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Deb Lawrence brings us Dip the Hip, figure-8 movements to loosen the sacroiliac joints and make room in the pelvis. This can be done in pregnancy every day and in labor as needed, the earlier the better.
Send in your story, your photo or link to your online video clip of doing the Hip Dip, and Spinning Babies will select the most concisely written (even if not the most dramatically successful) and clear images for teaching others how and when to do this. Meanwhile, visit my blog to see Deb herself Dip the Hip.
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Hands and knees position, all fours, knees and elbows and kneeling over a birthing ball. Crawling and stretching exercises, too! These are similar positions that actually assist the baby with the movements of birth. Read how making your belly the perfect hammock can help prepare for labor and make progress for your birth. But this may not be enough to rotate a posterior baby, read why. This is the safest position for birthing a breech baby, read why!
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Balance the pelvis and surrounding areas for comfort, birth preparation and labor progress. A short-cut way to address several of the muscles and ligaments will be to use The 3 Sisters of Balance: Rebozo sifting; Forward-leaning inversions; and the sidelying release.
When you have time, length your psoas, hamstrings, and piriformis muscles with daily stretching, walking and good posture.
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Liberación lateral del suelo pélvico (Pelvic floor or side-lying release, es el enlace donde puede encontrar el artículo original en inglés)
¡No se trata de simplemente echarte de costado y soltar la pierna a un lado! Lee cuidadosamente cómo realizar esta técnica que puede ser realmente útil.
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The Abdominal Lift is of the most effective early labor techniques for engaging baby in the pelvis. The Abdominal Lift was popularized by Janie McKoy King, a Texas Engineer who wrote Back Labor No More. I learned it from Penny Simkin at her Birth Doula Training.
I added the words "and tuck" to remind the user to tuck their pelvis. By this I mean do a standing Pelvic Tilt. By this I mean flattening the lower back.
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Today I received three emails, three, from women who asked me where my information was for turning a posterior baby!
I was rather flabbergasted! Afterall, I developed this site over ten years ago specifically for helping rotate posterior babies. Its not like I can offer one pregnancy activity that rotates all posterior babies from the right side to your left, from your posterior to your anterior. Its a process. You have many muscle layers, internal structures and pelvic aligning to attend to so that the uterus comes into Balance and allows your little one the full space needed to come around to occiput anterior. Almost every technique, every article of advice, on every topic here helps rotate posteriors. Some of you only need a few of them, but many of you need many of them, and from early on in pregnancy. So get going, Girlfriend.
The only techniques I DON'T want you to do in pregnancy with a HEAD DOWN baby are the Open-Knee Chest and the Breech Tilt. Leave those for the Mamas with Breechlings. The rest is for all Mamas, even those of you with anterior babies, and especially those of you with posterior babies and babies on your right side. (Read directions carefully to find out if you are an exception.)
With even more determination to serve Mamas and Babies, Gail Tully
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This is a technique to use only occasionally in labor. Walcher's Position is used to engage a baby that is high, not really in the pelvis yet, yet contractions are regular and strong. The baby may be stuck at the brim or inlet of the pelvis. I don't know if it works in pregnancy, before labor. But I know that if you can use this position through and between three contractions in labor that it will bring the baby into a normal pelvic brim. Contractions make it work.
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Women who can't sleep, have start and stop contractions (labor doesn't seem to start and continue), feel achey in the pelvis, hips or back, or it hurts when baby kicks may enjoy the results of the following techniques.
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Does baby seem stuck at the top of the pelvis? Would you like to start over? The Open-knee chest helps back the baby out of the pelvic brim and start again in a better position.
- In pregnancy? Only for breech babies!
- In Labor? Only for jammed babies in labor, not for babies still floating!
(Photo: Penny Simkin, PT, teaches us Open-Knee Chest)
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Sometimes a physician or midwife will suggest that a pregnant woman be on bedrest. Fetal positioning becomes a concern for women aware of the effects gravity and fetal positioning.
There are some indications in the literature that bed rest may increase OP babies, but it isn't universal. Some Daily Activities can adapted to do on bed rest. Here's a list: Use good maternal positioning and posture with Rest Smart. Address Balance with the Abdominal Release; the Sidelying Release, and if there is no high blood pressure, the Forward-leaning Inversion. Psoas Resolution help is on www.coreawareness.com.
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A simple, highly recommended techinque done with a very light touch to release the fascia around the pelvis and the pelvic and respiratory diaphragms. Its surprising results can improve fetal positioning, pelvic alignment, even reduce heartburn and snoring.
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The forward-leaning inversion is a classic here at Spinning Babies. Create more room in the lower uterine segment to allow baby to move into (or stay in) the ideal position for birth.
The benefits are amazing for babies lying sideways (transverse lie) after 30 weeks. But all mothers with any fetal position will benefit, even the ideal left occiput anterior. This technique is recommended for everyone with special invitations to women with twins, breech, oblique (diagonal lie), and posterior babies. With more room in the lower uterus, the baby may reposition without manipulation. Every healthy pregnant woman may benefit from 30 seconds of this steep inversion. Begin before pregnancy or in the first trimester...or now! Be careful, read the details to find out if you are one of those few who shouldn't go upside down.
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This is not just lying on one's side and leaning your leg over! Do weekly in pregnancy and once in early labor to potentially reduce labor length. Add to the activities to help a breech flip in pregnancy. Stall in labor? Annoying hip pain? Contractions with no progress? Asynclitic or posterior baby? This technique is a star in the universe of maternal positioning for labor comfort and progress.
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Sifting, or jiggling, the entire abdomen can relax tight ligaments and may help a baby rotate in pregnancy or labor more easily, and help a birthing woman relax into her labor.
Did you use a rebozo? Tell the world. Please fill out the short "Rebozo Use" Poll at SurveyMonkey.com
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Please let me refer you off my site to CoreAwareness.com with Liz Koch. I'm really excited about her work and she can tell you the best.
The tone of the large psoas pair can have an effect on the descent of the baby and even fetal position.
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The Abdominal Release is also called the Diaphragmatic Release.
The Diaphragmatic Release helps the broad ligament relax giving baby more room to get into position for labor.
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Fetal Malpositions often begin with an imbalance in the mother's pelvis. While this is not always true, it is often true. I now believe that the imbalance causes the pain and the malposition. It's not the malposition that begins the pain! Treating the cause of the pain often solves the fetal malposition as well, since then baby can often slip into an improved, or even optimal, fetal position. Try these activities to help turn a posterior baby.
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A series of poses for labor when progress is slow. Contractions help this technique to work effectively. Penny Simkin and Ruth Ancheta call it the Roll-over and it is featured in their Labor Progress Handbook.
At Spinning Babies, I've said, when you want to move the baby, move the mother. This technique literally rotates the mother to help the baby rotate! We've used variations of this technique for many years. The mom shown here is in a variation of the Hands and Knees position, the start of the "Roll-over."
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So much of what I learned about Balance was defined for me by Dr. Carol Phillips, DC. I thought I'd introduce you to Carol's work.
The first video shows a pregnant woman with significant sciolosis of the spine helped to come into Balance by Carol's techniques the month before. Carol does her series of checks on each part of her body. The baby has moved into the Left Occiput Anterior position since the previous visit. Ideal! Find a Dynamic Body Balancing bodyworker in the US at Carol Phillips' www.DynamicBodyBalancing.com
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Occasionally, the question arises, can maternal positioning and the techniques featured at Spinning Babies cause a baby in a good position to get into a "bad" position. For instance, could doing these techniques when baby is head down make the baby flip head up. Or, could they turn a baby who's in an anterior position to a posterior presentation? Is there any harm in doing these?
I am inclined to say no, not when done with these directions. But what you should know first....
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The Breech Tilt is a widely known inversion technique to help a breech baby flip to a head-down position.
Use this technique 1-3 times a day if you are told your baby is breech. You can start as early as 30-32 weeks and continue through to the time that you know that your baby is head down. Some doctors suggest starting later because most babies flip on their own. The Breech Tilt is not invasive. Ask your doctor if there is any medical reason not to do a Breech Tilt for your breech baby starting after 30 weeks. Alternatively, the Forward-leaning Inversion is recommended at any weeks gestation for any fetal position.
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The pelvic tilt, done with the mother on hands-and-knees, is good to relax the lower back after a long day. This gentle rocking exercise keeps the pelvic joints loose, too. Is it good enough to help a posterior (forward facing) baby get into a better, anterior, position for birth? (Be sure you are doing the Daily Do's.)
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The need for techniques varies among women. Like the bell curve, some women - on one end - will not need any techniques. Most will benefit from a few, whether in pregnancy and/or during labor. And a few women in every group will not receive the benefits of techniques until they visit with one or even more professionals for specific body work techniques. This article lists the professionals who offer body work to pregnant (and sometimes, laboring) women and then gives a brief description of their service.