— Are you concerned about the rates of:
which cause small but significant increases in risks for mother and baby.
2nd stage Caesareans
which are on the rise, and can be technically challenging & damaging for mother & baby.
Perineal and pelvic floor tears
which 85% of first-time mothers experience & can be severe enough to cause prolapse and incontinence.
"Failure to progress"
because of problems with the passenger, power or passage.
Shoulder and head dystocia
occurring even though the baby does not seem ‘big’ and mothers left with fractures in bones & back pain.
Then POSiTIONN training could help you:
As these things are not inevitable but preventable. Central to all of them is a lack of understanding of the physiology of proper positioning.
The problem is we think of position one - dimensionally! We think only of positions being upright.
But there is so much more to positioning than just being upright!
You need to know the physiology, anatomy & psychology underlying tense muscles & ligaments that twist bones. Affecting the positions of the mother, baby & even yourself. It’s the only way to truly transform your practice & advocate for mothers. The art of POSITIONN is a creative integrated approach which allows you to appreciate the elegantly complex interaction between the muscle, bone & hormonal factors involved in physiological births & how they are altered in different births.
— You have to know how, when and why it is appropriate to:
nutate & counternutate
the sacrum, ischial spines & iliac bones
extend, flex, abduct & adduct
the hips, legs & spine
internally or externally rotate
the legs & iliac
have the hips higher or lower than the knees
in order to open the inlet or outlet and assist a malposition
augment labour naturally
by combining positions in 3 planes (saggital, frontal & transverse) to augment the birth canal
relax or tense muscles & ligaments with each position or on VE
such as the psoas, piriformis, pelvic floor and abdominal muscles.
recognise skin landmarks of the relevant bones eg., coccyx, & ilium & curves in the back
& use them to determine position of the baby pelvis and progress
release & utilize hormones with positioning especially adrenaline
to aid progress
& learn how to
allow | release | transform
& appreciate it's not about lithotomy always being bad for progress or upright always being best.
Of course, ultimately, the best positions are autonomous & led by mothers & babies.
But sometimes because we are not aware of the physiology we interfere with natural spontaneous positions. Or fail to assist mothers into them. Sometimes we even force mothers into positions which are not practical for them because they have tight muscles or ligaments & twisted bones.
Offer possibilities for movement in line with what mother can do
— Learn how to position for:
POSITIONN is wicked!! It really helps me to appreciate and observe birth and help mothers move into the right position.
Fab - the physiology of position really needs to be taught to all birth workers and students. It will really help mothers and babies.
I can't believe I did not know this before. I have been qualified for more than 10 years and no one has taught me about position like this - definitely will change my practice and make me intervene less and deliver more safely.
— Better knowledge of position will help you empower mothers to:
be more conscious of their bodies & the possibilities for movement
feel listened to
trust the process and take responsibility for their birth
No matter the equipment, technique, type or stage of birth, you can put it into a physiological context using position & individualize care.
— Truly understanding position will help you:
advocate in practice
Gain more confidence and time so you can improve care, & make better decisions that make births safer and easier.
reflect & research
POSiTIONN will help you be more present-minded in every birth, able to capture and analyze why things went well or otherwise, and able to share your feelings.
Get access to practical resources & actionable tips that help you adapt a POSiTIONN teaching strategy to the practices, policies & pressures in your unit