Managing Pregnancy Discomfort: Prenatal Massage

Prenatal Massage is a natural way to help relieve common pregnancy discomforts you may be experiencing during the next nine months. So, what is the difference between a prenatal massage and a regular massage? Can you have a prenatal massage at any point during your pregnancy? And what can you expect to take place during a typical prenatal massage session?

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Episode Transcript

Preggie Pals


Please be advised, this transcription was performed from a company independent of New Mommy Media, LLC. As such, translation was required which may alter the accuracy of the transcription.

[Theme Music]

JULIE MITCHELL: As your body changes throughout pregnancy, you may experience common discomforts such as lower back pain or stretching pulling from the ligaments that support your growing uterus. One way to naturally cope with these changes is through prenatal massage. I’m Julie Mitchell; I’m a birth doula and a certified prenatal massage therapist with Blissful Bellys here in San Diego. Today we’re learning all about the benefits of using prenatal massage to manage pregnancy discomforts. This is Preggie Pals episode ninety-seven.

[Theme Music/Intro]

ANNIE LAIRD: Welcome to Preggie Pals. We’re broadcasting from the birth education centre in San Diego California. Preggie Pals is your weekly online on-the-go podcast for expecting parents and those parents who are hoping to become pregnant. I’m your host Annie Laird. If you haven’t joined the Preggie Pals club then you need to do that because you’re missing bonus interviews after each show. We have transcripts on there as well as special giveaways and discounts. For more details see our website, for more information. Another way for you to stay connected is by downloading the free app and now this is available on both the Android and the iTunes marketplace. And also subscribe to our monthly newsletter. Our producer, Sunny, is going to be telling us more about the virtual panelist program.

SUNNY GAULT: Yeah! Hey everyone. So if you are not located here in San Diego where we record our shows. You can still be part of the shows. You can submit questions to our experts and you can just share your personal experiences. You can do that through one of two ways. You can friend us on Facebook, like our page and we’ll be posting questions throughout our recording of the same questions that were asking our panelist right here in the studio. If you guys are fans of Twitter, just follow us on Twitter and we’ll be twitting using the hashtag #preggiepalsvp which stands for virtual panelist. So we’ll be incorporating your responses throughout the show and we’ll also giveaway a one-month membership to the Preggie Pals club if we select one of your responses.

ANNIE LAIRD: Thanks Sunny.


ANNIE LAIRD: We’ll start with our panellist introduction for today. I’m Annie Laird, I’m the host. I’m 35 years old. I’ve three little girls at home who were with the babysitter right now, so this is my break right now, so I’ll hang out with all of you. I have an 8 years old and then a almost 2 year old, a 2 under 2. So almost 2 years old and then a new born.

HALSEY RESING: My name is Halsey, I’m 33. I’m an event planner. My due date is in June. I’m 25 weeks currently and we’re going to have a little baby boy. This is our first and I’ll be birthing in a birth centre.

JAMIE FRENCH: Hi, my name is Jamie French. I’m also 33, kind of funny. I’m actually a, I’m a military, I’m a pilot but I just had a baby girl 10 weeks ago and she’s actually in another room with my husband right now.

ANNIE LAIRD: Is he in the military as well?

JAMIE FRENCH: He is. We met on flight school.

ANNIE LAIRD: You both pilots?


ANNIE LAIRD: Oh how romantic. It’s like officer and gentlemen but kind of the other way around right? Yeah. Well that’s awesome.

[Theme Music]

ANNIE LAIRD: Our roll occasionally here on Preggie Pals we have featured segments or news articles. You probably heard about this and I think the one the panellists was saying what Jimmy Kimel covered this wraps or Jimmy Fallon.

JAMIE FRENCH: Jimmy Fallon.

ANNIE LAIRD: Jimmy Fallon. Okay. So British mom gives birth on a New York pavement after a New Yorker steals her cab to the hospital. This poor lady, she’s Paulie … What’s her name? Let me see…

JAMIE FRENCH: Polly McCourt.

ANNIE LAIRD: Polly McCourt. So she’s originally from Oxfordshire. She, it was her third baby. So, you know, she knew that, you know, she didn’t take probably 24 or 48 hours to have a baby. She knew she’s going to be a little bit quicker. Started feeling some labour pains, she realized as she was getting down to the lobby of where she lived that the head was coming the water broke, which was the baby was coming. She went outside to hail a cab and a woman step right in front of her and stole the cab. And so I guess there was a, did you guys see this? Apparently there was a video, like people got their phones out, where they’re videotaping the birth.



JAMIE FRENCH: Videotaping the birth?

ANNIE LAIRD: Yeah, yeah. Well I mean I guess you know I paid good money for birth photographer so maybe I just needed to

JAMIE FRENCH: You get one for free right?


JAMIE FRENCH: You had a child on a sidewalk; you’ll get one for free.

ANNIE LAIRD: Exactly. Yeah. Many of them. You know you can splice them together. So yeah.

HALSEY RESING: All different angles. Nice.

ANNIE LAIRD: Yeah, that was very sweet. She’d named the baby…

SUNNY GAULT: Pavement?

ANNIE LAIRD: No, she named the baby Ila. Ila was going to be the name anyway but she named her Ila Isabelle. I thought that was very sweet because Isabelle was the woman who, this is the middle of winter. In New York is rather cold and this woman Isabelle gave her coat and walked home on a t-shirt in the middle of the New York winter.

HALSEY RESING: Oh my goodness.

ANNIE LAIRD: So I thought that was just kind of a sweet thing about this story so.

SUNNY GAULT: Doesn’t it the person that stole the cab they have to just feel crap now right?

JAMIE FRENCH: They have to remember this like forever

SUNNY GAULT: They’re in hiding right? Yeah.


[Theme Music/Intro]

ANNIE LAIRD: Today we’re continuing our series focused all on managing pregnancy discomforts by learning about prenatal massage. Joining us here on the studio today is Julie Mitchell, she’s a birth doula and she’s also a prenatal massage therapist with their company Blissful Bellys. Welcome Preggie Pals Julie.

JULIE MITCHELL: Thanks for having me I can’t wait.

ANNIE LAIRD: Yeah. Now let’s go on to this a little bit, what is the difference between a prenatal massage and like a regular massage? Do you do both?

JULIE MITCHELL: Of course, Yeah. I do, do both. The major differences is when you’re pregnant you can’t lay flat on your back or lay flat on your belly anymore correct?

ANNIE LAIRD: Yeah, but why is that, you know? Obviously the belly is in the way but why it’s not a good idea to lay on your back.

JULIE MITCHELL: Okay. So when you lay flat on your back, the vena cava who which gives the main blood supply to the baby is right there sometimes closer to the surface and so when we lay flat on our back we can cut that blood supply off and most moms will kind of start getting light headed and their bodies will tell them this isn’t okay anymore. But so we tell you to at least be on 45 degree angle or put a pillow under your hips, so you’re just slightly tilted which makes that all better.

ANNIE LAIRD: Oh okay. I imagine that would be more of a problem as your pregnancy would progress as well. Like early on babies will like you know 6 ounces or something you know.

JULIE MITCHELL: Right, right. Early on probably the first 12 weeks or so even laying on your bellies is still fine because there’s not much of the belly in a way yet. And then later on we change it up.

ANNIE LAIRD: Okay. Now if I would go out somewhere in San Diego where you know Preggie Pals broadcast throughout the United States so there’s a lot of massage therapists out there.


ANNIE LAIRD: And would just anybody know what to do for a pregnant woman or is it recommended to go to someone who specializes in prenatal massage.

JULIE MITCHELL: Well there is a special course that you have to take so not just any massage therapist knows how to do a pregnancy massage. And there is a special course which comes with a special certificate with that. And then as for specializing it or not you know I like to go to a specialist. I think that they know their techniques better so yeah you can come to me for a sports massage or really deep tissue and yeah I know how to do it but I’m probably not that great you know versus I specialize and love giving pregnancy massage so I think that really comes through my massage techniques when I do that. Same thing if you go to an acupuncturist or any other or let’s say even a doctor, you’re not going to go to your family practitioner for you know your baby.

ANNIE LAIRD: Specialized care.

JULIE MITCHELL: Yeah for something special like a foot surgery or something like that.


JULIE MITCHELL: You need a Podiatrist. So same kind of thing, yeah they would might able to diagnose something or tell you about it but you really want to go to someone who knows what they are doing.

ANNIE LAIRD: Yeah. What kind of discomforts do pregnant moms usually come to you with? What can you help out with as far as managing that discomfort?

JULIE MITCHELL: Yeah. I think the majority of moms who come to me with discomforts complain about low back hip pain. Maybe some of that sciatic pain is that what their told is called. But you know as your hips are moving and changing to make room for that baby, our body has to adjust and sometimes that adjustment isn’t this gentle on your body so a massage could absolutely help relieves some of these discomforts.

ANNIE LIARD: Now Halsey and Jamie, did either of you get prenatal massage during your pregnancies? I know Jamie you’re not pregnant anymore but…

JAMIE FRENCH: Yeah, absolutely I did before I want to say I was sort of like six months I got it every month it was kind of like my treat to myself but I really enjoyed it was kind of a nice way to you know get myself a present every month cause like the further along you get your pregnancy the more kind of awkward you get you know like tying your shoes becomes a burden and it’s what’s nice to have that little relief I guess so I usually I think I got them on Saturdays cause I was working but it was so nice to get that. You come back on your home and you take a hot bath and just like the rest of the day is just awesome.

HALSEY RESING: I agree. I’ve been doing prenatal massage now for a couple of months and I’ve had some lower back issues and sometimes just my work can be a little bit frantic and so just having that recharge

ANNIE LAIRD: Yeah I’ve mentioned she’s an event planner it’s going to be kind of hectic so.

HALSEY RESING: Definitely. And so it’s just a way for me to kind of pay attention to my body, bring myself back into being centred and I just feel so great afterwards walking away from it you just kind of feel like a new

ANNIE LAIRD: Actually there are a lot of different types of massages like deep tissue and deep tissue is the main one I know.

JULIE MITCHELL: Deep tissues, Swedish Shiatsu...

ANNIE LAIRD: Yeah, no, all of this different types of massage, which are safe for pregnant women?

JULIE MITCHELL: So again someone should be trained specifically in how to massage a pregnant mom. All this techniques they can be incorporated as long as the person knows how to use them correctly. So yeah I used different techniques throughout my massage doesn’t mean you’re pregnant I have to go so light on you I can still do deeper work if that’s what you require and need. You know you’re not going to break you you’re okay but it’s more about just using those techniques in the right way.

ANNIE LAIRD: Okay. Well how can prenatal massage, can improve hormone regulation?

JULIE MITCHELL: Sure. Just like in a normal massage for anybody you know it makes us relax. It releases a lot of different endorphins in our body that help regulate all that so as pregnant mom’s hormones are kind of all over the place, massage can definitely help balance that out.

ANNIE LAIRD: Okay. And I know in my pregnancy I didn’t except so much for like a to called Edema like the kind of the swelling and all that


ANNIE LAIRD: So how would you I mean it’s kind of the stroke of the massage just kind of draw the fluid away or does that improve circulation or what does that do? How does that help?

JULIE MITCHELL: Yeah so all massage we used strokes that move towards the heart that helps circulation. So with Edema and swelling which is very common in pregnancy, yeah by moving that lymph, by moving that flow
back up to the heart so it can pump better I’ll definitely help with that absolutely.

ANNIE LAIRD: Yeah that I imagined that has to just be really nice to not have to deal with that in pregnancy so I know.

JULIE MITCHELL: Again some of these discomforts and some of these things I can’t completely get rid of but definitely helps with some of the relief.

ANNIE LAIRD: Yeah I think pregnant mom to pregnant mom, some moms are just more prone to...


ANNIE LAIRD: More prone to issues like that so I mean, Jamie you mentioned just mainly the low back pain, did you have any like swelling or joint pain...

JAMIE FRENCH: I didn’t have any swelling I did have actually I didn’t even know it was my sciatic nerve until Julie was get up that was your sciatic nerve like I was oh man this has been killing me.

ANNIE LAIRD: What does it feel like because I’ve never had that?

JAMIE FRENCH: It was sharp like

ANNIE LAIRD: Is it like in your hip or

JAMIE FRENCH: It felt like it was on the right side of my back.


JAMIE FRENCH: It was very sharp and it would like take my breath away. I was excited I haven’t had really a whole lot of pain so it was very surprising to me to like holy cow what is this? It didn’t happen until I went on at least eight months or so I was a little bit bigger but it was jarring. It would stop the conversation if it was good if there is conversation going on.

ANNIE LAIRD: Do you find that first time moms come to you a lot Julie or the second time moms or what do you see? Is it across the board?

JULIE MITCHELL: I get a good mixture of women. Yeah, I think a lot of first time moms have a lot more time on their hands.

ANNIE LAIRD: Yeah you don’t have to get a baby sitter.

JULIE MITCHELL: Exactly so definitely a lot more first times I think take advantage of that more.

ANNIE LAIRD: Although you know I’m going to put a plug in here I’m speaking as basically the only one in front of the Mic here, this is the second time and that is tough when you’re running around after a toddler you know. And you’re carrying them you know.

JULIE MITCHELL: Absolutely and when you have a relaxed mom you can probably have a better relaxed toddlers as well. You can cope with them better so absolutely especially if you’re pregnant again. To still take time for yourself is very, very beneficial for you.

ANNIE LAIRD: I see that a lot in the studio and not this specific episode but it just seems like around the time when kiddo number 1 is kind of you know starting to think about getting out of the diapers that’s when the second pregnancy happens so yeah and it’s tiring it kicks your but so.


ANNIE LAIRD: When we come back we’ll talk specifically about what to expect during a prenatal massage appointment as well as how quickly you can see and feel results. We’ll be right back.

[Theme Music]

ANNIE LAIRD: Welcome back, today we’re discussing the benefits of prenatal massage. Julie Mitchell Blissful Bellys is our expert. Julie what can woman expect to happen during a prenatal massage session.

JULIE MITCHELL: So during a prenatal massage session there’s two different type of massage therapist out there that do this. One like myself I put women on their side, I prop you up with body pillows, make you nice cozy
comfy probably how you’re sleeping.

ANNIE LAIRD: So you’re saying completely on your side. Not just a 45 degree angle.



JULIE MITCHELL: So I start with women on their side and then at towards the end of the massage I prop them up at a 45 degree angle and it’s called my princess pause it’s what I call it so I have a wedge pillow I put behind your back and then I put more pillows underneath your knees so your legs are up as well will make you nice cozy comfy again. There’s others massage therapist that either have a prone table which allows a woman to lay flat on her belly, it’s got a whole cut out that has like a sling to hold your belly in place.

ANNIE LAIRD: Oh, okay. You will need a sling?

JULIE MITCHELL: Yeah, because if your belly just hung in a whole like that especially as you do get larger, the ligaments would pull way too much. So you would need the sling to give you kind of a

ANNIE LAIRD: Give you a little bit of support.


ANNIE LAIRD: I imagine that will pull on your lower back as well pretty bad.

JULIE MITCHELL: Yes. I personally like side line massage myself when I took the class not being pregnant but I was able to sleep like that. So I just felt so nice to me.

ANNIE LAIRD: Yeah. Do people normally do women fall asleep when you’re giving them a massage? How often does it…

JULIE MITCHELL: About fifty-fifty.


JULIE MITCHELL: Some woman want to talk and ask tons of questions cause they’re so curious about everything else and being a birth doula as well we’re able to talk about a lot of different things and then other woman are just that is my relax time and be quiet and I’m fine with it either way of course.

ANNIE LAIRD: Do you accept a fore hand like a [inaudible]. You know

JULIE MITCHELL: No I kind of let them set the phase


JULIE MITCHELL: And sometimes we’ll start out we’re chatting a lot and then as I move throughout the process they get a little quieter not asking as much and then of course I shut up as well.

ANNIE LAIRD: How long is a prenatal massage normally?

JULIE MITCHELL: It can either be an hour or an hour and a half.

ANNIE LAIRD: Oh wow, hour and a half.

JULIE MITCHELL: I know I tried to get moms in for that like Oh I don’t know it’s like Oh its heaven.


JULIE MITCHELL: If you can, if you’re okay laying there for an hour and half its just melts you.

ANNIE LAIRD: Yeah. Now what’s the general price range that woman should be expecting to go in, you know, and I supposed this is regional too you know a mid-west I imagine would be a different price than the northeast or west.

JULIE MITCHELL: Yes definitely depends on where are you located but I also depends on if you’re going to a spa or someone who does it like myself it’s just private practice.

ANNIE LAIRD: Now you practice out of a yoga studio right?

JULIE MITCHELL: I work out of Nature’s Whisper on a one day week and the rest of the week I have a studio that I work out in my backyard.

ANNIE LAIRD: Oh, Okay. See you can’t do that on Wisconsin where I’m from you know you don’t have a lot of heaters and so.

JULIE MITCHELL: Oh yes, yes, no. And I do have a heater in the room so when it does decide to get chilly in San Diego which isn’t that often.

ANNIE LAIRD: Which is a.k.a 50 degrees Fahrenheit.

JULIE MITHCELL: Exactly, exactly. But you know your get naked on the table you get a little chilly.

ANNIE LAIRD: Oh you’re naked I have no idea. Okay so let’s go into that... Let us throw that one out there. Okay.

JULIE MITCHELL: If you’ve ever had a massage, not pregnant, you do undress your comfort level though so I always tell woman to undress to their comfort level at least take their bra off and their underwear is completely up to them.

ANNIE LAIRD: The day is not over until the bra comes off so yeah.

JULIE MITCHELL: Right, right.

ANNIE LAIRD: They can’t get, they can’t be comfortable with that on so.

JULIE MITCHELL: And if you’re back is bothering you if there is a bra in the way the massage isn’t as smooth because I have to stop and go around and did stuff like that. So you are fully draped the whole time. There is a sheet on you at all times and it’s only draped open on the part that I’m working. So if I’m working on your back your back is the only part that is exposed. If I’m working a leg only that leg is exposed during that time.

ANNIE LAIRD: Oh okay. Yeah. Do you have issues with like being ticklish cause that’s my big issue of being ticklish or you guys okay with that you’re fine.

JAMIE FRECH: I was totally good.


HALSEY RESING: Yeah I think that you’re so relaxed by that point you know when I go to get a pedicure sometimes when they’re working on the feet that could get ticklish but when I’m in the massage mode, I don’t even think about it.

ANNIE LAIRD: Yeah when I supposed the different of it, it sounds like late touch massage. You know you’re not going to get down to the muscles if you not using a more firm touch.

JULIE MITCHELL: Right and definitely if there is someone on my table who is a little bit on the ticklish side generally a firmer touch is definitely better and then if it’s really ticklish in a lot of times tense muscles cause that tickling sensation.


JULIE MITCHELL: So it’s definitely good to work but sometimes you just have to start even slower and just as a compression so just holding that splate you know that spot. So it kind of just you know starts to relax and melt under my hand and then if I can get to it a little bit deeper I can.

ANNIE LAIRD: Yeah. You know what something about the massage therapist that I went to that she kept the sheet on so even that little bit of like not touching the skin, direct skin contact, just having the sheet there and like you were saying a very firm touch really helped out so. Now is prenatal massage is it safe throughout the entire pregnancy? Are there certain points that you have to avoid if you don’t want to like send the woman into labour?

JULIE MITCHELL: So I know at certain spas they say not to come during the first trimester and then they have a waiver that you signed afterwards and stuff like that.

ANNIE LAIRD: Is that just because they’re being

JULIE MITCHELL: They’re being super cautious.

ANNIE LAIRD: Yeah. I’d say most miscarriages and we’ve done episodes here on Preggie Pals about miscarriage before I mean as I understand most of them are chromosomal abnormalities you know.


ANNIE LAIRD: It’s totally not something that a prenatal massage is going to be…

JULIE MITCHELL: But it will generally happen within that first 3 weeks or 3 months I’m sorry.


JULIE MITCHELL: And so they just figure hey I’m not going to touch it I don’t want them to blame me it’s just better not to do it. Me, working for myself, I know that I’m not going to hurt you as a pregnant mom and as long as you’re healthy you know there are woman that…

ANNIE LAIRD: This is not done [inaudible] folks.

JULIE MITCHELL: Exactly, exactly. You have I mean if you’re prone to miscarriage or you’ve have a lot of spotting in your early pregnancy I would probably talk to your doctor care provider first. But most women their healthy they’re doing well everything has been generally smooth I’m not going to do anything to hurt you so yes it is good from the day that you find that you’re pregnant to the day you decide to deliver. Decide to deliver, that was.

ANNIE LAIRD: Yeah I wish we could decide.

SUNNY GAULT: Yeah as if it is where arrange.

ANNIE LAIRD: When the baby decides to come.

JULIE MITCHELL: So like that. Yeah, no throughout your entire pregnancy it’s really, really, beneficial absolutely.

ANNIE LAIRD: Yeah. Are there things you can do say a mom is coming to the point where she’s coming to be overdue.


ANNIE LAIRD: Are there things that you were trained to do as far as points that points on the massage that help kind of tip a mom over into labour?

JULIE MITCHELL: Yes, so there are certain points in the body that we’re not supposed to touch during the whole pregnancy because they have been related to moving the baby when it’s not appropriate. I don’t know any specific cases of the time I had thank goodness. But apparently someone somewhere had an issue so they stay away from these points. Starting once your full term so after probably thirty eight weeks is when I would be comfortable if a mom said hey would you mind? The thing with those points is it’s really about intention wanting to really move that baby, holding that spot for a good amount of time, a minute or more at a time. That’s not super relaxing.


JULIE MITCHELL: And you also have to think about my broad thumb hitting that point versus like if you go to the acupuncture and it’s very specific would definitely change the body and help with that.

ANNIE LAIRD: Are there, do kind of mom notice if she’s about to go in to labour? Are those points more sensitive?

JULIE MITCHELL: Yes, generally.

ANNIE LAIRD: So yeah, okay. Now what kind of a precaution should a woman take who are considering prenatal massage? Are there any precautions that need to be taken?

JULIE MITCHELL: Like I said before you know just make sure that you’re healthy obviously there is nothing major going on with your or your baby.

ANNIE LAIRD: Great well thanks Julie for joining us today. For more information about our expert and our panellist visit the episode page on our website. This conversation continues for member of our Preggie Pals club. After the show we’ll discuss a way to incorporate prenatal massage into your childbirth to improve your labour and delivery experience. To join our club, visit our website .

[Theme Music]

SUNNY GAULT: We have a question from one of our listeners. This question comes from Maggie and Maggie is writing from Glenview Illinois. Maggie says: “I have a fitness question for your expert Lian Webster. Is it true that the more kids you have the harder it is to lose the baby weight? I’ve heard people say this before which is frustrating because I still haven’t worked off all the baby weight for having my first child. Thanks.” And Maggie I think a lot of us here in the studio totally understand what you’re going through but let’s see what Lian has to say.

LIAN WEBSTER: Hi Maggie this is Lian Webster with 52 healthy weeks I just wanted to take some time to answer your question. Is it true that the more kids you have the harder it is to lose weight? Well I would say it’s true because the more kids you have the less time you have however biologically speaking you should be able to lose all of your baby weight regardless of how many kids you’ve had. There are a few things to keep in mind though especially since you are a new mom. First it’s really critical to have good sleep in order to have an efficient metabolism.

When you don’t get good sleep you’re not producing enough hormones and you’re producing too many of another hormone and this prevents your body from working efficiently so just remember that and give yourself a break and so you’re truly sleeping well consistently. The second thing is that you know you’ve got less time now obviously so it’s harder to fit in exercise so but I always tell people that write it on your calendar and really make it a priority and try to get your heart rate up for at least 30 minutes a day and sometimes that requires you know pushing the baby in the stroller or wearing the baby in a backpack or in a Baby Bjorn but you know really make it a goal if you’re getting a good sleep to get in the exercise too.

Also focus on eating consistently throughout the day because that would keep your metabolism up and choose really healthy nutritious snacks lots of fruits and vegetables and snacks that are high in fibre and just be patient and remember that it takes a deficit of 35 hundred calories to lose a pound. You’re a new mom, enjoy it have fun and just keep trying and yes there is absolutely help. I’ve got a child myself and it took a lot longer than I thought it would but I eventually did it. So good luck and have a great day thanks. Bye, bye.

[Theme Music]

ANNIE LAIRD: That wraps up our show for today. We appreciate you listening to Preggie Pals.
Don’t forget to check out our sister shows:
• Parent Savers for parents with newborns, infants and toddlers
• Twin Talks for parents of multiples.
• The Boob Group for moms who breastfeed their babies and

This is Preggie Pals, your pregnancy, your way.


This has been a New Mommy Media production. Information and material contained in this episode are presented for educational purposes only. Statements and opinions expressed in this episode are not necessarily those of New Mommy Media and should not be considered facts. Though information in which areas are related to be accurate, it is not intended to replace or substitute for professional, Medical or advisor care and should not be used for diagnosing or treating health care problem or disease or prescribing any medications. If you have questions or concerns regarding your physical or mental health or the health of your baby, please seek assistance from a qualified health care provider.

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