"Birth Kit Essentials" was written and originally published on by Aromatools on their blog, https://blog.aromatools.com/ (July 6, 2015 ) 

During the Week of Wellness at AromaTools™, Stephanie McBride came to teach a class on using essential oils during pregnancy and labor as well as using oils to help care for yourself and your baby afterward.

Stephanie McBride has worked with herbal medicine for over 25 years and is a clinical herbalist, functional nutritionist, and clinical aromatherapist master, in process. She created an e-course, Essential Oils for the Birth Kit, that is a comprehensive, evidence-based, and unbiased five-hour course on using essential oil therapy during each phase of pregnancy and in infant care.

General Safety Guidelines for Essential Oil Use During Pregnancy. “The most confusing part about using essential oils during pregnancy is trying to figure out what is safe to use and what isn’t,” Stephanie explains. One major issue is that it isn’t ethical to do research on pregnant women, so there just aren’t many studies on the subject. Because of this issue and a couple others, there isn’t a definitive list for safe essential oils. So, Stephanie suggests you follow these four guidelines:
  1. Use essential oils only in normal, healthy pregnancies.

  2. Receive the mother’s consent.
  3. Work within the scope of your practice. If you are not a licensed practitioner, then you need to be careful what you are recommending essential oils for.
  4. Use only high quality essential oils.

The key to using essential oils correctly is to use high quality essential oils with the proper dose and recommended dilution amount.

Stephanie recommends using the French dilution equivalents, since the French have been using essential oils for therapeutic use for quite a while. The best application of essential oils during pregnancy is to dilute the oil in a carrier oil and apply it topically or aromatically. When first starting out, Stephanie suggests using the greatest dilution (1%) and working your way to more as needed. If it doesn’t seem to be working, use a higher concentration the next time.

Some general safety guidelines Stephanie recommends the following:
  • Start with the lowest effective dose, as mentioned above.

  • Avoid prolonged exposure to any one oil.
  • Test for skin sensitivity. Your sensitivity may change during pregnancy; so even if you used oils neat before pregnancy without any issues, always start with a dilution and test for skin sensitivities when pregnant.
  • Keep essential oils out of reach of children.
  • Avoid internal use during pregnancy unless formulated by a physician or reputable company.

Stephanie also recommends knowing the herbal actions for the essential oils you are using. As an example, she showed the following list:
  • Photosensitizers – citrus peel, bergamot, fennel (These oils may cause a skin reaction when exposed to sunlight.)

  • Cardiac stimulants – nutmeg, cinnamon, cassia (These oils may increase heart rate. If you are pregnant, your blood volume is nearly double, so it is prudent not to influence circulation unnecessarily).
  • Uterine contractors – clary sage, jasmine, myrrh (These oils are more appropriately used once labor has naturally begun).
  • Hormone influencers – fennel (Avoid internal use because of potential oxytocin levels).
  • Emmenagogues – lavender, Roman chamomile, peppermint, clary sage, black pepper, fennel, frankincense, jasmine, orange, rose (Used appropriately, these oils are fabulous during pregnancy).

Knowing the herbal actions of essential oils can help you know how to use the oils properly. For example, clary sage is not recommended during pregnancy because it could cause the uterus to contract, which isn’t advisable, but if used after labor has begun, it can increase the effectiveness of the contractions. Stephanie McBride suggests putting a few drops of clary sage on a handkerchief during labor and inhaling in between contractions to help each contraction be more effective and to reduce pain.

General Safety Guidelines for Infant Care when using essential oils on infants.  Stephanie suggests following these guidelines:
  • Apply to breasts after nursing so the baby doesn’t get oils in the eyes.

  • Use very small doses: 1 drop essential oil to 1 Tbsp. carrier oil.
  • Always dilute in carrier oil.
  • Disperse in emulsifier before adding to baths. Some emulsifiers that are good in baths include hand soap, whole milk or cream, and Epsom salts.
  • Test oils on skin for sensitivity.
  • Never put essential oils in ears, nose, eyes, or mouth.
  • Do not use internally.
  • Keep out of reach of children.
  • Use gentle oils only.

One thing Stephanie mentioned during the class is that you want your baby to be able to also experience the smell of her mother because this is part of the learning process and brain development. Don’t overwhelm your baby with so many essential oils by using them every day. Only use the oils when needed, and make sure to give your baby a break from the oils often. When you do need to use essential oils on your baby, a good way to do it is to apply topically on the bottoms of the feet or chest before bed or during a diaper change. You can also use essential oils in a bath, but mix the oils with an emulsifier before mixing into the bathwater. This helps the oils spread throughout the water rather than staying in clumps on top of the water.

An essential oil formula that Stephanie uses for colic, teething, respiratory issues, diaper rashes, fussiness, sleeping, etc. for the baby is 1 drop Roman chamomile and 1 drop lavender mixed with 2 Tbsp. carrier oil. She suggests rubbing this on the bottoms of the baby’s feet or on their chest during a diaper change.

Tips and Blends from Stephanie
Stephanie shared various tips and essential oil blends that she uses for specific prenatal conditions. We would like to share some of them with you!
Stephanie’s Tips:
  • Take a lavender bath with the essential oil mixed with heavy cream first and then added to the bathwater. You will feel amazing!

  • For morning sickness, put 1 drop of peppermint in your vomit bucket because it may help ground you and may help with the nausea.
  • Use 1 tsp. of vegetable glycerin with essential oils in a spray bottle, and add water for a linen spray or air freshener when you need a pick-me-up or need help sleeping. The vegetable glycerin is an emulsifier and helps the oils spread throughout the water.
  • Breathe in peppermint and frankincense when you are tired or during labor to help your energy.
  • Frankincense, black pepper, and white fir are good oils for back labor pain. Use a hot compress (apply oils on back; then place a hot water-soaked towel across the back).
  • Frankincense is useful for feelings of anxiousness during the transition phase of labor. Apply a little on the forehead during this time.
  • Lavender may support healthy blood pressure.
  • Lavender may help relax mother and baby, but be careful when using it during labor. It may also unintentionally (although mildly) sedate a midwife or doctor and exaggerate hypotensive effects if drugs are used during labor.
  • Cypress may help with postpartum hair loss. Massage into the scalp or add to shampoo.

Stephanie’s Recipes:
STRETCH MARK BLEND: 
5 Tbsp. sweet almond oil
1.5 Tbsp. macerated carrot oil
8 drops each: frankincense, lavender, patchouli, lemongrass
Apply twice daily.

PERINEUM CARE BLEND:
6.5 Tbsp. fractionated coconut oil
10 drops each: frankincense, lavender, helichrysum
Apply to perineum twice daily.
EDEMA FOOT BATH
A bowl of hot water
1 tsp. dissolved salt
1 drop cypress
1–2 drops lemon, grapefruit, or orange
Soak feet for 10–15 minutes.

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