Best of Birthful: How a Baby’s Position Impacts Labor
Best of Birthful: How a Baby’s Position Impacts Labor
Best of Birthful: How a Baby’s Position Impacts Labor
Episode Transcript
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<!DOCTYPE html><html lang="en"><head><script nonce="KZmShlhy07jxPRN0_UmhjA">var DOCS_timing={}; DOCS_timing['pls']=new Date().getTime();</script><meta property="og:title" content="Birthful - Best of Birthful Episode Gail Tully Transcript DAI"><meta property="og:type" content="article"><meta property="og:site_name" content="Google Docs"><meta property="og:url" content="https://docs.google.com/document/d/1FDRCCLoYADcSqmhPZ7Y6UJhuCWgHoeg9YlGSnYQt_-g/edit?usp=sharing&usp=embed_facebook"><meta property="og:image" content="https://lh7-us.googleusercontent.com/docs/AHkbwyKKe3BLYQKfUjk3i2NekiwAzGwpXArx5PglCva-OIM0AEPCyBhWOBY6YQMaeCX8Mhy84_DzhpuTT05l9u9lFoksvo_CRzL2UVUes5Whb_n9HXSLA3aH=w1200-h630-p"><meta property="og:image:width" content="1200"><meta property="og:image:height" content="630"><meta property="og:description" content="Best of Birthful: How a Baby’s Position Impacts Labor [Welcome to the Best of Birthful. Creator and host Adriana Lozada curated and edited each selection in this playlist of the show’s most popular episodes. It's a tailored introduction to the expansive catalog she amassed over the first five ye..."><meta name="google" content="notranslate"><meta name="viewport" content="width=device-width, user-scalable=no, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0"><meta http-equiv="X-UA-Compatible" content="IE=edge;"><meta name="fragment" content="!"><meta name="referrer" content="origin"><title>Birthful - Best of Birthful Episode Gail Tully Transcript DAI - Google Docs</title><link rel="shortcut icon" href="https://ssl.gstatic.com/docs/documents/images/kix-favicon-2023q4.ico"><link rel="chrome-webstore-item" href="https://chrome.google.com/webstore/detail/apdfllckaahabafndbhieahigkjlhalf"><script nonce="KZmShlhy07jxPRN0_UmhjA">_docs_webfonts_fontFaces = null; _docs_webfonts_iframe_fontFaces = null;DOCS_timing['wpid']=new Date().getTime();</script><style nonce="mS-r-GOuxV7Dn_RoGD1-4w">.gb_ib:not(.gb_kd){font:13px/27px Roboto,Arial,sans-serif;z-index:986}@-webkit-keyframes 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Creator and host Adriana Lozada curated and edited each selection in this playlist of the show’s most popular episodes. It\u0027s a tailored introduction to the expansive catalog she amassed over the first five years of Birthful\u0027s 300+ shows - which is now in its 9th year!]\nMidwife Gail Tully, founder of the Spinning Babies approach, explains how a baby’s position can dictate the flow and ease of a birth. Learn how to prepare your body for labor with personalized exercises and belly-mapping techniques. \u000b__________________________________________________________________________________\t \nAdriana Lozada: \t\n\tHey, Mighty One. With nearly 300 Birthful episodes in over five years, it may be hard to know where to begin listening to the show. To make it easier, we’ve put together the Best of Birthful series, which showcases some of our favorite or most relevant episodes. This is one of those. If you enjoy what you hear, make sure you subscribe. 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Very often, the strategy today is to strengthen the contractions and get the cervix to dilate, and I am very pragmatic in looking at the physical, but I’m noticing that there’s a lot of soft tissue anatomy, a lot of muscles, ligaments, and by studying those and observing birth, I think that the baby’s position is a reflection of the mother’s soft tissues, the soft tissues, the muscles pull here, the ligament pulls there. Now, these aren’t the only reasons for babies to get into positions that are less ideal for birth, but I think that that’s the most common reason. \n\tAnd so, by focusing on what we can do to make baby’s job easier, then we make labor easier for the mother. We help the labor to progress the way nature would have it progress. And more comfortably for the woman. More pleasurably. So, if she has hopes for a natural childbirth, we can add a lot of techniques in our approach to make that more enjoyable and more possible in today’s sort of busy obstetrical hospitals, right? There’s some pretty simple techniques, some of them are kind of unusual, that make room for the baby. And what I mean is it releases something too tight or it helps something come out of a twist. Maybe it’s a ligament from the uterus to the sacrum, right in between the uterus and the inside of the mother’s very bottom of her back, you know? Right in that triangular sacrum. \n\tAnd if that’s pulled over to the side, the mother might not notice it. Sometimes, women are aware that one leg is slightly shorter than the other, or a hip is slightly rotated. It’s achy to walk. She has sciatica pain. These could be misalignments or a muscle that’s too tight. \nLozada:\tAnd it’s kind of her body sending signals of \"there’s something up here…\" \nTully:\tYeah. Right? Because pain is always a signal to get our attention. What’s it teaching us? It’s our teacher. So, what I’ve been learning over the years is I started out talking about, “Well, if we do this technique, it helps labor progress.” Now I’m realizing, “Oh, the soft anatomy is something to really pay attention to.” \nLozada:\tSo, you mentioned a bit of… on the elements that come into play in determining baby’s position, and you spoke about soft tissues. Can you tell us a little bit more about what those soft tissues are? What we’re think… What you’re considering? 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So, when that comes into balance, and we don’t have to be perfect, but then we have space, and we have flexibility, and we have tone, and we have mobile, a mobile sacrum. And the mobile sacrum is the very key to childbirth. \nLozada:\tWhy is that?\nTully:\tBecause it moves a centimeter or two centimeters out of the baby’s path. Nobody really talks about that, but it’s known. It’s commented on. But it’s not really clearly discussed in the midwifery world, or the physician world, looking at the birth. For instance, I’ve heard Ina May talk about midwives in the Caribbean saying the baby won’t come until the back opens. What does that mean, the back opens? Well, the natural reflexes in childbirth, natural movement of the body in childbirth is not only the cervix dilating, but it’s also the sacrum backing away from the center of the body. \nLozada:\tSo, Gail, how early should people start doing these activities?\nTully:\tSo, imagine a spectrum from easy to difficult. If you truly are on the easy side, then a technique or two does it. So, the woman that happens to be on the more difficult side of the spectrum of ease will need to do several things. It would be great to have a questionnaire, so that we could figure out where we are on this spectrum of ease, but I don’t think it’s that simple, because there’s about 36 muscles going to the pelvis. \nLozada:\tOn the website, on SpinningBabies.com, you have some daily activities, daily exercises, that any mom can do. Now, even if they’re on the easy or the more difficult spectrum, if they’re on the easy, this won’t… This won’t make things out-of-whack. \nTully:\tRight. \nLozada:\tThey’re all going towards balance, so there’s really no harm in them doing them?\nTully:\tAs long as people… Well, there’s certain contraindications, like don’t go upside down if you have high blood pressure, glaucoma, and then how are we gonna do it? We’re gonna do it gently. We’re gonna do it attuned to our body. We’re going to… You know, the guidelines I put in by doing it gently, or doing this one once a day, or that one once a week, those seem to be fine schedules. But some people will think, “Well, if this is good to do once a day, I’m gonna do it ten times a day.” And you know, it’s the overenthusiastic kind of approach like that that I can’t say that may be too much. But adding balance does not make a baby in poor position, because the baby would be in the best position possible if the space was available. \n\tSome women have back labor with posterior baby, and some don’t, and I didn’t have a posterior baby, and I had back labor because I’m short, and I had a car accident, and I thought going to the chiropractor couple of times was enough, but when I got pregnant again… I mean, when I got pregnant years after the car accident, you know, all I was doing was walking. And walking is great and it’s one of the most important exercises, but it doesn’t open the hips. You can imagine your legs are always going forward, back, forward, back. They’re never going… There wasn’t a lot of side-to-side, so forward lunges are perfect, but also doing some things with your thighs apart. \n\tYou know, you need… like, windmill is an excellent exercise, and there’s some specific hip openers, different wonderful exercises that are addressing more muscles. So, instead of me addressing the very same set of muscles all the time, I want to increase more muscles and get more range of motion. So, flexibility and range of motion, alignment, these are all words that kind of go with balance. \nLozada:\tSo, what can moms do to make that sacrum more mobile and those soft tissues more aligned? \nTully:\tYou know, I’ve really been influenced by Katy Bowman on this, and she really suggests starting out with calf stretches and doing calf stretches for a couple of weeks, and then getting into squats, and she has a very specific way of doing squats. 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And yes, yes, because it’s not really… By trying to force open the cervix with Pitocin, or different medications that are offered or directed to pregnant and birthing women, we’re looking for the result. And basically, Adriana, I liken it to the two-year-old who wants to go through the door. The two-year-old runs ahead of his or her mother, pounds on the door, wants to get outside to play. The mother comes over and turns the doorknob and magically the door opens and out they go to play. It’s like if we pound the pressure at the cervix with Pitocin, turning up that Pitocin, turning up that Pitocin, we are trying to break through that door without turning the doorknob. And the baby’s… When the baby rotates, it fits through the pelvis like a puzzle piece dropping into place. Then the back of the head, the crown of the head comes onto the cervix.\n\tBecause the mother’s been in labor now, her body’s ready to open. She’s soft. She’s ready to have her baby. 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The show’s senior producer is Paulina Velasco. Virginia Lora is the managing producer. Cedric Wilson is our lead producer. Alie Kilts contributed to the production of the Best of Birthful series. Thank you for listening to and sharing Birthful. Be sure to subscribe on Apple Podcasts, Amazon Music, Spotify, and everywhere you listen. Come back every week for more ways to inform your intuition. \n\nCITATION: \nLozada, Adriana, host. “Best of Birthful: How a Baby’s Position Impacts Labor.” Birthful, Lantigua Williams \u0026 Co., March 13, 2024. 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From The Podcast
Birthful
On Birthful, working doula and former journalist Adriana Lozada talks pregnancy, birth and postpartum with top experts and new parents. Every episode distills the overload of pregnancy information down to the most relevant and useful stuff. Adriana Lozada is a mom, author, speaker, birth doula, postpartum educator, and healthy-sleep consultant. Visit Birthful.com.Please note: Adriana has years of experience but she's not a doctor, and does not expect anyone to treat the show like medical advice. Please always consult with your care provider. This show does not dispense medical advice.Join Podchaser to...
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