Tinto Talks Octavia Hamilton

This week, we continue our Ask a Tinto Expert series with a discussion around children’s mental health with clinical psychologist, Dr Caroline Gibbs.

In the podcast, we talk about how the difficulties of the last 18 months have affected our children’s mental health, including how vulnerable children have become even more vulnerable.

We cover children’s anxiety and the signs that your children might be struggling, including how children often use physical symptoms, such as a tummy ache, to explain their emotions.

We also discuss the best way to access mental health services and the impact children’s mental health can have on parents - and vice versa - and how we can better support them too.

Thank you so much for listening. If you’d like to know more about what we discussed, here are some resources that you may find useful



Anna Freud – Some very helpful Covid research and support/advice for parents and for professionals - https://www.annafreud.org/coronavirus-support/support-for-mental-health-professionals/

Sutton Trust – Early Years research - https://www.suttontrust.com/our-research/coronavirus-impacts-early-years/

Covid 19 Early Years Research Round-Up - http://www.crec.co.uk/announcements/covid-19-impact-early-years-research-round-up

Digestible book aimed at parents whose children are experiencing anxiety:

Helping Your Child with Fears and Worries 2nd Edition. Cathy Cresswell and Lucy Willetts –

Mental Health Tier System

Tier 1: Primary care and first line support: GP, school, nurses, or school-based support e.g. school counsellor

Tier 2: This is what we often refer to as early help, but these tend to be more

targeted services, so you might have a Child and Adolescent Mental Health

Service (CAMHS) service here offering support for mild-moderate mental

health difficulties

Tier 3: Here you have specialist CAMHS, who would tend to see those with

more severe or enduring mental health difficulties, complex: comorbidities.

Here you would have an MDT approach, so you might have input from a range

of professionals including talking therapists and psychiatry. This is also where

specialist CAMHS sits, e.g. eating disorder services, neurodevelopmental

assessment services.

Tier 4: This is where our inpatient services sit and also what we call outreach

services, who aim to prevent children/YP needing an admission and who may

therefore offer a more intensive service, for example, several appts a week for

a short period until things have settled down a bit.

This week, we continue our Ask a Tinto Expert series with a discussion around pelvic girdle pain with physical therapist, Dr Deborah Riczo.

In the podcast, we break down the symptoms of pelvic girdle pain to help you understand any issues you might be having.

We also give some tips on how to manage this pain, covering everything from round ligament pain and our pelvic floors to posture, strength and flexibility throughout and after your pregnancy.

As always, seek professional advice from your GP or a physiotherapist if you have any unexplained aches and pains during pregnancy. Early intervention is key to keep you moving freely.

Thank you so much for listening. If you’d like to know any more about what we discussed, here are some resources that you may find useful.



To hear more from Dr Deborah, take a look at the following:

WEBSITE - https://riczohealtheducation.com

INSTAGRAM: http://instagram.com/RiczoHealthEduca... 

FACEBOOK: http://www.facebook.com/RiczoHealthEd... 

LINKEDIN: http://www.linkedin.com/in/deborahriczo/ 

TWITTER: http://www.twitter.com/DebRiczoPT/

Prenatal and Postpartum Exercises and Posture Tips

Dr. Deb, physical therapist:Pregnancy & Postpartum Exercises for back, pelvic girdle, hip, leg pain

Pelvic girdle pain resource

https://pogp.csp.org.uk/system/files/publication_files/POGP-PGP%28Pat%29%28UL%29.pdf

Pelvic floor exercises resource

https://pogp.csp.org.uk/system/files/publication_files/POGP-PelvicFloor%20%28UL%29.pdf

This week, we continue our Ask a Tinto Expert series with a discussion around pain management during labour with experienced anaesthetist and dad, Dr Dickie Lowe.

In the UK, birth is almost synonymous with pain. But it doesn’t have to be that way. Knowing all the pain management options available to you is such an important part of birth preparation.

First of all, Dr Dickie explains how different factors can influence our experience of pain.

Then, we get into the details, covering gas and air, TENS machines, epidurals as well as breathing techniques, music and massage. We also touch on the anaesthetic involved in c-sections.

Finally, we wrap up with a discussion around managing postpartum pain.

Thank you so much for listening. If you’d like to know any more about what we discussed, here are some resources that you may find useful:

The Effectiveness of Aromatherapy in Reducing Pain: A Systematic Review and Meta-Analysis (2016)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5192342/

Three acupoints for pain management:

https://www.aurorahealthcare.org/patients-visitors/blog/3-acupressure-points-you-can-use-to-relieve-headaches-stomach-pain-or-nausea-and-body-pain

A guide to massage in labour:

https://shafiamonroe.com/power-of-touch-massage-during-labor/

Using a tens machine in labour:

https://www.babycentre.co.uk/a542581/using-a-tens-machine-in-labour

Pain management for women in labour: an overview of systematic reviews:

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009234.pub2/full

(The OAA – Obstetric anaesthetists association) pain relief in labour

www.Labourpains.com

NHS website / Tommys.org

Valentine Gardener from the amazing @postivebirthingandparenting shares with us some of her knowledge about how best to prepare for birth and encouraging postpartum wellbeing.

We cover Hypnobirthing, what it is and how it works and all the other tools you can gather to help guide you through a smooth birth. Tackling fear of birth and how being informed is a huge factor in gaining some control in birth

We then discuss preparing for the transition into becoming a mother both whilst still pregnant and also in the early postpartum period.  Understanding the stresses and strains not just physically but emotionally you about to go through and preparing yourself for the change in identity and working through practical tips with your partner. Techniques such as encouraging boundaries and ensuring rest and some you time- all things that I know I struggled with in the early days.

#Hypnobirthing #Antenatal #Postnatal #Pregnancy #Fearofbirth #Labour #Breath #CBT #Wellness #Positivepostpartum #Wellbeing #Motherhood #Anxiety #Identity #Parenting #Boundaries #Selfcare #Balance #Birthtrauma #Processingbirth #Mama #Matrescence #Maternity #Covid #Lockdownbabies #Isolation

https://www.positivebirthingparenting.com

Val Gardener

http://hypnobirthing.co.uk

https://www.birthtraumaassociation.org.uk

Mothersformothers.co.uk
0117 975 6006

Pandasfoundation.org.uk
0843 289 8401

Birthtraumaassociation.org.uk
01264 860380

Anxietyuk.org.uk
0344 477 5774

Mind.org.uk
0300 123 3393

https://what0-18.nhs.uk/parentscarers/maternal-mental-health

Healthier Together

https://hampshirelanterns.com/

Hampshire Lanterns

This week on Tinto Talks, we top off our birth stories series with first-time mum Tash’s forceps delivery during a pandemic. This episode is the final part in our birth stories series, where we talk to mums before and after their births.

Tash and Octavia start by discussing the realities of giving birth and having a newborn during a pandemic. It’s not quite the maternity leave Tash imagined, and the lack of social contact has – understandably – had an impact on her and her little boy.

We then deep dive into Tash’s birth story. Tash describes how, 24 hours after her water broke at home, she was admitted to hospital as she was not progressing apart from a few Braxton Hicks. After agreeing to an induction, Tash explains how quickly the contractions started and how she managed the pain with an epidural, delivering her son safely with an episiotomy and forceps. Octavia and Tash talk through informed consent, episiotomy and how to minimise birth trauma even when things don’t go to plan.

Towards the end of the podcast, Octavia and Tash discuss recovery, including going to the loo with stitches, haemorrhoids, scar massage, pelvic floor exercises and Mummy MOT.

And finally, we round it off by talking through some coping mechanisms for dealing with the strain of Covid as a new mum and how we’re trying to find gratitude among the loneliness and monotony of lockdown.

Thank you so much for listening. If you’d like to know any more about what we discussed, here are some resources that you may find useful:

https://www.tommys.org/pregnancy-information/giving-birth/what-expect-when-your-waters-break
What to expect when your water break
https://www.tommys.org/pregnancy-information/giving-birth/braxton-hicks
Braxton hicks
https://www.esht.nhs.uk/wp-content/uploads/2017/06/0331.pdf Information for women planning to give birth at home
https://www.nice.org.uk/guidance/cg70/documents/induction-of-labour-update-of-guideline-d-nice-guideline-for-consultation2
Guidelines for induction and alternative methods:
https://www.nhs.uk/pregnancy/labour-and-birth/what-happens/episiotomy-and-perineal-tears/
Episiotomy
https://www.nhs.uk/pregnancy/labour-and-birth/what-happens/forceps-or-vacuum-delivery/
Forceps deliveries:
https://www.nhs.uk/conditions/piles-haemorrhoids/
Haemorrhoids:
https://www.google.co.uk/amp/s/heavy.com/baby/2017/09/top-best-perineal-ice-packs-postpartum-cold-instant/amp/
Ice packs:
https://pubmed.ncbi.nlm.nih.gov/26395154/?fbclid=IwAR1HgZBmCJDk4Bf2VT5W0NGuu0uRc902g5PFt5UrRlHejU5IMX44wk_6B8Q
Evidence for ice pack
https://www.amazon.co.uk/Perineal-Cold-Packs-Need-Freeze/dp/B01N9JEKY8
Cold pack for stiches or post partum
https://myexpertmidwife.com/products/spritz-for-bits?gclid=Cj0KCQiA0fr_BRDaARIsAABw4EsyCtI7SUeikl44wxcsiU8hxTjHVpnOPvQ96Lwcwm4l2vYEswzwXj0aAiLyEALw_wcB
Spritz for bitz
https://www.guysandstthomas.nhs.uk/resources/patient-information/therapies/physiotherapy/massage-perineal-episiotomy-caesarean-scars.aspx
Scar Massage
https://www.bristolmassagetherapy.co.uk/tips-articles/massaging-a-c-section-scar
Scar massage
https://www.themummymot.com
The Mummy MOT

Before you think another homebirth, this is not a common decision first time mothers make therefore it is interesting to document why and how Tash comes to this decision. We have a good chat about choosing the right birth for you, especially during a pandemic. What influences her choices and how to find out what your options are near you.

We talk NCT via zoom, exercise and maintaining strength throughout pregnancy and the realities of the ever-changing pregnant body. We also cover being realistic about postnatal recoveries and how you can nourish and support that journey.

It’s an interesting viewpoint of pregnancy from a women’s health physiotherapist. We discuss the fact that the key is educating yourself about all of the variables that can affect your birth and therefore whatever the outcome you can maintain some control and also be happy with the course of events.

NCT https://www.nct.org.uk

https://advances.sciencemag.org/content/5/6/eaaw0341 Extreme events reveal an alimentary limit on sustained maximal human energy expenditure (2019)

https://www.scarymommy.com/pregnancy-marathon-endurance-athlete/