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I love this family! This first time Mother tells of her son Colt's birth. See some classic signs of a compound presentation. In Colt's case, his compound presentation was both arms coming with his head. This story mentions, 

  • Water breaking before regular contractions
  • Laboring calmly alone for 20 minutes when labor went from "0 to 60!" (She didn't mention the blizzard raging outside that I drove back to her in!)
  • 2nd stage slower than expected (dilation phase was smooth)
  • Pain in her hip or hips
  • Pushing hard in several positions 
  • Extra bleeding afterwards from the baby being sorta jammed up by the bulk of his limbs - the uterus was trying to shrink but couldn't so once it could it was a bit boggy and needed help to clamp down on the blood vessels. We see that sometimes after a fast first stage, long second stage with strong contractions 
  • Baby needing some help to nurse. Besides our help, we suggest gentle myofascial release with the extremely gentle Craniosacral Therapy adapted for the newborn skull (a difference in how the temporal bone is released and using an inversion adaptation). The jaw gets a bit cramped up effecting the latch when there is this extra pressure on the skull plates pushing on the jaw. Other things cause this, too, like posterior presentation, a provider pulling on the head or using "controlled traction" or "downward placement" of the baby's head during birth (I don't recommend these techniques as increased injury is proven, but they are super common) and a strong perineum. In this case, it was coming with two elbows aside the jaw!  

and one thing that I thought was very interesting, that when she felt his body come down it made her feel "bow-legged". I think this might be due to the bulk of both arms in the inlet with his head and opening the inlet with all that together may have pressed her hips out and brought her outlet in - thus making a sensation of her knees being sent outward for a few moments. Later it would switch as she worked hard to bring him through her outlet. 

 

This mom, dad, and birthing baby did such a fantastic job. And Colt is a fantastic boy with a perfect nose (after just a few craniosacral sessions with an extremely skilled, local therapist). 

 

Ok, ok, I know you want to read Colt's story. Its on Midwives Clare Welter and Emme Corbeil's Trillium Midwifery website. I was with them when we attended Colt's birth. 

 

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