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Welcome to the online biomechanics course

molly

One of my main goals as a clinical midwife has been finding ways of improving the birth experience by avoiding difficulties and trauma associated with births complicated by labour dystocia. I've been teaching my accumulated experience full time for the past couple of years 
 
In January 2020 I had over 45 courses booked and was setting up arrangements to train more teachers. Everything came to a shuddering halt with the arrival of Covid 19 but it's proved to have been a real opportunity - giving me the time to get courses on line and breaking down resistance to distance learning.
 
The online course is still a work in progress - and Midhusband, photographer, website builder and admin Tim says the Heath Robinson nature of the demonstration films complete with dog in the foreground and the clutter of a hastily converted storage space in the background are "best we could do in the circumstances". It will evolve and your comments and suggestions are welcome - please do use the feedback form.

Course Objectives

The aim of this course is to improve the birth experience by avoiding the difficulties and trauma  frequently associated with labour dystocia. It promotes a fundamental shift in our understanding of how the physiological processes of birth work including: 

  • a deeper understanding of pelvic anatomy and physiology, pelvic dynamics, the mechanical relationship between the pelvis and the rest of the body
  • the dynamic interaction of the mother /baby dyad
  • better recognition of symptoms of suboptimal positions. 
  • recognising activities and lifestyles that increase the chances of labour dystocia,
  • learning observational tools to recognise signs of a mechanical disruption during pregnancy and the birth process
  • learning techniques and positions, based on the principles of biomechanics, that increase space in the pelvis and avoid medical interventions. 
  • understanding the nature of the institutional obstacles to physiological birth 

The online course is presented in four modules, two prerecorded and two live zoom sessions. The pre-recorded sessions need to be watched and inwardly digested  before the live sessions. It will really help you get the best out of module 4 if you have familiarised yourselves with the positions and practiced them at home 

Module one - Introduction and Anatomy and physiology. 

Pre-course module

The module explores the structure of the pelvis, and the dynamic relationship between the ligaments, muscles and bones that form this complex piece of human architecture. An understanding the biomechanics of the pelvis allows a better understanding of the physical restrictions created by pelvic imbalance and the way space  impacts the baby's journey through the birth canal. 

This is a precourse activity - try and develop  detailed understanding of  the points reaised through the video - it is important to be comfortable with AP basics to get the best out of the live sessions. 

Several people have had trouble reading the words on the slide show - this small gallery gives access to higher resolution stills and some bonus anatomical drawings


Please complete the module assessment before the live sessions. 

Module two - techniques and positions- Practice

Pre-course module - please familaiarise yourself with and practice the positions demonstrated here before the the live session in Module 4

Module Objective: to understand and feel confident about the detail of the techniques and positions

woman demonstrating the use of the forward leaning inversionPlease wear loose comfortable clothing for this session. Try and arrange to join with a colleague for modules two and four - otherwise try and persuade a friend or partner to be on hand to help practice the movements. 

If you are hospital based but taking the course from home try and pair up with a collegue even even form a group of three - one for the camera, one as the model and one as the practioner - turn and turn about.


 Video links

 It is important that you understand contraindications and correct positioning so the woman or birthing person can benefit fully from the techniques. Please pay attention to safety advice. Informed consent should always be gained, appropriate professional monitoring and documentation should accompany use of these techniques.


 Zoom link for live sessions (modules 3 and 4) 

https://us02web.zoom.us/j/82170640305?pwd=OGpXNzRkL1MxWnB2RVFHdjVBM25aZz09 (Link is for both sessions)

Meeting ID: 821 7064 0305

Passcode: 947323

please open zoom five minutes before the module is due to start - if you have never used zoom before give yourself a little more time - Zoom will tell you how to install the app but it can take a few minutes. This link can be used for both live sessions.

Live module start times are 9-30 am to between 12-30 and 1 pm both days on split courses.

Single day courses start at 9-30 am and finish at approximately 5-30 pm - There will be a couple of short breaks and a half hour lunch break starting between 12-30 and 1 pm


Module three - Live Zoom

teaching biomechanics in Spain in association with Helena EyimiThis is the key element of the course. The module is interactive, using breakout rooms, storytelling and practitioner experience to explore issues related to labour dystocia and enabling physiological birth; these may include research, institutional constraints, practitioner observations and any other relevant topics. The discussions will be used to make connections with physiology and anatomy and the variety of common signs associated with dystocia to help develop better diagnostic methods

Objectives

  • to understand the limitations and effects of current medical solutions to long and slow labour and assessment tools for the diagnosis of malposition.
  • to enhance recognition of the signs of labour dystocia and develop and use an understanding of biomechanics to recognise it more effectively
  • to identify risk factors, offer appropriate advice and solutions during pregnancy, antenatal education and the birth process.  
  • to enhance empathy, compassion and understanding for the birthing person's experience. 

Module Four - Live Zoom

This module includes practice of positions and techniques. 

For this module you will need

  • a bed, settee or massage table nearby to practice the moves,
  • a large scarf
  • some way of filming what you are doing so I can be sure the moves are practiced safely and correctly. 
  • loose comfortable clothing
  • If possible join with a colleague or try and persuade a friend or partner to be on hand to help practice the movements. 

There will be an opportunity ask questions and demonstrate attention to detail of the following techniques: rebozo sifting, shaking the apple tree, forward leaning inversion and sidelying release. We will discuss the techniques and use of the other more simple positions discussed in the positions guide.

There will be a recap of positive strategies to use, evidence and research and a closing breakout session including an 'application to practice' quiz at the end of this module.  There is also a post course quiz which will be handed out towards the end of the second module - this must be completed (on time!) if you want a certificate of participation.


 

Biomechanics handout 300 pix front pageDON'T FORGET TO DOWNLOAD AND PRINT THE GUIDE TO POSITIONS