Typically you’ll find it more with a vaginal birth but it depends on how far into the pelvis a baby got with a labored C-section whether you will find it or not. If it was a planned C-Section it shouldn’t see it in their body.
Yes that will determine the amount of pressures placed on the pelvic bones. If we knew station of the baby that could help but rarely does a client know that info.
Possibly?!? ILA’s assess for the oblique movement in the SIJ. If you are treating individually you may not get the full extension back into the lower sacrum. It’s possible to treat it but might take longer to do each side than if you know it’s true sacral flexion you can just treat that in one motion.
If a woman had broken her coccyx many years before giving birth, resulting in her coccyx being permanently turned inward at nearly a 90° angle, how do you think that might effect this?
Her sacrum would really have to flex backwards even farther than normal for the baby to get around the tailbone to come out vaginally. I had one client whose tailbone was like this and it prevented her baby from coming out and she had a cesarean birth.
If the tailbone was broken at a 90 degree angle like S C said, could it have any effect on the nerves controlling the cervix, or do all those nerves come from farther up on the sacrum? Is there anything that could physically, bones or muscles, cause the cervix to never open more than a finger-width, or would that only depend on emotional and mental state?
The cervix is drained by the uterosacral ligament. So swelling in the creation of a cervical lip could be caused by blockage in the Uterosacral ligament. The innervation of the cervix comes from S2-4 and the inferior mesenteric ganglion at T10-L2 so I don’t think the tailbone could effect the cervix.
How soon after birth do you use the manual techniques as we are seeing patients now withing 10 days of delivery. How much does it procedure seem to “stick”
Meredy, the sooner they are done the better. I had a midwife doing them day of birth and she found they held! Go for it just respect the tissues and don’t create pain!
What if the client is pregnant again and they’re stuck in sacral flexion and experiencing back pain? How much do we want to encourage the pelvic outlet to close up considering the client will be giving birth soon?
I’d go ahead and close them up to help with the back pain, also the sacrum needs to go into extension to open up the pelvic inlet so you will be helping them with the birth! I always close up the pelvis and don’t worry about the birth, the body knows exactly what to do. Thanks for asking.
Leah, The key with them is to allow the bones to come into your hands and not force your hands into the tissues to find the bones. Please don’t do supine techniques with these patients, work with them in prone. Also remember you can use your intention and energetically work with the structures too. Good luck!
I’m confused about your comment about the 4 sacral segments and their mobility because these should all be fused in an adult. Do some people maintain discs and flexibility between these segments?
It’s not a mobility between the segments but how does the sacrum move when mobilized at the different segments as a unit. You can also feel a difference in the bone at the different levels too. PA pressure to S1-2 help with sacral flexion and S3-4 help it move into extension. Try it out on your clients and see what you feel. Stay curious and open to this idea. Thanks for clarifying.
Does this apply to the patients who deliver by C-section?
Typically you’ll find it more with a vaginal birth but it depends on how far into the pelvis a baby got with a labored C-section whether you will find it or not. If it was a planned C-Section it shouldn’t see it in their body.
Depends on which stage of labour the lady had C-section. Early labour or during pushing phase
Yes that will determine the amount of pressures placed on the pelvic bones. If we knew station of the baby that could help but rarely does a client know that info.
How is this different than releasing the ILA? Is it just both sides at once? Would you correct it if you did each side individually?
Possibly?!? ILA’s assess for the oblique movement in the SIJ. If you are treating individually you may not get the full extension back into the lower sacrum. It’s possible to treat it but might take longer to do each side than if you know it’s true sacral flexion you can just treat that in one motion.
If a woman had broken her coccyx many years before giving birth, resulting in her coccyx being permanently turned inward at nearly a 90° angle, how do you think that might effect this?
Her sacrum would really have to flex backwards even farther than normal for the baby to get around the tailbone to come out vaginally. I had one client whose tailbone was like this and it prevented her baby from coming out and she had a cesarean birth.
If the tailbone was broken at a 90 degree angle like S C said, could it have any effect on the nerves controlling the cervix, or do all those nerves come from farther up on the sacrum? Is there anything that could physically, bones or muscles, cause the cervix to never open more than a finger-width, or would that only depend on emotional and mental state?
The cervix is drained by the uterosacral ligament. So swelling in the creation of a cervical lip could be caused by blockage in the Uterosacral ligament. The innervation of the cervix comes from S2-4 and the inferior mesenteric ganglion at T10-L2 so I don’t think the tailbone could effect the cervix.
How soon after birth do you use the manual techniques as we are seeing patients now withing 10 days of delivery. How much does it procedure seem to “stick”
Meredy, the sooner they are done the better. I had a midwife doing them day of birth and she found they held! Go for it just respect the tissues and don’t create pain!
What if the client is pregnant again and they’re stuck in sacral flexion and experiencing back pain? How much do we want to encourage the pelvic outlet to close up considering the client will be giving birth soon?
I’d go ahead and close them up to help with the back pain, also the sacrum needs to go into extension to open up the pelvic inlet so you will be helping them with the birth! I always close up the pelvis and don’t worry about the birth, the body knows exactly what to do. Thanks for asking.
How can I use these techniques with women who have extremely high BMI and suffer from severe obesity? I find it hard to reach and treat the pelvis…
Leah, The key with them is to allow the bones to come into your hands and not force your hands into the tissues to find the bones. Please don’t do supine techniques with these patients, work with them in prone. Also remember you can use your intention and energetically work with the structures too. Good luck!
I’m confused about your comment about the 4 sacral segments and their mobility because these should all be fused in an adult. Do some people maintain discs and flexibility between these segments?
It’s not a mobility between the segments but how does the sacrum move when mobilized at the different segments as a unit. You can also feel a difference in the bone at the different levels too. PA pressure to S1-2 help with sacral flexion and S3-4 help it move into extension. Try it out on your clients and see what you feel. Stay curious and open to this idea. Thanks for clarifying.