April 27, 2025

When Nurses Become Magicians: Getting Babies Unstuck with Marya Eddaifi

When Nurses Become Magicians: Getting Babies Unstuck with Marya Eddaifi
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Season 3

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From personal birth trauma to revolutionary solutions for laboring mothers—this conversation with Marya Eddaifi reveals how innovative manual techniques are changing birth outcomes worldwide.

Marya's journey begins with her own disappointing cesarean birth in 1995, a catalyst that eventually led her to become a labor and delivery nurse determined to find better ways to support women through childbirth. After nearly 24 years in the US Air Force and experience across four countries, Marya's quest to understand why some labors stall led her to a profound discovery: the critical role of fascia—our body's connective tissue system—in birth progress.

The conversation takes us through her revelations about positioning, manual techniques, and the strategic approach to helping babies navigate the maternal pelvis. With fascinating insights into techniques like side-lying release and Walchers position explained from both anatomical and practical perspectives, Marya breaks down complex biomechanics into actionable approaches that can help prevent cesarean deliveries.

What makes this episode especially valuable is Marya's explanation of her groundbreaking Dysfunctional Labor Maneuvers (DLM) app—an affordable, accessible tool that brings her expertise to birth professionals and laboring parents worldwide. Through an innovative algorithm, the app provides customized guidance based on labor status, dilation, and specific challenges, with easy-to-follow video demonstrations for immediate application.

Whether you're a birth professional seeking new tools for your practice or an expectant parent wanting to understand more options for labor support, this conversation offers a revolutionary perspective on addressing labor challenges through understanding the body's intricate design rather than defaulting to medical interventions. Mariah's passion for improving birth experiences while respecting individual needs shines through every minute of this enlightening discussion.

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Medical Disclaimer:
This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman’s medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.

00:56 - Meeting Mariah Adife

02:06 - Mariah's Personal Birth Story

07:43 - Becoming a Labor & Delivery Nurse

13:39 - Discovering Spinning Babies

21:00 - Exploring Fascia and Birth

28:08 - Creating Dysfunctional Labor Maneuvers

38:00 - Developing the DLM App

44:50 - The Importance of Walchers Position

01:00:29 - Fascia Work and Labor Progress

01:12:12 - Making Birth Safer and More Empowering

01:25:05 - The Future of Birth Support Technology

WEBVTT

00:00:00.221 --> 00:00:03.749
Hello, today I have with me Mariah Adife.

00:00:03.749 --> 00:00:15.512
Mariah is a labor and delivery nurse, certified personal trainer specializing in pre and postnatal fitness and corrective exercise specialist with experience across the US, england, italy and Germany.

00:00:15.512 --> 00:00:22.292
She served nearly 24 years in the US Air Force and is passionate about improving birth outcomes.

00:00:22.292 --> 00:00:29.187
Her studies in structural integration led her to develop innovative techniques to address labor challenges.

00:00:29.187 --> 00:00:39.545
As the creator of the Dysfunctional Labor Maneuvers course and the DLM app, she empowers birth professionals with hands-on solutions for labor dystocia.

00:00:39.545 --> 00:00:45.570
Her work is transforming the way birth is supported, making childbirth safer and more empowering for women worldwide.

00:00:45.570 --> 00:00:48.969
Mariah, welcome and thank you so much for joining me.

00:00:48.969 --> 00:00:50.584
Thank you for having me.

00:00:50.584 --> 00:00:51.588
I appreciate it.

00:00:51.588 --> 00:01:04.775
I'm really excited to learn more about this app and how it can help labor professionals and parents that are going into the birth space and the backstory how this all came about.

00:01:05.439 --> 00:01:08.109
Yeah, so let's backtrack to 1995.

00:01:08.109 --> 00:01:09.546
I love it, let's do that.

00:01:09.546 --> 00:01:11.543
I was pregnant.

00:01:11.543 --> 00:01:12.506
I was 22.

00:01:12.506 --> 00:01:19.524
At the time we were stationed in Hawaii, so my ex-husband was in the Navy and I was the dependent wife.

00:01:19.524 --> 00:01:26.813
When I got pregnant, I just put all my trust and faith in the doctors and nurses.

00:01:26.813 --> 00:01:28.115
I never read a book.

00:01:28.115 --> 00:01:30.605
I didn't prepare, I didn't take classes.

00:01:30.605 --> 00:01:33.533
It just wasn't something I heard people did.

00:01:34.099 --> 00:01:36.087
My family doesn't talk about birth.

00:01:36.087 --> 00:01:38.575
So I was really like very naive.

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I don't even really remember, but I was roughly 40 weeks.

00:01:42.846 --> 00:01:45.373
But even at that time I never used the word weeks.

00:01:45.373 --> 00:01:51.272
I was all like eight months, nine months, you know, just like any other young pregnant mom.

00:01:51.272 --> 00:02:02.712
And I showed up at one of my appointments that was for an ultrasound and the ultrasound tech says to me oh, you don't have enough fluid, and I don't know what that means at that time.

00:02:02.712 --> 00:02:04.905
And he said I guess you're having your baby today.

00:02:04.905 --> 00:02:09.575
And I laughed there's no way you can make me have a baby today.

00:02:10.236 --> 00:02:12.001
I didn't understand induction.

00:02:12.001 --> 00:02:14.366
I didn't even know what it was, never heard of it.

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My mom and sister, they went into their birth spontaneously and naturally.

00:02:20.247 --> 00:02:22.034
They just never talked about it.

00:02:22.034 --> 00:02:28.288
So I never honestly even thought about what an epidural is, didn't even know what an epidural is.

00:02:28.288 --> 00:02:29.673
I was extremely naive.

00:02:29.673 --> 00:02:35.227
They walked me over to labor and delivery and I'm told that I'm going to stay.

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And I was panicking.

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There's no cell phones 1995.

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I don't have a cell phone.

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I'm trying to get a hold of my then husband.

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I'm asking a friend to call him.

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I didn't expect this.

00:02:49.966 --> 00:02:56.203
So then I found myself, admitted they were ripening my cervix, but I didn't understand what that was.

00:02:56.203 --> 00:03:05.731
And when they came in with the bag of Pitocin, all I saw was this big bag of contractions, because they said we're going to start your labor now.

00:03:05.731 --> 00:03:08.269
And I was like, oh my God, I don't think I'm ready for this.

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And so I got started in that time frame, got uncomfortable.

00:03:13.110 --> 00:03:16.328
Maybe it was the bed, maybe it was the contraction starting.

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I didn't really understand what was going on.

00:03:18.187 --> 00:03:22.229
I would call the call bell to ask to use the restroom.

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They wouldn't show up, so I would just take the monitors off and go to the bathroom.

00:03:27.705 --> 00:03:36.090
And next thing I knew there was like three nurses in my room scolding me for taking the monitors off and I didn't really understand why.

00:03:36.090 --> 00:03:40.784
That was important to them and I was in a lot of pain.

00:03:40.784 --> 00:03:45.752
So I asked for pain medicine and they said it's too early for an epidural.

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So they gave me something.

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Iv lasted a couple hours.

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I woke up still really uncomfortable.

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I was begging for an epidural for hours.

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They wouldn't give me one until I was at least four centimeters at that time.

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So I kept telling them to check me.

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Finally I'm four centimeters, so I get an epidural.

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And then I realized I didn't like how that epidural felt, because I didn't like that.

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I couldn't move my legs and I had to depend on people to move me.

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I felt like a burden calling them and that wasn't like how I imagined my birth.

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I didn't think that this could possibly happen.

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I thought I was going to be somewhere, my water was going to break and I would go into labor.

00:04:28.767 --> 00:04:30.201
So I didn't know what to make of this.

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My ex-husband he was sitting on a chair not helping me way across the room.

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There was no offer of a birth ball or comfort measures or nothing.

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So when I finally could get the epidural, they broke my water and then I started having D-cells and they would turn me.

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And I was really upset with that because they would tell me to turn.

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I said my legs, I can't really move my legs, and they would just flop my legs over and I was confused why do I have to turn?

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I didn't understand that.

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It was really like no explanation, nothing.

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Then they said to me your baby's in distress, so we think you should have a C-section.

00:05:11.711 --> 00:05:13.583
And they gave me this consent form.

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And all I remember of the consent form was something could go wrong and you might not ever have kids again.

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And I was like and I'm supposed to sign this?

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I guess I have to.

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What other alternative do I have?

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So I sign it, I go have my C-section.

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And of course they're not doing skin to skin at that time, right, babies wrapped in a blanket and I didn't know gender.

00:05:36.745 --> 00:05:42.310
So then they were like it's a boy and I was a bit disappointed because I was hoping for a girl.

00:05:42.310 --> 00:05:51.233
And when they brought my baby to me and I think it was my husband that brought the baby to me I just wouldn't look at him.

00:05:51.233 --> 00:05:56.305
I couldn't look at him, I turned away and I'm like OK, thanks, just I don't know.

00:05:56.305 --> 00:05:58.627
It was the processing I didn't have time for.

00:05:58.627 --> 00:06:03.672
So they take the baby out, because back then there's nurseries, right, so baby is gone.

00:06:03.672 --> 00:06:09.168
My husband went with him and then they put me in PACU for two hours by myself.

00:06:09.168 --> 00:06:22.994
Nobody was there because it was like three o'clock in the morning and I was just there with the labor shakes, didn't know what they were, and then I ended up just in my room, had my baby with me and then eventually discharged home.

00:06:22.994 --> 00:06:29.509
I think I spent about five days in the hospital and I felt so disappointed Wow, is that what birth is about?

00:06:29.509 --> 00:06:46.471
Like it was really anticlimactic for me and when I got home I clearly had been in a lot of stress because I ended up with this huge cold sore on my face after I got home and then I just moved on with life because I didn't know any better.

00:06:46.779 --> 00:06:53.242
And 15 years later I became a labor and delivery nurse because the Air Force offered to send me to nursing school.

00:06:53.242 --> 00:07:01.007
I was a medic, I was an IDMT, which is like a level of a physician assistant, just not really very official, very just Air Force stuff.

00:07:01.007 --> 00:07:03.211
So I had a strong medical background.

00:07:03.211 --> 00:07:04.906
I worked in a level one trauma center.

00:07:04.906 --> 00:07:14.870
I thought I was going to be a trauma nurse, honestly, but in my clinicals I went to labor and delivery and I didn't really care about that one.

00:07:14.889 --> 00:07:16.274
It was when I went to postpartum.

00:07:16.274 --> 00:07:23.574
There was a girl that I had to take care of who was actually 13 and in my son's class.

00:07:23.574 --> 00:07:29.622
She knew my son and I really was quite moved with like how much I wanted to protect her.

00:07:29.622 --> 00:07:36.767
And then I thought I love critical care, maybe I'll just do labor and delivery, get used to the little babies and move into NICU.

00:07:36.767 --> 00:07:38.632
And that was my original plan.

00:07:39.240 --> 00:07:56.970
When I finally finished school and all the training the NTP, the officer training, finally finished school and all the training, the NTP, the officer training, things like that I ended up getting stationed in England and after a few months I will go to what they call the perinatal nurse course and learn how to labor a patient.

00:07:56.970 --> 00:08:10.076
In the meantime I was doing a lot of postpartum work and really realizing I would see some of these ladies have these really gentle bursts and I thought, wow, nobody treated me like that.

00:08:10.076 --> 00:08:18.783
You know, is this what it could have been like when I went to the perinatal nurse course?

00:08:18.783 --> 00:08:23.620
We do two weeks of didactic in the classroom and then we do four weeks on the floor and during that two weeks we came across comfort measures.

00:08:23.620 --> 00:08:25.920
They didn't talk about it a lot.

00:08:25.920 --> 00:08:32.145
It was like here's a ball and here's some hip squeezes and I was like they could have done something.

00:08:32.145 --> 00:08:33.886
They could have offered me a ball.

00:08:33.986 --> 00:08:37.089
I said why don't nurses offer women this?

00:08:37.089 --> 00:08:39.850
And this is back in 2011.

00:08:39.850 --> 00:08:41.871
I said why don't they offer women this?

00:08:41.871 --> 00:08:43.832
And they said women want epidurals anyway.

00:08:43.832 --> 00:08:45.313
I said why don't they offer women this?

00:08:45.313 --> 00:08:46.475
And they said women want epidurals anyway.

00:08:46.475 --> 00:08:47.176
They don't.

00:08:47.176 --> 00:08:48.035
Most of them want epidurals.

00:08:48.035 --> 00:08:48.496
I said I get that.

00:08:48.496 --> 00:08:50.158
I wanted an epidural, but they wouldn't give it to me.

00:08:50.158 --> 00:08:52.902
So what do we do in the in-between?

00:08:52.902 --> 00:09:02.708
So I never forgot about that, that there's a timeframe where women were denied epidurals and I understand the thinking behind it.

00:09:02.708 --> 00:09:09.993
I understand they're just trying for the better outcome, but when induction is a really tough place to be in.

00:09:09.993 --> 00:09:13.803
So I just felt like they didn't give me enough knowledge.

00:09:13.864 --> 00:09:21.404
So while I was in that course, I started to research how to help a woman in labor and back then there was not a whole lot.

00:09:21.404 --> 00:09:24.311
You didn't find a lot on YouTube, you didn't.

00:09:24.311 --> 00:09:25.192
There was not a whole lot.

00:09:25.192 --> 00:09:27.476
You didn't find a lot on YouTube, you didn't.

00:09:27.476 --> 00:09:32.923
Obviously there wasn't social media and I came across doula and donut doulas, stuff like that.

00:09:32.923 --> 00:09:39.052
So I reached out to somebody that had a workshop that was going to be while I was in that training and they weren't that far.

00:09:39.052 --> 00:09:40.075
They were actually in Richmond.

00:09:40.075 --> 00:09:49.214
Her name was Kathy Stewart and so I drove from Langley which is in Hampton, virginia, that's where my training was to Richmond.

00:09:49.740 --> 00:10:08.346
Now when I went to the training, I was actually stationed in England, so I was just what they call TDY, so I wasn't going to work at this hospital that I was going to train in, so I was really just being treated like a student and a new nurse at the same time.

00:10:08.346 --> 00:10:12.216
So that's a hard place to be, especially like.

00:10:12.216 --> 00:10:19.876
I was 37 years old, I was not a kid and I had a 15-year-old child, so you know I was in a different space.

00:10:19.876 --> 00:10:46.107
I took the course just the donor comfort measures that she was offering in the donut doula training but I was so moved by the emotional awareness that I just ended up taking the course and was really an advocate for natural birth and like when you first learn that, you're really excited and you're like there's nothing better than natural birth, right?

00:10:46.107 --> 00:10:52.192
So you become this person who wants to help every mother who wants a natural birth.

00:10:52.701 --> 00:10:57.591
I was learning along the way that it actually wasn't very supported in the hospital.

00:10:57.591 --> 00:11:01.866
Nurses were not comfortable with it and I think that was the key thing.

00:11:01.866 --> 00:11:05.402
It wasn't that they didn't want the support, they just didn't know how.

00:11:05.402 --> 00:11:11.980
There wasn't enough training out there, so they shied away from it, and I didn't.

00:11:11.980 --> 00:11:17.339
But one of the harder parts was well, you're a new nurse, you just don't know.

00:11:17.339 --> 00:11:19.624
You need to learn how to labor two patients.

00:11:19.703 --> 00:11:27.681
You need to learn how I was just like, do you not Like to learn how I was?

00:11:27.681 --> 00:11:28.201
Just like, do you not like?

00:11:28.201 --> 00:11:40.980
I went back to my birth when I was doing postpartum women and I was really grieving the opportunity I lost and I actually ordered my medical records, because now I know what they're talking about and I had a window of opportunity because my son was going to.

00:11:40.980 --> 00:11:43.706
If I did it before he was 18, I could order the records.

00:11:43.706 --> 00:11:45.470
So I ordered the records.

00:11:45.470 --> 00:11:48.696
I got this thin little paper charting right.

00:11:48.696 --> 00:11:52.003
I thought I was going to have the whole strip on there.

00:11:52.003 --> 00:11:56.173
My induction to C-section was roughly about eight hours.

00:11:56.173 --> 00:11:58.003
I thought I would have a strip.

00:11:58.003 --> 00:12:09.524
I had a smidge of a strip, probably like four inches long, with one B-cell, and then in the charting it was saying like how I gave birth to a baby girl in two places.

00:12:09.524 --> 00:12:13.270
I had a boy and I do have that on video.

00:12:13.270 --> 00:12:17.163
So I was just like, wow, just how dismissive.

00:12:17.583 --> 00:12:28.842
And so I started to really advocate for a good experience for mothers and because of my duo training, I thought the good experience meant a natural experience.

00:12:28.842 --> 00:12:31.548
But women want epidurals.

00:12:31.548 --> 00:12:51.202
And then I said, okay, what do I do now that they can't be upright and moving, and so I finally went back to England in October, october and so March of 2012,.

00:12:51.202 --> 00:12:52.326
I found Spinning Babies because I was looking to help.

00:12:52.326 --> 00:12:53.769
I had a particular patient who wanted natural.

00:12:53.769 --> 00:12:54.692
We did everything.

00:12:54.692 --> 00:13:08.245
We had her in the shower and even my unit, while I was in the perinatal nurse course and I learned about wireless monitoring the perinatal nurse course and I learned about wireless monitoring.

00:13:08.245 --> 00:13:10.414
I messaged my flight commander and said hey, why don't we have wireless monitoring?

00:13:10.414 --> 00:13:13.725
By the time I got back from my training, we had wireless monitoring.

00:13:13.765 --> 00:13:16.961
That's really fast because we just got wireless monitoring.

00:13:17.001 --> 00:13:23.514
No, no, I had a really fabulous flight commander who she supported me.

00:13:23.514 --> 00:13:25.317
Her name was Tess Clark.

00:13:25.317 --> 00:13:35.765
She supported all of my little harebrained schemes because it was she agreed, and I think she had four children and natural births herself.

00:13:35.765 --> 00:13:40.298
So she was a champion of my upcoming, my upbringing right.

00:13:40.298 --> 00:13:47.163
You know, I was a baby nurse and she was like the mother hen and so she supported me and we got wireless monitoring.

00:13:47.163 --> 00:13:50.511
So, yeah, I had her in the shower because we didn't have tubs.

00:13:50.511 --> 00:13:54.025
What we ended up doing later on was getting inflatable tubs.

00:13:54.025 --> 00:14:10.807
And so it was like this we were doing this shift, but some of the nurses that were working with me were not comfortable with it Because, again, we're shifting but nobody's offering them the training I think every nurse should get doula training.

00:14:10.807 --> 00:14:19.369
And so when I saw this girl was like not progressing, stuck at eight centimeters, it was like let's try an epidural.

00:14:19.369 --> 00:14:23.600
So she tried an epidural, didn't work and she ended up going back for C-section.

00:14:23.600 --> 00:14:25.682
And I was like, could I have done anything?

00:14:25.682 --> 00:14:28.509
And they're like the baby was OP, so there's nothing you could do.

00:14:28.509 --> 00:14:30.041
And I was like what's OP?

00:14:30.041 --> 00:14:32.267
Like I really didn't understand that.

00:14:32.707 --> 00:14:37.964
So again, I get on the computer, I start researching how to help a baby who's OP.

00:14:37.964 --> 00:14:40.006
And that's how I came across Spinning Babies.

00:14:40.006 --> 00:14:46.655
I thought Spinning Babies was only an England thing and that the instructor was British.

00:14:46.655 --> 00:15:03.785
So I messaged like they were having a class in March and I was like hi, I'm Maria and I'm a labor and delivery nurse for American Hospital and this is what we do and I'm explaining all of this and then Gail replies back I know what you guys do, I'm from Minnesota.

00:15:03.785 --> 00:15:07.455
And then Gail replies back I know what you guys do, I'm from Minnesota.

00:15:07.455 --> 00:15:12.309
I was like, oh, okay, but the workshop was like 45 minutes away and it was hosted actually by Sean Walker.

00:15:12.309 --> 00:15:20.234
He's a very prominent midwife, especially in the UK, who works with helping breach birth.

00:15:20.234 --> 00:15:27.042
I was just, it was like my first exposure and when I saw that I said this is what we're missing.

00:15:27.363 --> 00:15:35.169
So I brought that back and again, trying to champion this, the nurses weren't really sold or they didn't want to do it or they were confused by it.

00:15:35.169 --> 00:15:38.280
So I said how can I help them understand this?

00:15:38.280 --> 00:15:45.116
So I started really studying that word, myofascia, because I thought there was something about it.

00:15:45.116 --> 00:15:50.172
This was something was making a difference, but I didn't understand what it was.

00:15:50.172 --> 00:15:54.605
There was not a lot of information out there on fascia 2011,.

00:15:54.605 --> 00:16:01.768
It was maybe getting a little bit of study for about 10 years at the time, so I managed to find these two DVDs.

00:16:01.768 --> 00:16:07.799
His name is Sean Real and he had fascia release and advanced fascia release.

00:16:07.799 --> 00:16:16.102
So I bought those DVDs and that was like my very beginning into fascia release as I was trying to learn that.

00:16:16.102 --> 00:16:27.413
I was also trying to prove myself as a nurse, prove myself with this doula stuff, prove myself with the spinning baby stuff and really trying to.

00:16:27.413 --> 00:16:30.807
I bought my own peanut ball and brought it to work.

00:16:30.807 --> 00:16:31.467
They were.

00:16:31.467 --> 00:16:32.871
Nobody was using them.

00:16:32.871 --> 00:16:33.712
I love that.

00:16:34.541 --> 00:16:39.389
So by 2014, I had moved from England to Virginia.

00:16:39.389 --> 00:16:49.173
That was the time peanut balls, I think because premier birth tools started coming out and so they started to make their way into labor and delivery.

00:16:49.173 --> 00:16:55.572
And then I was, of course, being like at one base moving to the next.

00:16:55.572 --> 00:16:59.927
I had to reestablish myself who are you, what do you do?

00:16:59.927 --> 00:17:01.404
What are you doing in there?

00:17:01.404 --> 00:17:03.307
What is a sideline release?

00:17:03.307 --> 00:17:11.251
And I said I really have to learn this stuff, because when I'm going to teach it or show them, I have to use proper terminology.

00:17:11.251 --> 00:17:14.144
I have to use like, the science behind it.

00:17:14.144 --> 00:17:18.334
So I spent so much time researching the background and the science.

00:17:18.519 --> 00:17:28.154
And finally, it's like now, 2015, and I've been doing this for roughly four to five years, and then Gail invited me to be one of her approved trainers.

00:17:28.154 --> 00:17:36.900
So I went and I did that March of 2015.

00:17:36.900 --> 00:17:40.003
And I came back just, I really want to teach this around the world.

00:17:40.003 --> 00:17:43.231
It was starting to become what I wanted to do when I retired from the Air Force.

00:17:43.231 --> 00:17:48.684
So I started teaching and still I was getting resistance from the nurses.

00:17:48.684 --> 00:17:50.670
It really wasn't as embraced.

00:17:50.670 --> 00:17:58.111
I felt so much more embraced by midwives and doulas, but I knew it's nurses that labor.

00:17:58.111 --> 00:18:11.404
Most of the world's patients Birth is over 90% in the hospital, so we have to get the nurses to understand, and the doctors and some of the midwives yeah, some of the midwives, for sure.

00:18:11.484 --> 00:18:22.549
I had some struggles with some certain midwives Because I was so close to Carol Phillips.

00:18:22.549 --> 00:18:27.392
She was only three hours away from me and she teaches dynamic body balance.

00:18:27.392 --> 00:18:31.032
She's the originator of the sideline release and the forward leaning aversion.

00:18:31.032 --> 00:18:51.834
I was like I have to be in your classes, so I drove up, I took a couple of workshops with Carol and they were so powerful for me, and then I ended up getting orders to Aviano, that's in Italy, and everything came to a halt because I just couldn't go and do workshops overseas like that.

00:18:51.834 --> 00:18:58.859
So I ended up spending my time studying VASHA and that's how I ended up becoming a personal trainer.

00:18:59.260 --> 00:19:10.009
I felt I was exhausting myself with trying to convince the earth professionals specifically nurses and the doctors that I worked with, and some midwives.

00:19:10.009 --> 00:19:15.752
I was getting burnt out with pushing and trying and not feeling the passion from others.

00:19:15.752 --> 00:19:20.231
Some were very passionate and those that were passionate, I taught them everything I could possibly teach.

00:19:20.231 --> 00:19:31.228
So I started to look at personal training my husband I did get divorced in that time friend and then I met a new fellow and he was a marathon runner.

00:19:31.228 --> 00:19:34.113
So I decided to help him.

00:19:34.113 --> 00:19:43.540
He was good, he's won a marathon, he wins 10Ks, 5ks, but he's in a lot of pain and I was like I know a technique that could help you.

00:19:43.540 --> 00:19:44.861
It's called fascia release.

00:19:44.861 --> 00:19:54.025
And that's when I really started to study anatomy, trains and structural integration and I started convincing him to get that work done.

00:19:54.025 --> 00:20:08.311
And while I was putting that both together the personal training, the corrective exercise I started to, since I was at work, use those techniques on my laboring patients and I started to see a difference.

00:20:08.991 --> 00:20:13.534
One of my struggles was sometimes doing a sideline release or forward-leaning aversion.

00:20:13.534 --> 00:20:19.477
Well, sometimes you can't do a forward-leaning aversion, so I actually didn't do a lot of forward-leaning inversions in the hospital.

00:20:19.477 --> 00:20:22.897
Sideline was my go-to peanut ball.

00:20:22.897 --> 00:20:28.044
But then I started to understand that I need to know more about the fascia.

00:20:28.044 --> 00:20:39.799
As I was learning this and telling my husband or he was my boyfriend at the time to go, he lived in Spain, barcelona oh, hardship Barcelona and I lived in Italy.

00:20:39.799 --> 00:20:50.865
So I told him to go find somebody, and all I could find at the time that was like structural integration was a rolfer and that is structural integration, it's just a trade name.

00:20:50.865 --> 00:20:53.147
So he was getting the work done.

00:20:53.147 --> 00:20:55.528
He was like, wow, this is amazing.

00:20:55.528 --> 00:21:06.400
And so I started to dabble on some of the patients that I had doing this soft tissue mobilization technique and I saw it making a big difference.

00:21:06.539 --> 00:21:13.602
I got passionate again about birth and I said maybe I had to take, I had to veer down this path.

00:21:13.602 --> 00:21:23.108
I believe in divine timing, I believe in unfolding and bridges of incidences, and this was what I had to do to become who I am today.

00:21:23.108 --> 00:21:30.084
So by 2018, you know I'd stopped teaching spinning babies and I started to branch out on my own.

00:21:30.084 --> 00:21:47.641
I took all the things that I struggled with, like when I was teaching spinning babies, and shifted them to a language that I felt doctors and nurses might be a little more interested in, and I actually made up three names.

00:21:47.641 --> 00:21:59.286
I had obstructed labor maneuvers, protracted labor maneuvers, dysfunctional labor maneuvers and I sent them out to the doctors that I worked with and I said which one speaks to you the most?

00:21:59.286 --> 00:22:03.781
And it was dysfunctional labor maneuvers, so that's why I named it that.

00:22:03.781 --> 00:22:08.650
And then I started with my own workshop, taking the things that I learned.

00:22:08.650 --> 00:22:19.093
I studied a book called Preparing for a Gentle Birth by I'm not Spanish, but Nuria Vives Perez and a French lady.

00:22:19.093 --> 00:22:20.234
She had a very French name.

00:22:20.840 --> 00:22:23.986
Let me find it here Nuria Vives Perez.

00:22:23.986 --> 00:22:28.634
I have no idea how to do the French one, blandine Calais Germain.

00:22:29.380 --> 00:22:44.040
Okay so well, that is this book here and, as you can see, I love it a lot and just learning how we move, how our legs move, how our spine moves, how it make the pelvis do things.

00:22:44.040 --> 00:22:53.549
But then when I'm thinking about the soft tissue and learning about the fascia, I started to really put things together in a way.

00:22:53.549 --> 00:23:08.526
That was, we have to obviously understand as birth professionals what we are doing when we ask a mother to move, like, oh, movement and gravity, what do we mean by movement?

00:23:08.526 --> 00:23:09.608
I don't know.

00:23:09.608 --> 00:23:16.233
That was how I was like just move, there's no strategy behind it, there's no facilitating carbal movements.

00:23:16.233 --> 00:23:23.250
Until I read this book Preparing for a Gentle Birth and I was like there's strategy and that's also strategy with peanut ball.

00:23:23.250 --> 00:23:30.795
Definitely we've got to know the station if we're going to use it really to its full effectiveness.

00:23:30.795 --> 00:23:35.404
So I started like getting all excited and wanting to learn more and more.

00:23:36.307 --> 00:23:46.251
But when I created the online version of dysfunctional labor maneuvers was due to the fact of COVID In-person workshop.

00:23:46.251 --> 00:23:56.325
Coming from my perspective, all my extra training that I had with correctional exercise and Carol Phillips and I was planning this in person.

00:23:56.325 --> 00:24:01.122
I used to test it with some of the nurses that I worked with and I said okay, what do you think?

00:24:01.122 --> 00:24:02.483
Is this too advanced for you?

00:24:02.483 --> 00:24:03.346
Are you getting it?

00:24:03.346 --> 00:24:14.259
Because I know I was really like going into places that we don't as birth workers, and they were following along, ok, and I was teaching some of the nurses personally.

00:24:14.259 --> 00:24:26.830
So, as a matter of fact, the model in advanced fascial release for labor and the model in the DLM app is a nurse that I worked with and taught this to.

00:24:26.830 --> 00:24:38.950
So not only did she use it with her patients, she actually got to feel it in her own body and for her first labor and birth was three hours, and so we.

00:24:38.950 --> 00:24:41.855
It was all like the way it was supposed to unfold.

00:24:41.855 --> 00:24:45.659
So COVID hit and I thought, all right, so much for that.

00:24:45.699 --> 00:25:04.150
But what I did during COVID was I learned as much from Tom Myers as every video he could possibly put out, and then, as soon as we could get back out there again, I started going to in-person anatomy, trained structural integration workshops and I was overseas, so it was hard.

00:25:04.150 --> 00:25:07.484
I had to find stuff in English because I was living in Germany at the time.

00:25:07.484 --> 00:25:25.294
I went from Italy to Germany and spent my last five years of my career in Germany, so as I was making dysfunctional labor maneuvers, I started remembering how a lot of people would say I can't make it, I can't drive there, I can't stay there, like all that.

00:25:25.294 --> 00:25:26.662
Travel is too expensive.

00:25:26.662 --> 00:25:46.240
I have young kids, I have to work, midwives having births looming, and I thought, when COVID hit and everything was really going online, I found an online platform and started to learn more about that and put dysfunctional labor maneuvers online so it's accessible.

00:25:46.240 --> 00:25:53.692
And I also started to pay attention that apps were becoming very popular.

00:25:53.692 --> 00:26:04.031
And one day I woke up and I just put dysfunctional labor maneuvers online around August of 2021.

00:26:04.031 --> 00:26:06.940
And I did nothing with it because I was still trying to figure it out.

00:26:06.940 --> 00:26:17.624
And then, by May of 2022, I thought I'll make an app because I made it sound so easy on Facebook and I realized this is not going to be easy.

00:26:17.624 --> 00:26:23.491
So I hired a company to develop the app with me.

00:26:23.491 --> 00:26:25.013
It was a lot of work.

00:26:25.013 --> 00:26:27.500
It actually took me three years to make this app.

00:26:27.500 --> 00:26:38.942
And I made the app because, for one, it became an easy, fast way to access the how-to videos that I created.

00:26:38.942 --> 00:26:45.354
Maybe you don't have time to go look at your online training, maybe you don't have time to look something up.

00:26:45.354 --> 00:26:54.623
So I made the algorithm to build it on a questionnaire Like how long have they been in labor?

00:26:55.023 --> 00:26:56.970
Have they had anything done?

00:26:56.970 --> 00:26:58.596
Have we done sideline releases?

00:26:58.596 --> 00:27:05.189
Because one of the things I noticed sometimes is oh well, we did a sideline release and it was like when, oh, 12 hours ago.

00:27:05.189 --> 00:27:15.992
And one of the things about when somebody is laying in a bed, it doesn't matter if they have an epidural, your soft tissue is going to get stiff.

00:27:15.992 --> 00:27:27.665
And even though you're moving them turning them side to side, giving them peanut ball stuff they're still getting tight because they're not moving, they're just laying in different positions.

00:27:27.665 --> 00:27:34.469
So let's readdress it, because some of these things like a sideline release, is a fascia release technique.

00:27:34.469 --> 00:27:42.972
So that's why you wait at least five minutes while you're doing it, because fascia needs about three minutes to start unwinding.

00:27:42.972 --> 00:27:48.201
So any release, when you hear the word release, you need to hold it.

00:27:48.201 --> 00:27:49.484
It's for fascia release.

00:27:50.086 --> 00:27:53.622
Then the other question was like what are they dilated to?

00:27:53.622 --> 00:27:55.144
Have they changed?

00:27:55.144 --> 00:27:56.768
Do they have an epidural?

00:27:56.768 --> 00:27:58.211
Are they in triage?

00:27:58.211 --> 00:28:00.843
And all of those questionnaires come out.

00:28:00.843 --> 00:28:04.592
So then, once you give the answers, it just says do this.

00:28:04.592 --> 00:28:08.551
That's amazing.

00:28:08.551 --> 00:28:15.704
Do this by video, because I'm a visual learner.

00:28:15.704 --> 00:28:19.457
I cannot follow an instruction guide Like it kills me to put together an Ikea, because I was like, can I get a video?

00:28:19.457 --> 00:28:24.068
I thought about that and I thought about wouldn't that be so much easier to access?

00:28:24.068 --> 00:28:29.768
You don't have to take a class if you don't want to, but you have access to this app.

00:28:29.768 --> 00:28:40.083
And then I thought about I know I was building it for professionals, but I could not help but think about the families that come to triage in prodromal labor.

00:28:40.763 --> 00:28:51.869
So one of the things I developed along the way of learning how to resolve labor dystocia was also resolve prodromal labor, and I started to come up with this protocol.

00:28:51.869 --> 00:29:04.795
I would start with a forward-leaning inversion and the reason I started with a forward-leaning inversion was because I knew that was the scariest thing for a mother to do, considering she's never seen or heard of this in her life.

00:29:04.795 --> 00:29:10.702
So let's get the hard part over with.

00:29:10.702 --> 00:29:17.781
So we would do a side, we would do a forward lanyard version, then I would do a sideline release, then I would put them in open knee chest with shake the apples.

00:29:17.781 --> 00:29:27.998
Now I came up with that, like in England, because it was this one time this girl came, she got morphine, rested and sent home.

00:29:27.998 --> 00:29:41.936
And 12 hours later she came back and it was on my shift at the time and I could feel the sutures of the baby were literally transverse, so I was worried she might be getting stuck in transverse arrest.

00:29:41.936 --> 00:29:45.255
So I had her do a forward-leaning inversion.

00:29:45.605 --> 00:29:47.512
So this was back around 2013.

00:29:47.512 --> 00:29:49.633
I was still learning how to do this.

00:29:49.633 --> 00:29:52.654
I was a little bit scared that the nurses might say stuff.

00:29:52.654 --> 00:30:06.333
So when they decided that she was okay to come off the monitors, I started doing this work and it was a bit experimental at the time where I put her in forward-leaning inversion and I did shake the apples and I did that out of desperation.

00:30:06.333 --> 00:30:15.027
I was an hour to ending my shift and I knew if I didn't help this girl, the next shift was not going to because they were not trained.

00:30:15.667 --> 00:30:18.434
I was like we got to get this baby out right Jiggle.

00:30:18.434 --> 00:30:20.547
And she was like I'm so tired I can't.

00:30:20.547 --> 00:30:25.635
I said okay, let's get her up on the bed, let's try open knees and some shake the apples.

00:30:25.635 --> 00:30:33.797
And that was the first time I saw a contraction pattern change and she started falling asleep in open knee chest.

00:30:33.797 --> 00:30:41.626
And then we were finished and the night shift was coming on and I said can I just check your cervix again just to see did it help?

00:30:41.626 --> 00:30:43.289
And I felt her sutures diagonal, so that baby turned and I left.

00:30:43.289 --> 00:30:48.641
And I felt her sutures diagonal, so that baby turned and I left.

00:30:48.641 --> 00:30:53.491
And I checked up on her a little bit later and they said, yeah, she got it.

00:30:53.491 --> 00:30:56.905
She went to six centimeters, she got admitted and had a baby.

00:30:56.905 --> 00:31:00.433
She did get an epidural and had a baby and I was like wow.

00:31:00.934 --> 00:31:05.451
So I realized what we do in triage can really make a difference.

00:31:05.451 --> 00:31:08.136
So I built this like what else can I do?

00:31:08.136 --> 00:31:11.872
So I ended up creating a protocol.

00:31:11.872 --> 00:31:14.938
So forward, leaning inversion first, side line release.

00:31:14.938 --> 00:31:31.460
Second, open the chest with, shake the apples for 30 minutes because that's what Penny Simpkins said to do and then get up, go to the bathroom, sit on the toilet and then, if you don't have to go to the bathroom, do side lunges.

00:31:31.460 --> 00:31:42.785
Or if you have to pee, go to the bathroom, sit on the toilet for three contractions or more if you wanted, and then do the side lunging each leg and then lay down.

00:31:42.785 --> 00:31:55.075
So I sort of blended that mile circuit with it, but with more release work, and I started to see differences Women in labor going from one centimeter to.

00:31:55.075 --> 00:31:57.968
I've delivered in the triage room just by doing that.

00:31:58.528 --> 00:31:59.230
One girl was.

00:31:59.230 --> 00:32:05.154
She was like maybe three centimeters and they were like the family was getting very ugly, they wanted her admitted.

00:32:05.154 --> 00:32:11.497
And they were like the family was getting very ugly, they wanted her admitted and they were like she's only three centimeters and I was like let me just try this kind of thing I'm doing.

00:32:11.497 --> 00:32:18.208
And then she went to seven centimeters, so she got admitted and we didn't have to worry about this angry family.

00:32:18.208 --> 00:32:29.872
So those people were in my mind and I said I got to make something for these parents, because they get told you're one centimeter, go either walk or go home.

00:32:29.872 --> 00:32:33.493
And then they come back and they're still one centimeter.

00:32:33.493 --> 00:32:34.496
So go home.

00:32:34.496 --> 00:32:40.394
And then they said these contractions are so bad, how are we going to know what's different at home?

00:32:40.394 --> 00:32:45.273
And there's no tools and they feel like they're just tossed out.

00:32:45.273 --> 00:32:52.189
And they feel like they're just tossed out.

00:32:52.189 --> 00:32:59.151
And so I said this at least, I mean, and I've seen triage where you are literally busting at the seams and you don't have time to do this protocol, but you know what you could tell them about the app.

00:32:59.151 --> 00:33:02.948
It's up to them if they want to do a subscription.

00:33:02.948 --> 00:33:08.705
It's a subscription cancel anytime idea, because it's like the only way we could build that.

00:33:08.705 --> 00:33:17.994
And so they can go home and do all of this, because it is again by algorithm, by how-to videos, but I made this very specific.

00:33:17.994 --> 00:33:34.434
So when it's a parent option, these videos are done in my home with my pregnant nurse friend, so they can see themselves using their sofa, using their bed, how they could imagine themselves doing that, so they feel like they can.

00:33:34.434 --> 00:33:41.977
And one of the nice things is the videos have the option to make the speed go faster or slower.

00:33:41.977 --> 00:33:53.353
Oh, nice, and I do a voiceover, I explain why they're doing it, I explain this is what it's called and this is why you're doing it, and then I'll say just finish that one.

00:33:53.353 --> 00:33:57.990
And it bumps down to the next video and so they get to do the.

00:33:58.413 --> 00:34:11.539
I either call it the triage protocol or the prodromal labor protocol, but they get to do that at home and the app is not made for anybody who is, at least for the parent option, less than 38 weeks.

00:34:11.539 --> 00:34:15.695
I just didn't want preterm mothers messing with it.

00:34:15.695 --> 00:34:19.666
Go to the hospital if you think you're in labor first, like it.

00:34:19.666 --> 00:34:31.347
Just, I just decided to make that a line that I wasn't going to cross, a line that I wasn't going to cross.

00:34:31.347 --> 00:34:50.349
And in the hospital, as professional users, of course it's doctor discretion, because we're going to have people that are 36 weeks and 37 weeks, but you are already under the care of a provider and that's how I ended up branching out, having one option for parents and actually if a home birth midwife wanted to use that option, they could, because they're in the home.

00:34:50.349 --> 00:34:57.393
They don't have maybe a hospital bed that you get to touch buttons and make do special things In the parent version.

00:34:57.393 --> 00:35:03.637
I just wanted them to have that opportunity to get out of prodromal labor if that's what they were experiencing.

00:35:03.965 --> 00:35:07.775
But it is not a prenatal, a birth preparation app.

00:35:08.215 --> 00:35:19.434
This is really just for that labor time and then for birth professionals, like whether you're in triage or maybe they're already admitted and this is a labor dystocia.

00:35:19.815 --> 00:35:21.057
So what do you do with that?

00:35:21.057 --> 00:35:32.547
And if you've been taking the dysfunctional labor maneuvers either in person or online, you can use the app as a preceptor.

00:35:32.547 --> 00:35:39.891
One of the things I realized, like even in the doula training like you don't have a preceptor, everybody should have a preceptor.

00:35:39.891 --> 00:35:42.818
Nurses get preceptors Like we do orientation.

00:35:42.818 --> 00:35:47.317
We never just get out of school and say, hey, go remember everything you learned.

00:35:47.317 --> 00:35:56.251
We have somebody guiding us, but we do not have somebody guiding us after we take these alternative type of workshops right.

00:35:56.251 --> 00:36:04.596
So I felt like that app would also help with if you felt a little bit hesitant about doing your first sideline release.

00:36:04.596 --> 00:36:18.188
You got the app and I really wanted to make this app affordable and I charge $4.99 a month for the professionals so that it's not too much out of their pocket.

00:36:18.188 --> 00:36:21.175
You can cancel anytime, resubscribe anytime.

00:36:21.175 --> 00:36:28.818
I tried to make it very easy, but I didn't want to make it like where you had to choose if you could afford it or not.

00:36:29.186 --> 00:36:29.666
Yeah, right.

00:36:30.007 --> 00:36:31.331
And for the parents.

00:36:31.331 --> 00:36:42.509
The subscription for them is $9.99, but pretty much they're probably just going to use it once, one day, two days for their labor and then cancel, so it's not an ongoing thing.

00:36:42.509 --> 00:36:51.630
And then I did offer an annual so you could save some money, you know, if you're always doing this, and the annual cost is $44.99.

00:36:51.630 --> 00:37:00.329
The idea is to make it easy, accessible, affordable and be this option.

00:37:00.329 --> 00:37:13.255
It's available in 175 countries at this time on Apple or Android, 275 countries at this time on Apple or Android, and the biggest thing I wanted to have is a global reach.

00:37:13.255 --> 00:37:13.655
In-person workshops.

00:37:13.655 --> 00:37:14.197
I love in-person workshops.

00:37:14.197 --> 00:37:17.688
If you can't tell, I love to talk, but not everybody can make it.

00:37:17.688 --> 00:37:20.757
That does not mean that they shouldn't have access.

00:37:22.168 --> 00:37:23.994
Every nurse that I know is going to eat this up.

00:37:23.994 --> 00:37:39.454
I know, and it's so easy If you have a patient today that is laboring and you're helping them with a dysfunctional labor and you pay for the app today and immediately cancel, you still have it available for the next 30 days right, yeah, yeah, right.

00:37:39.565 --> 00:37:40.911
So then, it's just like anything.

00:37:40.911 --> 00:37:52.552
If you don't happen to have a laboring patient, say you're stuck in the OR for that month, you don't need, you, don't use it.

00:37:52.552 --> 00:37:54.597
But the second you have another laboring patient, you just pay the $4.99 again.

00:37:54.617 --> 00:37:56.382
It's worth that $4.99 to get the patient the outcome that they want.

00:37:56.382 --> 00:38:00.248
Yeah, and there can be like cost barriers and that's why I could not make this app myself.

00:38:00.248 --> 00:38:03.932
There were too many things I knew there was no way.

00:38:03.932 --> 00:38:07.336
I still have to keep my tech team.

00:38:07.336 --> 00:38:14.954
I still have to pay for the app to be in the app store, like all of that has to still happen.

00:38:15.195 --> 00:38:17.967
I did research how many nurses are there in the world?

00:38:17.967 --> 00:38:19.550
How many doulas are there in the world?

00:38:19.550 --> 00:38:20.755
Midwives are there in the world?

00:38:20.755 --> 00:38:22.927
And I said this shouldn't be a problem.

00:38:22.927 --> 00:38:28.806
And then the United States alone, like over 3 million births and I was just like you know what.

00:38:29.168 --> 00:38:40.114
I think this is going to definitely work itself out and even though I know people don't know who I am, I am a nurse, like the thousands of others.

00:38:40.114 --> 00:38:43.367
I have been through the frustration.

00:38:43.367 --> 00:38:50.068
I have been through the feeling responsible that I didn't do enough and they went to the OR anyway.

00:38:50.068 --> 00:39:10.498
I've been through the frustration of I know how to do these things but the doctor is not supporting me, and this is why I know everybody has to be on board and I've never expected doctors to learn how to do this what I ask of a doctor is to let us give us the time.

00:39:10.498 --> 00:39:23.369
I have been told by a doctor you have one hour and I said it takes me 30 minutes just to turn her, and so it's like just respecting that I need time and when you do the fascia work.

00:39:23.369 --> 00:39:30.387
So the advanced fascia release is for people who are already comfortable with these foundational skills.

00:39:30.387 --> 00:39:46.829
The release actually continues to work for a couple hours, so you may not see something right away, but you should see something in about two to four hours and if you don't, you have got to go back to the drawing board.

00:39:46.829 --> 00:39:48.092
We have to do that.

00:39:48.231 --> 00:39:51.518
Ooda loop is what we call it in the Air Force, or the.

00:39:51.518 --> 00:39:53.286
What is it in the nursing?

00:39:53.286 --> 00:40:04.469
We call the, where you do something and you reevaluate the nursing process or something like that, I can't remember.

00:40:04.469 --> 00:40:07.016
And it's like you have to treat it like this.

00:40:07.016 --> 00:40:11.896
You have to treat it like you just gave them medication or you did an intervention and watch.

00:40:11.896 --> 00:40:12.797
Did it work?

00:40:12.797 --> 00:40:14.527
Did it make it a little bit better?

00:40:14.527 --> 00:40:24.659
When they are lying in bed and not really moving, they lose that mobility which the mobility helps the fascia release progress and do better.

00:40:25.144 --> 00:40:38.233
But when they have an epidural, which is over 80% of women, is that those tissues are going to tighten up again because she came into birth with imbalanced and restricted fascia to begin with.

00:40:38.233 --> 00:40:46.936
We're just lengthening it or releasing it for the moment that we can, and if things still take a while, it starts to tighten back up.

00:40:46.936 --> 00:40:49.228
So we have to keep doing these things.

00:40:49.228 --> 00:40:55.346
We cannot just say, hey, I did it, and 12 hours later why don't we have anything?

00:40:55.346 --> 00:40:59.074
You have to keep going back, so that would be like.

00:40:59.153 --> 00:41:09.469
Another nice thing with the app is like going back to say is there, you know, now she's at a minus station, or she started at a minus station Now maybe she's more mid pelvis.

00:41:09.469 --> 00:41:11.675
The videos are going to be a bit different.

00:41:11.675 --> 00:41:13.324
That was how I did it.

00:41:13.324 --> 00:41:19.945
Where's the baby at minus, where's the baby at mid, and then the outlet, I include peanut bowl.

00:41:19.945 --> 00:41:31.153
If there's an epidural, you will do the videos and then you have the option of different do the videos and then you have the option of different, maybe three or four uses of the peanut ball.

00:41:31.153 --> 00:41:43.393
So you can choose like you can do this way, this way, because, guess what, they threw peanut balls in the hospital and no training, so a lot of nurses are just saying yeah apparently it's between their legs and it can start off that way.

00:41:43.695 --> 00:41:47.251
I use about four or five different sized peanut balls.

00:41:47.552 --> 00:41:49.527
You can't just have one.

00:41:49.527 --> 00:41:52.452
But if they don't have an epidural, I have a.

00:41:52.452 --> 00:41:54.315
What's next if it's working?

00:41:54.315 --> 00:41:56.146
So it's like what's next?

00:41:56.146 --> 00:41:59.835
It's like or movement, and then you go like what movement?

00:41:59.835 --> 00:42:04.472
And then it says by the mother's discretion, let her decide.

00:42:04.472 --> 00:42:05.414
So there's that.

00:42:05.414 --> 00:42:11.188
What do I do with this woman who's naturally laboring after I do these maneuvers?

00:42:11.188 --> 00:42:14.597
And then what do I do with one who has an epidural?

00:42:14.597 --> 00:42:16.045
So you're going to have both.

00:42:16.045 --> 00:42:28.172
And I really just wanted to bridge that gap to say it's okay if you don't take a workshop, like until hospitals start making this a standard in their online module training.

00:42:28.172 --> 00:42:33.501
Nurses are not required to come out of their pocket to pay for this Right.

00:42:33.501 --> 00:42:48.619
And so if you don't want to take an online workshop or an in-person workshop, just for the simple cost of it In my workshop for dysfunctional labor maneuvers is 9.25 nursing CEUs to make it like worth something.

00:42:48.619 --> 00:42:55.349
But if you're just like I can't afford that or I don't want to afford that, then maybe you can just use the app and be just fine.

00:42:55.570 --> 00:42:57.922
Yeah, Right, or a lot of us, at least in our area.

00:42:57.922 --> 00:43:03.766
I've taken spinning babies twice and then we just started purposeful positioning, which I think was an initiative within our hospital.

00:43:03.766 --> 00:43:24.572
But it's a lot of information, so you only remember some of it and then you're Googling the rest and trying to find it on the spinning babies website or some sort of YouTube and you forget the names of things and some people will leave a little page with drawings and stuff like that.

00:43:24.572 --> 00:43:25.693
But just it's still.

00:43:25.893 --> 00:43:27.117
The video is helpful.

00:43:27.117 --> 00:43:40.728
And speaking of names, I was very conscious of names and I don't use names, I don't use coined phrases, I use what are we doing anatomically to the body?

00:43:40.728 --> 00:43:52.454
Because when I have asked somebody and I'll ask you, let's just play a little ping pong what is happening when you do a Walters?

00:43:54.126 --> 00:43:56.532
You're moving the, so you're.

00:43:56.532 --> 00:43:58.137
There's a lot happening.

00:43:58.137 --> 00:44:00.190
Where do I start?

00:44:00.190 --> 00:44:12.398
So you're moving the sacrum, You're opening the bottom of the sacrum, you're widening the pelvis essentially, and your legs are going down, so it's pulling the front part of the pelvis so that it's a wider.

00:44:12.398 --> 00:44:15.052
Instead of like this, it's like this.

00:44:15.585 --> 00:44:23.157
I actually do when I work prenatally with women, because I work prenatal with them, I have them do Walters three minutes daily.

00:44:23.157 --> 00:44:25.059
Oh really, yes.

00:44:25.059 --> 00:44:26.550
Now here's the reason why.

00:44:26.550 --> 00:44:28.706
Minutes daily oh really, yes.

00:44:28.706 --> 00:44:29.228
Now here's the reason why.

00:44:29.228 --> 00:45:03.947
When you start to understand where these muscles are connecting, that the rectus abdomini connects to the top of the pubic bone, and then you look at your hip flexors and your hip flexors, like your quads, are attached to what we call this little ASIS on the pelvis and when you bend into a Walters, you are pulling on your hip flexors and your abdominal muscle and if you lay there for three minutes or more, you get a fascia release, mm-hmm.

00:45:03.947 --> 00:45:10.065
And then the other thing that's happening, which is why I always thought the pinch in the low back.

00:45:10.065 --> 00:45:39.289
When you look at the attachment of the psoas muscle, it is attached to the lumbar spines, goes through the pelvis and then attaches to a little tubercle on your thigh bone and so when you are in a Walters, that psoas is getting lengthened and if it's not a lengthened psoas and it's stuck short, it's going to pull on the lumbar spine and you'll get that pinch.

00:45:39.289 --> 00:45:45.967
And that's why I came up with putting my hands on the tibial tuberosities, pushing them in.

00:45:45.967 --> 00:45:56.996
And I did teach that because I saw like when you put the femur bone back up it releases a bit of that tension off the psoas.

00:45:57.677 --> 00:46:08.539
So when a mother has not done anything, especially if she's natural, so some mothers literally cannot get into a Walters because it's too painful.

00:46:08.539 --> 00:46:16.264
And that's too painful even when they are not in labor and that tells me their muscles are in the fascia.

00:46:16.264 --> 00:46:23.545
I always go back to the fascia is in a restricted state, so I actually have them modify in the beginning.

00:46:23.545 --> 00:46:29.949
If they cannot do it, you can put one leg up and drape the other, so you get length in your, say, your right side.

00:46:29.949 --> 00:46:46.757
Then you lift that leg up and you drape the left and you get length in that and then see if you can do both and just if you can't do three minutes you build yourself up to three minutes Because then if you need it in labor you're capable of doing it.

00:46:47.458 --> 00:46:52.253
When we have women with epidurals we can do Walters so much easier.

00:46:52.253 --> 00:46:59.635
But I also work at a birth center and I have witnessed women that are just like I can't, it hurts too much.

00:46:59.635 --> 00:47:12.653
And so I started to say let's try to modify it, let's see how we can help you lengthen your front line, because that front line that we have is typically short by the lifestyle we lead.

00:47:12.653 --> 00:47:43.974
And so when you are in a vultures, what you're essentially doing is, yes, the pelvis is in an anterior tilt, but you're also lengthening the tissues Because of gravity and you're laying on your back, the baby gets brought posterior and then the contraction pushes the baby more into this open, anteriorly tilted pelvis, and I actually imagine that I started doing shoulder dystocias with Walters.

00:47:44.556 --> 00:47:44.916
Really.

00:47:45.436 --> 00:47:49.686
Yes, because before you want to do a McRoberts Thank you.

00:47:51.490 --> 00:47:52.472
I knew you were going to go there.

00:47:52.974 --> 00:47:55.719
Yes, let's do a Walters.

00:47:55.719 --> 00:48:02.213
Let's take that shoulder and push the super, not down right, so you're going to.

00:48:02.213 --> 00:48:06.686
So I would go to the super pubic area, push.

00:48:06.686 --> 00:48:09.655
Like I would ask the doctor what side is the back on?

00:48:09.655 --> 00:48:11.210
They said the left.

00:48:11.210 --> 00:48:12.911
I'm going on the left.

00:48:12.911 --> 00:48:24.096
I'm going to do that suprapubic pressure and I'm going to actually do a fascia maneuver of sliding across to rotate.

00:48:24.096 --> 00:48:35.338
Then we're going to pull up into a McRoberts, so it takes that pubic bone and moves it over this newly rotated shoulder and then try to do that release.

00:48:35.458 --> 00:48:41.766
Yeah, and so many doctors just want to go straight into McRoberts, but they always forget that they have to straighten the legs first.

00:48:41.865 --> 00:48:45.251
So this is just trying to take it.

00:48:45.431 --> 00:48:47.576
I have a hard time even getting them to straighten the legs.

00:48:47.576 --> 00:48:59.492
A lot of people just want to go straight back and I'm like no, you have to restitute the pelvis before you do that, yeah, I think if they had a little more insight to what the bones and anatomy is doing.

00:48:59.934 --> 00:49:20.996
When I've worked with I do also like body work on the doctors that I worked with they were often surprised of, like how much they didn't know about the anatomy and I was like this is where we all have to learn more about the anatomy and we have to learn that so we do the right things at the right time.

00:49:20.996 --> 00:49:29.393
And that's why in the app, I need to know is it a minus station, is it a zero station, is it a plus?

00:49:29.393 --> 00:49:48.666
And if it's for the parents, I have the option that I don't know, they didn't check my service, because that could be a reality too, where you haven't gone in and you haven't been checked at the hospital, or you have a home birth midwife and they don't check, or a birth center they don't check the way hospitals do too.

00:49:48.666 --> 00:50:06.514
You can just say I don't know, and then it's just going to give you more of the let's do some release work first and then some maneuvers and go with that, but in a hospital setting and we know the dilation but really we need to know the station right.

00:50:06.514 --> 00:50:13.719
So, knowing the station, then knowing what moves and, like I said, the app has got space for it to grow.

00:50:13.780 --> 00:50:18.878
I want to add the advanced stuff in it, but I have to let this app roll out first.

00:50:18.878 --> 00:50:20.322
I have to find the glitches.

00:50:20.322 --> 00:50:27.735
So if anybody did find glitches, just to contact me so I can contact my tech team and get that fixed.

00:50:27.735 --> 00:50:33.512
The app of it running so smooth is such a priority to me.

00:50:33.512 --> 00:50:39.731
I don't want you to be in the middle of a labor going this damn app Like.

00:50:39.731 --> 00:50:41.255
I just don't want that.

00:50:41.255 --> 00:50:42.938
I want you to be like click soon.

00:50:43.644 --> 00:50:44.586
Magic yeah.

00:50:45.347 --> 00:50:55.070
And then, of course, if you have been watching the videos and you're like I kind of I know it, but let me just check, you can double time the speed you do not have to sit there.

00:50:55.070 --> 00:50:56.951
I love double speed, me too.

00:50:56.990 --> 00:50:57.150
Yes.

00:50:58.626 --> 00:51:01.335
So I was like, can you guys put that in there please?

00:51:01.335 --> 00:51:07.998
And so I just try to make it as convenient and just enjoyable to use.

00:51:07.998 --> 00:51:12.592
The colors of it were important to me, so they're aesthetically beautiful.

00:51:12.592 --> 00:51:16.516
That was just something I really thought was important.

00:51:16.516 --> 00:51:18.711
I do have a demo.

00:51:18.711 --> 00:51:21.932
I don't know if you could share screen to show a little bit of it.

00:51:21.972 --> 00:51:22.454
Let me see.

00:51:22.454 --> 00:51:26.114
Okay, I think you have a button down at the bottom.

00:51:26.764 --> 00:51:27.168
There's an arrow up.

00:51:27.101 --> 00:51:27.726
I think you can share screen there.

00:51:27.726 --> 00:51:28.097
Okay, I think you have a button down.

00:51:28.097 --> 00:51:28.215
At the bottom there's an arrow up.

00:51:28.215 --> 00:51:28.932
I think you can share screen there.

00:51:28.932 --> 00:51:33.182
Okay, and while we're at it, do you have a video of Walters?

00:51:33.182 --> 00:51:40.965
Because I don't know that all of my audience knows what Walters is, and since we're talking about it, I have a picture or a picture.

00:51:40.985 --> 00:51:42.706
Actually Walters is in the app.

00:51:42.706 --> 00:51:43.626
So yeah, that's what I was thinking.

00:51:43.626 --> 00:51:45.967
Actually, I do have some videos, so let yeah that's what I was thinking.

00:51:46.007 --> 00:51:47.068
I was like they can look it up.

00:51:47.108 --> 00:51:53.311
Yeah, actually I do have some videos, so let me, especially since you get to, I feel so honored that we get to preview your app.

00:51:53.311 --> 00:51:54.931
I love showing it.

00:51:54.931 --> 00:51:56.371
No, I'm honored.

00:51:56.371 --> 00:51:57.592
I'm honored.

00:51:57.592 --> 00:52:04.655
Okay, so we got a couple here, so let me, okay, I'm going to pick one and I don't want one that's too long.

00:52:04.655 --> 00:52:11.057
Okay, this one's for the parents, so that's like a sneak peek.

00:52:11.057 --> 00:52:15.920
If you're not 38 weeks, you get a little sneak peek into it, but you don't get to use it.

00:52:16.380 --> 00:52:19.581
Oh nice, so you teach them how to do side lying release at home.

00:52:19.762 --> 00:52:21.641
This is for the parent on the app.

00:52:21.641 --> 00:52:23.742
That's to show you can speed it up.

00:52:25.827 --> 00:52:26.027
Like that.

00:52:26.027 --> 00:52:29.036
So for those of you watching at home, this is what we do for side laying release.

00:52:29.036 --> 00:52:30.851
But this is at home.

00:52:30.851 --> 00:52:33.313
In the hospital it's going to be different, especially if you have an epidural.

00:52:33.313 --> 00:52:39.992
You'll have to have a nurse next to you, because if you can't move your own legs, somebody has to be there for safety.

00:52:39.992 --> 00:52:42.414
Yes, for sure, that's really cool.

00:52:43.175 --> 00:52:49.762
And here's like maybe a hospital, one Triage, new admit patient already admitted.

00:52:49.762 --> 00:52:56.085
Do they have an epidural?

00:52:56.085 --> 00:52:58.150
No, what's their contraction pattern?

00:52:58.150 --> 00:52:59.092
Have they changed in dilation?

00:52:59.092 --> 00:53:00.135
What is the dilation?

00:53:00.135 --> 00:53:00.775
And then, where's the cervix?

00:53:00.775 --> 00:53:01.978
And now we got the stations.

00:53:01.978 --> 00:53:04.527
Personalizing your experience.

00:53:04.527 --> 00:53:06.432
My developers thought of that.

00:53:06.432 --> 00:53:07.173
I love it.

00:53:07.173 --> 00:53:14.418
And what I did with the sideline release was I broke it up into three videos how to set up, how to do it.

00:53:14.418 --> 00:53:16.148
And then what do you do after?

00:53:16.148 --> 00:53:29.119
Because I do some stretching after a sideline release for the hamstring and the hip flexors because I think of all the soft tissues that are connected to the pelvis and address them.

00:53:29.119 --> 00:53:32.152
So this was just a version of the hospital.

00:53:33.135 --> 00:53:33.817
That's really great.

00:53:33.817 --> 00:53:35.349
It's all the stuff that you know.

00:53:35.349 --> 00:53:40.072
It's like we remember the parts of side laying, release, that the leg dangling and holding the patient.

00:53:40.072 --> 00:53:43.514
I think sometimes we forget to like have them lean and stretch yeah.

00:53:44.625 --> 00:53:54.516
And when I get into advanced fascia that I don't just I honestly I don't cross and sit there, I'm like doing soft tissue mobilization on that.

00:53:54.516 --> 00:54:00.637
This works good, it just you can advance it, because for some people they really need it, some people don't.

00:54:00.637 --> 00:54:06.413
What is actually really important to me is I'm just not about statistics.

00:54:06.413 --> 00:54:13.088
In my experience, I was the one in three that had the C-section.

00:54:13.088 --> 00:54:22.887
That was my experience and I matter when you're like this person didn't need it, even if that maybe out of the five laborers you have, they all did great.

00:54:22.887 --> 00:54:25.572
Nobody needed anything but that one lady.

00:54:25.572 --> 00:54:29.527
Her whole life is changed by it and that's what matters to me.

00:54:29.527 --> 00:54:32.594
Not statistically right.

00:54:32.594 --> 00:54:33.996
Everybody's an individual.

00:54:33.996 --> 00:54:37.010
Nobody wants to be treated as a statistic.

00:54:37.010 --> 00:54:42.329
A doctor doesn't want to be treated as a statistic, midwives don't want to, nurses don't want to.

00:54:42.329 --> 00:54:44.614
Well, neither would a laboring mother.

00:54:45.096 --> 00:54:47.572
She, well, you were mentioning earlier.

00:54:47.572 --> 00:54:50.110
I mentioning earlier, I think it was when we were talking before we hit record.

00:54:50.110 --> 00:54:57.735
But when you're in the hospital doing these things and you don't have the way to record it, it's really hard to show the results.

00:54:57.735 --> 00:55:04.913
But I know that I can't remember the last time I had to go to the operating room from labor.

00:55:04.913 --> 00:55:10.652
I will be assigned to the operating room for patients that are scheduled for reasons beyond my control.

00:55:10.932 --> 00:55:24.648
Well, and I got to that confidence too, but I see some people they are very scared to try any of this, so I do have the videos, okay, so let's do the vultures you want to people.

00:55:24.648 --> 00:55:27.010
Do you want them, let's see.

00:55:27.010 --> 00:55:29.072
So I have two options.

00:55:29.072 --> 00:55:30.793
Right, I showed one option.

00:55:30.793 --> 00:55:32.556
I'll just speed it up a little bit.

00:55:32.556 --> 00:55:34.597
Of somebody without an epidural.

00:55:34.597 --> 00:55:37.420
You don't need to break the bed down.

00:55:38.021 --> 00:55:40.806
Yeah, we don't even anymore.

00:55:40.806 --> 00:55:49.739
We just push it down and then we'll put the sides up, the side footrests up and have them hang their legs around the footrests so they have space.

00:55:50.364 --> 00:55:54.815
See, when I first started doing this I wasn't telling my nurse colleagues.

00:55:54.815 --> 00:55:57.851
I was petrified they're going to come in and see what I was doing.

00:55:57.851 --> 00:56:08.965
This was how I started, even with an epidural, and then, as I got a little more confident and more people were doing it, then I did start breaking down the bed and the handrails too.

00:56:09.206 --> 00:56:13.050
Yeah, the patient can hold on to the handrails or the push rails.

00:56:13.050 --> 00:56:17.070
And the other thing is what we don't see is are you putting the roll underneath the hips?

00:56:17.070 --> 00:56:17.983
Are you rolling up a?

00:56:18.880 --> 00:56:22.585
No, because I have them on the edge Right, so it just gives that.

00:56:22.585 --> 00:56:26.268
But at the birth center we don't have this option.

00:56:26.268 --> 00:56:31.708
At the birth center I have to find a way to get that arch.

00:56:31.708 --> 00:56:33.594
So we do, we do.

00:56:33.594 --> 00:56:42.813
I actually use a bolster, a yoga bolster, because the beds aren't that high, they're just, they're like beds that like sleeping beds.

00:56:42.813 --> 00:56:43.762
Right, it's a birth center.

00:56:43.782 --> 00:56:44.465
The.

00:56:44.465 --> 00:56:51.987
The other thing I love about it is like when you are able to get that good arch and the baby is farther down and the mom can finally breathe.

00:56:51.987 --> 00:56:58.990
I like to do massage up here because that's been stung tight for so long.

00:57:00.001 --> 00:57:08.782
I do whenever I have a mother in Walchers, either doing it prenatally and they're doing it with me, or in labor.

00:57:08.782 --> 00:57:25.483
I'm actually doing soft tissue mobilization to that area above the pubic bone, on the hip flexors, right at the ASIS and then down the leg and mothers with VBAC scars or cesarean scars.

00:57:25.483 --> 00:57:27.148
I do scar tissue release.

00:57:27.599 --> 00:57:28.864
Yeah, I wish I'd known about that.

00:57:28.864 --> 00:57:30.789
I had my appendix out when I was 21.

00:57:30.789 --> 00:57:33.880
Yeah, and both my babies were transverse, go figure.

00:57:34.501 --> 00:57:34.920
Right.

00:57:34.920 --> 00:57:52.405
That was why I started to fall in love with fascia, because it explained so much that we need to know right and the work I try to make, at least for the advanced fascia pretty simple.

00:57:52.405 --> 00:57:55.231
It's pretty hard because you're looking at a whole body.

00:57:55.231 --> 00:58:11.806
So you say, okay, how can I do something right now, in this moment, so that I can release fascia but not feel overwhelmed with how much body surface area that I'm dealing with?

00:58:11.806 --> 00:58:16.059
Right, because that was, for me, my overwhelming, where I was like, where do I start?

00:58:16.059 --> 00:58:28.543
So I started to say, here's the pelvis, here's what's directly attached to it, and we will just move out globally up and down on the side, front to back and that's like it.

00:58:28.543 --> 00:58:35.965
Right, that's all you do need to address, otherwise it would feel so overwhelming you just won't do it right.

00:58:36.005 --> 00:58:39.480
That's a typical response when we have too many things to do.

00:58:39.480 --> 00:58:41.362
We just don't know where to start.

00:58:41.362 --> 00:58:53.128
So when they're in sideline release, it's moving down the lateral side of the thigh, the ribs, the hips, especially around the iliac crest.

00:58:53.128 --> 00:59:09.349
The muscles are typically so fort and then just going into, when I finish the sideline release and I'll put their leg on my hip to stretch their hamstring Like passive stretching is so lovely.

00:59:09.820 --> 00:59:14.612
Like when you don't have to hold anything and somebody's stretching your body, god, that feels good.

00:59:14.612 --> 00:59:20.827
And even when they have an epidural they're like, wow, this feels good, like they still feel that.

00:59:20.827 --> 00:59:35.927
And then when I do the hip flexor stretch, they're not so happy because that's usually where they are so tight, because we sit, and when we sit it shortens our front line of fascial.

00:59:35.927 --> 00:59:47.130
It's called the superficial front line and it's basically from your sternocleidomastoid down your sternum, your rectus abdomini and then the front of your shins and your feet.

00:59:47.130 --> 00:59:52.030
Then it wraps around your toes and then it starts the superficial back line.

00:59:52.030 --> 00:59:59.532
When I started to see all the myofascial meridians that Tom Myers teaches, I was just like where do I start?

00:59:59.532 --> 01:00:03.054
Because I only got them in labor, I only got them for a few hours.

01:00:03.054 --> 01:00:04.559
I don't have them for a few months.

01:00:04.559 --> 01:00:10.815
But that small amount of work really adds some power to all the other positions and releases.

01:00:10.815 --> 01:00:13.342
So it's like maybe some people don't need it.

01:00:13.342 --> 01:00:16.710
And when you touch enough bodies, you're not hurting somebody.

01:00:17.831 --> 01:00:29.706
And when you touch enough bodies you start to know, oh, this is really sticky here, actually, even though, like in the app, it's do it for this many times or that many times, because people need structure and guidance.

01:00:29.706 --> 01:00:35.108
But when you really know this work, you'll feel one side and you're like I'm just going to spend five minutes here.

01:00:35.108 --> 01:00:41.413
Flip them to the other side and that's where you'll find where you need to spend 10 or 15 minutes.

01:00:41.413 --> 01:00:45.728
So it's not even Stevens, because the body just doesn't work that way.

01:00:45.728 --> 01:01:03.327
But when you're first new to touching tissue, it's okay that you don't know how to do everything, because the more times you do this and I've had some where I've done a simple sideline release and her leg was just out like a stick and I was just like are you?

01:01:03.367 --> 01:01:10.931
relaxed and they're like well, I'm relaxed, I'm like your fascia is not so we're going to obviously have to sit on this side a long time.

01:01:10.931 --> 01:01:25.626
So you start to see when there's like length in the tissues and when there's not, and then when you start touching you'll start to feel when there's like a sticky feeling and then you know like the fascia is very restricted.

01:01:25.626 --> 01:01:26.909
I had a patient.

01:01:26.909 --> 01:01:28.101
She had an epidural.

01:01:28.101 --> 01:01:37.608
She was a diabetic already, so she had that glucometer in her thigh and she was very overweight I think over 300.

01:01:37.608 --> 01:01:43.322
And the doctor was like we really have to do a vaginal delivery on her.

01:01:43.322 --> 01:01:45.507
She's not a good candidate for a surgery.

01:01:45.507 --> 01:01:48.574
It's diabetes and the obesity.

01:01:48.980 --> 01:02:01.889
She was stuck at seven centimeters and the doctor was telling me how it feels like more off to the side, and she'd been waiting for me to come on shift because she was like Mariah and I said OK, let me go see what we got.

01:02:01.889 --> 01:02:05.559
This really brought me a very like awareness.

01:02:05.559 --> 01:02:20.536
I felt her cervix and there was more on her right and then I did a sideline release on her left and then when I did the other side, on her right, and I knew she had the little auto glucometer in her thigh.

01:02:20.536 --> 01:02:21.318
I knew that.

01:02:21.318 --> 01:02:24.864
But the way her tissue felt was so different.

01:02:24.864 --> 01:02:36.791
It was cold, it was hard and I realized how much this one innocent little thing is breaking the integrity of the fascial system.

01:02:36.791 --> 01:02:46.492
So I worked a lot more on that side until it softened, it warmed up and then she was complaining.

01:02:46.512 --> 01:02:57.085
We had a baby, but these little things that we have implanted in us disrupt the fascial system and then the communication it just doesn't flow.

01:02:57.085 --> 01:03:03.503
You can feel the difference in her legs, but until you touched you didn't realize.

01:03:03.503 --> 01:03:08.782
So once I released and got that flowing going, she really went to complain.

01:03:08.782 --> 01:03:11.168
We didn't take one to push at all, it was very quick.

01:03:11.168 --> 01:03:16.148
And that reminds me of some of the things I've learned about fascia that fascia is a.

01:03:16.148 --> 01:03:22.469
It's a system in our body and our nervous system and our circulatory system all flows through that.

01:03:22.469 --> 01:03:36.824
So when I thought about dysfunctional labor patterns or women struggling to get into their own spontaneous labor or having strong enough labor, I was reading a book called the Oxytocin Factor.

01:03:36.824 --> 01:03:38.527
Like love that book.

01:03:38.527 --> 01:03:41.474
At the same time I was on a fascial summit.

01:03:42.240 --> 01:03:46.460
And it was the second time I was reading that book, so I really understood what I was reading.

01:03:46.460 --> 01:03:48.445
I was just reviewing refreshing.

01:03:48.445 --> 01:04:06.452
But while I was on that Fascia Summit and Tom was talking about fascia and all the intricacies of it and I started to think we have to release a hormone from our pituitary gland that has to travel a long way down to its target organ.

01:04:06.452 --> 01:04:13.088
When fascia gets in this restricted state, it also inhibits circulatory flow.

01:04:13.088 --> 01:04:24.242
So what if the amount of hormone starts off as enough but because of all the restriction it does not get the amount it needs to this target organ?

01:04:24.242 --> 01:04:25.969
And then the body struggles.

01:04:25.969 --> 01:04:33.882
And then because when I'm at the birth center I do fascia release, the first thing women notice is these are really strong now.

01:04:33.882 --> 01:04:35.347
But I don't think they're strong.

01:04:35.347 --> 01:04:40.268
I think they're where they're supposed to be, but because they weren't getting that they were very prodromal.

01:04:40.327 --> 01:04:47.128
They were not getting as much, but the contractions were still kind of strong and irregular and they feel that difference.

01:04:47.128 --> 01:04:52.322
And so when women have epidurals they don't really tell, but sometimes they can too.

01:04:52.322 --> 01:05:02.210
And it just got me thinking what if we learn how to do fascia release better and maybe do that before we try augmenting with PIT right?

01:05:02.472 --> 01:05:02.711
Yeah.

01:05:02.871 --> 01:05:05.811
Let's try to see if the body can flow better.

01:05:05.811 --> 01:05:09.704
And then how is the body doing a couple hours after the work?

01:05:09.704 --> 01:05:15.646
Because I think it's important to savor Pitocin for after the birth if we need it for the emergency.

01:05:15.646 --> 01:05:19.402
So if we don't need it in the birth, let's try not to use it.

01:05:19.402 --> 01:05:20.304
But we have to.

01:05:20.304 --> 01:05:23.472
We can't just say don't use it, we have to find another way.

01:05:23.472 --> 01:05:38.369
Yeah Right, one of the things about being in the Air Force and being in leadership is you cannot go to someone in leadership and say we don't like this without something to say.

01:05:38.369 --> 01:05:39.793
Let's try that.

01:05:39.793 --> 01:05:42.460
You have to bring the solution.

01:05:42.460 --> 01:05:47.492
Or they say that's nice, go figure it out and come back and tell me what you got.

01:05:47.780 --> 01:05:55.347
And that's what I feel like we do with birth is we want to change something but we don't have a replacement for it.

01:05:55.347 --> 01:06:08.554
And this gets me thinking of what if we try these, like I said, that whole standardized of everybody getting this same training and having these tools to try and see if we could change?

01:06:08.554 --> 01:06:27.266
And if women understood getting really good fascia work by a role for a structural integrator in pregnancy maybe they don't quote post-dates, maybe their baby isn't malpositioned Then they don't need our specialties in either spinning babies or DLM or whatever right, they just come in labor and have their baby.

01:06:27.719 --> 01:06:34.273
Yeah, yeah, and it is that just it's got me like opening in that whole new idea.

01:06:34.273 --> 01:06:40.902
This is like something I came across, maybe about two years ago now, where I started to say I really want to see this as a possible.

01:06:40.902 --> 01:06:52.501
I feel like things are impossible to study in birth Like where you said, like when you said I feel like things are impossible to study in birth, like where you said like when you said I know I went in and I know I did this and I saw this go from this.

01:06:52.501 --> 01:07:09.224
When we see that oxytocin is flowing in the body the way it should be, the body responds in kind, and that was something that I always got something on my what's next plate and that is something that I'm exploring because that would change.

01:07:10.086 --> 01:07:16.867
So I always have doctors or midwives that'll be like get in there, go work some magic before I take this Exactly.

01:07:16.867 --> 01:07:18.552
That's exactly how they say it.

01:07:18.552 --> 01:07:19.784
I don't know what you do.

01:07:19.784 --> 01:07:21.989
You have to burn sage, whatever it is.

01:07:22.780 --> 01:07:26.510
Like over a decade ago they weren't saying that to me.

01:07:26.510 --> 01:07:48.789
So you see, like things have really grown and we have broken through some areas, but there's so many hospital systems that are into it and the thing is like me being in the Air Force I didn't work in a bubble, I had to move every two or three years and start over and realize how many people weren't getting the information I had Right.

01:07:48.789 --> 01:08:08.911
So in a civilian hospital, like some of these nurses have been there for 30, 40 years and so they've not seen anything outside of the hospital so they don't get the exposure, and that that's where we will be like my hospital does this and my hospital does that, and you hear that on labor and delivery, nurses rock like all the time.

01:08:08.911 --> 01:08:15.472
I was really shocked when Post said pharmacy is now starting to mix our bags 30 and 500.

01:08:15.472 --> 01:08:16.373
Who's doing that?

01:08:17.661 --> 01:08:22.453
I was like I saw that post and I was like I don't understand.

01:08:22.453 --> 01:08:24.103
I was like, is this 2010?

01:08:24.122 --> 01:08:24.765
I don't understand.

01:08:24.765 --> 01:08:26.773
I was like is this 2010?

01:08:26.773 --> 01:08:27.655
I don't know.

01:08:27.655 --> 01:08:31.270
Maybe we think people are getting information but they're not.

01:08:31.270 --> 01:08:35.511
Or they don't process it or they don't feel comfortable or confident.

01:08:36.220 --> 01:08:37.063
I had a nurse.

01:08:37.063 --> 01:08:38.748
She was a friend, I worked with her.

01:08:38.748 --> 01:08:40.867
She'd been a nurse for 30 years.

01:08:40.867 --> 01:08:43.823
She never heard of spanking babies and she definitely never heard of me.

01:08:43.823 --> 01:08:53.195
I was teaching nurses and stuff and I think it was a little bit hard for her to say I guess I should learn some of this even though I've been doing this for so long.

01:08:53.195 --> 01:08:55.161
But she's open to it.

01:08:55.161 --> 01:09:02.675
She one day surprised me and I got a text from her and she said oh my God, I did the sideline release and we had a baby.

01:09:02.675 --> 01:09:06.930
And I was like do you see how good that feels?

01:09:06.930 --> 01:09:25.551
Right, I used to get I would come on shift and it made me feel bad because these are my friends Like they're not just nurses I work with, but to be told that thank God you're here, I'm so glad you came, because my work is so different than who was their nurse before and I don't know what to say to them.

01:09:26.512 --> 01:09:27.635
I don't know how to tell them.

01:09:27.635 --> 01:09:29.463
Not everybody gets this training.

01:09:29.463 --> 01:09:32.451
I'm just like a little weird oddball.

01:09:32.451 --> 01:09:40.702
I don't want them to think anything bad about other people because they don't understand that this training is not available to everybody.

01:09:40.702 --> 01:09:52.548
And so hearing that and then just understanding that some people are very timid to try the I'm a bold person, so to me it felt very easy.

01:09:52.548 --> 01:10:00.309
Like I watch something on YouTube and I'm out tinkering, thinking I can fix my car, like I just I'm not afraid.

01:10:00.309 --> 01:10:05.271
So sometimes I don't understand what it's like for those who are.

01:10:05.271 --> 01:10:10.051
I have kept that always in my mind of why aren't they doing it?

01:10:10.051 --> 01:10:12.268
Is it a time thing?

01:10:12.268 --> 01:10:15.069
Is it a confidence thing?

01:10:15.069 --> 01:10:18.248
Is it maybe they don't believe in it?

01:10:18.680 --> 01:10:29.975
Well, I'll add another one, and this is the resistance I got from, not that I was doing the class, but I was excited for the class and some of the nurses that have been there the same hospital was doing the class, but I was excited for the class and some of the nurses that had been there the same hospital for 30 plus years.

01:10:29.975 --> 01:10:36.293
It was just another class for them, just another thing that took them away from their time off or whatever it was.

01:10:36.293 --> 01:10:39.863
And how impactful have those other classes been?

01:10:39.903 --> 01:10:47.534
Like all the stuff where, like the drill like what you do in an emergency and you're the ones that are pros.

01:10:47.534 --> 01:10:49.421
Exactly.

01:10:49.442 --> 01:10:51.729
Yes, and I was like, no, this one's going to be different, I promise.

01:10:51.729 --> 01:11:06.226
And I feel like it was, and I feel like I think I remember, like you said, the nurse coming out and saying this is stuff I could do in triage, and I'm like, yes, yes, this is the difference between you sending somebody home feeling powerless and somebody going home and feeling empowered.

01:11:06.768 --> 01:11:11.775
And I'm absolutely like the biggest fan of Simon Sinek.

01:11:11.775 --> 01:11:14.820
He taught me to start with why.

01:11:14.820 --> 01:11:17.627
Why is this important to you?

01:11:17.627 --> 01:11:20.872
So I tell the doctors why is this important to you?

01:11:20.872 --> 01:11:24.425
Let's say number one maybe you don't have to do an operative delivery.

01:11:24.425 --> 01:11:29.394
Now I was in the military and it wasn't a money thing for us.

01:11:29.394 --> 01:11:33.610
So I guess I'm a little like unsure about that.

01:11:33.610 --> 01:11:36.367
Is the C-section really driven by money?

01:11:36.367 --> 01:11:37.310
I don't know.

01:11:37.739 --> 01:11:40.750
I don't think anymore because there's so many initiatives to try to avoid.

01:11:41.100 --> 01:11:42.966
Yeah, like it, just it wasn't my world.

01:11:42.966 --> 01:11:45.583
We're all there, nobody's getting paid extra.

01:11:45.583 --> 01:11:58.472
We all know like when people feel supported and cared for to the best of their ability, the likelihood of them coming back at you is lower because they felt like you really did do everything.

01:11:58.472 --> 01:12:02.086
And so I learned this from one lady in particular.

01:12:02.086 --> 01:12:04.051
She'd had two C-sections.

01:12:04.051 --> 01:12:15.444
She wanted a V-back and she was like floating around our hospital in prodromal labor and the doctor on call was like I'm not doing a vaginal delivery for a woman with two C-sections.

01:12:15.444 --> 01:12:21.542
She got off and a new doctor came on and that doctor said yeah, sure, I'm comfortable with that.

01:12:21.542 --> 01:12:29.055
So we admitted her and her first two babies were seven pounds and six pounds.

01:12:29.055 --> 01:12:32.086
This third baby was like 11 pounds.

01:12:32.086 --> 01:12:35.292
They didn't know that, it just wasn't really caught.

01:12:36.060 --> 01:12:39.126
Anyway, we had a very gnarly shoulder.

01:12:39.126 --> 01:12:43.253
Dystocia Baby was okay though, it was just really rough.

01:12:43.253 --> 01:12:47.761
The midwife was delivering, couldn't get the shoulder, called the doctor.

01:12:47.761 --> 01:12:56.631
There was a lot of things going on and when I met her postpartum because I did LDRP I talked with her and this was her perception of the whole issue.

01:12:56.631 --> 01:13:02.681
I'm so thankful you gave me an opportunity to have this vaginal delivery because I want to have five kids.

01:13:02.681 --> 01:13:08.314
I don't want to have all these surgeries, so I'm so glad I had my vaginal delivery.

01:13:08.314 --> 01:13:13.813
And man, that doctor that wouldn't let me get admitted, that's who she was angry at.

01:13:13.813 --> 01:13:19.188
She wasn't angry about the shoulder, that wasn't even traumatizing to her.

01:13:19.903 --> 01:13:24.239
Because you were doing everything that you could to give her what she wanted.

01:13:24.300 --> 01:13:29.746
She wanted that vaginal delivery because she's thinking future and I talked to.

01:13:29.746 --> 01:13:35.595
His name is Dr Douglas Wood and he, where is he at?

01:13:35.595 --> 01:13:48.100
I have to remember he himself is designing this Foley catheter that has a disc instead of a bulb, trying to minimize what space we take up in the birth canal.

01:13:48.100 --> 01:13:56.564
And he was telling me like where he works they literally have accretateens because of how bad it's getting.

01:13:56.564 --> 01:14:09.820
The more C-sections women are having, the higher risk they are for accretas, and women getting that primary C-section have no idea that this is a possibility in their future.

01:14:10.823 --> 01:14:14.350
And there's a lot of like nonchalant about you can just VBAC.

01:14:14.350 --> 01:14:15.452
No, you can't.

01:14:15.452 --> 01:14:24.783
Not every place supports it and I get that in my DMs they won't do it here, they won't do it here, or they didn't know it was an option.

01:14:24.783 --> 01:14:37.731
So here they are, three C-sections later, trying to figure out how to have a vaginal delivery, because to them it is just something they feel they need and it is not for us to tell them no, you don't.

01:14:37.731 --> 01:14:47.395
So like, preventing the primary cesarean for me is my priority, but I know it might not be the priority for the doctor.

01:14:47.395 --> 01:14:49.685
So let's find there.

01:14:49.725 --> 01:14:51.729
Why would this be important to you.

01:14:51.729 --> 01:14:54.317
What is it that you feel?

01:14:54.317 --> 01:14:55.900
Maybe a shorter labor?

01:14:55.900 --> 01:14:59.006
That would be great because they are working a lot.

01:14:59.006 --> 01:15:00.951
Or for the nurse?

01:15:00.951 --> 01:15:07.131
Why do you want to spend this much time trying to work on a patient when you're trying to juggle two of them?

01:15:07.131 --> 01:15:08.786
What is your why?

01:15:08.786 --> 01:15:10.225
Why would this be important to you?

01:15:10.225 --> 01:15:25.639
This was important to me because of my birth story, the way I got treated, the way I ended up in a C-section, the way my son yes, he's ADHD and he is autistic, and that's not in my family and I'm the only one with a C-section.

01:15:25.639 --> 01:15:28.782
So I dig a bit deeper about it.

01:15:28.782 --> 01:15:32.864
I've read a study that came out in 2024.

01:15:32.864 --> 01:15:42.412
They were measuring Pitocin in rat pups over a certain amount of time.

01:15:43.233 --> 01:16:00.643
That is increasing the risk for this rat pup to show signs of the autism spectrum disorder in the males, and so I'm interested in that because it is something that where are all these high rates of autism coming from?

01:16:00.643 --> 01:16:12.274
And then we've got our things like asthma and the processes that babies are missing from a vaginal delivery being considered not important.

01:16:12.274 --> 01:16:13.855
They are.

01:16:14.296 --> 01:16:25.404
They are, and I think what the difference is, if it's a true emergency, risk versus reward, right Right that we're treating it so nonchalantly and just inducing it when it's for malposition.

01:16:25.845 --> 01:16:28.221
I feel like that can be preventable.

01:16:28.221 --> 01:16:30.887
We may have to start early in pregnancy.

01:16:30.887 --> 01:16:43.319
More women may need to have this awareness of what their soft tissues are like, the state they're in, and everybody has an important role.

01:16:43.319 --> 01:16:49.466
And, yes, sometimes when you come into labor it may be a bit too late, no matter what we do.

01:16:49.466 --> 01:16:52.868
But what if you knew this information before?

01:16:52.868 --> 01:16:55.791
And that was how I felt as a mother.

01:16:55.791 --> 01:16:57.912
What if I knew this before?

01:16:57.912 --> 01:17:01.395
Would I have been different in my pregnancy?

01:17:01.395 --> 01:17:03.337
Would I have done things differently?

01:17:03.337 --> 01:17:10.145
Would I have realized that this is actually really important that I get this done?

01:17:10.145 --> 01:17:17.283
And unfortunately a lot of bodywork type of stuff is not covered by insurance.

01:17:17.283 --> 01:17:22.081
But if we can keep pushing and keep going that way, that could make a change.

01:17:22.081 --> 01:17:29.573
I mean, when I first started, doulas were not covered in insurance, and look at the strides they've made right, so things can change.

01:17:29.619 --> 01:17:35.212
The more you can prove good outcomes, the more likely and the less you cost in the long run.

01:17:35.212 --> 01:17:38.100
And the more you can prove good outcomes, the insurance company will be on board.

01:17:38.180 --> 01:17:43.324
Yeah, and it's funny, you know, an insurance company will pay for a C-section but not a rolfer.

01:17:43.324 --> 01:17:44.668
It doesn't even make sense.

01:17:44.668 --> 01:17:50.362
Nope section but not a rolfer, it doesn't even make sense.

01:17:50.362 --> 01:17:52.244
So, yeah, so those are like a lot of things that go into who I am.

01:17:52.244 --> 01:17:56.313
Why did I make all of this stuff, like, why is it important to me?

01:17:56.313 --> 01:17:57.801
This is my why.

01:17:58.020 --> 01:18:06.417
Yeah, yeah, I feel that and I think a lot of moms, especially moms that have gone into some of these helping other moms in labor, it's the same.

01:18:06.417 --> 01:18:07.261
It's the same for me.

01:18:07.261 --> 01:18:12.221
That's why my deliveries could have been improved or I could have understood what was going on a little bit better.

01:18:12.221 --> 01:18:14.166
Yeah, I love that I could talk to you all day.

01:18:15.789 --> 01:18:17.153
And I can talk all day.

01:18:17.153 --> 01:18:23.546
Trust me, I work with at the birth center.

01:18:23.546 --> 01:18:31.844
As soon as I walk in, she'll be like okay, I have a lot of charting to do, so I'm going to have to do all of that and then, you're allowed to talk.

01:18:32.184 --> 01:18:32.985
That's hysterical.

01:18:32.985 --> 01:18:36.594
Yeah Well, Mariah, thank you so much for joining us.

01:18:36.594 --> 01:18:45.207
I am going to share your app with all of my colleagues and I can't wait to be able to show this on my YouTube videos so that people can actually see your app.

01:18:45.207 --> 01:18:45.887
That's exciting.

01:18:46.469 --> 01:18:48.832
I have chills like at this opportunity.

01:18:48.872 --> 01:18:51.355
Thank you so much Well, thank you so much.

01:18:51.355 --> 01:18:57.497
I really appreciate it.