Guest guest Posted October 2, 2007 Report Share Posted October 2, 2007 Dear Friends; Today A discussion around post surgery massage and stitches came up, and I thought you might benefit. It is a very sensitive time, and I had to explain a second time to be sure information came through correctly, I must have spoken to quickly the first time. Warm Regards; Ysha Hi Lee, Sonya; I'm glad to get this clear. No, I would not massage the belly for upwards of 10 days, then of course very gently in those flat handed broad steady clockwise lubricated circles. I am very sorry for the apparent misunderstanding. I apply the warm oil on upper/mid abdomen, even day 1 if desired, very valuable, but not massage! I have applied (again, not massaged) warm oil all over a woman within a few minutes of surgery in the recovery room, Nurse watching with instructions to just not go near the bandage. She wanted to trust me because she was amazed at the results of the first thing I did, which was give the mom sips of a simple vata tea, the tea bag soaked in hot tap water (we do what we can!) which immediately calmed her shakes when no other protocol including prewarmed blankie did. So when asked about putting the warm sesame oil on Mom (Mom liked the idea) she approved. The words Sonya used are probably mostly direct quotes from me in training although some clarification is needed. The 10 day rule came from Maharishi Ayurveda, probably a combined input from the MDs in the West and the 2 Vaidyas developing the program for the west with them and 2 natural childbirth/infant massage women. They were extra careful about possibly risks to mothers and to students not getting clear limits that affected their liabilities too as supervisors. My experience is that we have to work in some appropriate flexibility with our client's desires around " by the book " , from both doctor and our teachers. We often had clients begging us for massage before then. I kept saying no. Finally I asked another teacher, Dr. Shrestha, and she said yes, oiling and gentle massage to the body is very good as long as we do not massage the belly for some days, the 10 being an about figure, and take care for her comfort and how she moves. Applying oil to the tummy is good, if mother is ok with it. Turning to the tummy is when she feels ready. The simple steady pressure is beneficial, just like belly wrapping, to the abdomen and uterus. Definitely we make sure she moves slowly, her own pace, and does not use tummy muscles. Aside from this info comes knowledge from Ayurveda that not only is sesame (and coconut) oil mildly antiseptic, warm oil so helps reduce the nervous system vata and other functional natural postpartum confusion. Warm oil provides connectivity to the senses and nourishment thru the skin to all tissues. The essential oils are strongly antiseptic and very supportive to healing to incisions, pain, inflammation, etc, some much more than others. They are, by my experience and others', much more quick, and less messy than allopathic or herbal creams, pastes etc. I " m a fanatic as Sonya probably has told you about the quality of them. Essential oils, not sesame oil, are less likely to loosen the bandage though they may depending how much is used. A small amount will soak straight thru the bandage to the skin whereas the heavy massage oil is thicker, penetrates less, and can get messy. But it is usually some days postpartum that the mother complains about itchiness, pain, and redness around the incision. In that case I explain the situation including value of the oxgen enhancment et all of essential oils to the tissue, give her choices. I usually am welcomed to put a little lavender oil (or she wants to order and can afford helichrysum) directly over the stitches over the bandage, or if exposed, right on the incision/stitches. In every case the results are phenomenal and the Mom has been very grateful. (Usually the same day she complains about epidural caused spinal pain and headaches so we try lavender there too and it usually works well.) She often will then want to order some of her own for multiple uses. So there is flexibility as with many things, and our responsibility has to be to respect her decisions but educate wisely and where she is asking for help especially. The final responsibility is with her decision, and as you have probably seen, the terms on our mutually signed Informed Consent, disclaimer and responsibilities document. Have you been on the forum lately? I was very happy to hear the vaidya mention using bastis after 7 days. This is about when mothers are ready to do them (if they are open to try this " new " idea), my consistent experience, and makes more sense to the pp physiology to me too. Namaste; Ysha Quote Link to comment Share on other sites More sharing options...
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