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Pelvic help for labour

Last post 06-23-2008 6:24 PM by kim duran. 4 replies.
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  • 06-15-2008 5:36 PM

    Pelvic help for labour

    Hi everybody, one mum-to-be is recommending this device to help to stretch the perineal muscles for the labour and to tone after birth. She is having a home birth so wanted as much help-preparation she could find. Its called the EPI-NO delphine plus and she says it is very effective to stretch the muscles progressively. I was pleased to read in their leaflet that it was inspired by the African custom of using a calabash/gourd to stretch the perineal muscles.. go on www.epino.de, or info @ tecsana.de. It is around £ 70. kim
  • 06-16-2008 4:55 PM In reply to

    Re: Pelvic help for labour

     Hi there,

    just a word of caution about perineal and pelvic floor stretching devices. Some of them are dangerous to use. People all over the world have stretched many parts of their bodies, ears, lips etc. but this does not result in elasticity and tone, which is the desired outcome we are after. At Birthlight we engage deep muscles with our own breathing in a gentle yet powerful and effective way in preference to mechanical actions, whether through massage or the use of objects. There are good reasons for doing so, not just anatomically but also because a connection between the perineum and skeletal muscles is desirable for integrating tone along our inner axis and in our inner core, that is as much spiritual as it is physical.

    Not all the traditional practices are worth adapting, some are quite horrible and damaging!  Anyway as you can tell I have a bee in my bonnet about devices that stretch women's muscles and strengthen guys' balls, there are quite a few of these on the market. 

    Francoise. 

     

     

     

     

    Francoise
  • 06-17-2008 8:06 AM In reply to

    Re: Pelvic help for labour

    Hi all, I agree with Francoise's comments about caution. It was a bit rashed of me to recommend a gadget when I don't know much about it. So I asked my friend some feedback about the device. In her own words, she is no fan of gadgets but thinks that the upside outweighs the risk (like overdoing it). She got used to the slight stinging of the stretching ( the 1st time it took her by surprise and she noticed how she held her breath) so now she is much better at timing the breathing with the discomfort. Also she realised that she was not exercising her pelvic floor as well as she thought( there is a gauge). 5mn a day for a week gave her better control in her sneezing fits (she suffers from hay fever). She only started using it at 37 weeks. So it is true that you have to balance pros and cons and natural ways are safest but it is also true that modern world and thinking dissociate us from accepting or learning about pain so it may help some mums to be more prepared? I understand the Birthlight ethics and the emphasis on the breath awareness but it takes a while to explore the breath and I see some mums just an hour a week, not always regularly! maybe some tools used cautiously may help develop sensations and preparation. Is the massage mechanical due to gadgets again ? Human touch is comforting. It's good to debate! kim
  • 06-17-2008 9:20 AM In reply to

    • reka
    • Top 150 Contributor
    • Joined on 09-09-2006

    Re: Pelvic help for labour

    Dear All,
    this is maybe the second or third time only to join in the discussion on the forum, but the topic (PAIN) is very close to my heart... also, sorry about the mistakes in my letter, English is not my first language!
     
    As a mother of three, a doula and independent birth preparation facilitator in Hungary, I very much agree with Francoise's cautiousness about anything that artficially stretches the perineum: flexibility does not equal stretched muscles! Honestly, the idea is plain horrid to me.
    But Kim's comments about the sensation of pain and how little we address the question (kind of a taboo in our society --along with babies' cry: at best we ignore or hush / supress the thing).
    I think it is a very good point that Kim makes about how this device, regardless of its other use,  helped her lady in her breath awareness.
     
    I think it would be beneficial to think, or brain storm about techniques that pregnant ladies could do in class to release their conscious and unconscious fears, and that would help them to see and accept that labour is labour: WORK--which by nature we are designed to manage. In labour yoga mums will use the Golden thread and other techniques on the real stage, rather than in a pleasant, relaxing, but to a certain extent somewhat misleading environment of a yoga class. This might be a problem to some if not emphasised at the right moment!
     
    So, if anyone has any tips, or ideas, I am very happy to read!
    In the meantime, I am also happy to share what I do in our classes: in this I owe some respect to Kundalini Yoga techniques, and also to Pam England and her famous book: Birthing From Within
     
    The exercise is simple, but painful. In brief:
    there might be need for some preparation, since it is less of a physical than mental/concentrational type, and because it helps to get a flavour of the altering states of consciousness that women go through in their labour. An instructor can present it as a certain game where there is only one rule: we raise our arms 60 degrees above and keep it there as long as it starts to get ......... what? painful? There are all kinds of experiences for this, pain can only be one of them: just as it is in labour too. 
     
    I normally use nice music, and help them go through it as a meditation. This is important! If the instructor just lets them do it, they might just stop, or won't even start... There are so called "non focus awareness techniques" (check Pam England for some of these) we use, partly to avoid concentrating on the negative mind, and to go into neutral, partly to actually face the pain but from a neutral mind's perspective. Music helps. Breathing helps: and there is no question about it: anyone who tries this exercise (we do it as long as 35 minutes!!) will experience how much aware you have to be about your breath -- otherwise you just catch yourself with you arm falling down without even knowing what happened.
     
    If all this is fo interest to anyone, please say.
     
    And I would be happy to hear some comments too!
    With all best wishes to the community,
    Reka
    ____________________________________
    Gáborjáni  Réka -- Birthlight JógaSzülés®
    06 30 97 388 97
    www.jogaszules.info / www.birthlight.com
  • 06-19-2008 5:39 AM In reply to

    Re: Pelvic help for labour

    I agree with Francoise.  Kim I am sorry I have to disagree with you about the use of gadgets at all.  Why are we causing the female pain?  Our pregnancy classe do prepare the ladies for birth in a very gentle and nurturing way.  We also give those who want the opportunity to explore their own bodies (perinneal massage) if that is what they desire.  1 hour a week is a great introduction to our work but surely the most important thing is the encouragment and confidence to practice daily at home. at work,  in the car,  wherever they may be!.  We facilitate classes to empower woman and give them the opportunity to move forwrd in their pregnancy with confidence. 

    Our work is designed to prepare for natural childbirth. (obviously keeping all options open)  In child birth the movement & breathing which we teach from early on will help the natural release of all the wonderful hormones required for birthing.  even the painkilling hormones.  Yes labour is hard work (hence the name) Yes it is painful but a pain which we teach to work WITH.  Finally There are very few woman who give birth actively and with awareness that remember the extent of the pain once they have the end result in their arms.  If they suffer pain unneccessarily prior to the birth they will remember it.  For many woman this could and will have a detrimental effect on their future sexual activity.

    Liz

  • 06-23-2008 6:24 PM In reply to

    Re: Pelvic help for labour

    Thank you all for your answers. I learned a lot from them ; My lack of caution, I didn't take the time to reflect on the responsability of almost advertising an item ( I gave the name and adress of it) without sharing some questions first with the birthlight teaching community.Those devices are not accessories like blocks or bolsters used in yoga which support passively. Also I fundamentally agree with the importance of using and developing your own body mechanisms. The method for pain awareness that Reka mentions is very similar to what happens in qigong. You do stay in static positions for quite long times , the difference is that you're using qi or chi (internal energy) to support the effort. Focusing on preventing the tension building + the deep breath does tune your mind to something or somewhere else. So I 'll end up saying that I disagree with my own posting! and will be more careful in the futur. namaste.kim
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