Wednesday, August 31, 2011
TrigMed's LaborPro... My fascia is fluttering and my muscles feel mushy. What a weird experience to feel that we have stepped into a science fiction future.
Well, if it weren't so loud and probably dangerous to the baby I'd have no problem with this (Dr. Sarah Buckley; Dr Pasko Rakic).
If we join the argument about how nice it would be to avoid uncomfortable and inaccurate vaginal exams, How do we trade the baby's wellbeing for the mother's comfort? but then if gravity weren't so persuasive I'd simply jump down from high buildings to save having to go down the steps. The side effects of ease may not be as desirable as the intention.
Will the benefits be worth it? If the hospitals can afford one, and if it is easy enough for the average provider and nurse to learn to use it accurately, then we are going to see these in labor rooms.
Consider the possible uses, "Hard data" to justify cesareans and other interventions
- From Lack of descent - OP, whether justified or simply present
- OT, same, whether in transverse arrest or simply facing a hip during a lull in labor
- When the baby's head is in Extension (chin up)
- By Remote viewing of fetal flexion, presentation, position, and descent by a doctor or nurse in a centralized location
Already I get emails from Spain, Italy and the Eastern US from women saying, "My doctor says my baby is OP and I should schedule a cesarean." - !
The good thing will be We can
- Learn the Cardinal movements better
- Learn about the Immediacy and efficiency of various techniques at various stations
- Avoid internal exams (or will they want to check to verify and increase skills?)
- Possibly distinguish whether baby's head is stuck in the pelvis; actually doesn't fit; or is simply waiting to rotate, waiting for flexion, or doing the necessary moulding?
- Achieve Remote viewing of fetal flexion, presentation, position, and descent in areas where experienced or expert providers can't get to easily
Dang, who's got one of these toys and how do I get to play ?
I so wish they weren't harmful. I'm so sad about that.
Women and babies are going to be exposed to this technology because they already are! Home and hospital providers use ultrasound in electronic fetal monitoring, doppler, and visual scans. This isn't new technology, its simply a new marketing strategy to have the technology sold in a new way that requires a new purchase for the promised uses.
We in the physiological birth movement need to get jump in, gravity be damned, and be an ethical voice to move things towards solutions rather than more confusion. We have to talk about the "right use" of this (actually) invasive sound wave technology to make it non-routine and as an aid towards maternal position changes and choices, allowing more time in labor, and reassuring mothers and staff about the normalcy of childbirth.
I'd love to consider your comments for a future post on this development.
Tuesday, June 28, 2011
Last night, 30 women gathered at Blooma with Leslie Howard, Amy Metry and "Ruby" the pelvic floor model to explore the many facets of the female diamond. Soon we were laughing and learning. Here's some more about Leslie:
Leslie Howard Yoga in the News: Fit Yoga Magazine -December 2008
Curve Magazine - "5 Facts About Down There" January 2010
Vagina Pagina blog - April 2010
Yogic Muse Blog, June 2010
"A healthy pelvic floor is more than doing Kegels." Here are some gems from last night:
Thursday, March 17, 2011
General Session Presentations of the
17th Annual DONA International Conference
July 21-24, 2011
Here are the exciting General Session speakers and topics you can look forward to learning from at the conference. A wonderful variety of Concurrent Session speakers and topics are also scheduled.
· "Third and Fourth Stages of Labor: Usual Practices under Heavy Criticism," presented by Penny Simkin, PT, CD(DONA)
· "Childbirth in 2011: Doula Practice in a World of Increasing Cesareans and Home Births," presented by Eugene Declercq, PhD, MBA, MS
· "Anesthetic/Epidural Medications and Their Impact on Breastfeeding," presented by Thoma
s W. Hale, RPh, PhD
· "What in the World is Belly Mapping?" presented by Gail Tully, BS, CPM, CD(DONA)
· "The WHO Code: Why Doulas Have to Care," presented by Marsha Walker, RN, IBCLC
· "Breastfeeding Made Simple for Doulas," presented by Kathleen Kendall-Tackett, PhD, IBCLC
Here's a big shout out to my many friends at DONA who've made it happen - Anni and Debbie and Penny particularly! And the one whom I wasn't even aware of who also spoke yes when the decision was in the balance.
This will be a fun look at Belly Mapping and the doula-mother relationship. Bring your cameras!
See you in Boston.
Wednesday, March 16, 2011
(The sound is terrible. Its probably videoed from a cell phone.)
Tuesday, February 15, 2011
The woman with a gynecoid pelvis often finds that labor itself will eventually get the posterior baby rotated to any of the anterior positions, or in some cases, gives birth to a posterior baby.
Monday, February 14, 2011
1. Don't get induced!
Monday, January 17, 2011
Saturday, January 8, 2011
Leslie Lytle, a sponsor for the Spinning Babies and Resolving Shoulder Dystocia Workshops in Richmond, VA this year (2011) asked me how I came to the concepts behind my approach.
I didn’t come through academia. The community called me out.
The first midwives to take me with them to births had me watch several births before giving me a role to play. Observing mothers and listening to the metaphors of midwifery and observing mothers again, I could check my beliefs with what I was observing.
I began Spinning Babies to communicate the
When the answers within the culture of birth didn’t satisfy, I opened myself to other communities. In the world of bodywork, Carol Phillips, DC helped me understanding how fetal rotation can be enhanced or hampered by maternal balance. Observing her techniques in the births of my mothers, I found the answer I was searching for - that Balance may need to be restored before maternal posture or activities can be effective in this minority of birthing women. From Liz Koch I learned more about the Psoas, and from Collette Crawford, the benefits of certain yoga routines for pregnancy.
Many, many midwives, doulas, doctors, nurses, yoga teachers, and body workers have contributed to my understanding. Most notably my friend, Jan Hofer, midwife to over a 1,000 (remarkable for the state of Minnesota) who gave me the most lovely example of how a midwife can be with women.
One very important “ah-ha” moment came after connecting extended shoulders to a long arc rotation after yet another shoulder dystocia. In a long arc rotation an OP baby rotates to OA,
By addressing the baby’s rotation and descent in a series of techniques that simulate the natural progression of labor, success is increased (and injuries lessened) for both obstructed labors and shoulder dystocia (arguably also an obstructed labor, right?)
And that's what being the Spinning Babies Lady means to me.
Friday, January 7, 2011
A Spinning Babies visitor- "I along with many women, would greatly appreciate any info you could provide as to what to do during pregnancy and especially during the pushing phase that would prevent pelvic organ prolapse (rectocele, cystocele, uterocele, etc.) from occurring, or at least help keep any current prolapse from worsening."
For your pelvic floor protection:
No caffiene (yes!)
Regular inversions, legs-up-the-wall and if you can, shoulder stands
A myofascial pelvic floor release side lying release)
Yoga exercises for pelvic balancing and strengthening
Release of the Psoas muscle pair
In pregnancy the same
plus do the side lying release once in early labor and once during late labor, for instance in the presence of strong contractions but no (slow) progress or after the transition phase before a strong urge to push (if there is a lull then). Any time is fine, but those are examples.
A good fetal position for an average size baby is easier on the pelvic floor. Continue a short inversion every day (30 seconds).
In labor, use rotation friendly comfort measures (upright, walking, hands and knees, side-lying when resting and techniques if labor is slow due to fetal position).Keep your bladder empty, especially during pushing.
Push on hands and knees or standing rather than on your back, any position other than on your back if you are not allowed to be on Hands and Knees or upright.
Don't hold your breath and push unless there is no progress due to either asynclitism or a hand in the way, or perhaps just size. (Rather take a little nap if the contractions are spaced, there's no urge insisting upon spontaneous pushing.)
Sit in a deep tub of water for a while during pushing, even if you don't birth in the tub.
Once in a while strong pushing is just necessary, but less likely for a second baby than for a first. Possible, but less likely.
Plus, avoid a pudendal block, epidural, episiotomy, vacuum or forceps! There is a lot of evidence that these things cause more pelvic floor damage. Of course, the vacuum or forceps is reasonable to consider if it avoids a cesarean, but deciding when it is necessary varies among providers. Try a pelvic floor release (again if necessary) if pushing is slow. I realize some women will pick an epidural. I don't want anyone to suffer, but don't deny yourself the support you may need, the preparation that may help, so you aren't left lacking support in labor.
Rest for 5 days after birth, no stairs, no carrying, no walks, not on your feet except to go to the bathroom or go to meals. Use a portable potty and a futon if you have to. Have prepared meals, friends bring food, etc.
Rest from day 6-14 in the home avoiding stairs except if you live on a multifloor home and need to use the stairs to go to the bathroom or to be with the family. Then down once and up once a day. Use a portable potty chair the rest of the time. Take your first outing at the end of this time, or in the second week. If you have to see the doctor before then, take a nap immediately afterwards and get help with meals that day.
Days 15-45 one errand a week, one visit a week to a parenting group or other place of support. No cleaning other than a short visit to the kitchen sink. No vacuuming or picking things up off the floor or carrying anything heavier than baby. Have someone else carry the car seat and carry baby in a sling, not the car seat of a baby carrier seat.
Continue at that time with yoga and pelvic floor balancing and strengthening most days (plan everyday and see if you can get in at least 5 days a week).
That's what's on the top of my head.