When the uterus is not in its place, spotting may occur. For this (God Willing), you may do the following (found on the internet): Maya Abdominal Massage Self Care Techniques The Arvigo Techniques of Maya Abdominal Massage ™ are centered around the ancient Mayan techniques, which reposition organs that have dropped and restricted the flow of blood, lymph, nerve & chi energy. As with any other natural healing, Arvigo Techniques seek to restore the body to its natural balance. This technique is provided for therapeutic self care only and is intended to be used in conjunction with treatments from a professional or certified Maya Abdominal Massage practitioner. Consult www.arvigomassage.com for a list of qualified practitioners. To Prepare • Empty your bladder and create a quiet, peaceful environment to relax for 5-10 minutes (just before bedtime is perfect!). • Wear loose fitting clothing with no zippers or buttons over the abdomen. • Lie on your back and place a pillow under your head and your knees to soften your abdominal muscles. (If you have uterine prolapse, it may also be helpful to place a pillow under your hips to elevate your pelvis.) • Breathe deeply and slowly for a few moments until you feel relaxed. Self Care Massage Techniques Lower Abdominal 1. Bring both of your hands together with your index fingers side by side and tuck one thumb under the other. Bring all eight fingers close together, slightly bent and relaxed. See diagram. 2. Through your clothing or a sheet, or with oiled fingers, locate where your pubic bones meet in the middle with your index fingers, and place these fingers on the small indent. Inhale and as you exhale, slowly slide off the top of your pubic bones while keeping your fingernails in contact with the bones. Press as deeply as it is comfortable for you into the soft tissue space above your pubic bone. See Diagram. (If your uterus is too low, you will feel resistance like the consistency of a water balloon.) 3. While maintaining the same pressure, gently and slowly move your fingertips toward your navel. Repeat this stroke from your pubic bone to your navel a total of 3 times. 4. With the same hand position, move your fingertips to one side of your pelvis with the little finger of one hand on the pubic bone and the other little finger on your hip bone. Again bring all eight fingers close together, slightly bent and relaxed. Inhale and as you exhale, slowly slide off the bones and press as deeply as it is comfortable for you into the soft tissue space of the pelvic bowl. 5. While maintaining the same pressure, gently and slowly move your fingertips toward the midline. Repeat this stroke a total of 3 times. 6. Repeat #4 and #5 on the other side of the pelvis. If your uterus is tilted to the left or right, you will feel resistance like the consistency of a water balloon before you get to the midline. 7. Repeat #2 through #6 2 more times, and then repeat #2 and #3 a final time for a total of 30 strokes. 8. Open your hands, reaching as far as possible without lifting your head, and place them flat over the groin where your legs join your pelvis on each side. Stroke softly 4-5 times over your skin and the underlying inguinal lymph nodes toward your abdomen. Continue the same strokes down both inner thighs along the lymph nodes, repeating this stroke 5 times. Upper Abdominal 1. Apply oil or lotion to your fingertips. Make an “M” (for Maya!) with your hands by facing the palms of your hands toward each other and curling your fingers so that the fingernails of all eight fingers touch. Place your fingertips on the center of your upper abdomen just below the ribcage. Inhale, and as you exhale, press as deeply as it is comfortable for you into the soft tissue space. While maintaining the same pressure, gently and slowly move your fingertips toward your navel. Repeat this stroke from your rib cage to your navel a total of 3 times. 2. Place your fingertips on one side of your upper abdomen just below the ribcage. Inhale and as you exhale, press as deeply as it is comfortable for you into the soft tissue space. While maintaining the same pressure, gently and slowly move your fingertips diagonally toward your navel. Repeat this stroke from your rib cage to your navel for a total of 3 times. 3. Repeat # 2 on the other side of the upper abdomen. Then repeat #1, #2, and #3, ending with #1 for a total of 30 strokes. If you find areas of tenderness, pain or congestion, adapt your pressure so that you can continue to relax. Breathe and continue to massage the area. If pain persists, even with a light touch, stop for now. If you experience pain initially, it should gradually diminish with each self care massage. Simply follow these instructions as best you can. After practicing the self care day for several days, you will become more familiar with the massage and more confident in your touch. If you continue to have difficulty, contact your Maya Abdominal Massage practitioner. After Self Care • Drink plenty of water to hydrate your body and support the healing process. Thank yourself for taking the time to take care of yourself. • Honor your experience by paying attention to the changes and responding with what you need. For example, write your feelings in your journal or diary or share them with a trusted friend or therapist. • Repeat the self care massage everyday except 5 days prior to and during your period or for 30 days, and then reduce to 2-3 times a week for your health. When To Modify or Avoid Self Care Massage • 5 days prior to and during your menstrual bleeding, do not deeply massage the uterus, but you may continue doing # 8 over the lymph nodes and the upper abdominal massage. It is okay to very gently and superficially massage over the uterine area prior to and during your period. • During pregnancy, self care massage can be appropriately adapted for your trimester of pregnancy. Consult your Maya Abdominal Massage practitioner for more information. • After abdominal surgery, you must wait until the tissue has healed, and your physician has cleared you for normal activity. For example, with Cesarean birth and hysterectomy, 8-10 weeks after surgery is usually recommended. • If you are taking pain medications or other substances that may mask discomfort and pain, self care massage is contraindicated. • If you have an intra uterine device (IUD) for birth control, #1-6 are contraindicated. • If you are under treatment for abdominal or pelvic infection or cancer, self care massage is contraindicated. • If you experience intense emotional pain during the self care, it is important that you seek professional support to help you pass through the gates of emotional healing. Please consult your Maya Abdominal Massage practitioner for guidance and referral. • If you experience intense pain or discomfort during the self care massage or have a sudden onset of abdominal pain, please consult your Maya Abdominal Massage practitioner who will recommend that you see your physician before continuing the self care massage.