Maternal & Pregnancy Archives

Natural Solutions for Pregnancy Complications

Pregnancy is a critical time for smart dietary choices and proper nutritional support to improve the health of a baby. But pregnancy and childbirth in the opinion of many has become has become a pathology and medical procedure with excessive interventions that can negatively influence a mother and babies’ health.

Of course a small percentage of pregnancies require modern medical intervention in the forms of medications and potential surgeries. Modern medicine has saved countless pregnant women and newborn lives. But I don’t agree with the unnecessary overuse of strong medicines or procedures that have little clinical evidence of safety and potential deleterious side effects when safer options are available. Read the rest of this entry

My wife, Joy, and I work with many prenatal women. We certainly honor the birthing choices our clients would like however we also try to educate regarding options. Many people. including us feel the C-Section rate (over 33% in the Boston area) is a bit out of control.

C-Sections are absolutely necessary. C-sections have saved tens of thousands of lives, both baby and mother. However 1 out of every 3 births do not require a C-Section as is shown by the lower C-Section rates of Toby Hospital in Wareham and the Mt Auburn Midwives.   An emergency procedure has turned into almost a standard of care <a href=”” target=”_blank”>because of many factors.</a><!–more–>

C-Sections come with known side effects as they have been attributed to compromised immune systems because the baby does not get the bacteria as it passes through the birth canal. <a href=”″ target=”_blank”>Today a study was released</a> that was carried out at Children’s hospital in Boston to determine if a C-section delivery increases the risk factor for childhood obesity.

What this study concluded was that: “<a href=”″ target=”_blank”>Infants delivered by caesarean section may be at increased risk of childhood obesity.”</a>

In case you ask the study did adjust scores based on a mother’s pre-pregnancy weight as being overweight or obese increases chances of having a C-section and the risk of having an overweight or obese child.

Nature intended us to follow certain rules for a reason. It seems when we try to be smarter than nature (chemicals, GMO, C-section) there are consequences.   <a href=”” target=”_blank”>Here are 5 ways to avoid a C-section</a> so you can have a better birthing experience.

Yours In Health,

George Mandler

Licensed Acupuncturist

Licensed Dietitian / Nutritionist

Certified Nutrition Specialist


During pregnancy there are several supplements that show clear benefit in addition to a healthy non-junk food diet:  Vitamin D, Fish Oils (prefer high DHA) and probiotics.

Here are a few articles posted in the past about the benefits of probiotics during pregnancy:

A recent literature review of probiotics during pregnancy evaluated all the gold standard studies which means they are double-blind, placebo controlled.    What they found was that probiotics given during pregnancy reduced the incidence of eczema in their children from ages 2-7 years old.   What is interested is that it was only for the lactobacillus genus and not other strains such as bifidobacteria or products that contained a mixture of strains. Read the rest of this entry

Acupuncture For Pain Management During Labor

A review study was recently published that evaluated 13 trials which included 1,986 women and found that acupuncture during labor was associated with:

  1. Less intense pain reported
  2. More satisfaction with pain relief compared to no treatment
  3. A reduced use of pharmacological analgesia
  4. Fewer instrumental deliveries

Read the rest of this entry

Preventing Preeclampsia

A new study was released from the British Medical Journal showed the benefit of using L-arginine and antioxidants supplements during pregnancy to prevent preeclampsia.   Preeclampsia is a condition that comes on after the 20th week of pregnancy (but often 3rd trimester) where there is high blood pressure (over 140/90) as well as protein in the urine (proteinuria).  Read the rest of this entry

Given all the research about pesticide dangers and diseases it has been attributed to such as Parkinson’s it  still amazes me that foods grown with chemicals still make up the vast majority of foods consumed. This is probably largely due to the fact that  chemical companies have a ton of money and political lobbyists.   The vast majority of commercial farmers only know the way of the past 60 years and are of the false belief that organic farming is out of their reach.     Not only are we exposed to pesticides from foods, but also those nice green lawns.  Read the rest of this entry

Polycystic ovary syndrome (PCOS) is a metabolic imbalance of a woman’s hormones. This imbalance can cause changes in the menstrual cycle (amenorrhea, irregular periods, dysmenorrhea), skin changes, small cysts in the ovaries, infertility, hair growth and other problems. In a woman’s normal menstrual cycle one (or more) eggs are released from the follicles in the ovaries. In PCOS the eggs do not mature and instead form small cysts in the ovaries. This can lead to infertility. Read the rest of this entry

Acupuncture for PCOS

PCOS (Polycystic Ovarian Syndrome) is a female endocrine disorder where too much androgen hormone (testosterone) is being made in relations to estrogen.  It affects up to 10% of all women.   It is thought that improper insulin  regulation is a common cause and shows up in girls as young as 9 years old through post menopausal women. PCOS is one of the main causes of infertility, but PCOS is a symptom of an underlying endocrine imbalance not the reason for the infertility.

Common symptoms of PCOS include:

  • Irregular or no menstrual periods (for women of reproductive age)
  • Irregular ovulation, with or without monthly bleeding
  • Acne
  • Excess hair growth on the face and body
  • Thinning scalp hair
  • Accumulation of un-ruptured follicles on the periphery of the ovaries (mislabeled as “cysts”, often called polycystic ovaries)

It is not necessary to have all of these symptoms to have PCOS. In fact it is not necessary to have “polycystic ovaries” to have PCOS.  PCOS manifests itself differently in each woman.

I believe that Chinese Medicine is the best medicine on the planet to deal with PCOS and any hormonal imbalances.  Using acupuncture, herbs and nutrition we can regulate the hormonal levels sometimes within a few cycles.

There have been a couple of recent studies which show what has been known clinically for 2000 years.  Below are some of the articles written about the studies:

In addition these studies only used acupuncture and exercise.   There was no dietary intervention or herbal medicine used as treatment.  Once we add in these modalities the success rate increases dramatically!

So if you have been diagnosed with PCOS absolutely consider using Chinese Medicine as a treatment modality.

Yours In Health,

George Mandler CNS LDN LicAc

Improving ‘Poor Egg Quality’

Chinese Medicine which includes acupuncture, herbal medicine and nutrition can often treat conditions concerning poor egg quality.   Often when a woman is labeled with poor egg quality they have other signs of poor circulation such as cold extremities, low energy and maybe skin conditions.   Most often the cause does not lie with the eggs, but the overall health of the body and poor circulation to the uterus and ovaries.

The quality of the eggs depend on the DNA and the environment in which they are developing.  The lifecycle of an egg is upwards of 150 days, but the 3 months prior to ovulation is the most critical time of cell division. During this critical time we want to increase blood flow to the ovaries and work on getting supportive nutrition to the body.  This may include herbal medicine and nutraceuticals such as minerals and vitamins if necessary.   We also want to make sure we aren’t causing additional inflammation in the body (and thus preventing reproductive blood flow) by eating foods which are causing immune reactions.

Acupuncture can increase blood flow to the reproductive organs which can thereby provide more blood flow to the ovaries and improve egg quality over time.  With any fertility treatment strategy besides using Chinese Medicine (acupuncture, herbs, shiatsu) we always want to make sure nutrition is sound.  Nutraceuticals such as powerful antioxidants like ubiquinol and alpha lipoic acid can help reduce an inflammation response.   Blood tests can uncover and food sensitivity issues.

In addition to the services we offer your home treatments of castor oil packs on the abdomen are used to increase blood flow to the uterus and ovaries.  Self massage and visualization are also important tools and we will provide information and resources on these techniques.

Each patient will follow a different treatment protocol based on their Chinese Medical Diagnosis. Some women conceive naturally after a couple of months of treatments for poor egg quality.  But many go on to have a successful IVF or IUI as the chances of conceiving improve greatly after a treatment protocol.

Yours In Health,

George Mandler CNS LDN LicAc


A recent study showed that uterine lining health may be more important than egg quality in creating a healthy birth weight baby and carrying to term.    (Click here for the Time article about this published research).   This was a large study out of Baylor that reviewed over 300,000 IVF cycles  with specific interest in birth weight and gestation.  What they found was that IVF cycles that stimulated the uterus (which is the majority) had lower birth weight and less chance of carrying to term than ones that were unstimulated such as donor egg, surrogate or frozen transfer.

Read the rest of this entry

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