth
  education and joyful birthing outcomes.

    Heather Bruce www.simple-natural-solutions.com           68
Pelvic Opening Massage




Heather Bruce www.simple-natural-solutions.com   69
Directions of massage/alternate home
          massage position




    Heather Bruce www.simple-natural-solutions.com   70
Very deep pressure 45 degree on
     Bl 35 towards perineum




  Heather Bruce www.simple-natural-solutions.com   71
TABLE 3 Results - Back relief
     Age,             Presenting condition                         Pain relief -          Pain relief -
     gestational age,                                              total                  mostly
     parity
1         A 22 34 1st       Exceptional back /PS pain               (back OK - hip now)          Y

2         S 23 40 2nd       Severe back pain/induction                      Y

3         M 38 16 1st       Bleeding/Misc?/v bad back                       Y

4         S 22 35 1st       Severe back aching & GD                         Y

5         C 34 28 2nd       Excruciating back pain                       ongoing                 Y

6         K 33 27 2nd       PS pain and back ache                           Y

7        A 35 33 3rd        Sacro iliac joints too p/ful to walk          mostly                 Y

8         S 23 37 2nd       Body pain/(prev dead baby)                      Y

9         L 41 38 2nd       Back ache/anxiety                               Y

10        V 37 32 4th       Pelvic girdle pain                              Y

11        V 38 29 1st       Back pain/insomnia                              Y

12        L 40 16 2nd       Back ache/anxiety/insomnia                      Y

13        M 35 28 1st       Acute back/speed addict                         Y

14        L 27 32 2nd       GD/back pain                                    Y

15        M 36 40 4th       Backache/not coping                             Y

16        J 35 26 2nd       Intermittent sciatica/anxiety                   Y

       Heather Bruce www.simple-natural-solutions.com                                                     72
Back pain is a warning

  Has mum enough Kidney Qi/Jing to impart to baby?
  Has mum got previous Stuck Qi and Blood issues in
  the background (may undo easy birthing attempts)
  Take extra Magnesium supplementation (without
  Calcium)

  Has mum been exposed to cold and is that cold still
  resident to waste her Yang?



    Heather Bruce www.simple-natural-solutions.com       73
Birth outcomes from sacral moxa
                                                                       F/Up moxa
        Name                          Presenting condition              at home    Birth outcome

1    A, 22, 34,1st   Exceptional back /PS pain                             Y       Still pregnant

2    S 23 40 2nd     Back pain relief/ induction                           Y       Easy natural immediate

3    M 38 16 1st     Over bleeding/potential Misc/ v bad back              N       Elect C (mum initially 120 Kg)

4    S 22 35 1st     Severe back aching/ GD                                Y       OP/ induction failed/C section

5    C 34 28 2nd     Excruciating back pain                                Y       Induced easy natural

6    K 33 27 2nd     PS pain and back ache                                 Y       Spontaneous natural

7    A 35   3rd      Sacro iliac joints too p/ful to walk                  Y       Spontaneous home water
                                                                                   Elect C (Dr scared her about uterus potentially rupturing – there
                                                                                   is much mention of possible dead babies to worry mums in late
8    S 23 37 2nd     Body/back pain/anxiety/(past 32 week dead baby)       N       pregnancy)

9    L 41 38 2nd     Anxiety/back ache                                     Y       Spontaneous easy natural
                                                                        No need
10   V 37 32 4th     Extreme pelvic girdle pain                         (fixed!)   Spontaneous easy natural

11   V 38 29 1st     Back pain/insomnia                                    Y       Spontaneous easy natural

12   L 40 16 2nd     Back ache/anxiety/ Insomnia                           N       Induced easy natural
                                                                        No need
13   M 35 28 1st     Acute back/speed addict/                           (fixed!)   Still pregnant

14   L 27 40 2nd     Back pain/Seeking VBAC / Gestational Diabetes/        Y       Induced easy VBAC

15   M 31 22 2nd     Morning sickness, weakness, extensive back ache       Y       Still pregnant

16   M 36 40 4th     Backache/not coping                                   N       Spontaneous home water birth

17   J 35 26 2nd     Intermittent sciatica, v anxious                      N       Spontaneous easy natural

             Heather Bruce www.simple-natural-solutions.com                                                                                        74
Moxa plus . .
  All these women in my clinic attending my clinic are
  sent home with instructions for husband to moxa and
  massage at home.

  All are also sent home with B Complex, Zinc in a form
  they can assimilate, and lots of Magnesium – oral and
  transdermal.

  All used moxa by choice at home as it gave instant
  relief, allowing better sleep.



    Heather Bruce www.simple-natural-solutions.com         75
Extra tips to mums to be
  Plenty of water, protein and vegetables
  Always sit forwards.
  Rest
  Magnesium (without Calcium)
  Moxa at least three times weekly leading you to the
  birth, or from when back ache is a trial (and all other
  deficiency S&S).

  Massage & points pressed, following the moxa

    Heather Bruce www.simple-natural-solutions.com          76
Could just be magnesium alone . .
   Joanna, 5th birth.
   Usually very long, slow, hard affairs.
   This pregnancy only difference was taking lots of Mag.
   45 mins start to finish – husband and midwife did not
   make it.
   Only one case of mastitis (usually at least 5 by then)
   when she forgot to take the Mag for three days.
   Why try to only make one change on her life, when
   many can do such a stunning job?

     Heather Bruce www.simple-natural-solutions.com          77
Moxa and Magnesium

Are essential additions to every pregnancy

More found on



  www.simplenaturalsolutions.co.nz
  www.easybabies.com.au
  www.my-mothers-heart.com

    Heather Bruce www.simple-natural-solutions.com   78
Thank you

                        Heather Bruce

                             Brisbane, Australia

                     Christchurch, New Zealand
  heather@heatherbruce.com.au

   Heather Bruce www.simple-natural-solutions.com   79

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Back pain in pregnancy wed 26 2

  • 1. Back Pain in Pregnancy Easy take home answers for improving maternal health and comfort and labour outcomes Heather Bruce www.simple-natural-solutions.com 1
  • 2. Three magic helpers   Moxa (sacral fan)   Magnesium (no Calcium)   Massage (opening pelvis) releasing whatever is blocking the Qi and Blood flow to the placenta, the birthing area and the reproductive organs. Heather Bruce www.simple-natural-solutions.com 2
  • 3. Originating Experiences   My focus was always maternity being a new mum when starting acupuncture college.   35 years working with pregnancy and acupuncture in a specialised urban Brisbane practice. (Initially discovering that what was published did not touch my own personal maternal experiences, or those of my patients).   Recently working with a closed community of Christian women In NZ who attempt to have at least 12 babies each; aiming past 16. Heather Bruce www.simple-natural-solutions.com 3
  • 4. Use of moxa   Moxa penetrates to the channel level, promoting Qi and Blood movement, removing stasis, warming cold, elevating yang and drying cold damp (Abbate, 2006).   Whilst it is heating, ‘tonification with moxa provides gentle reinforcement to the patient’s deficiency condition’. (Abbate, 2002).   By improving circulation, pain is relieved. (Flaws, 2005). Heather Bruce www.simple-natural-solutions.com 4
  • 5. Evolution of moxa on back pain   When training dads to help in birthing, with the massage and deep pressure I was suggesting, hurt.   Using moxa meant the pain in the preparation sessions eased right back – often to none felt.   Side effects? Back pain gone, mum relaxed, baby repositioned.   Anyone with back ache/sciatica is helped – not just pregnant women Heather Bruce www.simple-natural-solutions.com 5
  • 6. Why choose moxa?   Relaxes and rejuvenates   Self help and self empowerment   It is safe, cheap and effective   I don’t have to be so hands on   Dad gets to become more useful, strengthening the intimacy bonds and allowing them both to have faith in their preparation efforts when birthing. Heather Bruce www.simple-natural-solutions.com 6
  • 7. Coincidentally   Ki Qi strengthened and if baby can – baby moves to being perfectly positioned.   This instantly often removes the source of the back ache - Baby turns into the right spot.   OP and breech and lateral lie ..   (No need to moxa Bl 67).   MAJOR adjustment - get mum forwards facing (straddle chair) and relaxed (warm, Magnesium and moxa). Heather Bruce www.simple-natural-solutions.com 7
  • 8. Sitting forwards – why?   When using moxa, mum is astride a chair (facing its back).   The pelvis as an organic structure opens or shuts depending on the state of tension and posture   If mum is in a tilted forwards position, the pelvis opens 28% more, allowing an easier labour and birth.   When mum tilts forwards there is more likelihood for the heaviest part of baby (the head) to move/fall forwards, away from her back and off her nerves, into the more optimal fetal position for birthing. (Scott, Sit Up and Take Notice 2003) Heather Bruce www.simple-natural-solutions.com 8
  • 9. Ideal working position in late pregnancy Leaning forwards position allows the body and pregnant uterus to relax – giving baby more room. When using using moxa in this position mum calms, letting go, then giving more space to allow baby to move to the more optimal position. This alone often instantly reverts breech or OP baby to OA – thus far easier to birth. Heather Bruce www.simple-natural-solutions.com 9
  • 10. If breech - position for ease of natural birthing Heather Bruce www.simple-natural-solutions.com 10
  • 11. If head down – lying in mum’s LEFT side - OA Heather Bruce www.simple-natural-solutions.com 11
  • 12. Needles and sitting forwards Heather Bruce www.simple-natural-solutions.com 12
  • 13. Missing link in changing fetal position   Sitting forwards to have the moxa administered.   This allows the pelvis to open up to 30% more, and the moxa use in the sacrum relaxes all of mum’s body.   Often the reason why using moxa on Bl 67 does not have the desired result in turning babies. Heather Bruce www.simple-natural-solutions.com 13
  • 14. Examples from your own clinic   You may find if you ask women coming in for other pregnancy related problems that they also have extraordinary back or structural pain – but have stopped mentioning it as no one seems to have an answer.   Here – you will – instantly.   They can go home and use these techniques safely and with great results.   This works for all – not just when pregnant Heather Bruce www.simple-natural-solutions.com 14
  • 15. Back Pain in Pregnancy   Back pain in pregnancy affects at least half of all pregnant women. (Greenwood, C and Stainton, C. 2001)   The Association of Chartered Physiotherapists in Women’s Health state in their online publication that lumbar pelvic pain is common in pregnancy with a prevalence ranging from 50-70%, with 14-22% of all pregnant women having serious PGP (pelvic girdle pain), 5 – 8% having severe pain and disability’. Heather Bruce www.simple-natural-solutions.com 15
  • 16. Why is there pain?   Pain in general is seen as result of a loss of adequate circulation of Qi and Blood (Flaws, 2005), and can be easily remedied by improving the quantity, quality and circulation of both.   Lower back pain is seen as the most common sign that the Kidney Qi/ Yang /Yin and/or Jing is weakened. (Maciocia, 2005, Flaws, 2005). Heather Bruce www.simple-natural-solutions.com 16
  • 17. Common pregnancy pain triggers   Past trauma (stuck Qi and Blood)   Past cold invasion – general life or ‘therapeutic’ (esp in modern maternal hospital context)   Not enough exercise (causing Stuck Qi)   Not enough rest/relaxation – compounded in Magnesium and Blood/Yin deficiency   Lack of Kidney Qi/Yin/Jing to nourish pregnancy and her own body. Heather Bruce www.simple-natural-solutions.com 17
  • 18. Possible reasons for pain Heather Bruce www.simple-natural-solutions.com 18
  • 19. Mildred Seelig   Seminal work on gestation and the role of magnesium   http://www.mgwater.com/Seelig/Magnesium-Deficiency-in- the-Pathogenesis-of-Disease/index.shtml   Early Roots of Cardiovascular, Skeletal and Renal Abnormalities   Mildred S. Seelig, M.D., M.P.H., F.A.C.N.   Goldwater Memorial Hospital New York University Medical Center New York, New York 1980 Heather Bruce www.simple-natural-solutions.com 19
  • 20. Magnesium supplementation works on all these levels Heather Bruce www.simple-natural-solutions.com 20
  • 21. Deviations from text book ‘normal’ – people have had lives 1 - Past injuries (C. very bad car accident in years past, with engine lodged in her lap, massive head and body injuries, and a vast amount of scars) 2 - Coccyx pain from epidural 3 - Broken coccyx from earlier life accidents 4 - ‘Bad back’ from bad start to pregnancy - (in bed, can’t be mum – one of study group – maybe past maternal depletion, with no actual injuries or incidents) 5 - Spina bifida repair – scars to normal Qi flow Heather Bruce www.simple-natural-solutions.com 21
  • 22. #1 – Acquired traumatic injuries   Last pregnancy C section as broken pelvis, intense pubic pain, ankles and legs not supporting body, stopped work, bed rest from 25 weeks.   After extensive scar work, moxa and freeing all circulation, GV 1, eight extra work, with Magnesium, moxa often at home, is easily mothering active 10 month old plus is 22 weeks pregnant.   (Accidentally pregnant from the normalisation of her broken body work Heather Bruce www.simple-natural-solutions.com 22
  • 23. #1 - Through windscreen, engine landed in lap, broken legs & ankles Heather Bruce www.simple-natural-solutions.com 23
  • 24. Came to get help for terrible ankle pain   As a result of earlier car accident, she has horrendous ankle and leg and pelvic pain.   Also back.   After treating all the scars, and giving her Blood tonics, Vit B Complex and Magnesium, she was accidentally pregnant – first baby only 6 months old.   Couldn’t birth as back and pelvis too unstable.   Now pregnant hopes to birth naturally. As another C section and a toddler and a newborn is too daunting. Heather Bruce www.simple-natural-solutions.com 24
  • 25. #5 – Congenital - spina bifida repair, back ache, wants VBAC Heather Bruce www.simple-natural-solutions.com 25
  • 26. 40 weeks - Lying on stomach, supported by ‘pillow towers’ Heather Bruce www.simple-natural-solutions.com 26
  • 27. Induce . . but ..   Will the energy flow with this amount of disruption? GV 1 and Bl 62, Moxa first in the sacrum to loosen, the needling – especially of all the scars.   She felt cheated as was epiduralised ‘in case’ with 1st birth.   Wants to be natural this time, but has terrible back pain, and pelvic instability.   Awful home environment and scared to stay with her husband,; this doesn’t help starting labour. (Safety issues) Heather Bruce www.simple-natural-solutions.com 27
  • 28. Smokeless moxa is better than none. Heather Bruce www.simple-natural-solutions.com 28
  • 29. Ki Qi in Pregnancy   Kidney Qi forms the foundation for the pregnancy, and circulation to the lower back. (Noll, & Wilms 2001).   If there has been a past accident or local trauma, it is reasonable to expect that the lower back pain may be aggravated with the greater load of pregnancy. (Flaws, 2005). Heather Bruce www.simple-natural-solutions.com 29
  • 30. Calls on the Kidney Qi   We can expect a decrease in maternally available Ki qi, as pregnancy calls for an increase Kidney Qi to be channeled to the uterus to make the new being. (Scott, 1979)   Whether pregnant or not, at times of lessened sleep, more work or stress load, or in general ageing, other manifestations of Kidney complex weakness are likely (Maciocia, 2005). Heather Bruce www.simple-natural-solutions.com 30
  • 31. Back pain in pregnancy origins   Deficiency of Ki complex - A state of pregnancy is possible when the woman has sufficient Qi and Blood and Jing to spare (Flaws, 2005).   A weakening of these vital substances present with warnings such as lower backache. (Flaws, 2005, Maciocia, 2011) Heather Bruce www.simple-natural-solutions.com 31
  • 32. Yang Qi is used for: Heather Bruce www.simple-natural-solutions.com 32
  • 33. Do women come in with back pain?   Whilst women typically do not come in for resolution of just the back pain some are crippled by it and the associated pelvic girdle problems.   When researched over half of all women experience it to some degree.   There may be a number of co morbidities that could lead to ‘high risk’ medical classification as the pregnancy progresses if left untreated. Heather Bruce www.simple-natural-solutions.com 33
  • 34. Small random clinic sample   Looking through my cases, I chose the pregnant women who had come in for any reason, and then selected the back pain ones to be included in this study.   Other groups – for induction, changing fetal positioning and stopping miscarriage/stabilising pregnancy were removed.   All who experienced moxa on their sacrum FELT better. No negative experiences. Heather Bruce www.simple-natural-solutions.com 34
  • 35. Table one – common identifiers Name Age parity Preg Condition A 22 34 1st Exceptional back /PS pain S 23 40 2nd Acute back and leg pain and induction M 38 16 1st Much bleeding/potential Misc/v bad back S 22 35 1st Severe back pain/Gestational Diabetes C 34 28 2nd Excruciating back pain K 33 27 2nd PS pain and back ache A 35 33 3rd Sacro iliac joints too painful to walk/back pain S 23 37 2nd Back/body pain/anxiety/(previous dead baby 32 wks) VBAC L 41 38 2nd Anxiety/back ache V 37 32 4th Acute pelvic girdle pain and back ache V 38 29 1st Back pain/insomnia L 40 16 2nd Back ache/anxiety/ Insomnia M 35 28 1st Acute back/speed addict - needs to detox L 27 32 2nd Gestational Diabetes, back pain, wants VBAC M 36 40 4th Backache/not coping J 35 26 2nd Intermittent sciatica and severe anxiety VBAC Heather Bruce www.simple-natural-solutions.com 35
  • 36. Valerie – 37yo Sample case   32 weeks, in pregnancy lots of pelvic girdle instability, resulting in shooting pains down legs – mainly left.   Stopped breastfeeding early last time thinking that would fix it but made it worse.   Now pregnant again and it is crippling her.   Moxaed sacrum. She couldn’t believe it - no longer feels as though she will break in half when she stands up.   She did have ice to help with pain after all the babies. I assured her not to ever use ice again.   Continued with moxa at home and did not need further treatment as the moxa nightly was enough to hold symptoms at bay. Heather Bruce www.simple-natural-solutions.com 36
  • 37. Alana – 22yo – 34 weeks   No aches in her body at all, till 20 weeks. At this point her husband went with the army overseas and she fretted.   All S & S started then. I gave her a Magnesium drink before I started working with her. She looked completely distressed and worn out in pain.   She had been seeing a physio weekly for 14 weeks. It was not working – he only gets her to do an aqua class, where she can move around with no pressure on leg and do stretches Heather Bruce www.simple-natural-solutions.com 37
  • 38. Life/sleep disruption   Back and leg hurt unless lying down – but that hurts too.   Also wakens her at night and it totally disrupts her sleep and life.   Most painful when first gets up from any position, then it is OK after walking about for 200 metres, then after another 200 she is in severe pain again. Heather Bruce www.simple-natural-solutions.com 38
  • 39. Easy answers   Magnesium orally   Magnesium transdermally   Moxa on sacrum – and baby shifted off the ROA to LOA (perfect position for birthing)   Allowed the pain from baby’s lie to instantly resolve.   She got up off the chair and could not believe what that had just happened – it did not hurt to move – there no pain anywhere. Heather Bruce www.simple-natural-solutions.com 39
  • 40. Acupuncture works!   In a forwards seated straddling chair position, needles were inserted.   deeply (3 inches) the three locations of GB 30, plus Bl 60 and GB 34.   I showed her husband how to massage her sacrum – and we continued to do this whilst the needles in. Liv 2 sedated.   In standing, she could not believe that she could – as it was a tricky position – and no pain anywhere in her back! Heather Bruce www.simple-natural-solutions.com 40
  • 41. Enhances baby position, GB30, all sacral points easily accessible Heather Bruce www.simple-natural-solutions.com 41
  • 42. Pelvic girdle issues   She now mentioned another problem - pubic symphysis pain – it had been totally overshadowed by the back.   I used moxa directly on the point where the central midline and the pubic bone merge - CV 2 - and instantly all PS pain gone.   Showed him again what to do, emailing him the instructional eBook. (This package and the ‘What Dads Can Do’ manual/DVDs are available from the shop on the site you are on presently) Heather Bruce www.simple-natural-solutions.com 42
  • 43. Results   No pain – although next morning she reported still not sleeping as the inner heat/hot feet at night and worry about husband going back to the front line taking up her time   Her back and pubic bone not a problem at all.   She needed more work on the Yin depletion, but choose to stop with just one session. Heather Bruce www.simple-natural-solutions.com 43
  • 44. Modern maternal self care   In Chinese medicine, maternal weakness can be explained through a combination of imbalances and deficiencies that may be partially relieved through simple lifestyle considerations and dietary additions.   Modern women seem less likely to pay attention to their own levels of hydration and nutrition. In both pregnant populations studied, I find pregnant women are not drinking enough water, and not eating primarily for healthy baby development. Heather Bruce www.simple-natural-solutions.com 44
  • 45. Maternal nutrition   Baby is made from what mum ingests and how well her body works. (West, 2001)   In my clinic, all patients are educated as to the role of more nutrient dense foods, and the need to supplement at least Vitamins B and C, Magnesium, and Zinc to allow better gut assimilation. (Bloemraad-De Boer, 2007)   In addition to a diet rich in protein, (Maciocia, 2005) fat and vegetables, Vitamin C in small frequent quantities is recommended for good collagen repair and structural regeneration. (McArdle, 1999) Heather Bruce www.simple-natural-solutions.com 45
  • 46. Magnesium Depletion Markers   Ligament and muscle aching and cramps/spasms, twitching, irritability.   Emotional unrest and insomnia, possibly with feelings of heat in the afternoon, with flushing; maybe extending into feelings of being overwhelmed and not coping emotionally. (Sircus, 2007)   (Sound like Stuck Liver Qi overlain with Blood deficiency?) Heather Bruce www.simple-natural-solutions.com 46
  • 47. Magnesium in life   Magnesium is essential for muscle and nervous function, (Sircus, 2007) for resolving all spasms, cramps, restless legs, irritability and depressive tendencies as well as keeping cardiac and adrenal systems working optimally (Dean, 2007, Durlach 2004).   Pre eclampsia, gestational diabetes and all clotting plus all gut and nervous and sleep problems may be simply Magnesium deficiency. Heather Bruce www.simple-natural-solutions.com 47
  • 48. Mildred Seelig   Seminal work on gestation and the role of magnesium   http://www.mgwater.com/Seelig/Magnesium-Deficiency-in- the-Pathogenesis-of-Disease/index.shtml   Early Roots of Cardiovascular, Skeletal and Renal Abnormalities   Mildred S. Seelig, M.D., M.P.H., F.A.C.N.   Goldwater Memorial Hospital New York University Medical Center New York, New York 1980 Heather Bruce www.simple-natural-solutions.com 48
  • 49. Where we get Magnesium from?   From foods grown in soil containing Magnesium   In 2004, the Journal of the American College of Nutrition released a study which compared nutrient content of crops at that time with 1950 levels. Declines were found as high as 40%.11   Dr. Donald Davis, lead researcher for the study, offers one explanation for the dramatic declines:   During those 50 years, there have been intensive efforts to breed new varieties that have greater yield, or resistance to pests, or adaptability to different climates. But the dominant effort is for higher yields. Emerging evidence suggests that when you select for yield, crops grow bigger and faster, but they don’t necessarily have the ability to make or uptake nutrients at the same, faster rate.”12   http://www.ancient-minerals.com/magnesium-sources/dietary/ Heather Bruce www.simple-natural-solutions.com 49
  • 50. Processed foods   It is these removed portions of the plant that often contain the highest amount of minerals such as magnesium.   Refined oils remove all magnesium. The result of oil refining is a zero magnesium product. Safflower seeds, for example, contain 680 mg of magnesium per 1,000 calories. Safflower oil lacks magnesium entirely.8   Refined grains remove 80-97 percent of magnesium.9 At least twenty nutrients are removed in refining flour. And only five are put back in when refined flours are “enriched”.10 Magnesium is not one of them.   Refined sugar removes all magnesium. Molasses, which is removed from the sugar cane in refinement, contains up to 25% of the RDA for magnesium in one tablespoon. Sugar has none.   http://www.ancient-minerals.com/magnesium-sources/dietary/ Heather Bruce www.simple-natural-solutions.com 50
  • 51. Why it is missing in modern life   Lowered magnesium availability in foods due to industrial farming practices   Dietary habits leading to low magnesium uptake, such as consumption of sodas and carbonated beverages   Excess stress or illness, which lowers the ability of the body to utilize magnesium   Mineral imbalances, such as excess calcium, which blocks cellular magnesium activity   Metabolic differences in individuals, such as excess magnesium excretion by the kidneys, sometimes resulting in magnesium losses and deficiency   Stress: chronic, low grade creates adrenal deficiency Heather Bruce www.simple-natural-solutions.com 51
  • 52. Magnesium in pregnancy   As per Mildred Seelig’s seminal work (small for dates, stillbirths, placental clotting disorders, unexplained fetal morbidity.   Magnesium is crucial to prevent pre eclampsia, cerebral palsy, gestational diabetes, maternal depression and insomnia. (Sircus, 2007)   As in dairy cows, a Magnesium deficiency leads to insufficiency of milk supply and mastitis/milk fever Heather Bruce www.simple-natural-solutions.com 52
  • 53. Yin Deficiency = Dehydrated and Magnesium Depletion Heather Bruce www.simple-natural-solutions.com 53
  • 54. 2 issues of homework to enhance the successful treatment   Improving maternal Magnesium exposure (limit Calcium as it is a Mag antagonist). All pregnant literature stresses use of Calcium, not of Magnesium.   Avoidance of cold. All Asian cultures protect women for their reproductive lives. Heather Bruce www.simple-natural-solutions.com 54
  • 55. Yang deficiency is endemic in my pregnant women populations. Cold exposure causes stagnation, contraction, lack of circulation. Ice is used as the treatment of choice for all trauma, is actively sought in all consumables, sleeping in air conditioning   In acupuncture theory, cold consumes the Yang. (Tureanu & Tureanu, 1999) Cold weakens the Kidneys, as a source of energy. (Roemer, 1999)   Yang Qi is seen as being unnecessarily exhausted through exposure to cold, (Betts, 2006), cold causing stagnation of its flow. (Roemer, 1999). Heather Bruce www.simple-natural-solutions.com 55
  • 56. Yang deficiency S & S Heather Bruce www.simple-natural-solutions.com 56
  • 57. Where do we get cold?   In Australia and NZ just birthed women are now routinely ICED as ‘best practice’ in hospitals.   Damaged perineums, engorged breast and all labour wards offer and demand the use of ice - often in the birthing area as baby emerges.   Repair work in theatre exposes traumatised new mum to cold transfusions (from fridge), freezing O2 in nostrils, ice as a recovery tool and very chilly operating conditions Heather Bruce www.simple-natural-solutions.com 57
  • 58. How can back pain originate?   Loss of vitality (centre marker of Kidney Qi expression) leading to many problems of Qi and Blood stagnation, causing back weakness and pain. (West 2006).   Any past exposure to cold through previous ‘icing’ of injuries, the ingestion of cold food and drink, (Maciocia, 2005) exposure to drafts or walking on cold floors with no footwear results in the cold energy ‘splinters’ interrupting and wasting Yang Qi. (Tureanu & Tureanu , 1999) Heather Bruce www.simple-natural-solutions.com 58
  • 59. Yin and Yang Depletion in pregnant population   Yang Deficiency in pregnancy may present in many ways, but symptoms are more severe when concurrent Yin/Jing Deficiency is greater than the Yang deficiency. (Maciocia, 2005)   She may present as having hot feet at night, sometimes with the entire leg out of the bedclothes. (part of ‘5 hearts hot’), very under noticed, yet endemic in ‘high risk’ pregnancy. Heather Bruce www.simple-natural-solutions.com 59
  • 60. Results not only dependent on great clinician care   Increasing hydration, protein and Magnesium intake may make a positive effect on the pregnancy, by improving maternal Yin and Yang Qi.   Table 2 shows the spread of problems in the studied patient population. Heather Bruce www.simple-natural-solutions.com 60
  • 61. TABLE 2 Acupuncture identifiers Name Age parity Preg Condition Yin Def Yang Def A 22 34 1st Exceptional back /PS pain Y Y S 23 40 2nd Acute back and leg pain and induction Y M 38 16 1st Bleeding/potential Misc/v bad back Y* Y S 22 35 1st Gestational Diabetes/severe back * Y C 34 28 2nd Excruciating back pain Y* K 33 27 2nd PS pain and back ache Y Y A 35 33 3rd Sacro iliac joints too painful to walk Y S 23 37 2nd Body/back pain//(prev dead baby) Y* Y L 41 38 2nd Back ache/anxiety V 37 32 4th Acute pelvic girdle pain & back ache V 38 29 1st Back pain/insomnia Y L 40 16 2nd Back ache/anxiety/ Insomnia Y* M 35 28 1st Acute back/speed addict Y* Y L 27 32 2nd Gestational Diabetes, back pain, VBAC M 36 40 4th Backache/not coping Y* Y J 35 26 2nd Intermittent sciatica & anxiety/VBAC Y Y Heather Bruce www.simple-natural-solutions.com 61
  • 62. How to make an instant difference   The focus of this work is the area directly affecting the nerve and blood supply to the pelvis - the sacrum.   A lit pure moxa stick is to be held about 1 - 2 cm away from the skin, moving in an upwards direction and outwards as a sunray pattern, for three to five minutes in total. Away from a breeze. Heather Bruce www.simple-natural-solutions.com 62
  • 63. Moxa Sacral Fan Heather Bruce www.simple-natural-solutions.com 63
  • 64. Holding moxa away from your own Lu 10,11 Heather Bruce www.simple-natural-solutions.com 64
  • 65. Direction of moxa flow Heather Bruce www.simple-natural-solutions.com 65
  • 66. How long?   Usually no more than 3 minutes.   Ensure she is not in a draft.   This may mean tenting’ towels around her so there are no breezes happen even if it is outside and windy.   Have all hydrated and not hungry to start this as it can ‘space’ everyone out as the moxa is potent. Heather Bruce www.simple-natural-solutions.com 66
  • 67. Massage   Optional   Does show her what depth and strength he needs to use at home.   Enhances the back pain relief and is a huge help in moving the stuck qi.   Childbirth education that works Heather Bruce www.simple-natural-solutions.com 67
  • 68. Part of home care   I usually start with the 3 minute moxa so they can feel just what could be achieved quickly at home.   When the massage is completed, usually after the needle part of the session, she can feel just how easy and open her pelvis could feel with his home ministrations.   Greatly increases partner intimacy, confidence and bonding leading into an easy approach to childbirth education and joyful birthing outcomes. Heather Bruce www.simple-natural-solutions.com 68
  • 69. Pelvic Opening Massage Heather Bruce www.simple-natural-solutions.com 69
  • 70. Directions of massage/alternate home massage position Heather Bruce www.simple-natural-solutions.com 70
  • 71. Very deep pressure 45 degree on Bl 35 towards perineum Heather Bruce www.simple-natural-solutions.com 71
  • 72. TABLE 3 Results - Back relief Age, Presenting condition Pain relief - Pain relief - gestational age, total mostly parity 1 A 22 34 1st Exceptional back /PS pain (back OK - hip now) Y 2 S 23 40 2nd Severe back pain/induction Y 3 M 38 16 1st Bleeding/Misc?/v bad back Y 4 S 22 35 1st Severe back aching & GD Y 5 C 34 28 2nd Excruciating back pain ongoing Y 6 K 33 27 2nd PS pain and back ache Y 7 A 35 33 3rd Sacro iliac joints too p/ful to walk mostly Y 8 S 23 37 2nd Body pain/(prev dead baby) Y 9 L 41 38 2nd Back ache/anxiety Y 10 V 37 32 4th Pelvic girdle pain Y 11 V 38 29 1st Back pain/insomnia Y 12 L 40 16 2nd Back ache/anxiety/insomnia Y 13 M 35 28 1st Acute back/speed addict Y 14 L 27 32 2nd GD/back pain Y 15 M 36 40 4th Backache/not coping Y 16 J 35 26 2nd Intermittent sciatica/anxiety Y Heather Bruce www.simple-natural-solutions.com 72
  • 73. Back pain is a warning   Has mum enough Kidney Qi/Jing to impart to baby?   Has mum got previous Stuck Qi and Blood issues in the background (may undo easy birthing attempts) Take extra Magnesium supplementation (without Calcium)   Has mum been exposed to cold and is that cold still resident to waste her Yang? Heather Bruce www.simple-natural-solutions.com 73
  • 74. Birth outcomes from sacral moxa F/Up moxa Name Presenting condition at home Birth outcome 1 A, 22, 34,1st Exceptional back /PS pain Y Still pregnant 2 S 23 40 2nd Back pain relief/ induction Y Easy natural immediate 3 M 38 16 1st Over bleeding/potential Misc/ v bad back N Elect C (mum initially 120 Kg) 4 S 22 35 1st Severe back aching/ GD Y OP/ induction failed/C section 5 C 34 28 2nd Excruciating back pain Y Induced easy natural 6 K 33 27 2nd PS pain and back ache Y Spontaneous natural 7 A 35 3rd Sacro iliac joints too p/ful to walk Y Spontaneous home water Elect C (Dr scared her about uterus potentially rupturing – there is much mention of possible dead babies to worry mums in late 8 S 23 37 2nd Body/back pain/anxiety/(past 32 week dead baby) N pregnancy) 9 L 41 38 2nd Anxiety/back ache Y Spontaneous easy natural No need 10 V 37 32 4th Extreme pelvic girdle pain (fixed!) Spontaneous easy natural 11 V 38 29 1st Back pain/insomnia Y Spontaneous easy natural 12 L 40 16 2nd Back ache/anxiety/ Insomnia N Induced easy natural No need 13 M 35 28 1st Acute back/speed addict/ (fixed!) Still pregnant 14 L 27 40 2nd Back pain/Seeking VBAC / Gestational Diabetes/ Y Induced easy VBAC 15 M 31 22 2nd Morning sickness, weakness, extensive back ache Y Still pregnant 16 M 36 40 4th Backache/not coping N Spontaneous home water birth 17 J 35 26 2nd Intermittent sciatica, v anxious N Spontaneous easy natural Heather Bruce www.simple-natural-solutions.com 74
  • 75. Moxa plus . .   All these women in my clinic attending my clinic are sent home with instructions for husband to moxa and massage at home.   All are also sent home with B Complex, Zinc in a form they can assimilate, and lots of Magnesium – oral and transdermal.   All used moxa by choice at home as it gave instant relief, allowing better sleep. Heather Bruce www.simple-natural-solutions.com 75
  • 76. Extra tips to mums to be   Plenty of water, protein and vegetables   Always sit forwards.   Rest   Magnesium (without Calcium)   Moxa at least three times weekly leading you to the birth, or from when back ache is a trial (and all other deficiency S&S).   Massage & points pressed, following the moxa Heather Bruce www.simple-natural-solutions.com 76
  • 77. Could just be magnesium alone . .   Joanna, 5th birth.   Usually very long, slow, hard affairs.   This pregnancy only difference was taking lots of Mag.   45 mins start to finish – husband and midwife did not make it.   Only one case of mastitis (usually at least 5 by then) when she forgot to take the Mag for three days.   Why try to only make one change on her life, when many can do such a stunning job? Heather Bruce www.simple-natural-solutions.com 77
  • 78. Moxa and Magnesium Are essential additions to every pregnancy More found on   www.simplenaturalsolutions.co.nz   www.easybabies.com.au   www.my-mothers-heart.com Heather Bruce www.simple-natural-solutions.com 78
  • 79. Thank you Heather Bruce Brisbane, Australia Christchurch, New Zealand   heather@heatherbruce.com.au Heather Bruce www.simple-natural-solutions.com 79