We focus a lot on #cardinalmovementsoflabor for the #baby - but are they overrated - babies move in many ways depending on their mothers #cardinalmovements - if we continue to ignore her the baby will 4ever be a passenger & subject to gross abuse of its #humanrights #artofbirth

What is the most important part of the pelvic bone during #birth ? Is it the spine, sacrum, coccyx, or iliac bones? Deciding this makes a huge difference to outcomes and will prevent #birthtrauma #wheresthephysiology #artofbirth

Wheres the evidence 4 pushing #mothers knees apart in 2nd stage-it interferes with #cardinalmovements & risks immense trauma- #diastasis #asphyxia #pelvicfloor avulsions #shoulderdystocia #caesarean #instrumentals etc-share &join the #leaveherlegsalone campaign 2 end thispractice

I remain unconvinced. 3 fewer cases of severe perineal trauma / 1000 vaginal births is not clinically significant. An intervention that didn't involve touching perineums or putting fingers in rectums reduced the rate by 34 / 1000 births. doi.org/10.1111/aogs.1…

I am totally appalled that the 'bundle' means that women are having huge episiotomies cut - which for many, remain painful for years, interferes with sexual function & in the short term, hinders the ability to sit comfortably; instead of doing the simple things to reduce trauma

My abstract on #birthtrauma and why it’s critical we #leaveherlegsalone is at the #icsmeeting ICS #wheresthephysiology

Is the baby really a passenger? Or a major player in #birth - Time to revisit terminology - #wheresthephysiology

The issue with opening #mothers legs into externalrotation during pushing is not the effect on the bones which is minuscule-but its effect on the #pelvicfloor #nerves etc the best option is to let her follow her instincts & #leaveherlegsalone - training needed if must move legs

1:3 mothers will have some degree of #pelvicfloor dysfunction #postpartum due 2 over stretching, compression etc-this is not an inevitable consequence of having a #vaginal #birth but of failing to appreciate importance of #movement and to #leaveherlegsalone #wheresthephysiology

Many mothers undisturbed during #birth have instinctual movements that follow the waves of contractions & optimise the #uterus #pelvicfloor position-from one of our live births watch the movement of back of the knee, hip, & neck etc #wheresthephysiology #obstetrics #midwives

The best predictor of & prevention of #perineal & #pelvicfloor tears like #oasi etc is to understand & recognise the types of #anus in the 2nd stage - & support women to adapt positions accordingly - so is covering the anus sensible #wheresthephysiology #humanisingbirth The MASIC Foundation

The search is still on for what triggers the pacemakers in the #uterus shown in research to start contractions - observation of #mothers will show more often than not it’s fetal movement - #wheresthephysiology #fundwomensresearch #birth

Live animation of a mother in 2nd stage. Research shows #mothers don't move during #birth- they articulate! allow, relase & transform pressures in their brain-body interface to reduce oxidative stress #physiologicalbirth #obstetrics #midwifery #maternity #doulas #physiotherapy

The physiological platform of the #breech - #wheresthephysiology #artofbirth #pelvicfloor #midwives #midwifery #obstetrics #doula #siaparto