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Say the whole rule — and the sentence that must always travel with it
TAKE CARE Medicines in pregnancy — the rule as it is given A pregnant woman should not eat pills of any kind — such as pain-killers, antibiotics, contraceptive pills, or steroids for any other disease and so on.
The reason. First of all, the effect of these pills falls on the mother's liver and kidney . Whatever the mother eats during pregnancy, its effect will in the end fall on the child too. Because of these pills the child can get jaundice after birth. Or their ill effects can fall on the child's brain , kidney or thyroid gland.
So it is said with confidence that one main cause of dull-witted — mand buddhi — children being born is the ill effect of these pills. ▲ Take care
That is the rule, complete, with every consequence it names: the mother's liver and kidney first; then the child; jaundice after birth; the brain, the kidney, the thyroid gland; and mand buddhi children. It is stated with more force than almost anything else in this material, and the force comes from the thing it is protecting.
And the thing it is protecting is the reason a therapist must handle it with more care than any other rule in this article, not less. So say the whole of it, and then say the second half of your own duty, which is not a softening of the rule but the same rule applied honestly.
TAKE CARE What a therapist must never cause by repeating this rule carelessly Nothing in this therapy is to be used to make a pregnant woman stop a medicine that a doctor has put her on. Not the thyroid tablet. Not the tablet for fits . Not the iron, not the folic acid, not the calcium, not the tablet for her blood pressure, not the antibiotic given for an infection in her water.
The rule above is a rule about taking pills. It is not a rule about stopping them, and the difference is the whole of the matter, because the harms it fears are the very harms that follow when some of those tablets are stopped. A woman who leaves off her thyroid tablet in the third month, or her fits medicine in the fifth, has put the child at exactly the risk the rule exists to prevent — and she will have done it believing she was obeying you.
So the sentence you give her is one sentence and it contains both halves: "Take no new medicine in pregnancy without asking the doctor who is looking after you — and never stop one you have already been given without asking the same person." Then ask, every visit, in the reconstructive form of Between Two Sessions — not "are you taking your tablets?" but "show me what you swallowed yesterday."
And note one thing more, which costs you nothing and protects a great deal: this rule names pills. It does not name only the chemist's pills. A pregnant woman swallowing something bought from a stall because it was said to be natural is doing the thing this rule is about. Ask about those too, by name, without disdain.
A CASE FROM PRACTICE The pregnant teacher who stopped a tablet because of something she half-heard A composite, written to teach the pregnancy rules and the pills caution.
Farida Sheikh · 29 · primary school teacher · Bhiwandi · came in the fifth month with vomiting that had not stopped, pain across the low back , and "no strength at all"
What she came with. "Subah se ulti. Kuch andar nahin tikta. Aur kamar toot rahi hai." Vomiting from the morning; nothing stays inside; and my back is breaking. She had two children already and said both pregnancies had been easy. Her husband came with her and stayed.
What was observed and palpated. Tenderness at Gas and at Pan ; the abdomen otherwise soft. A hard band across the low back on both sides. She was cold in a warm room. Her voice was slow and she twice lost the thread of a sentence, which was noted and not commented on.
Which reports mattered. The antenatal card she was carrying mattered more than anything else in the room, and it was read line by line, with her permission, in front of her husband. It recorded a thyroid disorder diagnosed before the pregnancy and a tablet prescribed daily. Her haemoglobin mattered and was adequate. An old X-ray of the lumbar spine , from years earlier, changed nothing, and she was told so plainly.
What was chosen, and why. For the vomiting, Gas Only — for nausea, and to stop vomiting, it is immediately helpful, especially in pregnant women. Because she had back pain , it was given with the hands and not the feet, exactly as the rule directs. What was not given was written on the card before anything at all was given: no Thymus , no Th + Ch , no Ton 'P' , no Ton 'T' , and the standing instruction underneath them — no treatment of any kind from which the child may have trouble.
What went wrong, and how it was caught. The vomiting improved in four days. The tiredness did not, and by the third week she was worse — slower, colder, her face puffy in the mornings. Nothing in the plan explained it. She was asked, not are you taking your tablets, but "tell me everything you swallowed yesterday, in order, from waking." The list took ninety seconds and had no thyroid tablet in it.
She had stopped it in the seventh week. A neighbour had told her — correctly, as far as it went — that in this treatment they say a pregnant woman should not take pills of any kind, because the effect falls on the child's brain and thyroid. She had heard the words child, brain and thyroid, and she had done what a frightened mother does. She had not stopped it because a therapist told her to. She had stopped it because a rule had travelled to her across a courtyard with its second half missing.
What was done. She was sent back to her own doctor that same week, with a note, and the tablet was restarted. She was given the sentence in both halves, in front of her husband, and asked to repeat it back: take no new medicine without asking the doctor who is looking after you, and never stop one you have been given without asking the same person. The Neurotherapy course was not interrupted for a day.
What followed. The vomiting stayed gone. The back pain settled over five weeks. The coldness and the slowness lifted about a fortnight after the tablet went back in, which the therapist wrote down honestly on the card as "tablet, not us." She delivered at term.
What this case teaches
A rule with its second half missing is more dangerous than no rule at all — and it does not need a therapist to carry it. It travels by neighbour.
Say both halves, in front of the family, and make somebody repeat them back.
"Show me what you swallowed yesterday" catches what "are you taking your tablets?" never will. That method is Between Two Sessions 's, and this is the visit on which it earns its keep.
Write the withheld list on the card before you write the given list. In pregnancy the not is the more important half.
When something improves because of somebody else's treatment, write down that it was somebody else's. A therapist who records that honestly can be believed about the things that were his.
Pregnancy — what is blocked, and what is directed. Two columns, not one list of prohibitions: the three bars with the reason attached to each and the standing instruction that governs them all, against the head that may be corrected and the four maternal conditions to be set right — with the one modification of technique and the pills rule in both its halves. DID YOU KNOW? A pregnant woman is carrying about half as much blood again Over the months of a pregnancy the amount of blood in a woman's body rises enormously — by something close to half as much again by the end. The plasma, the watery part, rises faster than the red cells do, which is why a perfectly healthy pregnant woman's haemoglobin reading looks lower than it did before she conceived.
Three ordinary things follow from that one fact. Her heart is doing a great deal more work than it was, which is why she tires on stairs she used to run up. She faints more easily on standing, and she should not lie flat on her back for long in the later months, because the weight of the womb presses on the great vein returning blood to her heart — which is exactly why she is tilted a little towards her left side on the mat. And the body builds that extra blood on purpose, in advance, because some of it is going to be lost at the birth.
