BREECH, POSTERIOR BABIES, OH MY.
When you make a decision to have a home birth, you are understandably very invested in having a vaginal birth. One major factor that contributes to a successful vaginal birth is the baby's position in the womb during pregnancy. Many babies can still be born with a certain degree of mis-alignment, but a well positioned baby can move through the birth canal during labor with minimum obstruction.
The Positional Therapy in Childbirth (PTiC) was developed by Kimm Sun in 2012 as a way to demystify and resolve fetal malpositions. PTiC uses sensory awareness and the understanding of anatomy and the spatial relationship between the mother and the baby in the third trimester. Using PTiC, we have drastically reduced the incidence of breech as well as posterior babies in our care.
How does this work? We begin with a home visit at 28 weeks. This is the time when most babies begin to fill up the mother's abdominal and pelvic space, so your posture and daily activity will begin to influence the baby's position. We get to know your environment and your daily habits. We demonstrate with a doll and pelvis the different configurations of the fetal position, and how you can help your baby enter the pelvis along the path of least resistance. We use clear and logical concepts that are easy to apply. We make adjustments to how you recline on your couch, to prevent a posterior baby. We customize our care based on your lifestyle. For example, if you sit in an office chair five days a week, we know that this chronic physical state can put your baby out of alignment. So we may make simple and effective adjustments to the height of your chair. You would have also acquired a birth ball that we have customized for your height. The birth ball comes in handy labor, but is often indispensable before birth. The key to the success of PTiC is that it's easy to understand, and it actually helps pregnant women be more comfortable in her daily life. Women therefore adapt to the postures very naturally.
As pregnancy progresses, we continue to monitor baby's alignment as the growing baby will change the spatial dynamics between mother and baby.
PTiC involves the partner as well, so in addition to keeping your baby well-balanced, it plays a role in connecting parents to their unborn child. We are proud when our clients can tell us at each visit what their babies have been doing since we last saw them.