Biomechanics for Birth Online

 Biomechanics  is the science of human movement. It involves the study of structure and function of the mechanical aspects of biological processes (Lu and Chang 2012).

pelvis ligamentsVaginal birth is a remarkable event about which little is known from a biomechanical perspective’ (Ashton-Miller and DeLancey 2010)


The course has been created following requests from colleagues who have witnessed the effectiveness of techniques I have used in clinical work for many years. It offers midwives the chance to fully support women, helping to resolve malposition Treat position 2b P1000726in a gentle and logical way. Although this is aimed at midwives it is suitable for all birthworkers including doulas, doctors, and any medical professionals with an interest in birth matters. 

One of the main reasons for interventions in labour is Dystocia, also known as ‘Prolonged Labour’ or ‘Failure to Progress’. The most common reason for dystocia is a suboptimal position. A key element of this course is understanding that dystocia is a symptom of a suboptimal position - not a cause. The course explores how to identify those positions, and what can be done to relieve them. Understanding the biomechanical element of birth offers practitioners a deeper awareness of the baby’s journey through the pelvis and the synergy of the mother/ baby dyad. An improved understanding of the mechanisms of the pelvis and the baby's movement through it aids the development of root cause solutions to suboptimal positions.

The course offers an in-depth understanding of how the pelvis works during the birth process and improved diagnostic tools to identify suboptimal positions. This knowledge allows midwives and doctors to develop powerful tools to reduce the need for medical intervention. It offers simple movements and positions to help resolve the problems caused by malposition and also raises questions about our own routine assumptions and practice in intrapartum care. 


 Course Content

  • Definition of malposition & Statistics & birth outcomes.
  • Applying Biomechanics to Birth including, anatomy and & physiology, causes of malposition who is at risk and why and how to recognise it.
  • Practical techniques include optimal birth positions, the use of rebozo and positions to help labour progress such as forward leaning inversion, side lying release, abdominal lift, modified Sim’s position, birth balls and peanut balls
  • Techniques to improve diagnosis of suboptimal positions
  • Other helpful strategies that support physiological birth,
  • Empowering midwifery and challenging the status quo
  • Research and evidence,
  • Communication, and consent & documentation

 To make the course accessable online it has been broken down into 4 modules, two are prerecorded and two live zoom sessions.

Module one - A&P is a pre recorded presentation exploring the structure of the pelvis, and the dynamic relationship between the ligaments, muscles and bone that form this complex piece of human architecture. Molly discusses why a better understanding the biomechanics of the pelvis is more useful than a purely pathological model and allows a better understanding of the physical restrictions created by pelvic imbalance and the way space  impacts the baby's journey through the birth canal. It includes an assessment which uct be completed to obtain a CPD valid certificate

transverse lie 800 pixModule two - practicing techniques and positions Video tutorials teaching positions and movements that can help women experiencing long, painful or difficult labours. You will learn when and how to apply the techniques, contraindications and tips and tricks to make sure the positions are used appropriately safely and effectively. You will be expected to demonstrate familiarity and aptitude with positions in module 4. and need to enlist the help of a family member or friend to practice and to be available during the live session.

 

Module three - Live Zoom.Presents the key elements of the course using breakout rooms, storytelling and practitioner experience interactively to explore issues related to labour dystocia and enabling physiological birth; these may include research, institutional constraints, practitioner observations and any other relevant topics. The discussions will be used to make connections with physiology and anatomy and the variety of common signs associated with dystocia to help develop better diagnostic method.

 

gerona rebozo

Module Four - Live Zoom Assessment of skills with positions and techniques. During this session you will be asked to demonstrate your understanding of the postions and will need to arrange a model if possible. It  includes a recap of positive evidence and research and a closing breakout session that allows participants to discuss ways the course has affected their perception of the care they deliver, and an 'application of the techniques to practice' quiz at the end of the module. 

 


 The course costs £80, £60 for students - it includes a post course ebooklet 

Please book here - please don't register for multiple courses - our booking system isn't smart enough to handle it if courses are full please book on the waiting list (currently the november online course) - there are more courses coming soon