Learn physiological birth positioning & assessment.

With the unique POSiTIONN system that promotes active birth and reduces trauma and intervention


— Are you concerned about the rates of:

prolonged pushing

Prolonged pushing

which cause small but significant increases in risks for mother and baby.
cs circle

2nd stage Caesareans

which are on the rise, and can be technically challenging & damaging for mother & baby.
perineal tears

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
the pelvis

— Only then you can transform

your understanding of the physiological and anatomical principles behind positions & techniques such as


& appreciate it's not about lithotomy always being bad for progress or upright always being best.

— But rather that the art is to achieve 1000's of positions which are:

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.

Empower mothers to achieve practical positions without interfering with the primal brain & hormones.


Understand the physiology & anatomy undelying your positioning.

Or continue to risk placing mothers and babies in positions which are detrimental to progress and may cause breaks in bones & tears in soft tissues. Such as these:

Offer possibilities for movement in line with what mother can do

— Learn how to position for:

  • Midwife - UCL
    POSITIONN is wicked!! It really helps me to appreciate and observe birth and help mothers move into the right position.
    Midwife - UCL
  • Jennifer Lee
    Fab - the physiology of position really needs to be taught to all birth workers and students. It will really help mothers and babies.
    Jennifer Lee
    Midwife - Pembury, Kent
  • Brandon Ross
    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.
    Brandon Ross
    Obstetrcian - London

— 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:

It's not inevitable that mothers should be injured during birth. It's preventable.
Improve your practice. Keep your passion.

Hello, I'm Gloria Esegbona - a UK born and trained obstetrician & gynaecologist. I am lucky to have over 15 years experience managing & uniquely, PREVENTING birth trauma in not just the UK but internationally as an obstetric fistula surgeon and a Winston Churchill fellow.
As a result, I have trained hundreds of birth workers and been privileged to see thousands of mothers birth in the UK, Australia, and several African countries. And helped to set up birthing/critical units and services. I have seen a lot of trauma over the years which on the whole is caused by poor appreciation of anatomy and physiology and learning a set of rules about positioning and hormones etc and trying to apply them to every mother. With little appreciation of the huge variation in the birth process.
I have seen that the best births are personalized and allow positions which release physiology and create a transformation - of physicality, physiology, and philosophy. So that women make their own decisions which are appropriate and safe for them and their babies. This is what the art of position is all about - a flexible algorithm for creating the right birth environment that maxes physiology no matter the kind of birth. It helps you to be present and to understand when, if at all, and how to facilitate the ever-changing dynamic of birth. It has really helped my practice and those I have helped birthed & trained. My mission is to share this with you & show you what REALLY works. No fluff, gimmicks, guesswork, out of date advice, no complicated strategies that take a PhD to understand. Just simple easy to implement practical advice. That help you to be with mothers and support their needs. That helps you discover & share your art.

Learn the art of birth positioning & transform your practice