Thursday, November 30, 2017

Parent Education and fetal position

Spinning Babies® is sensitive to the fine line between informing and alarming when it comes to baby positions.

Head down?
Around 26-30 weeks gestation, pregnant parents are pleased to hear their breech or sideways-lying baby is now head down. Some parents aren't informed of baby's position until around 36 weeks.  During the last the provider wants to know whether a baby is breech and may need help turning head down or to schedule a cesarean on their operating calendar.


Facing back?
But head down is only half the story as which way a baby faces can also mean the difference between a vaginal birth and a cesarean, though for much fewer babies than those found to be breech.

Frightening birth givers?
There are discussions among birth educators, midwives and doulas on the pros and cons of telling pregnant persons whether their baby is posterior or not. Some express the opinion that babies can change their position at any time and so whether the baby is posterior in pregnancy is not worth alarming parents. Others feel that knowledge is power and since the intervention rate is higher, even though not absolute, with posterior presentation, that parents want to know in time to do more preparation for easing the efforts of labor to rotate the baby.

What's the evidence?
One hospital studied 103 births in which the baby persisted in a posterior presentation (facing the front) compared to 1054 births with anterior presentations (facing the back). A little more than half the babies were known to be posterior before birth and 45 were found to be OP during the emergence of the baby.
When trying to turn baby manually, by turning baby's head during a vaginal exam, the cesarean rate came down to 16.7%. Five babies who couldn't be turned and were born by cesarean and 11 babies who couldn't be turned were born vaginally. Compare that to 60% cesarean when no attempt was made to manually rotate the baby to anterior.


What else can we do?
Spinning Babies asks providers to try a physiological technique first. We find that by activating the neuromuscular signal that muscles lengthen temporarily. Often this is enough to make room for baby so that the posterior baby has the needed room for turning.

Success in these objectives inspires Labor and Delivery staff to adapt the Sidelying Release and other techniques we recommend frequently, like Shake the Apples as a buffer before going for a cesarean when labor doesn't progress.

 Because we see success, not 100% but still a high percentage, we consider
parent education to be empowering and choose a gentle but honest approach about fetal position questions.

Yes, babies do change and can change at any time, but that doesn't mean all babies can change position at any time. Babies don't float in a water balloon.

The womb is connected by fascia (ropey ligaments and membrane sheets) to the pelvis and abdominal organs. The pelvis is aligned or misaligned by muscles and tensions in the connective tissue, as well. Body balance means bringing the baby, womb, and pelvis all together in alignment.

Once that occurs, through self care techniques or through professional bodywork, then the function of the body works with more ease. I believe a flexed baby is reflecting best function. Head down is a response to gravity. With body balancing this becomes more possible. Again, not 100% of parent-baby pairs will have an anterior, head down baby even with good balance. We don't have to be perfect, either.

The best baby position is the position in which baby fits the pelvis during labor with progress and without trauma. If you'd like more help, see SpinningBabies.com or check our our

  • Daily Essentials for full range of motion and sitting tips to enhance the balance you have 
  • Parent Class for techniques to restore balance and recognize a well progressing labor and what to do if it is taking long or feeling too intense.


Reference

Sen, K., Sakamoto, H., Nakabayashi, Y., Takeda, Y., Nakayama, S., Adachi, T., & Nakabayashi, M. (2013). Management of the occiput posterior presentation: a single institute experience. Journal of Obstetrics and Gynaecology Research39(1), 160-165.


Friday, November 24, 2017

Breech Tilt

The Breech Tilt is a widely-known inversion technique using gravity to help a breech baby flip to a head-down position.


Before doing the Breech Tilt, I suggest doing the Forward-Leaning Inversion for 30 seconds first and then going ahead with the Breech Tilt. One daily Forward-leaning Inversion is recommended after 20 weeks gestation for any fetal position. As always, check with your doctor or midwife to see if you have a health condition that would be worsened by going upside down.


Breech Tilt Gail and Dad in Parent Class

The Breech Tilt technique is done by many pregnant parents after 30 weeks gestation for 2-3 times a day. You can start as early as 30-32 weeks and continue through to the time that you know or think that your baby is head down. Some doctors don’t make suggestions for turning a breech until 36 weeks since many babies flip on their own and frankly, most providers don't realize the body balancing advantage to increasing the chance baby will turn on their own. We find that it is easier for babies to turn at this time because there is a higher water-to-baby ration than later.

The Breech Tilt is not invasive. Ask your doctor if there is any medical reason not to do a Breech Tilt. This would be any medical reason for not going upside down. Be mindful of a safe set up, don't let your board flip. Use a pillow to brace it if necessary. 

Some people ask if the Breech Tilt can be done earlier. It can. I just don't think it is a good idea to do it before 30 weeks unless you have a uterine shape variation, fibroids, or something else unusual. Begin regular daily body balancing activities for all positions to get general balance. You can do a daily Forward-leaning Inversion from 20 weeks. Unless you suspect you may have a specific need to get an early start, you can start Breech Tilt for a known breech at 30 weeks. They have different purposes!



The Breech Tilt works on two Spinning Babies Principles: Balance and Gravity.

Breech Tilt straight on Parent Class

For Balance, the womb hangs from cervical ligaments stretching the ligaments slightly. When you get up the ligaments relax. It is getting up that sets the uterus a bit more centered over the pelvis and centered so baby can settle their bigger head down into the lower uterus at last. 

With repetitions, this helps the lower uterine segment become more balanced. Better Balancing Acts: The Forward-Leaning Inversion, and chiropractic with Webster’s. Use these activities together.

For Gravity, gravity moves the baby onto his or her head. The weight of the baby’s body now bends the neck to help the chin to tuck on the baby’s chest (flexion). Tucking the chin helps baby flip, just as it helps a gymnast flip.

Also, the hips are encouraged to either come out of the pelvis or stay out of the pelvis. After the chin tucks, the baby is ready to move head down- if there is room to get the head to swing down and there is room in the lower uterine segment to receive the head.

Secure a board or ironing board with pillows and lean it on the couch for the angle best to back s breech baby out of the pelvis and help baby flex the head as baby is directed onto the inner fundus of the uterus.

How to do the Breech Tilt

Get a broad plank of wood, like an ironing board.
Prop it at an angle against the couch or a chair. A few pillows stuffed around the base will help prevent tipping.
Another pillow goes under your neck.
The funny thing is next. Lie on the board with your head down and feet resting on either side of the board on the couch. Start by putting your head on the pillow at the bottom of the ironing board. Then lift your hips up using your legs and bring your hips onto the board. 
 with ironing board and pillows
Breech tilt position Photo by Tanya Villano. As seen on SpinningBabies; Parent Class video
Try it a couple times to get it right. Remain on the board for 5 to 20 minutes, 3 times a day.
The Breech Tilt position is for creating the best angle to back a breech baby out of the pelvis to allow the baby to flip.  Hanging out in this position may also help baby tuck the chin as the baby’s head presses into the top of the uterus.


Summary

What: The Breech Tilt
Breech Tilt finish Parent Class
Photo by Tanya Villano
Why: To encourage flexion and to prevent engagement of the breech presenting baby.
When: 30 weeks to birth. Most women will do breech tilts daily, 3 times a day, from 34 weeks until the baby flips and use additional techniques during that time as well.
How: A sturdy board (shelf board, ironing board) is set so that the high end is 15-21 inches above the floor. A couch may help stabilize the top of the board while a pillow underneath may help it
When not to: If you have a head down baby, don’t do this exercise to try to rotate a posterior baby, for instance.

Before the Breech Tilt

The Forward-Leaning Inversion, Moxibustion, other balancing activities such as Rebozo Sifting, chiropractic work, etc.

After the Breech Tilt

If this doesn’t work, please get professional assessment and help for aligning and balancing the pelvis.

Open-Knee Chest; Alternative to the Breech Tilt

OpenKneeBreech
In the UK and Australia, women are encouraged to do the Knee-Chest position for 10 minutes, 3 times a day to help their breech baby turn head down. A study was done that showed improved rates of baby flipping compared to not doing some type of inversion.
Open Knee Chest by Patience Salgado
Open Knee Chest by Patience Salgado
Here is Gail and two Spinning Babies Workshop participants showing how to do the
Open-Knee Chest position with support. I’ve got a scarf wrapped over her thighs to help keep the weight off her chest and face. She puts her shoulders over the feet of her (sitting) helper. The mother’s face is completely between the helpers feet!

For more understanding, read the Flip a Breech under Baby Positions. Read About Breech to see what I think the causes of breech babies may be, who’s doing vaginal breech births, and what the risks might be for breech. 
Trained providers, be prepared for a surprise breech birth. Study our digital download, Breech Birth; Quick Guide

Birth with an intact hymenal ring

I’d like to discuss birth over the intact hymenal ring. A doctor showed me how she avoids cutting the perineum. Midwives and doctors often miss recognizing an intact hymenal ring and instead see the following situation as in indication for episiotomy. 

Notice when there has been a complete halt in descent after the baby has appeared at the perineum and is:

*
In a good position
*
The skin and muscles of the perineum are stretchy but not opening (a paradox)
*
5 cm of scalp has stayed visible and not changing for 30-60 minutes without rocking in and out
*
The perineum has thinned but is not slipping over baby’s head
*
Baby’s skull is molding to the shape of the vaginal opening (if left that long)
*
And most telling, there is a whitening (or greyish) bowtie fascial stretch showing through the skin in the middle of the perineum while the skin on the edge of the vagina is not stretched to the maximum and has good blood return
I learned about this at a birth in which I served as a doula. The obstetrician pointed out to me that there was a bowtie shaped pucker midway across the perineum. The edge of the perineum was stretchy and not tightly stretched over the head.  The blanched skin was external and at the location of the internal hymenal ring. For half-an-hour or more the baby’s head sat on the perineum while this bowtie blanched whiter.

The perineum was threatening to open at the middle rather than tear from the edge. The edge had good blood perfusion and could be moved without showing threat of a tear by gently slipping a finger between the perineum and baby’s head. The middle of the perineum looked taut, grey-white and increasing pressure striations showed it was about to tear from the center.

The doctor got a scissor. 

My gut tightened. My skin crawled. And my perineum contracted in memory of my own birth and resistance on behalf of this woman. 

The doctor said, “In this case, we don’t do an episiotomy. This is an intact hymenal ring and we simply lift the perineum so we can put two fingers between the perineum and baby’s head to expose the hymenal ring and then we snip only the hymenal ring.”

The doctor made a tiny cut through the hymenal ring and the perineum was left intact. The baby’s head slipped out immediately with the doctor withdrawing the scissor. No repair was necessary for the hymenal ring. The cut was not to muscle, fascia, or even mucosa. 

I so appreciate the teaching of this observant obstetrician who knew how to preserve the integrity of the perineum even when a thick and intact hymenal ring delays the birth.
It's possible this is as frequent as 1 in an 100. The hymenal ring had broke to the sides but a particularly thick hymenal ring may not always break in the center, midline. 

Zoey Anderson, doula and massage therapist and one of our new Spinning Babies Aware Practitioners has also experienced such a birth with a savvy physician, 

"Thanks for sharing this Gail! I've seen the same thing once. The doc made it very clear to everyone that she was only cutting the hymnal ring. Before she cut it she had everyone in the room be quiet and listen. She plucked it like a string and it made a sound. The woman had an [epidural] and didn't feel any of this. Baby hadn't been there as long as in your case, and took two [more contractions] to be born. 

Often the interpretation is mistaken for a tight or strong perineum. Intense squatting over months can develop musculature in the perineum that won't sweep over the baby's presenting part easily.* The muscle in that case is notably developed. In this case the perineum seems the same as those that dilate normally and without tearing but for the pale gray stretch mark developing in the moment at the middle of the perineum. 



See pictures of a breech birth in which this was the case in our digital download, Breech Birth; Quick Guide

Monday, October 16, 2017

Spinning Babies before turning a breech (ECV)

Maíra, Gail, and Mariane Menezes 

Midwife Maíra Liberdade and Dr. Marcos Nakamura work together in Rio de Janeiro
to reduce cesareans due to breech presentation. They offer External Cephalic Versions for parents pregnant with a breech baby to turn the baby head down.


Midwife Maíra has a unique suggestion. When an External Cephalic Version is scheduled, Maíra recommends doing The Three Sisters three times a day. That’s Manteado, Forward-leaning Inversion and Sidelying Release. Three times a day? That wasn’t a rate I’d thought of, but this team is quite impressed with the high rate of spontaneous and successful versions.
She is finding more babies are head down by the time the families arrive for the ECV appointment.  More ECVs are successful.
Midwife Maíra Liberdade and Dr. Marcos Nakamura work together in Rio de Janeiro
to reduce cesareans due to breech presentation. They offer External Cephalic Versions for parents pregnant with a breech baby to turn the baby head down. 

Midwife Maíra has a unique suggestion. When an External Cephalic Version is scheduled, Maíra recommends doing The Three Sisters three times a day. That’s Manteado, Forward-leaning Inversion and Sidelying Release. Three times a day? That wasn’t a rate I’d thought of, but this team is quite impressed with the high rate of spontaneous and successful versions.


She is finding more babies are head down by the time the families arrive for the ECV appointment.  More ECVs are successful. Try Spinning Babies first.

Spinning Babies Approved Trainer, Nicole Morales, CPM and midwifery educator, presents breech balancing at the upcoming Midwifery Alliance conference this Nov. 3. and periodically in her midwifery teaching space in San Diego. Spinning Babies Aware Practitioner Teacher and Spinning Babies anatomy advisor, Adrienne Caldwell, MT, regularly teaches parents a unique self care protocol in Minneapolis. See the practitioner listing on Spinning Babies Website. 


Spinning Babies® Aware Practitioner Story

Midwife Melody Morrow, a well known midwife and Spinning Babies enthusiast in Dallas, Texas shares the story of her own sister Harmony’s breech experience. An ECV was attempted by a trusted and breech-skilled doctor. The baby remained breech.  In this case, Melody’s little nephew’s arm got up behind his head. The doctor, skilled in vaginal breech birth, saw the risk of this arm getting stuck on the pelvic brim at the inlet.


So, Spinning Babies® Aware Practitioner, Kristin Hosaka, DC, went to work with Harmony for structural alignment and body balancing. Kristin took our Professional Bodywork Education Workshop in July 2018 and became a Spinning Babies Aware Practitioner. She is a well-known chiropractor in the Dallas area for pregnant parents and new babies. She’s taken several Spinning Babies Workshops and is an active member of our Spinning Babies Community as well as the Dallas birth scene.  Dr. Kristin noted the x-ray and using her advanced skills was able to gently do specific bodywork techniques to allow baby to move his own arm forward to his chest. No manipulation is necessary with this approach, but we believe this approach before a manual external cephalic version may reduce compound presentations and increase ECV success.  



Soon, labor began on its own. 

Everything was going well as labor established. Harmony and her husband arrived at the hospital and their doctor was still on his way. Melody had just arrived to give Auntie support boosted with her midwifery skills.  Suddenly the heart rate dropped. A cesarean was done quickly and baby was born with good Apgars.  While many emergency cesareans doesn't actually reveal a reason for a period of low heart rate, this time, the cause was suspected to be the umbilical cord, not wrapped but piled around the feet. Close monitoring of breech babies, as all positions, is important to catch issues like cord compression. (Some of the neurological vulnerabilities which exist for 9-11% of breech babies may not appear in electronic fetal monitoring strips.)


Benefits of beginning labor may be the higher catecholamine levels (stress hormones) that babies use to prepare for breathing air. Challenges of finishing labor with a sudden cesarean are a lack of fetal preparation with a rise in stress hormones, and the parents acceptance of unexpected changes in birth method. The informed consent process addresses the chance of finishing the breech labor with a cesarean, but actually having a cesarean can still be a change. Parents and baby were healthy and proud. The collaboration of midwife, doctor and chiropractor all worked together for the best possible outcome. And in this case, cesarean was the best outcome.

Thursday, October 12, 2017

Turning Breech Babies and cesarean outcomes

Spinning Babies has said head down is half the story.
And now it turns out that just how babies get head down is important.

In recent years, the manual turning of the breech baby to head down has been poorly reviewed for adverse outcomes (Culver's review of the Cochrane data base, 2013, 2015). 

This September new research compared the cesarean rate after successful External Cephalic Version (ECV) with the cesarean rate after spontaneous cephalic version (Boujenah, 2017). ECV is the procedure when a doctor or midwife manually turns the baby head down by manipulating the baby through the mother's abdomen, while spontaneous cephalic version is when a breech baby turns head down on their own.


And now it turns out that just how babies get head down is important.
A research team wanted to assess if the cesarean rate went up or down after successful External Cephalic Version (ECV) compared to when babies turned themselves head down. ECV is the procedure of a doctor manually turning the baby.

This study had 643 women who attempted ECV, and 198 succeeded in getting baby head down. These women’s labors were compared with the next two women who presented for labor after their breech babies turned head down spontaneously. Both groups, then, had breech babies in pregnancy and one group had head down babies after babies turned on their own and the other group’s babies were turned head down by the doctor.

After ECV the cesarean rate was about 1 in 5 compared to fewer than 1 in 10 for babies who had been breech but turned themselves head down (respectively 20.7% versus 7.07%) Funky head positions were more than 1 in 4, 28.6% versus 0% between the matched baby positions.

Boujenah concludes, a successful ECV increases risk of caesarean section compared with a spontaneous cephalic version in which the baby flips under their own power. See more on this at https://www.ncbi.nlm.nih.gov/pubmed/28951278

....

Yesterday Jennifer Walker, Spinning Babies Approved Trainer, spoke in The Netherlands at a conference dedicated to improving External Cephalic Version (ECV) skills. Among the questions raised by the Dutch midwives and obstetrician-gynecologists was, "Why is there a higher cesarean rate after successful ECVs than spontaneous versions?" and "How might we raise our 48% national rate for successful ECVs?"

From the Spinning Babies perspective, Jennifer Walker opened with a new question, "Perhaps, we're asking the wrong question. Instead of asking "How can we improve our ECV rate?" should we not be asking, "Why are babies in the breech position?"

In Spinning Babies we often say babies find the best position in the space available. Baby's position is not random. The pelvis is not only a bony passage. It's filled with muscles and ligaments that support and anchor the uterus in the pelvis. These soft tissues allow or restrict anatomical space.

ECV success is not just babies being able to be head down, true success is babies being able to be born vaginally and without injury. Force doesn't resolve a lack of space or uterine torsion which is necessary for both the successful ECV and ease in the labor following ECV. A research study on a protocol using Spinning Babies before the ECV may show improved outcomes.

Jennifer invites us to consider that "when a woman has done this in contact with her body and her baby then she is at peace, because this is their journey, together."



References
Successful external cephalic version is an independent factor for caesarean section during trial of labor - a matched controlled study.

(Cochrane Database Syst Rev. 2015 Feb 9;(2):CD000184. doi: 10.1002/14651858.CD000184.pub4.
Interventions for helping to turn term breech babies to head first presentation when using external cephalic version.


Saturday, October 7, 2017

4 cm at Grey Sloan Memorial Hospital

Ok, I'm out. I'm a Grey's Anatomy fan. Well, I can name only about 5 characters, I might not hold a candle to a true fan, but I do love the show.

The new season really got my attention with it's portrayal of a stalled labor at 4 cm. The laboring woman has medical reasons not to use an epidural and declines a cesarean. Wait, is this a spoiler?

Spoiler alert!  Don't read this further until after you've watched the third hour of the 2017 Season 14, episode 3. Pause here, go see it. You can go here: http://abc.go.com/shows/greys-anatomy

Did you watch it? Ok, you can keep reading. (Now that I went there to find the link, I also noted the character's names. I think this makes me a true fan now.)

We hear a moans coming through a closed hospital room door. In the hall, comments of medical staff are made about the sounds of labor.  Inside the room, Dr. Arizona Robbins (played by Jessica Capshaw) has just checked the birthing woman's cervix. She tells the parents, "Marnie, you are only four centimeters dilated."

Marnie exclaims, "What?! My water broke hours ago!"

Arizona claims, "Yeah, but your cervix is being stubborn."

Screech! Halt! Wait, what? Arizona usually plays the sympathetic doctor, what is this talk?

Marnie, played by Amie Farrell, can't have an epidural because in her previous labor the epidural caused her blood pressure to drop dangerously low. One thing I like about Grey's Anatomy is the straightforward exposure to the dangers of medicine right along side the miracles of medicine. No punches are held back.

Marnie's allergic to Pitocin, Dr. Ben Warren (played by Jason Winston George) is told as he enters the room. Piton is the artificial hormone used to strengthen contractions. Now why would the contractions need strengthening? I wondered, because Marnie was rolling through her waves which were coming fast and strong. The lack of dilation wasn't for lack of amplitude or frequency.

There was a social dynamic happening with the staff that stereotyped a particular attitude. The sounds of birth were making them tense. Dr. Warren hears taunts from Arizona that he's "going to be a long day" and his response is an ironic "Fantastic."
Marie, however, is standing and leaning forward, moving rhythmically and strongly with her contractions. She's coping, she's got the support of her partner, but she doesn't have support of the staff or a doula.

The prejudice in natural birthing seems to extend to patients unable to partake of the rites of obstetrics.

We get some comic relief with banter from the neurosurgeon and former Chief of Staff in the MRI room  while they compare their own brain tumors - I'm still laughing.

Meanwhile, hospital protocols are failing Marnie. The doctors shrug at the lack of progress given Marnie is doing laps around the hospital halls, squats and bouncing on the birthing ball... but she is still 4 cm. They are expecting they'll be doing a cesarean.

Ok, Spinning Babies fans,
Here's where our plot twists. What would we suggest for this active birth giver?
Hers and our favorite position changes, movements, and the "tincture of thyme" (time) seem not to help labor progress: we realize we need balance first.

The Three Principles of Spinning Babies are

  1. Balance
  2. Gravity, and
  3. Movement


Balance isn't listed first because its closest to the front of the alphabet! It is listed first because to use it first release the best advantage of Principles 2 and 3!

What's the issue?
Marnie is at 4 cm. She's got regular and strong contractions and no progress for hours and hours.
She is on the brink of active labor. She's on the brink of frustration... another comment like, you've got a stubborn cervix, and she might accept defeat... except Marnie has a vision of her outcome.
Ok, contractions are strong and close together. Cervix is not opening.

What's the protocol?
First action is "Add Balance."
This is the Fantastic Four we demonstrate in our video, Parent Class.
First question is "Where's Baby?"
The most common issue for lack of progress is a lack of engagement. If Arizona had mentioned that Marnie's baby's head was still high in her pelvis, we would have known to
Use Abdominal Lift and Tuck with ten contractions in a row.
That usually engages baby.
The squats they had Marnie doing are for the outlet. Baby is visible, or almost so, and squats actually close the inlet where most babies would be waiting in this scenario.

Emotional safety is also important. Marnie, we hear, had complications due to interventions in her first birth. She's stressed about that (details in the show indicate so) and so is her partner. She is also situated right across from the busy nurse's station. She also is about to have five doctors outside her door discussing her situation...

4 cm stalls are classic for a lack of emotional safety or security. Quiet, dim lights, privacy. These are key to helping us leave our logical brain and enter the birthing depth of the midbrain.
Is there someone negative or scary in the room or hovering? Is someone distasteful observing the birth giver? Many times a gocking family member or group of friends and family have to leave the birth room or home for a birthing person to enter the midbrain hormones for labor to continue.

5 -7 cm has a different issue, typically the pelvic floor, but sometimes restrictions to movement in the bony pelvis because of ligament spasms. Resolving these issues are discussed in the workshop and Parent Class video.

4 cm is classically emotional. We ask "Where's Baby?" to know where to make room in the pelvis. but at 4 cm, we ask "Where's Mama?" and give her the room she needs for privacy and inward attention.
That's not to say labor obstruction isn't possible at 4cm, but we tend to see that more at 7 cm - and we offer solutions at Spinning Babies.


The show's dynamics get juicier when when Grey Sloan's new obstetrician arrives. She suggests oxytocin and Arizona says she's allergic to Pitocin.

"No, no, I don't mean synthetic oxytocin. I mean natural oxytocin. No one is allergic to that."

Then revolves a charming little discussion with 3 male doctors, Arizona, and Italian actress Stefania Spampinato as Carina De Luca (and Arizona's new love interest).

Carina describes the anatomy of the clitoris allows stimulation for oxytocin increase without adding a risk of infection because "nothing has to go up there." A series of cliche phrases gets us through the prime time description of masturbation.

Grey Sloan finally puts the culture of the call room into the protocols for patient care. Marnie won't get a resident assigned to her case, however. Good thing she brought her own birth partner.

  Labor progress has a new protocol. New for television that is.

Replacing pain for pleasure is the premise of Orgasmic Birth. Debra Pascali Bonaro, founder of Orgasmic Birth, has created a dynamic childbirth education online. Spinning Babies has joined as an affiliate.

Debra and Carina both agree, that "What gets the baby in, gets the baby out."

That's a quote we learned from Ina May Gaskin, midwife and author of Spiritual Midwifery in the 1970s. It was lovely to hear her truism on Grey's Anatomy. Love is the principle. Oxytocin is the result.

Spinning Babies eases birth by releasing muscle spasms that create pain and misalignments in the pelvis. After restoring some body balance the pelvis is supple and the pelvic floor softened.
Now pleasure is more possible.

Spinning Babies promotes the release of tension and twists so the uterus is aligned with the pelvis and with itself.
Orgasmic Birth also promotes release. A little different use for the word, perhaps. Or not.

Orgasm or simply pleasure may become even more possible using Spinning Babies approach. Certainly it makes sense that a muscle spasm in the pelvis would be a likely detractor from pleasure.
 Debra Pascali Bonaro and I are good friends in a shared purpose. More empowering childbirth and even pleasurable birth. Empowered women are empowered mothers. Mothers enjoying life seem to me to be quite desirable to any baby seeking a mother.

Suddenly the birth sounds coming from behind the closed door sound more progressive than the beginning of the show. Dr. Carina says to Arizona who is hovering around the desk, "When you pleasure the pain the pain turns to pleasure."

Learn how to turn childbirth pain to a pleasurable birth through this link and support the intent of our affiliate http://www.paintopoweroptin.respond.ontraport.net/optin?orid=4834&opid=29

And while Marnie and her partner cuddled their new baby (hopefully skin-to-skin to integrate their pleasure as they arrive earthed)  Dr. Ben Warren's partner Miranda benefited his new awareness that very night. Pleasure comes in many forms. Sexual pleasure is basic and primal. Birth pleasure is the ultimate expression, the completion of the sexual expression of conception.

Doesn't it make sense that the full expression of conceiving, growing and birthing a baby could be, even should be, pleasurable?  What would the world be like then?

(Hey, I did pretty good listing names, too. I'll remember better now.)



Changing the Earth by supporting Birth

Mothers bring forth life; medical corporations do not. Birth can be simple, powerful and loving. Fetal positioning, natural birthing and practical help for normal birth.