Wednesday, November 24, 2010

flexion, looking "down"

A woman wrote me today saying she's due now but her baby isn't engaged. Her doctor said her baby is on her left facing her right hip and looking down.
Was that a problem she asked?

I began to answer in one way and suddenly realized as I wrote that I wasn't sure exactly what her doctor meant!

See the drawings here, the babies on the left side are flexed, with their chin's tucked and the one on the bottom left is engaged.
There is one finger width between the baby's shoulder and the mother's pubic bone. The bigger baby above is flexed but not engaged. The two on the right show one beginning to engage on the top right and the bottom right this baby can't engage because the head is resting atop the symphysis pubis (pubic bone).
A chiropractic adjustment of the sacro-ischial joints and the symphysis will likely help. A myofascial release of the sacrum may be needed to help baby engage, too.

"Looking down could be a big deal," I started, "if down means literally down, towards your pelvis. If it means that baby is looking "down" into baby's lap, then that's good.
Find out because its all the difference in the world.

If baby's head is extended, a pelvic floor release (sidelying release) would be helpful. Don't do hip circles on the birth ball until the baby is flexed - meaning has her or his chin tucked. See circle of LOT baby here.
Face up means the hair line above the baby's forehead will be the closest part of the baby coming, The baby would then be extended a bit or even all the way to a face presentation. I don't have a drawing of that.

Myofascial release of all three, abdominal, sacral and pelvic floor would be good. In addition, the rebozo then the foreward leaning inversion. And if baby is in a good position, won't hurt, but only make labor progress more smoothly."

She'd asked if she should be concerned and what could she do (as my reply addresses) but added,
Should I just let nature take it's course?

"You could let nature take its course now, and not do these things. That is an alternate way to cope. There's nothing wrong with that, of course. Which isn't the same as saying both routes will have the same result!

I suggest women ask, in one year looking back if you were to need a cesarean, whould you be satisfied that you did "all you" could or wanted to do at this time to prepare."

Being pro-active is implied in using a Spinning Babies approach. But having a wait-and see attitude isn't wrong. But notice in yourself if it is being trusting or being in avoidance.
There's a significant difference there in birth outcomes.

Let's be balanced, active and working on flexibility. Nature's course is to be in balance and to be active.
Modern life doesn't offer much spontaneous symmetry or activity. Today, we must choose to be active. We also may have to overcome imbalances brought on by sitting or standing for hours, especially in chairs growing up in school. As adults we over use our right leg driving our cars.

Look at the first principle of Spinning Babies, Balance.

Carol Phillips, DC, is teaching doulas, midwives and yoginis three specific techniques that are specific to balance the day after my Spinning Babies Workshop in Richmond, Virginia. Come and see how amazing this could be for your birth practice!

Tuesday, November 16, 2010

Nurses and Spinning Babies

Today, some sweet Labor and Delivery nurses, who may want to keep quiet about their Spinning Babies plans and do will remain anonymous until they say that I can brag about their individual beautifulnesses, talked with me about what activities they could teach and do with a pregnant woman in prenatal testing sessions.

We talked about using the first principle of Spinning Babies at three anatomical levels, above the brim, the midpelvis, and the outlet. We focused on the Rebozo Manteado or "Sifting", the Abdominal Release (Diaphragmatic Release), and the Forward-leaning Inversion.
Nickie, my devoted Spinning Babies supporter, had to stay home with sick grandkids. So My husband Vic was a willing, if not expressive, model for a pregnant woman for us! What a sweetie!
He may go past his due date, but never his freshness date!

We talked about two activities to help babies into the brim following the Abdominal Release if still necessary. The two activities were the Abdominal Lift and Tuck (aka Belly Lift) and the Trochanter Roll (aka Walcher's Position). These exercises are illustrated on my website under Techniques.

Our conversation tickled the nurses interest for more information on the three levels (associated with station, they may be categorized as -2 and higher, -1, 0, +1 station, and +1 and lower) and the techniques that may correspond best with each level.

Thursday, November 11, 2010

Car Breech w yoga breathing!

Newspapers love to publish car birth stories and the latest in the stream is a breech birth in England. The local hospital closed to births so the parents had drive to a hospital a little farther than labor had time for. A healthy 7 1/2 pound girl was born while the father drove on.
The cute baby has the classic breech forehead shape showing us that she likely was breech for a while as her head shaped to the inside curve of the upper uterine wall (fundus).

Either breech isn't such a drama there, or no one knew, at least foreknowledge wasn't mentioned in the news story. And this mother knew to keep herself calm,

“It was fortunate because when I realised what was happening, the things I learnt in my yoga classes such as how to control my breathing focused my mind and stopped me from panicking.

(Spelling from the Petersberg Post article on the same birth.)

Articles like these might give people the idea that breech birth isn't so damaging after all.

Let's see if baby Eliza's birth fit the protocols, fast birth? Yep, water broke on the road.
Mother upright? Well, she was in the front seat, so we can assume either sitting or kneeling backwards.
Hands off the breech? Yep, Dad's hands were on the driving wheel. Mom clutching the car door as Dad swerved through winding country roads.
Baby the right size for mom? Yep, everything was just perfect!

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.