Biomechanics for Birth for midwives

pelvis ligaments

Biomechanics is the science of human movement. It involves the study of structure and function of the mechanical aspects of biological processes

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.

"Vaginal birth is a remarkable event about which little is known from a biomechanical perspective’ Ashton-Miller and DeLancey 2010"


Treat position 2b P1000726Understanding 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, tried and tested  movements and positions developed over many years in practice, 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

Covid 19 - Biomechanics for Birth Online

Covid 19 has become a major issue for anyone trying to run events - again! We have had no option but to postpone live courses for the forseeable future and we don't think we will have any idea when it may be possible to work live until at least next spring.

The good news is that the online courses seem to be "going down a storm" - The first five courses were booked up within a couple of weeks of being advertised and the first three have attracted praise so glowing we are embarrassed to publish. We've had to create 4 more dates to meet demand - so there is an alternative on the online booking page.


 The course has been created following requests from colleagues who have witnessed the effectiveness of techniques I have been using in my work for many years. It offers midwives the chance to fully support women, helping to resolve malposition in 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. 


Important notes

Some of the courses shown on the bookings page are organised by individuals and midwifery groups. These courses are priced by individual organisers. Appropriate contact details are on the booking forms - please don't use them for general enquiries use the contact details below for Optimal Birth 

Group Bookings

If you would like to organise a course in your area please contact me - You organise publicity and venue and I will teach for a fixed fee that can half the cost of the course for each particiapant. E-Mail This email address is being protected from spambots. You need JavaScript enabled to view it. for more information