For many years I never needled the abdomen of a pregnant
woman for fear of causing miscarriage. This method of behavior stems in part
from fear of over-stimulating blood flow to the embryo or placenta. This
thinking, as I have recently discovered, is incorrect. It has taken me ten
years of study and research to enable me to fully understand what is happening
in the uterus after a successful pregnancy and why abdominal acupuncture for
the first three months of pregnancy is not only safe but serves significantly
to prevent miscarriage.
photo via jillstanek.com
At the luteal phase or secretory
phase of the menstrual cycle the predominant hormone is progesterone.
Progesterone is created from the follicle that has ovulated the mature egg.
This follicle is now known as the 'yellow body' or corpus lutuem. The corpus
luteum, under the influence of luteinizing hormone which emanates from the
anterior pituitary in the brain secretes progesterone. This action is done to
enable the uterine lining to be amenable to a successful embryo implantation
and pregnancy. If pregnancy is not successful, the corpus luteum becomes
atretic (dies) and progesterone levels diminish and menstruation starts.
When a woman does successfully
become pregnant, the LH which is required to maintain high levels of
progesterone (P) no longer comes from the anterior pituitary gland in the
brain. It comes in fact, from the developing blastocyst itself. The blastocyst
(developing baby), secretes HCG or Human Chorionic Gonadotropin which has a
very similar molecular structure to LH. The HCG causes the corpus luteum to
continue to secrete P (this is called corpus luteum- rescue), until the
placenta is fully formed at which point the placenta itself secretes
appropriate amounts of P to help maintain pregnancy.
So, if the developing blastocyst
is responsible for secreting HCG to keep itself alive it made sense to me to
use very few and well placed needles in the abdomen to gently stimulate blood
flow to the blastocyst so that P would continue to be secreted from the corpus
luteum.
This, in my opinion is one of the
major ways that miscarriage prevention can be achieved with acupuncture. I am
the first one to arrive at this idea and have been using it with great success. My protocol consists of using acupuncture
twice weekly for 13 weeks after IUI, IVF or donor-egg or after a natural
pregnancy is confirmed. The majority of miscarriages occur within the first
twelve weeks of pregnancy. Our goal is to take the patient one week outside of the danger zone; this is why
we treat for 13 weeks and not 12.
After 6 or 7 weeks the placenta
is formed and it secretes P. The corpus luteum is no longer necessary. But, one
of the major causes of miscarriage is inappropriate blood flow to the placenta.
One of the causes of this is due to thrombophilic disorders (The
tendency to form blood clots). But
clinically what does this mean? Blood carries oxygen, hormones and nutrients to
the placenta and excretes dead cells from it.
These dead cells are called
'debris'. By continuing to use abdominal acupuncture, we continue to gently
stimulate blood flow to the placenta
(reducing the effects of poor hemodynamics which can occur due to thrombophilic
disorder or just poor circulation), maintaining its ability to secrete P,
estrogen, human placental-lactogen, relaxin and other hormones necessary for
the maintenance of a healthy pregnancy.
I am constantly studying Western
reproductive medicine and translating my findings into a Chinese medical model
which serves to increase a useful knowledge-base to help couples achieve
pregnancy. However, achieving pregnancy is only half the battle. The other half
is maintaining a healthy pregnancy. The focus of many acupuncturists is
to help their patients become pregnant. This too is my first goal, but only my
first. My second goal is to maintain a viable pregnancy and this is where my
research and studies are now taking me.
This new Berkley Center protocol
is working wonders for those suffering with repeated pregnancy loss, as well as
those who have had difficulty in conceiving.
Acupuncture treatment for the
infertile patient as well as the patient suffering with repeated pregnancy loss
must be continued after pregnancy is
achieved to increase the odds of a successful,
full-term pregnancy. Treatment
should be continued for thirteen weeks, as 90% of miscarriages occur within the
first trimester.
Mike Berkley, L.Ac., FABORM
212-685-0985
berkleycenter.com
No comments:
Post a Comment