
Troubleshooting
Long Early Labor
-
Belly Lift Tucks
During contractions, place hands under the belly, lift up, and tuck back. Hold for the entire contraction. Repeat for 10 contractions. Have a support person lift and tuck your belly from behind.
-
Side-lying Release
Lay on your side, with your bottom arm straight above your head. Adjust in the bed so your belly is hanging off the edge. Have a support person stand by your belly for support. Your support person will lift your top leg up, forward, and then gently bring it down to hang over the bed. They will use their hands on your hip to keep your pelvis stacked. Do this for three contractions, then switch to the other side
-
Miles Circuit - Part 1 - Forward-leaning Inversion
Rest in a modified child’s pose, with your chest on the bed and hips higher than your shoulders. Use pillows and blankets to rest comfortably in the positions. Do for 30 minutes.
-
Miles Circuit - Phase 2 - Exaggerated Side-lying
Lay on your left side with your bottom arm reaching behind you. Place a peanut ball or pillows between your lefts, with the top leg bent and the bottom leg straight. Stay in the position for 30 minutes
-
Miles Circuit - Phase 3 - Lunge
Stand with your leg bent in a lunge using a stool. The knee should be pointing to the side, not forward. Do one side for 15 minutes, switch, and complete the other side for 15 minutes.
Back Labor - OP Baby
-
Forward Leaning Inversion
With a support person present, kneel on the edge of a couch with your knees spread hip distance. With help, bring your arms down to the floor, so your hips are high above your chest, with knees still on the sofa. Relax and take deep belly breaths. Come up in between contractions. Do for three contractions.
-
Side-lying Release
Lay on your side, with your bottom arm straight above your head. Adjust in the bed so your belly is hanging off the edge. Have a support person stand by your belly for support. Your support person will lift your top leg up, forward, and then gently bring it down to hang over the bed. They will use their hands on your hip to keep your pelvis stacked. Do this for three contractions, then switch to the other side
-
Toilet
Sit, pants-less, on the toilet facing forward or backward.
-
Belly Lift Tucks
During contractions, place hands under the belly, lift up, and tuck back. Hold for the entire contraction. Repeat for 10 contractions. Have a support person lift and tuck your belly from behind.
-
All-fours
Rest on your hands and knees. Try tucking and untucking your sacrum.
-
Shake the Apple Tree
Wrap the scarf around the glutes, starting at the top of the hips, ending at the base of the glutes. Bunch the scarf on both sides to make a tight fit. Move hands up and down in alternate motion to shake the glutes. Do in-between contractions. Best in the all-fours or standing, bent over position.
-
Kneeling Lunge
Kneel and bring one leg up into a lunge, with your knee to the side. This can be down resting over a birth ball or the raised back of a hospital bed.
Back Labor - Comfort Tools
-
Double Hip Squeeze
Squeeze on the soft part of the birthing person’s hips during a contraction.
-
Sacral Pressure
Use your palm or fist to press on the birthing person’s sacrum. Press firmly during contractions.
-
Heating Pad
Use a heating pad on the back to relive discomfort from back labor.
-
TENS Unit
Apply the TENS unit patches to the sides of the sacrum for back labor relief.
-
Sterile Water Injection
Sterile water is injected into the subcutaneous tissue around the sacrum. This tool is completed by a nurse or provider and gives relief to back labor.
-
Hot Water
Use a shower head or directly poured water for relief from back labor.
Bring Baby Down - High-position baby
-
Mountain Pose
Stretch arms into the air during contractions or for short durations. Try grabbing the top of a door frame for support.
-
Toilet
Sit, pants-less, on the toilet facing forward or backward.
-
Side-lying Release
Lay on your side, with your bottom arm straight above your head. Adjust in the bed so your belly is hanging off the edge. Have a support person stand by your belly for support. Your support person will lift your top leg up, forward, and then gently bring it down to hang over the bed. They will use their hands on your hip to keep your pelvis stacked. Do this for three contractions, then switch to the other side.
-
Belly Lift Tucks
During contractions, place hands under the belly, lift up, and tuck back. Hold for the entire contraction. Repeat for 10 contractions. Have a support person lift and tuck your belly from behind.
-
Butterfly
Sit with heels together and knees to the side. Lift your hips to untuck your sits bones and sit up with a neutral pelvis.
-
Flying Cowgirl
Lay on left side, with peanut ball between your knees and ankles. Bring legs back, so that body is in a J shape, with ankles behind the butt.
-
Stairs
Walk stairs for short intervals. Try skipping a stair.
Prolonged Pushing Phased
-
Birth Stool
Use a birth stool for a supported squat and to mimic the pelvic release of a toilet.
-
Toilet
Sit, pants-less, on the toilet facing forward or backward.
-
Side-lying Release
Lay on your side, with your bottom arm straight above your head. Adjust in the bed so your belly is hanging off the edge. Have a support person stand by your belly for support. Your support person will lift your top leg up, forward, and then gently bring it down to hang over the bed. They will use their hands on your hip to keep your pelvis stacked. Do this for three contractions, then switch to the other side.
-
Hands-and-knees
Try pushing on hands and knees to help baby come deeper into the pelvis.
-
Birth Sling
Dangle from a birth sling to sustain a gravity-friendly squat.
-
Mirror
Use a mirror to better see where to send your energy for pushing.
-
Squat Bar
Attache a squat bar to the bed for a supported and sustained squat.
-
Knees-together Pushing
Allows for a greater opening of the pelvic outlet.
-
Kneeling Lunge
Use a kneeling lunge to help baby navigate the pubic bone. Do both sides.
-
Walcher's
With assistance, remove the bottom of the bed. Butt should be at the edge of the bed, with legs dangling off. Make sure the rest of the bed is raised so legs can dangle, and the head of the bed is flat. Do for three contractions without pushing. Can also be done arched over a birth ball.