by Anne Clendening
You may have seen Dr. Karla Pineda at Two Hearts. I was happy to have a chat with her over the phone, even with a warning that her almost-six month old son Mateo might want in on the action.
You work with mothers, pre- and postnatal. How would you describe what you do for them?
I specialize in prenatal care, helping alleviate whatever kind of aches or pains or discomfort the mothers cialis generique might have. More importantly, I work with them as far as helping them function correctly, biomechanically speaking, so that they feel better and are more comfortable walking around doing the things they usually do. This also goes for when it comes time for delivery. Everything works more smoothly when the body generic levitra soft tabs is functioning as it should.
What happens with the bones when you are carrying a child?
During pregnancy, women release a hormone called relaxin which serves to loosen up the joints in the pelvis area. So if your muscles are functioning the way they should and the pelvis is moving and widening, and everything is in balance, birthing a baby is much easier.
Is this a process that happens all during pregnancy?
Yeah, all during pregnancy. Obviously it accelerates more toward the end, which is when we usually do more preparing for labor. Postnatal, we work with the musculature, making sure things are lined up, so that when the relaxin leaves the body—because it’s no longer being produced—everything goes back to where it should be.
What kind of complications do you see?
I see sciatica, which is pretty common, rib pain, pubic bone pain and general low back pain. These are all things that happen because the body is trying to compensate for a new center of gravity, as the weight and the growing belly tends to throw the body off balance.
How does acupuncture help?
It helps so much! During pregnancy, it’s beneficial for morning sickness, insomnia, labor preperation, anxiety, so much…
And for new mothers?
It helps them feel like “themselves” again, especially in cases of postpartum depression, for example, or insufficient lactation.
Are first pregnancies usually similar or different to second or later pregnancies?
Every pregnancy is different. And everyone is different. You can have the most amazing pregnancy the first time, and with the next one, you’re like, “whaaat??! This is not what happened the first time!”
What were your experiences like?
My first pregnancy was a total breeze. The second time around, I had pubic bone pain, which is one of the more difficult conditions to treat. So go figure! It was good in a way, because I can relate to people who have it. But I had great pregnancies, with very easy deliveries.
Do you have an opinion on epidurals?
I think they’re geat if you need it, or you want it, or if your body needs to relax because you’re exhausted from being in labor so long. It can be a great thing. But if you do it too early, it can sometimes make things go in an opposite direction if you’re hoping for a vaginal delivery.
What is the window for an epidural?
You probably shouldn’t get one
before you’re dilated six or seven centimeters.
What would you recommend to take the pressure off the back during labor?
Being in a squatting position, like sitting on or straddling a toilet is a great position because you’re in a supported squat. There’s actually something called a birthing chair, which is genius, because it provides that support you need.
Do women normally give birth on their back? Or is the a “normal” way?
There’s not a normal way. They usually encourage you to lie back and push from there. You can also be on all fours, or on your side, which is a great position. And some hospitals have what’s called “squat bars.”
Did you do yoga during your pregnancies?
What yoga positions would you suggest to keep the back or any other area comfortable?
I always encourage women to focus on their hip flexors and keep them nice and loose, which is beneficial as far as helping the back feel good. Pigeon is also great for the same reason, and to help the low back feel loose as well.
Thank You Karla!
Dr. Karla Pineda is a chiropractor and acupuncturist whose passion and specialty is pre- and postnatal care. She attended the Los Angeles College of Chiropractic, and received a Master’s Degree in Acupuncture and Oriental Medicine at Southern California University. Dr. Pineda pays special attention to the muscles and tendons of the body to restore proper motion and function. Through chiropractic and acupuncture, she is able to provide pain relief, labor preparation and wellness care for mama and family. She has extensive experience in the treatment of symphysis pubic dysfunction (SPD), breech presentation, torticollis in babies and morning sickness. Dr. Pineda is a Southern California native and mama to two year old Lucia and an almost-six month old Mateo.
Karla’s web site is www.pinedafamilychiropractic.com
-By Anne Clendening was born and raised in L.A. She is a yoga teacher, a writer and occasionally slings cocktails in a Hollywood bar. She is a columnist on elephant journal, and you can visit her web site for all things life, love, yoga and other good stuff at Anne Clendening Yoga. Peace, Love & Beatles