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.
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
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.
The forward-leaning inversion is a classic here at Spinning Babies. The goal is to increase room in the lower uterine segment by releasing a tight or even spasming ligament. Every healthy pregnant woman (not at risk of a stroke) might benefit from 30 seconds of this particularly steep inversion. But the real benefits are apparent for some babies lying sideways (transverse lie), breech, oblique (diagonal lie) or posterior. With more room in the lower uterus, the baby will often reposition themselves.
Daily inversions in pregnancy may promote optimal fetal positioning. Done correctly, the ligaments will respond! Be careful, read the details.
Sifting, or jiggling, the entire abdomen can relax tight ligaments and help a baby rotate in pregnancy or labor more easily, and help a birthing woman relax into her labor.
Do it daily or weekly in pregnancy, and between contractions during early and early active labor.
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.
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 a significant sciolosis of the spine who had been 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 and the womb is "centered" since the previous visit. Ideal!
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....
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.)
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!
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.
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.
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)
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.