Tag: patient empowerment

  • 10 Things Every New Mom Needs—But No One Tells You

    Every new mom should know: New mom holding newborn baby during early weeks, feeling tired and emotional

    Becoming a mom changes everything. But while everyone rushes to tell you about diaper brands and baby bottles, very few people talk about what you, the mother, really need in those raw, beautiful, exhausting first weeks.

    Here’s what no one tells you—but every new mom deserves to know.

    1. Every New Mom Should Know: You Need Permission to Rest (Without Guilt)

    The world will expect you to bounce back—physically, emotionally, even socially. But your body has just done something miraculous and massive. You’re bleeding, healing, leaking, aching, and adjusting.

    Science shows that postnatal recovery is an intense physiological process, with hormonal shifts, uterine involution, perineal healing, and fatigue from interrupted sleep (National Institute for Health and Care Excellence, 2021).

    You need rest. Sleep. Stillness. And you deserve it without guilt.

    Let the dishes pile up. Ignore the texts. The only priority? Healing and holding your baby close.

    2. Every New Mom Should Know: You Need Emotional Safety Nets

    Everyone wants to hold the baby. But who’s holding you?

    Postpartum emotions can range from joy to tears to numbness—all in one hour. While mild “baby blues” affect up to 80% of mothers, it’s crucial to know when sadness or anxiety becomes something more (NICE, 2021).

    You need people who check on you, not just the baby. Whether it’s a partner, friend, doula, or therapist—find someone who asks, “How are YOU really feeling?” and listens without judgment.

    3. Every New Mom Should Know: You Need a Plan for Feeding Support

    Whether you breastfeed, pump, combo feed, or formula feed—you need support, not pressure.

    Breastfeeding doesn’t come naturally to everyone. Pain, latching issues, low supply—it’s common and normal to struggle. Research shows that early support increases breastfeeding success and reduces maternal distress (NICE, 2021).

    Call a lactation consultant. Ask for help. Or don’t breastfeed at all—your worth isn’t measured in ounces.

    4. Every New Mom Should Know: You Need Easy, Nourishing Food (You Didn’t Cook)

    Feeding yourself can feel impossible with a newborn. Yet postpartum recovery requires good nutrition to promote healing, energy, and milk production (NICE, 2021).

    The solution? Accept every food drop-off. Fill your freezer in advance. Buy snacks you can eat one-handed while holding a baby.

    And if it’s cereal for dinner some nights? That’s fine too. Fed is best—for moms too.

    5. Every New Mom Should Know: You Need Pain Relief Plans

    No one warns you that postpartum can hurt—even if you didn’t have a C-section. Uterine cramps (as the womb shrinks), perineal stitches, hemorrhoids, breast engorgement, and lingering aches are real.

    Stock up on padsicles, perineal spray bottles, stool softeners, and approved pain relievers. Science supports simple interventions like cold packs, pelvic floor exercises, and gentle analgesics to ease discomfort (NICE, 2021).

    You shouldn’t suffer in silence. Pain is not a badge of honor.

    6. Every New Mom Should Know: You Need a Realistic Picture of Baby Sleep

    “Is she a good sleeper?” people will ask within days. But newborns are supposed to wake frequently for feeds—it’s biologically normal.

    Safe sleep guidance recommends placing babies on their backs in a clear crib, in the parents’ room, for at least six months to reduce SIDS risk (NICE, 2021).

    Forget pressure to “sleep train” immediately. Forget comparisons. Your baby’s sleep isn’t a reflection of your parenting. It’s a reflection of being a baby.

    7. Every New Mom Should Know: You Need Warning Signs—For You and Baby

    Not everything postpartum is normal. But no one hands you a checklist.

    You should know when to seek help for you: heavy bleeding soaking pads in an hour, severe headaches, leg pain, chest pain, fever, extreme sadness or scary thoughts (NICE, 2021).

    And for baby: poor feeding, jaundice, fever, trouble breathing, fewer than 6 wet diapers by day 5.

    You deserve to feel safe, not scared. Don’t hesitate to call your healthcare provider.

    8. Every New Mom Should Know: You Need Boundaries (And the Right to Say “Not Yet”)

    Everyone wants to visit. Everyone wants to hold the baby. But you get to choose.

    If you’re not ready for visitors, say so. If you want visitors to bring food, wash hands, or mask up—say so. If you’d rather nap than entertain—say so.

    The postpartum period is called the “fourth trimester” for a reason. Your only obligation is to bond, recover, and adjust.

    9. Every New Mom Should Know: You Need Space to Process Birth

    Whether your birth was magical, traumatic, or somewhere in between—you deserve space to tell your story.

    Birth can bring pride, disappointment, joy, fear, empowerment, loss. Processing it matters. Research shows that debriefing birth experiences can reduce postnatal distress and promote emotional wellbeing (NICE, 2021).

    Tell someone you trust. Write it down. See a therapist. Your feelings are valid.

    10. Every New Mom Should Know: You Need to Know You’re Enough

    You don’t need to “bounce back.” You don’t need a flat stomach or perfect nursery or sleep-through-the-night baby.

    You’re enough exactly as you are.

    The world may rush you to “get back to normal.” But you’ve been forever transformed. Motherhood remakes you—physically, emotionally, spiritually.

    Let the world wait. Let the chores wait. Let comparison wait.

    You are learning. You are growing. You are healing. And you are enough.

    The Bottom Line

    Motherhood isn’t a checklist of products. It’s a journey that needs support, compassion, and community.

    So here’s what you really need: people who show up. Food that fuels you. Knowledge that empowers you. Rest that restores you.

    Everything else? You’ll figure it out. One moment, one feed, one cuddle at a time.

    Want More Support?

    Visit Vittafemme.com for expert articles on postpartum recovery, breastfeeding, mental health, and newborn care. And listen to our podcast for real stories from moms like you.

    References

    1. National Institute for Health and Care Excellence (NICE). Postnatal care. London: NICE, 2021.
      https://www.nice.org.uk/guidance/ng194

  • What is Ovarian Reserve? How to Test It. Can You Improve Your Egg Quality?

    1. What is Ovarian Reserve?

    A woman is born with 1–2 million eggs, but by puberty, only about 300,000–400,000 remain. With each menstrual cycle, a number of eggs is lost, and only one matures for ovulation. By the time a woman reaches her late 30s and early 40s, the number and quality of her eggs decline significantly​.

    What is Ovarian Reserve Importance?

    · It helps predict natural fertility potential.

    · It determines the likelihood of success with fertility treatments.

    · It indicates the timing of menopause.

    Does Low Ovarian Reserve Mean Infertility?Not necessarily. A woman with a low ovarian reserve can still conceive, but her chances decrease with age, especially after 35 years old​.

    2. How to Test Ovarian Reserve?

    A. Hormonal Blood Tests

    Test What It Measures Optimal Range

    Anti-Müllerian Hormone (AMH). Ovarian reserve 1.0–4.0 ng/mL (ideal fertility)

    Follicle-Stimulating Hormone (FSH). Ovarian function <10 mIU/mL (tested on Day 3 of the cycle)

    Estradiol (E2) Egg development response. 25–75 pg/mL (Day 3 test)

    Inhibin B. Ovarian activity. >45 pg/mL suggests good reserve

    • AMH is the most reliable marker, as it remains stable throughout the menstrual cycle.
    • FSH and estradiol levels are useful but may fluctuate from cycle to cycle​.

    B. Ultrasound Tests

    1. Antral Follicle Count (AFC) – Measures the number of small follicles in both ovaries via transvaginal ultrasound.
      • High AFC (>12 follicles) = Good ovarian reserve.
      • Low AFC (<5 follicles) = Diminished reserve.
    2. Ovarian Volume – Women with larger ovarian volume tend to have better fertility outcomes​.  

    3. Factors That Affect Ovarian Reserve

    A. Aging

    · Egg count declines naturally after 30 and rapidly after 35.

    · Egg quality decreases, increasing the risk of chromosomal abnormalities such as Down syndrome.

    B. Lifestyle Factors

    • Smoking – Reduces ovarian reserve and advances menopause by 1–4 years.
    • Obesity – Alters hormonal balance, impacting egg quality.
    • Excessive alcohol – Lowers AMH and damages egg DNA​.  

    C. Medical Conditions

    • Polycystic Ovary Syndrome (PCOS) – Can result in higher AFC but poorer egg quality.
    • Endometriosis – Causes ovarian damage, reducing egg supply.
    • Autoimmune diseases – May lead to early ovarian failure​.  

    D. Family History

    · A family history of early menopause increases the likelihood of low ovarian reserve.

    4. Can You Improve Ovarian Reserve?

    The Truth About Supplements and Egg Quality

    · There is no proven way to increase the number of eggs a woman has.

    · Some studies suggest that Coenzyme Q10 (CoQ10) may help mitochondrial function in eggs, but it does not reverse genetic aging​.

    · No supplement can prevent chromosomal abnormalities in eggs caused by age​.

    Best Strategies for Protecting Egg Quality

    1. Lifestyle modifications – Avoid smoking, excessive alcohol, and maintain a balanced diet.
    2. Consider egg freezing at a younger age – If planning delayed pregnancy.
    3. Fertility assessment – Regular testing to understand reproductive health​.  

    5. Fertility Treatments for Low Ovarian Reserve

    • Mild ovarian stimulation – Lower doses of fertility drugs for better egg quality.
    • Egg freezing (oocyte cryopreservation) – A great option for women with declining ovarian reserve who wish to conceive later.
    • IVF with preimplantation genetic testing (PGT-A) – Helps select chromosomally healthy embryos​.  

    6. Conclusion: What is Ovarian Reserve? Why  you should it.

    Ovarian reserve is a key factor in fertility, but a low reserve doesn’t mean pregnancy is impossible.

    · AMH and AFC are the best predictors of ovarian reserve.

    · Egg quality is just as important as quantity for successful conception.

    · No supplement has been proven to increase egg quantity or reverse age-related decline.

    Women considering pregnancy—especially after 30—should undergo fertility testing early to explore their options for natural conception or fertility preservation.

    What is ovarian reserve? You Know the answer. Share this post and help us spread the word!

    Would you like to assess your ovarian reserve? Book a consultation with a fertility specialist today!

    References
    1. American Society for Reproductive Medicine (ASRM). "Ovarian Reserve Testing: What You Need to Know." Fertility and Sterility, 2023. “>American Society for Reproductive Medicine (ASRM). “Ovarian Reserve Testing: What You Need to Know.” Fertility and Sterility, 2023.
    2. Wallace, W.H.B., & Kelsey, T.W. "Human Ovarian Reserve from Conception to Menopause." PLoS ONE, 2010. “>Wallace, W.H.B., & Kelsey, T.W. “Human Ovarian Reserve from Conception to Menopause.” PLoS ONE, 2010.
  • Menopause and Nutrition: How Diet Impacts Symptoms and Long-Term Health

    Menopause and Nutrition: How Menopause Affects Nutritional Needs

    As estrogen levels decline, the body undergoes changes that can impact health in several ways:

    • Bone Density Loss – Estrogen helps keep bones strong. After menopause, women are at a higher risk of osteoporosis.
    • Increased Risk of Heart Disease – Lower estrogen levels can raise cholesterol and increase cardiovascular risk.
    • Slower Metabolism – Weight gain is more common due to changes in how the body processes food.
    • Changes in Insulin Sensitivity – Menopause can affect the way the body handles blood sugar, increasing the risk of insulin resistance and type 2 diabetes.
    • Digestive Changes – Some women experience bloating, slower digestion, and difficulty absorbing nutrients like calcium and magnesium.

    Menopause and Nutrition: Understanding Insulin Resistance and Insulin Sensitivity

    What Is Insulin and Why Is It Important?

    Insulin is a hormone made by the pancreas that helps move sugar (glucose) from the blood into the body’s cells, where it is used for energy. This process helps keep blood sugar levels stable.

    What Is Insulin Sensitivity?

    When someone has good insulin sensitivity, their body needs only a small amount of insulin to lower blood sugar effectively. This means their cells respond well to insulin, keeping blood sugar levels balanced and reducing the risk of diabetes.

    What Is Insulin Resistance?

    Insulin resistance happens when the body’s cells stop responding properly to insulin. As a result, the pancreas makes more insulin to try to compensate. Over time, this leads to high insulin levels, which can cause:

    • Increased belly fat
    • Higher blood sugar levels
    • Higher cholesterol and triglycerides
    • A greater risk of developing type 2 diabetes

    Menopause increases the risk of insulin resistance due to hormonal changes, making nutrition and exercise essential for maintaining insulin sensitivity.

    Menopause and Nutrition: Key Nutrients for Menopausal Women

    1. Calcium and Vitamin D: Protecting Bone Health

    Since menopause increases the risk of osteoporosis, calcium and vitamin D are essential for maintaining strong bones.

    Best Sources of Calcium:

    • Dairy products (milk, yogurt, cheese)
    • Leafy greens (kale, spinach, collard greens)
    • Fortified plant-based milks (almond, soy, oat)
    • Sardines and salmon with bones

    Best Sources of Vitamin D:

    • Sunlight exposure (15–30 minutes per day)
    • Fatty fish (salmon, mackerel, tuna)
    • Egg yolks
    • Fortified dairy and plant-based milk

    2. Protein: Preventing Muscle Loss and Improving Insulin Sensitivity

    Loss of muscle mass is common after menopause, making protein intake crucial for maintaining muscle strength and metabolic health.

    Best Protein Sources:

    • Lean meats (chicken, turkey)
    • Fatty fish (salmon, sardines)
    • Plant-based proteins (lentils, beans, tofu, tempeh)
    • Greek yogurt and cottage cheese

    3. Omega-3 Fatty Acids: Supporting Heart and Brain Health

    Omega-3s reduce inflammation, support brain function, and improve insulin sensitivity.

    Best Sources of Omega-3s:

    • Fatty fish (salmon, trout, mackerel)
    • Flaxseeds and chia seeds
    • Walnuts
    • Algae-based supplements

    4. Fiber: Helping Blood Sugar Control and Digestion

    Fiber slows down how quickly sugar enters the bloodstream, preventing blood sugar spikes and supporting gut health.

    Best Fiber Sources:

    • Whole grains (oats, quinoa, brown rice)
    • Vegetables (broccoli, carrots, Brussels sprouts)
    • Fruits (apples, pears, berries)
    • Legumes (beans, chickpeas, lentils)

    5. Magnesium: Reducing Stress and Supporting Sleep

    Magnesium helps regulate insulin, improve sleep, and reduce anxiety.

    Best Sources of Magnesium:

    • Nuts (almonds, cashews, walnuts)
    • Seeds (pumpkin, sunflower)
    • Dark leafy greens (spinach, kale)
    • Dark chocolate (85% cacao or higher)

    Menopause and Nutrition: Foods to Avoid or Limit

    Certain foods can worsen menopausal symptoms and increase the risk of insulin resistance, weight gain, and heart disease.

    • Refined Carbohydrates and Added Sugars – These cause blood sugar spikes and increase belly fat.
    • Alcohol – Can worsen hot flashes, affect sleep, and increase the risk of osteoporosis.
    • Caffeine – May contribute to anxiety, disrupt sleep, and trigger hot flashes.
    • Processed and Fried Foods – High in trans fats and inflammatory oils that raise cholesterol.
    • High-Sodium Foods – Excess salt can contribute to high blood pressure and fluid retention.

    The Mediterranean Diet: A Perfect Fit for Menopausal Women

    The Mediterranean diet is one of the best eating patterns for menopause because it reduces inflammation, supports heart health, and improves insulin sensitivity.

    This diet includes:

    • Healthy Fats (olive oil, nuts, seeds)
    • Lean Proteins (fish, poultry, legumes)
    • High Fiber (whole grains, vegetables, fruits)
    • Antioxidant-Rich Foods (berries, dark leafy greens, nuts)  

    Women following this diet have been shown to experience fewer hot flashes, better weight control, and improved metabolic health (Jannas-Vela et al., 2023).

    Supplements for Menopause

    In some cases, supplementation may be needed:

    • Calcium (1,200 mg/day) – If dietary intake is insufficient
    • Vitamin D (800-1,000 IU/day) – Essential for bone health
    • Magnesium (300-400 mg/day) – Helps with sleep and stress
    • B Vitamins – Support energy metabolism and brain function
    • Omega-3 Supplements – Improve cardiovascular and insulin health

    Menopause and Nutrition: Conclusion 

    Nutrition plays a key role in managing menopause symptoms and preventing long-term health risks such as osteoporosis, heart disease, and insulin resistance.

    By focusing on nutrient-dense foods, avoiding processed sugars and unhealthy fats, and staying hydrated, women can navigate menopause with better energy, weight control, and overall well-being.

    Combining a healthy diet with regular exercise and stress management can significantly improve quality of life during and after menopause.

    “Now that you know about menopause and nutrition, can you explain it to someone else? Share this post and help us spread the word!”

    References