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What is in a Spinning Babies Workshop?

Description: Spinning Babies asks a new question, “Where is baby?” A Baby Spinner matches the techniques to the level of the pelvis where baby waits to find room. Pain in labor, long and/or posterior labors, and stalls in labor take on fresh solutions. Baby’s position reflects the space created  by the internal pulls, twists, or balances within the connective tissue. Lengthening pelvic muscles with static-stretch and myofascial techniques, we “make room for baby.” We soon realize fetal positioning is only a clue of what is needed and perhaps not the originating cause of a long and complicated labor. Bringing birth back to ease becomes an expected part of labor care within the new paradigm of birth that is Spinning Babies.

These details vary according to Spinning Babies Approved Trainer. Check your Confirmation Letter after registration to check times. Talk to each trainer personally about details.

Certification of Attendance is not a certification in Spinning Babies.

No one is certified in Spinning Babies techniques. I have Spinning Babies Approved Trainers listed on the website. There are no others. Thank you!

The presentation is key to understanding the concepts. This cannot be understood by just reading the website.

-Patty, CNM in Minnesota

WOW!  It worked.
I was blessed with the perfect labor situation, prime stalled x 4 hours at 8cm, LOP.  She slept through side-lying release, 3 contractions on each side (took 30 minutes).
She got out of bed, and was immediately in transition.  Baby born 1 hour later!

– Patty, 6 days after she took Spinning Babies Workshop

Had my first post Spinning Babies birth 12 hours after finishing the workshop! She breathed her baby down beautifully into the water! Lots of Spinning Babies and other preparations prior to her amazing VBAC. Such an incredible way to finish up the weekend.

-Anjela, Doula in Minnesota

Who takes a Spinning Babies Workshop?

These workshops are for midwives, nurses, and non-professional birth workers. Yoga teachers, body workers and

1-Day Spinning Babies Workshop start times vary:

  •  10 am to 6 pm with lunch from 1-2 is one possible schedule.
  •  9 – 5:30:  lunch from 12:30-2 pm, pregnant woman from 10:30 to 12:30.
  • Class times may be adjusted to fit the schedule needed by a hospital group sponsoring the class for their L&D staff. There is a half day class, Resolving Labor Stalls for nurses and CNMs available by request when available.
  • Lunch may be one hour or 90 minutes, often beginning 3 hours after scheduled start time.

 2-day Spinning Babies Workshop start times:

  •  Day 1: 10 am to 6 pm with lunch from 1-2  (7 hours)
  •  Day 2: 9 – 4:30:  lunch from 12:30-2 pm (6 hours)

 

Both Workshops have a similar curriculum, see difference after the similarities below.

Topics discussed include:

  • A new premise for childbirth ease and labor progress for the experienced provider
  • Exploration of the role of “Soft Tissues” in pregnancy, labor, and fetal position (muscles, ligaments, connective tissue)
  • Common effects of posterior position on pregnancy and labor
  • Fetal Positioning and labor progress with the 3 Principles of Balance, Gravity and Movement
  • Resolving the stalled labor through the Three Levels Of The Pelvis; pelvic mobility and soft tissues release.
  • Practice activities for pregnancy comfort, spontaneous birth as nature intended, and cesarean avoidance.
  • Identifying a stall in labor via labor pattern and being able to match the technique is a part of the workshop.

Day 2 Adds:

  • Helping a breech baby turn head down with self care and partner-assisted techniques for the midwife to recommend.
  • State Change as a technique for fetal positioning readiness – and it works nicely for provider confidence
  • Case study from participant birth review proposal (submit at least 3 days before workshop)

Either workshop introduces you to the Spinning Babies premise. Rearrange “what you know” and learn the next level. Use your wisdom better. Techniques based on soft tissue anatomy like no other birth workshop. You will be able to identify and help pregnant and birthing women with a new approach to comfort, pain relief, fetal positioning, and labor progress.

Detailed Topics:

  1. Historical Intermix of Midwifery and Physical Theory; The lineage of teachers. (10 min)
    1. Changing the paradigm for labor progress
    2. Whose begun to address fetal positioning and soft tissue and pelvic balancing?
    3. Spinning Babies asks a new question

 

  1. Anatomy of Birth and Balance (60 min)
    1. Anatomy of Balance
      1. Birth anatomy – The uterus is not a water balloon; ligaments and connective tissue role
      2. Baby – head down is not enough; the role of flexion and the parasympathetics
  • Normal Birth with the Cardinal Movements through the 3 Levels of the Pelvis; updates in how extension works in descent (Obj 1)
  1. OP Updates in Literature, obstetrical issues (Obj 2)
  2. The soft tissue structures influencing fetal position (Obj 3)
    1. Psoas
    2. Broad ligament
    3. Round ligament
  1. Utero-sacral ligament
  2. Pelvic Floor
  3. Connective tissue or fascia

Feel your tuberosities, ASIS, where is the pelvic floor in the pelvis; how we hold the pelvic model during our educational presentations

10:30 am Break (15 min)

  1. Daily Activities (20 min)
    1. Introduce physical theory relative to pelvic stability and mobility now and in birth
    2. 3 pregnancy stretches for range of motion and sacral movement during the birth
    3. Maternal Positioning to maintain body balance rather than as the key to fetal position
  2. Designs a pregnancy protocol (routine) for all pregnant women to increase or maintain body balance for comfort, fetal positioning, and/or birth ease (70 min) (Obj 4)
    1. Pregnancy protocol (routine); 3 Sisters of Balance supports optimal fetal positioning and proactive preparation for all* birthing women
      1. *Medical and Emotional Contraindications (Obj 5)
      2. Rebozo Sifting and the muscle spindles
      3. Forward leaning inversion: using muscle-tendon stretch receptors to untwist / lengthen the utero-sacral ligament for comfort, dilation ease, and/or improved fetal position
      4. Sidelying Release theory for softening the pelvic floor and hip muscles (Obj 6)

 

Lunch for the Spinning Babies Participants, 90 minutes

 

  1. Three Stations for 3 Sisters of Balance in labor for helping rotation and descent: (Develops Obj 2 into labor techniques (45 min)
    1. How to do Rebozo Sifting
    2. Sidelying Release practice/demonstration for softening the pelvic floor and hip muscles) (Obj 6)
    3. Includes tips to discern Doula Scope of Practice from Provider/Nurse advice
  1. The Fourth Sister and her cousin (45 min)
    1. Standing Sacral
    2. Abdominal diaphragmatic release

 

3:30 pm Break (15 min)

 

  1. Belly Mapping with a pregnant mother-model (30 min)
    1. Mapping kicks and wiggles to match with a doll (to visualize fetus)
    2. Belly Mapping is mother led, not provider’s palpation
    3. Bonding or proactive childbirth preparation
    4. Doula Scope of Practice discussed
  1. Breech to Cephalic Conversion Protocol (75 min)
    1. Evidence-based self-care pregnancy techniques
      1. Mindbody
      2. Moxibustion is best between 34-35 weeks
  • Inversion: Open knee chest or breech tilt
  1. Theoretical self-care techniques
    1. Sidelying Release in labor for softening the pelvic floor and hip muscles
    2. Leg circles
  2. ECV safety and success strategies

(5:30 end)

 

Day 2

9:00 AM  10 minutes, Group activity to introduce the day

  1. Introduction to the 3 levels of the pelvis as a starting point for solving a stalled labor (10 min)
    1. Where’s Baby? Re-examining station.
    2. Diameters as the basis of the following stalls and their solutions
  1. Comparing Labor Patterns with 5 common stalls in labor (40 min)
    1. Compares the occipital posterior, or labor (“asymmetric labor”) to a progressing labor (“symmetrical labor”) by contraction pattern
    2. The symmetrical labor pattern associated with the anterior presentation or well fitting OP
    3. The asymmetrical labor pattern associated with the posterior presentation (Obj 7)
      1. “Is my starter broken?” Starting and progressing labor via engagement into the brim
      2. Flexion and extension in regards to birth ease
    4. Hands-on pelvic mapping – which pelvis do I have? (15 min)
      1. Clues to engagement
      2. Challenging racial assumptions and inaccuracies in pelvic typing
    5. Rotation techniques are compared to comfort measures (15 min) (Obj 10)
      1. Compare techniques
      2. Maternal position to increase diameter of that level of the pelvis (Obj 8)

 

10:30 am Break (15 min)

  1. When enough is enough; labor pattern indications for cesarean delivery due to cephalo-pelvic disproportion compared to indications that baby can rotate to fit the pelvis (Obj 11) (30 min)
    1. Molly Brown’s Labor: Need for rotation compared to slow but continuing progress
    2. Contracted inlet: Scarlett’s Labor – Signs of CPD compared to need for rotation

 

Lunch for the Spinning Babies Participants, 60 or 90 minutes, see individual class description

Identifying Pelvic Level issues causing labor dystocia

    1. Solutions for each of the 3 levels of the pelvis (75 minutes)
    2. Open the inlet Engagement and mis-engagement at the brim (45 min)
    3. Posterior Pelvic Tilt (Obj 9)
    4. Abdominal Lift and Tuck (with return demonstration)
    5. Walcher’s as a last effort
  1. Recovery period (30 min)
    1. Allowing for time in labor requires wise assessment to avoid inadvertent neglect
    2. Observation not ideology
    3. Polarity technique

 

3:15 Break (15 minutes)

  1. Open the Midpelvis (40 min)
    1. Sidelying Release return demonstration
    2. Lunges
    3. Shake the Apple Tree
  1. “Opening” the outlet to finish the birth (20 min)
    1. Internal Rotation of femur and peanut ball
    2. Squatting with an anterior pelvic tilt
    3. Towel pull
    4. SacroTuberous Release by the Provider
    5. Patience for the Posterior in the lower pelvis
    6. Birth Stool
    7. True small outlet or small outlet due to spasming sacrotuberous ligament
    8. Posterior arrest
  1. The future with Spinning Babies in it. Bringing the paradigm forward (25 min)
    1. Spinning Babies uses “Balance before force”
    2. A lack of soft tissue knowledge may lead to an acceptance of perhaps unnecessary induction, augmentation, and the cesarean lifestyle. (Obj. 12)
    3. Conclusion and Review of day

Approved Trainer Jennifer Walker explains: “The course offers you training in the concepts of Spinning Babies, which you can integrate into your work as doula, midwife or childbirth educator. You will get a certification of attendance. You will not be a certified Spinning Babies presenter or certified “Baby Spinner.” That level of knowledge is much too involved to learn in one workshop, even by repeating it. Your certification of attendance is proof of the contact hours for the workshop.”

Objectives for Spinning Babies

After this workshop, the learner will be able to (and is measurable will show):

  • Replicates fetal movement of rotation and descent through the pelvic floor and in a gynecoid pelvis.
  • Describes current literature on obstetrical issues with Occiput Posterior Presentation.
  • Describe how uterosacral ligaments may influence fetal position.
  • Design a pregnancy protocol (activity routine) for all pregnant women to…
  • List 2 contraindications for inversion in pregnancy.
  • Demonstrates the Sidelying Release to temporarily lengthen (soften) pelvic muscles.
  • Differentiates a progressing from a non-progressing labor…
  • Matches a maternal position to increase each diameter of the pelvis (inlet, mid, outlet).
  • Demonstrates an anterior and a posterior pelvic tilt for opening pelvic inlet and outlet.
  • Select the rotation techniques from a list of common comfort measures.
  • Explains a true indication of CephaloPelvic Disproportion…
  • Compares Spinning Babies’ “Balance before force” paradigm to the “3Ps”.

CEUs

The workshop is MEAC (NARM Certified Professional Midwife) and DONA International (doula) approved for continuing education for their certified members. The Approved Trainers’ Workshops are all DONA International approved for advanced doula workshops. Each trainer has their own continuing education arrangements (for instance, Gail’s 7-hour Spinning Babies is awarded .7 ACNM CEUs).

Costs

Typically $175-200 per 1-day registration, depending on location.

 

Promoting Access

All Birth Workers of Color who actively attend births and/or are scheduled for their NARM test, are apprenticing, etc. are eligible to apply for a scholarship at any of Gail Tully’s workshops and (note the trainer). Each trainer has their own policy and must be contacted. Please contact me about your plans to attend in order to be eligible. Access is likewise supported at the Spinning Babies 2016 World Confluence.

  • 2 seats per workshop when the workshop is given by Gail Tully, as long as there is still space. So apply early, before the class seats are full. Overall space is limited and spots are not saved in case no one applies
  • Each Approved Trainer offers one or more scholarship spaces for birth workers of color to promote more access to birth education.
  • If someone wants to come who isn’t attending births, they can email Gail or the Trainer doing the workshop of their interest and say what they do, and why they want the workshop information. Acceptance would be up to space available and how the person fits in our workshop purpose.

Other trainers may have other policies. Contact them individually.

 

DSC_0055Spinning Babies supports The Grand Challenge.

 

 

Can’t attend?

Download (or DVD) Spinning Babies; Parent Class for a similar outline to Spinning Babies Workshop (which is designed for experienced Birth Keepers). Parent Class is like a childbirth education class II, or as my sister said, “It is what I would have wanted when I was pregnant – childbirth education for a birth nerd.”