Simple Solutions for Persistent Morning Sickness During Pregnancy

 

 Morning sickness has been the bane of pregnant women for many centuries.  Every pregnant woman knows that there is a chance that she can suffer from persistent nausea during the first three months of pregnancy.

But what if this condition continues?  What if it goes on for the entire pregnancy?  Every day, you are nauseous and can’t keep your meals down.  What does this mean for the fetus? 

To be honest, this is a condition that is distressing to doctors and nurses who care for pregnant women.  Obviously, if you are not able to eat, then the fetus can suffer from lack of nutrition.  This can mean that the baby cannot grow as it should, and you will not gain weight as necessary.

The good news is that there are things you can do, simple things, to help yourself if you find that you have persistent morning sickness past the first trimester of pregnancy.  These are simple techniques, and they may not help you relieve the nausea, but they can help ensure that your fetus gets some or most of the nutrition it needs. 

These five suggestions may help you to keep your baby nourished even though you suffer from this condition.   These suggestions are also helpful for those whose morning sickness is constrained to the first trimester, since this is a very important time for the developing fetus. 

First, chew your food as thoroughly as possible.  There is a point when you are chewing food when the food in your mouth ceases to resemble anything like what it was before you started chewing.  This is the state you want to get every bite to before you swallow it. 

The reason for this is simple.  The enzymes and saliva in your mouth are designed to start the digestion process.  If you take advantage of this fact and chew your food thoroughly, then your stomach will have less digesting to do before passing the food to your small intestine. 

Additionally, you will have partially digested some of the nutrients from your food before it enters your stomach, where the nausea resides.   This gives your baby a chance to absorb those nutrients before your stomach rejects them.

Second, prior to every meal, take a good quality chewable enzyme tablet.  Or two or three of them.  There is no evidence to suggest that chewable enzymes can harm a fetus, but if it makes you more comfortable then you should by all means check with your physician prior to trying enzymes.

The reason for this is similar to the reason behind the first suggestion.  Enzymes are the digestive force in the stomach, and many people have lower levels of enzymes as they leave childhood.  This makes it more difficult to digest foods.  

Since you are already having a problem digesting foods, enzymes may help you to digest more of the food you consume more quickly.  Thus, you provide the fetus with a better chance of getting the nutrients it needs.

Third, make a list of every food that you are able to eat without allergic reactions.  Include on this list nuts, seeds, meats, poultry, fish, (soy, beans, and meat substitutes if you are vegetarian), green vegetables, fruits, etc. 

Then, keep a food diary.  Make a note of what you ate and when you became nauseous.  If there are certain foods in your list that did not make you nauseous, then definitely eat more of them. 

Nuts and seeds are important to put on your list if you are not allergic to them because most nuts have a high content of protein and fat.  Fat is good for your growing baby’s brain, and protein is good for his growing body.  This can help you to pinpoint if there are certain foods that are triggering the nausea, as well as helping you to pack more nutrient dense foods into your diet for the greatest benefit of the growing baby.

Fourth, try a different prenatal supplement.  Supplements in general are notorious for causing nausea in people in general, and in pregnancy even more so.  Since your hormones are in overdrive, you may find that you are more sensitive to supplements than you would normally be. 

There is a very simple way to check your supplement to see if you are reacting to it, and if it is contributing to your morning sickness. 

So what can you do to reduce this effect?  Try a different supplement.  There are several brands that make food sourced vitamins, such as Garden of Life (which is one of the highest quality and gentlest supplement brands), New Chapter, and Source Naturals.  These three supplements are less likely than cheaper brands to cause irritation to your stomach.   These three brands are also more likely to meet with your doctor’s approval if you suspect that your prescribed prenatal vitamins are contributing to your nausea. 

You can also try to separate your iron from your regular vitamin.  In other words, obtain a prenatal supplement free of iron, along with a separate iron supplement by one of the above brands.  That way, you can take the iron at a time when you know you are likely to get nauseous anyway, after you have gotten some nutrition for the day.  Some iron supplements are branded as gentle and not likely to cause an upset stomach, such as Gentle Iron by Garden of Life. 

Fifth, and finally, schedule regular http://pregnancy-massage-nj.njmassage.info>prenatal massage therapy<./a> sessions.  Although the reasons are not understood, prenatal massage has been shown to reduce symptoms of morning sickness when received regularly.  Generally, prenatal massage includes abdominal massage, which may be the most helpful part for morning sickness.  Be sure to have your therapist provide some focus to the abdominal area if you are able to tolerate it.  Regular sessions of massage can reduce the frequency and severity of morning sickness for some pregnant women.  http://www.massagetoday.com/mpacms/mt/article.php?id=13354”>This article

from Massage Today offers other suggestions along with evidence of the effectiveness of massage for morning sickness.  Since massage generally won’t make morning sickness worse, it is certainly worth a try. 

I have had several clients tell me that persistent morning sickness was the hardest part of being pregnant for them.  One client told me that she kept waiting for the nausea to end, and it ended up remaining for her entire pregnancy.  She decided that her new job was to eat.  She ate all day long, whatever foods had high nutritive content.  Tons of protein, nuts, shakes, and fruits, everything that she had hope of keeping down.

By the end of her pregnancy, she had gained so much weight with all of her eating, that in spite of her hyperemesis gravidarum, she had a macrosomic baby! The baby was so large that her doctors told her she needed to have a C-section.  She herself did not gain as much as average, but all of the nutrition that the baby needed, the baby was able to get by her attitude of seeing eating as her new job.  The baby is now healthy and gaining weight normally, and she has returned to her pre-pregnancy shape through breastfeeding and light exercise. 

These solutions, if put into practice, may help you to sufficiently nourish your baby so they will be born healthy.  Women who have persistent nausea need shortcuts like these to gain enough weight to bring a healthy baby into the world, in spite of the hormones that are causing your nausea.  So give them a try.  You and your baby are likely to benefit.    

This article was written by Mountainside On Site Massage Therapy, providers of prenatal and postnatal massage therapy.  You can visit their website at http://pregnancy-massage-nj.njmassage.info>njmassage.info

Pregnancy and the Disorder Trap – Avoid Being Labeled as a Disease During Labor

If you read any of the books that are available today about the modern practices of obstetrics, you are likely to notice a trend among obstetricians. This trend has gained momentum since the latter part of the last century, somewhere around the 1970s. That was around the time when certain technologies became perfected. Technologies like the cesarean section, electronic fetal monitoring, and other gadgets and gizmos to make birth more high tech.

There is a great deal of disagreement among experts as to whether these new technologies have actually made things better or have just given the perception of making things better. One of the better books I have read on the topic is The Thinking Woman’s Guide to a Better Birth. This book was heavily researched (to the point where she was able to create another book just with the research she gathered while writing this book). Intelligent research is what this author performed.

Much of the research that the author performed found that many of the new technologies that have been used in most labors and deliveries have no basis in scientific fact. So, just as an example, the practice of continuous electronic fetal monitoring was put into use without any research showing its efficacy. In fact, the little research that is available showed that this type of monitoring gives little improvement over intermittent monitoring, and the American College of Obstetricians and Gynecologists has stated that there is no benefit of one over the other.

In fact, other research studies showed that the continuous internal monitoring may be causing harm by introducing a route of infection. As in any situation, although even more so during labor, infection is a serious problem. Babies born who are suspected of being infected are taken from their mothers and subjected to a battery of blood and tissue tests to ensure their safety. This can have damaging effects in the short term and the long term with regard to bonding and breastfeeding. These babies will often be bottle fed, further disrupting nursing. Since infection is very serious, it is understandable that these tests and precautions are done. However, the research showed that EFM may have exacerbated this situation by introducing infection where previously there was none.

The point of this small digression is to give just one example of research showing that one of the technologies used in most births may not be beneficial to the mother or baby. EFM, in the example above, is generally used because it limits the liability of the physician and the hospital, not because it has any benefit. However, this particular technology is not the only one that research has shown no benefit for. There are other technologies and interventions beyond the scope of this article to discuss that are also not helpful to the mother or the baby, but have questionable usefulness. In light of this, it is better to be forewarned that when entering a hospital you are likely to be subjected to technologies that will not provide you or your baby with any benefit.

So the question posed by the headline of this article would appear to be a challenge. Since the obstetricians and the medical staff in the hospital want the new parents to have a perception of safety, they may be using technologies that look good but have no scientific basis for their use. So how do you avoid having your labor and delivery seen as a disorder that has to be cured rather than as the natural process that it is?

The first thing to do is to be informed. Read as many books about modern pregnancy and obstetrics as you can. Read the book mentioned above, as well as the book Pushed. Read articles on BellyBelly, American Pregnancy, Baby Center, and more. Understand that no matter how well you plan for your birth, you may not be able to have the birth experience that you want, and you need to be able to accept that. However, you can still contribute in meaningful ways.

Secondly, avoid seeing your own pregnancy as a disease or disorder to be cured. Some ways to help with this would be hire a doula for yourself or to use a midwife in a birthing center. Studies have shown that with a doula (you can find a certified doula at DONA.org), you are likely to have fewer interventions, fewer complications, and a better birth outcome overall. This is probably because you have someone with you who is familiar with hospitals and procedures. She will notice and inform you of impending procedures such as episiotomy or fetal monitoring. If you want to avoid these procedures, that would help you to say no at the time when the intervention is about to happen. Without a doula, while you may have your partner with you, they are unlikely to be familiar with what is about to happen. The obstetrician or hospital staff may consider such interventions as so routine that they would not mention it to you, thus removing your opportunity to refuse such procedures. So, if you are interested in avoiding interventions, a doula can be a great help.

Prenatal massage therapy has also been shown in numerous studies to reduce the number of interventions, although the reasons are not understood. Massage during pregnancy also resulted in a better birth outcome and better neonatal scores. Postnatal depression was also reduced by massage therapy. So if you are looking to avoid interventions, a massage during the pregnancy, especially shortly before the birth, may offer benefits to you that do not seem obvious.

Another way to avoid being labeled as a disease is to perform thorough interviews for your hospital and obstetrician before you choose to go with them. While some women are willing to have their birth with a midwife, many are uncomfortable with having a birth outside of a hospital. They perceive that there would be less safety in a birth center than in a hospital. While this is not actually accurate (and a tour of a freestanding birth center will show you this for yourself), it is still a perception that pervades this society. So if the doctor or hospital you are interviewing has a C-section rate of 70%, you can expect that you would be highly likely to have a C-section if you went with that doctor/ hospital (see my previous article here for some of the dangers of elective C-sections). If you find an obstetrician whose rate is 20% and the hospital’s C-section rate is 15% (which you can find if you look – even in New Jersey, central NJ hospitals have low C-section rates, whereas northern hospitals have higher rates), then you can be confident that if you have a C-section, it was really necessary, i.e. a last resort instead of a first resort. Since a C-section is the ultimate culmination of seeing labor and delivery as a disease to be cured, this would be the rate that would be most helpful to know.

However, you should also ask about the hospital’s rate of epidural, episiotomy, electronic fetal monitoring, etc., to have a well-rounded picture of how that hospital views birth. Perhaps even more importantly, you need to know if there are arbitrary time limits imposed. The average time for a labor of a first time mother can be 26 hours or more. If the hospital has placed a time limit of 24 hours on every labor and birth, their intervention rates would likely be higher as they would begin giving women oxytocin to stimulate labor rather than patiently waiting for the woman’s body to give birth. Usually, patient waiting is practiced by midwife led births, although some hospitals will also practice patient waiting if they have a large enough staff and enough beds to provide this service.

So what you need to remember is that your birth is an experience that you will remember forever. The suggestions above can help you to have a pleasant birth with a good outcome for you and your baby. Do not hesitate to ask questions, and try to avoid caregivers who would patronize you instead of being honest with you. As mentioned above, give some thought to hiring a doula or having a midwife lead your birth. If you have a doula or midwife, you will at the very least be supported, and that can make your birth an experience that is pleasant and memorable regardless of interventions and technologies.

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Reducing Pain and Duration of Labor During Pregnancy: Acupressure Point

A study conducted in 2004 has some very interesting and useful information for pregnant women, as well as their caregivers. This study describes how a very simple technique, which can be applied by anyone, can reduce the pain of labor. More importantly, this technique was found to significantly reduce the time of the first stage of labor, between 3cm cervical dilation and full dilation.

While the duration of the second stage of labor did not differ significantly, the effect on the first stage of labor is clinically significant. Due to the pregnancy, there are fewer medications that can be prescribed to assist with the duration of the first stage of labor. Additionally, even medications that are deemed safe for pregnancy can have unpredictable consequences, as each person and each pregnancy can react differently. For this reason, non-pharmacological interventions (such as pre-natal massage and acupuncture) are always preferable to pharmacological ones.

I have spoken to a number of obstetricians and gynecologists, who have stated that the results of this study would be useful to them. With regard to actually performing this technique, it is simple enough to teach to the spouse or other loved one who is present, so that they can administer the technique during all of the stages of labor. Even though the first phase of labor is the only one that showed an effective shortening, this technique was still shown to reduce pain and lessen the need for pharmacological pain-killers. (A certified pre-natal massage therapist or certified acupuncturist can also demonstrate the technique to expectant parents sometime before labor)

The most popular and effective pain-killer used during labor is an epidural. However, pregnant women are not often advised that this method can actually prolong the second phase of labor, which is the pushing stage. Click here to view the study


There are also other effects that can occur from an epidural, including the risk of temporary or permanent nerve damage, many women need to have a catheter inserted in order to eliminate, and it can make you feel itchy, shivery, or fevered. Most importantly, epidurals increase the risk of your blood pressure falling, which can increase the risk for the baby needing assistance due to improper positioning for birth. Epidurals also wear off after a certain amount of time and require the services of a specialized doctor, known as an anesthetist. When the medication wears off, the anesthetist must be called again, and they may not be readily available. This is according to the website babycentre.co.uk - click here . A number of these risks may not be discussed with you by your doctor, so it is important to find out about your pain relieving options well before your labor starts.

Pregnant women and their care-givers can easily administer this technique to laboring women, and it is something that more midwives and obstetricians should be using. The SP6 acupressure point is located on the inner calf of the lower leg, four finger widths above this inner ankle, at the back border of the leg bone. A diagram or photograph could be provided to the spouse or caregiver providing the acupressure, and the acupressure is applied during each contraction for 30 seconds. Although this was the model used in the experiment, it is also possible that continued application of pressure to SP6 during labor would have a similar effect on the duration of labor and intensity of pain.

As a simple intervention that nearly anyone can apply, this acupressure massage technique can be useful for most pregnant women, whether in hospitals, birthing centers, or at home. Midwives and obstetricians may find the study useful in their own practices as well.

Tactile Massage During Pregnancy To Ease Symptoms of Morning Sickness

A study conducted by Annelle Agren and Marie Berg, which can be viewed by clicking here, both registered nurses, in a clinical setting, found that there were positive benefits received by women who had tactile massage during their pregnancy. The women were suffering from nausea, vomiting, and other morning sickness symptoms. The morning sickness symptoms were severe enough to be classified as a condition in themselves, called Severe Nausea and Vomiting During Pregnancy (SSNVP).

The study was conducted on women who were suffering from SNVP, who had come to feel that the condition was ruling their life. The study findings were in the form of a post-treatment interview, and the results were subjective. The results of this study indicated that tactile massage is a useful therapy for women experiencing morning sickness. As a non-pharmacological alternative, it helped the women feel more in touch with their bodies, as well as more relaxed and less enslaved to the nausea they had been experiencing.

The results of this study are very encouraging, considering that many women do not necessarily want a pharmacologic alternative because of their pregnancy. Pregnancy is a time of caution always, as the fetus is in a delicate state during the first trimester, when most women experience morning sickness. Many alternative treatments that have given good results for this condition would be welcomed for women suffering from SNVP.

Certified pre-natal massage therapists could be called upon in the medical setting to provide this type of massage to women suffering from SNVP, with good results. The knowledge of this study would likely be very useful to both obstetricians and midwives, to assist them with patients suffering from this condition. In short, massage therapy could easily be recommended and integrated into the alternative health care practices of women with SNVP to help alleviate some of their suffering.

Craniosacral Therapy To Help Pregnant Women and Newborns

In a 2008 issue of Midwifery Today, the many benefits of CranioSacral Therapy to pregnant women and their newborn infants is discussed. The article I am referring to can be found here

CranioSacral Therapy administered during pregnancy can help to ease restrictions in the woman’s body that might hamper her ability for an optimal birthing experience. By healing the restrictions, especially those in the pelvis and hips, the birth can take place more easily in many cases. The relieving of these restrictions can also help to facilitate the mother infant bonding experience, which is critical to the infant’s health and well-being. CranioSacral Therapy can also help to promote the proper fetal positioning, and can be especially helpful if the baby is presenting posteriorly.

One of the most common complaints of pregnancy, low back pain, can also be alleviated by CranioSacral Therapy, as can ligament pain. Ligament pain often occurs in pregnancy because of the loosening of all of the joints in the body due to the hormone newly secreted, relaxin. This causes pain because one must still walk and do all other activities, albeit with less properly tense joints. Even though CranioSacral Therapy works through a very light touch, it is surprisingly effective. Many case studies over the years have shown dramatic improvements in a variety of conditions, even those that have no medical treatment, and no known cause.

The ideal time for the application of CranioSacral Therapy for a pregnant woman is during the actual phases of labor. This is why midwives and doulas that are certified in this therapy can be invaluable to a woman while she is giving birth. They can help to unwind the pelvis, sacrum, and uterus, and when this is occurring during the birth process, the effects can be profound. Each time the pelvis goes out of alignment during labor, the skilled therapist can help to bring it back into balance.

In the postpartum period, this article discusses the great benefit to the mother of this therapy. It assists with musculoskeletal reintegration, emotional balance, and pelvic health, along with helping to alleviate the stresses on the mother’s body of newborn infant care.

With regard to babies and children, CranioSacral Therapy can help with general health, as well as to eliminate the lasting effects of birth trauma. When a baby has had a natural childbirth, intense forces have acted on the cranium and body during the passage through the birth canal. These forces can create lasting problems for the infant, which CranioSacral Therapy works to correct. Another issue that newborns can have which this therapy has shown effectiveness for is the ability to properly nurse. This therapy can help with the sucking reflex and latching.

In addition to the reasons stated above, there are many other benefits that CranioSacral Therapy has on newborns, children, as well as adults and pregnant women. The author has offered numerous resources for midwives and doulas, as well as other health care practitioners, to learn more about, and become certified in, CranioSacral Therapy. I believe, as she seems to, that all providers of maternal and pre-maternal care can offer greater benefits to their patients through training in CranioSacral Therapy. It is a very useful and helpful modality for all women, and especially to pregnant women.

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Pre-Natal Massage As A Preparation For Labor

In today’s society, many women and men have very tight hips and thighs, especially their inner thighs and pelvic floor area. When a woman becomes pregnant, having a relaxed and loose pelvis, hip, and thigh area is very important because that is the area where the baby will be trying to push through during birth. If this area is tight, that can cause tearing in the muscles of the pelvic floor, which can lead to long term problems later in life, especially incontinence and painful urination.

The tearing that this can cause can be either forward or back from the birth canal, so it can affect either the urethra or the cecum of the colon. Since scientific studies have shown that a natural birth is healthier that a cesarean section for both the mother and child, having a natural birth is desirable. Since a pre-natal massage can help with the issues discussed above, the healthier and more desirable natural birth can be accomplished with minimal or no tearing of the pelvic floor muscles, and consequently fewer problems later in life.

Certified pre-natal massage therapists have been trained in methods that can be used to loosen the muscles of the pelvic floor in preparation for birth, and in conjunction with pre-natal yoga, can be very helpful in preventing tearing during birth. Massage of the pelvic floor muscles that are attached to the sit bones, as well as abdominal massage, and massage of the inguinal ligament, can help the pregnant woman in her preparation for a healthy birth as the natural follow up to a healthy pregnancy. Pre-natal yoga can help as well to extend the beneficial effects of the pre-natal massage therapy, by keeping the loosened muscles loose.

Because of these additional benefits that are offered by certified pre-natal massage therapists, it is very important that the massage therapist chosen is certified in pre- and post-natal massage. For more information about pre and post natal massage therapy, or to book an appointment, please click here.

Pre-Natal Massage: An Under-Utilized Form of Help For The Future Mom

Pre-natal massage is a seriously under-utilized and misunderstood modality that most pregnant women are not aware of as an excellent form of preparation for their impending motherhood. Massage therapy has been shown to have numerous benefits for pregnant women.

One of the most important benefits of pre-natal massage is its helpfulness in preparing the body for the actual act of birth. By relaxing the muscles involved in childbirth, it can help to make the process of birthing slightly less painful, and it can also help reduce the trauma of labor on the new mother’s body, especially when employed during labor. Some of the more common muscles which can be hurt by the process of labor are the quadratus lumborum, the iliopsoas, and the muscles of the pelvic floor.

Certain techniques of pre-natal massage can help to prepare the pelvic floor for the process of birth, and these techniques are used in the last trimester or pregnancy. Other techniques can be used throughout the process of pregnancy to alleviate the muscular tensions created by the baby being formed within the pregnant woman.

Some of the most useful benefits of pre-natal massage are the techniques that can be taught to the pregnant woman’s partner, as well as postural lessons and teaching helpful breathing techniques to alleviate the anxiety that can occur when the baby starts to press on the lower ribs and take up some of the space normally reserved for the mother’s lungs. Suddenly being unable to breathe fully, where you had been previously able to take a complete deep breath from the front of the body, can cause unnecessary anxiety in the new mom.

Another benefit to pre-natal massage is the stimulation of the lactation hormone, oxytocin. This hormone promotes lactation, and also helps with the birthing process, as it stimulates uterine contractions when the baby is ready to be born. Massage therapy has been shown in some studies to promote the production of this important hormone.

Of course, one of the most understood forms of massage is post-natal massage, which is sought because of the extreme amounts of tension that the new mother is experiencing from the act of birthing along with the strain of having the weight of the baby pulling on her back. However, new moms should know that some of these tensions can be prevented through regular pre-natal massage before the birth of the baby.

Pregnant women can benefit from pre-natal massage in many ways. If you are pregnant and thinking about receiving a pre-natal massage, please visit our pregnancy massage webpage by clicking here.

Post Natal Massage For Healthy Mother and Baby Bonding

Post natal massage therapy has been recognized as an essential part of post-partum care in cultures around the world. In India, the mother and baby are secluded for a period of 40 days, with the mother receiving massage therapy and giving her baby regular massages throughout the day.

Oxytocin is a hormone that has been shown to facilitate the bonding between a mother and her baby, in addition to the widely known effects of increasing breast milk production and making feeding easier for the infant. A recent controlled clinical trial performed at UCLA determined that massage therapy, in contrast to a control group, was able to increase levels of oxytocin in a person’s bloodstream.

This is great news for first time mothers especially, but also for all mothers in general. Very often, first time mothers have a hard time producing enough milk for their infant, and are forced to seek out formula rather than underfeed. Since this hormone is known for increasing milk production, it makes perfect sense that other cultures have appreciated the effects of post-partum massage therapy.

An article published on parenting.com strongly suggests infant massage by their mothers are further facilitating the bonding between the mother and baby. Simple infant massage techniques can be taught to new mothers by massage therapists or by books readily available online and in bookstores. Massage therapy’s stimulation of oxytocin production in the infant and the new mother has also been shown to help the new mother and baby bond.

For more information about post-natal massage and how it can benefit you and your baby, please visit our post-partum massage page by clicking here.

Stressful and Hectic Lives Benefit From Mobile Massage

One of the most common complaints we get from people in today’s modern world is that they are under enormous amounts of stress. This stress contributes to their entire life in a negative way. They are in constant pain, especially in their neck, shoulders, and lower back. They may have chronic headaches and other tension in their bodies. This is one of the main reasons why people seek out mobile massage at their own location.

One might wonder, as many of us do, what causes the body to react in this way. Why does stress build up in the body? For one thing, people today have very high stress jobs and lives. They work long hours, sometimes as many of 9 to 12 hours in a single day. Their workload is very heavy, with deadlines that loom quickly, and so much work to do before they pass that it can be a lot to deal with.

Then, there is the way the body itself reacts to stresses that is the main culprit. Stress in general causes the heart rate to rise, the stomach to tighten, the blood pressure to go up, and adrenaline to be released into the system. Constant stimulation of this “fight or flight” response, which is not really the best response to the stresses that are presented, is one of the biggest contributors to long term health problems. When this autonomic system is constantly stimulated, the parasympathetic system which balances against it eventually burns out and is unable to counteract the above problems.



One of the greatest benefits of massage therapy is the balancing effect that it has on the autonomic and parasympathetic nervous systems. This is why one of most well known effects of massage is stress relief. Through balancing the autonomic nervous system, stress can be relieved.

When a person has more than one massage session, it can create a more balanced and relaxed atmosphere for their life. If you are experiencing stress and its many effects upon your body, mobile massage might well be worth considering. Click here to find out more information.