Do I Need Pelvic Support During Labor?

A case review:

Mama called saying her labor started 4 days ago, and “water broke” 28 hours ago. She said the cervix checks were painful and so her midwife was unable to get a good check in on cervical dilation. She asked me to come over to see what I could do to help.

We discussed the benefits and risks of Direct Pelvic Diaphragm work ( intervaginal/ interrectal) and both agreed to work indirectly on the pelvic area (outside of the pelvis). When I arrived, labor was stalled with contractions >10 minutes apart. I noticed the sacrum (pelvic bone and fused segment of spine) was rotated to the right, the right> left hip flexors (muscles) were restricted, the cesarean scar tissue was pulling on the left round ligament, and the posterior pelvic diaphragm muscles were guarded/restricted.

As I worked on manipulating the sacrum, releasing the scar tissue and pelvic diaphragm, Mama and I discussed how the pressure/discomfort she was feeling in around her anus was a good sign and we worked to find ways to support her into moving IN TO and With that discomfort, rather than resisting it.

We both talked to Baby, encouraging him and asking him if there was anything he needed.

One hour later, Mama was in ACTIVE labor. We both felt her baby move his hand away from his face and rotate his head down low into the pelvis. I supported Mama in finding a birthing rhythm and strategy to support movement with the contractions.

After the two hour mark, the Birth Doula arrived, and I headed out sending everyone my love.

The midwife arrive 2 hours later, and shortly after Mama had the V-BAC she dreamt of.

I am so grateful I was able to assist this team in supporting this Powerful Mama in Labor.

Wondering if this type of support is right for you? Read more about it here.