Many women experience some form of postpartum difficulties, be it physical discomfort, weakness, pain, or emotional difficulties adapting to the challenges of taking care of a newborn child.
Having a baby is no small feat. A healthy baby is the reward for a process that is lengthy and at times extremely strenuous for the mom. Once the baby is born, we often forget that the mom is now recovering from the tremendous strain she and her body endured during pregnancy, labor, and delivery.
The postpartum period is a woman’s time to heal and recover her pre-pregnancy health and strength. For many women, this period is relatively short and uneventful.
However, the postpartum period may be rocky and extended due to interventions during the birthing process, such as the use of an epidural anesthetic, the use of pitocin (a synthetic form of the natural hormone oxytocin, to restart labor), the use of forceps, a vacuum assisted (ventouse) vaginal delivery, an episiotomy, or the planned or unplanned cesarean section (c-section).
Moreover, a woman’s body goes through a lot of physical changes during pregnancy to support placental development and the implantation of the egg, to nourish a growing fetus, to hold the fetus securely within her womb, and to help the baby exit her body at the time of birth. These are monumental feats requiring hormonal and physical adjustments, from which she needs to recover once the baby is born.
The above mentioned interventions, while sometimes desired or even necessary, are associated with side effects or complications that not only make the birthing process more difficult for both the mother and the baby, but leave the mother to deal with the aftermath. (click on any picture for larger image)
Epidural anesthesia requires the insertion of a catheter into the space between the outer covering of the spinal cord (the dura) and the vertebral canal in the lumbar region. It is well known that the anesthetic may slow down labor (or entirely stop/stall labor), necessitating the use of pitocin (synthetic oxytocin) to augment or restart labor.
If there’s difficulty placing the catheter in the epidural space, the woman has to endure several needle punctures into her lumbar spine, often resulting in low back pain that may linger for days, weeks, or even months. If the needle punctures the dura (tough membrane covering the spinal cord), a spinal headache may ensue, caused by a leakage of the cerebrospinal fluid (CSF) into the epidural space.
While the body delivers natural oxytocin in a pulsatile fashion, adjusting the amount to the body’s needs during labor, pitocin is delivered via the catheter in a steady flow fashion. It is difficult to guess how much the body actually needs. Consequently, the amount delivered is often too great, forcing rapid and forceful contractions of the uterus. This may greatly increase the trauma to the uterus and increase the chance of uterine bruising and rupture of the uterus with hemorrhaging.
Forceps and Vacuum extraction (ventouse) assisted vaginal delivery are used in approximately 5% of births when the health of the mother or child is at risk. While sometimes necessary, these types of delivery devices may cause substantial tissue damage to the mom and the baby. Forceps delivery tends to cause more tissue damage to the mom, while vacuum extraction assisted delivery appears more harmful to the baby due to the suction forces on the baby’s scalp and scull bones.
Risks of forceps delivery to the mother include
- anemia from excessive blood loss during the procedure
- pain in the perineum postpartum (cuts and tears in the vaginal canal, vulva, or perineum)
- uterine rupture and hemorrhage
- weakening of the pelvic floor muscles, leading to uterine prolapse
- injury to the urethra and urethral opening
- difficulty urinating
- urinary and/or fecal incontinence that may be temporary or permanent
A vacuum extraction assisted delivery poses similar risks except for uterine rupture and hemorrhage.
Some symptoms may not show up for one to three years.
Episiotomies, a cut into the perineal tissue between the vagina and the anus as the baby’s head crowns, have become relatively rare in the U.S.. This is no minor procedure, as the blade cuts through the vaginal wall and the tissues (skin, connective tissue, muscles) of the perineum.
Potential complications to the mother include:
- pain in the perineum postpartum
- scar tissue in the vaginal wall and perineum
- difficulty and pain with bowel movements, possibly leading to hemorrhoids and anal fistulas
- fecal incontinence, leaky stool, urgency with bowel movements
- painful intercourse along the scar
Cesarean sections have become very common in the U.S., comprising approximately a third of all deliveries now, while only 4-5% in the early 1970′s. Much of this increase is due to non-emergency (elective), scheduled C-sections. The price for the convenience of scheduling a delivery, or to avoid the strains and pains of a vaginal delivery may indeed be very high.
Risks of a cesarean section to the mother include:
- death three times the rate of a vaginal delivery
- endometritis due to injury or infection of the lining of the uterus (pain, foul smelling discharge, fever)
- infection of the incision site
- injury to the bladder or other organs nearby
- blood clots especially in the legs or pelvis
- increased risks of complications during subsequent deliveries, such as bleeding, uterine rupture, and problems with the placenta during the pregnancy, delivery, and afterbirth (expelling the intact placenta).
Like any surgery, a cesarean section often results in internal adhesions between the pelvic and/or abdominal organs. Adhesions are formed when connective tissue (fascia) becomes distorted by injuries such as accidental cuts, tears, and surgical incisions, causing inflammation and tissue changes.
The recovery period may take up to 6 months following a cesarean section, during which time the mother is discouraged from athletic activities such as running, lifting weights, and other strenuous exercise or household duties, including lifting weights of 10 lbs or more. Compare that with the average recovery of six to eight weeks for an uncomplicated vaginal birth.
There will be some loss of blood and tissue damage no matter what the mode of delivery. The postpartum period is vital for the mom to recover from these injuries and to recover her strength and vitality.
The process of healing involves inflammation in the form of heat, swelling (edema), pain, and weakness of muscles involved in the birthing process. If the labor and delivery was relatively uncomplicated, the tissues will heal and return to good health. However, cuts, tears, and bruising caused by the use of forceps, vacuum extraction devices, or forced contractions with the help of pitocin require more time to heal.
Moreover they may result in connective tissue distortion and changes in the form of adhesions, scars or fistulas, as well as injury to the urinary tract, bladder, or other abdominal organs (in the case of a c-section).
The fistulas are the result of injured tissue that won’t heal, leaving an opening that connects with adjacent tissue or organs. These connections are communicating channels that allow fluid to pass between these two tissues, and infections to spread into adjacent tissues. The picture above shows four types of fistulas that may form due to the trauma of vaginal birth with or without the use of forceps or the ventouse, though they are more likely with their use.
Craniosacral therapy gently assists the body to restore tissue health and to minimize tissue distortion in the form of scars, adhesions, or fistulas.
Even without intervention, women often suffer from lingering pain in the neck, shoulders, the back, sacrum, or tailbone (coccyx), due to the toll that pregnancy takes on a woman’s spine due to the baby’s weight gain, especially in the last trimester.
Craniosacral helps the body to release the tension that has accumulated in the muscles along the spine, helping the mother to regain her ease of movement and strength.
Craniosacral therapy also helps to improve blood, lymph, and energy flow, thus supporting and helping to speed up the healing process.
Also see
Craniosacral Therapy During Pregnancy — For The Mom
Craniosacral Therapy During Pregnancy — For The Developing Baby
Craniosacral Therapy — Supporting The Mom During Labor
Craniosacral Therapy During Labor & Delivery — For The Baby























































Craniosacral Therapy — Infant Health and Development
There are numerous milestones to be met within the first year of a baby’s life such as nursing (sucking and swallowing), eye movement, developing visual acuity, hearing, making sounds, moving the head from side to side, holding up the head, sitting up, rolling over and from side to side, crawling, standing, and walking. Alongside the obvious musculoskeletal development, the baby also develops mental and social skills.
Although most babies achieve these milestones with relative ease, there are plenty of babies who seem to struggle more or less with any one of these tasks. Often we are mystified as to what causes these difficulties.
We know that trauma, infection, or inflammation affect a person’s well being and functional abilities. It is no different with infants. Their first exposure to trauma, infection, or inflammation starts with the birthing process.
Giving birth to a child takes a tremendous toll on the mother’s body. And exiting the womb to enter into the world is a daunting task for the baby as well, as evidenced by swelling, bruising, and head deformity that go hand in hand with being born.
It is quite a miracle that many babies recover quite well and go on to achieve all the milestones within the first year of life. Nevertheless, we are quite aware of the many different struggles of meeting these milestones. One major reason for these difficulties may be the effect of birth trauma on the cranial nerves and the spinal nerves.
The cranial nerves exit the skull through tiny spaces (foramina) and find their way to the nose, ears, eyes, mouth, pharynx (throat), and even two of the muscles that move the head and shoulders. One of these cranial nerves, the vagus nerve finds its way all the way down to the ascending and transverse colon. (click on any picture for larger image)
There are twelve cranial nerves (CN I – XII) which allow us to smell, see, move our eyes, hear, maintain balance, taste, swallow, and talk, as well as raise our shoulders and turn and tilt our head in some fashion.
The deformation of the head, as the head bones partially overlap to allow passage through the birth canal, may affect the functioning of any of these nerves, temporarily or permanently. Most of the time, the head bones shift back into their normal place, releasing any traction on the cranial nerves.
However, with some birth trauma, especially the use of forceps, ventouse (vacuum-traction device), or excessively strong and accelerated uterine contractions due to the use of pitocin, the head bones may remain jammed for some time. The nerves, which travel through the foramina (spaces) which happen to be located at, or near, the junctions between the head (cranial) bones, remain partially trapped. This may cause them to become hypo- or hyperactive, impairing the function of the structures (muscles, organs) they innervate.
These impairments manifest as difficulty with eye movements, hearing, nursing (latching on, sucking, or swallowing), digestion (colics), or moving the head from side to side, or raising the shoulders. Shoulder restriction may show up as limited arm movement.
The spinal nerves exit the spinal column between the vertebrae through spaces, called the intervertebral foramina. Compression, or twisting, of the spine during the birth process may impinge on any of these spinal nerves resulting in the delay of motor skill development such as raising the head, moving the arms, using the hands and fingers, rolling over, sitting up, crawling, standing, or walking.
All the nerves that innervate the muscles of the shoulder, arms, and hands exit the cervical spine (neck) between the 4th and 7th neck vertebrae (C4-C5) to form the brachial plexus behind the clavicle. The axillary nerve leaves this plexus to innervate the deltoid muscles, and the median, ulnar, and radial nerves travel down the arm to innervate the arm, hand, and fingers. Gross and fine motor skills may be affected if any of these nerves (or the brachial plexus itself) becomes injured when the baby is being pulled out of the birth canal by the arm or shoulder, or if the neck itself is injured when using forceps or the ventouse.
A similar plexus of nerves (lumbosacral plexus) is formed by the nerves exiting the lumbar spine and the sacrum. These nerves are the femoral, obdurator, and sciatic nerve and their many branches. Injury or entrapment of any of these nerves will affect the way we use our legs or feet.
Although babies can’t talk, they are eager to communicate with us by crying, smiling, cooing, or babbling. They also let us know if they have physical discomfort or pain by crying, fussing, fidgeting, or avoiding physical contact.
For some infants, going to sleep at nap time or at night is daunting. Body pain and discomfort may increase as the infant lies in bed without moving around much or being soothed by the warmth and rhythmic movement of being held by mom or dad. The baby may also feel alone and cut off from the familiar environment and activities of the day.
Being born is a challenging event no matter how smooth the process. The baby’s head bones (cranial bones) have to shift, sometimes drastically, to fit through the birth canal, or in response to the pressure of intense and extended labor, and the spine takes a lot of pressure as the baby pushes through the birth canal.
The challenges increase exponentially with interventions such as the use of pitocin, forceps, or a suction device (ventouse). All of these interventions, while at times necessary, increase the pressure on, or cause injury, to the baby’s head and spine.
For instance, pitocin, a synthetic form of oxytocin is used to start (induce) labor, restart stalled labor (often caused by the use of an epidural anesthetic), or augment labor. This often results in contractions that are too forceful and too closely spaced. Forceps and suction devices are known to cause injury to the mother’s reproductive organs and perineum, as well as the baby’s head. Sometimes, a baby’s exit is assisted by a tug on the arm or the shoulder, potentially causing injury to the brachial plexus by stretching (tractioning) the nerves of this plexus.
All these difficulties during birth may cause connective tissue (fascia, ligaments, tendons) restrictions that may only slowly heal or become permanent over time. Since nerves, blood and lymph vessels, and meridians are embedded in the fascia, tightening or distortion of this connective tissue may lead to impaired nerve conduction, blood or lymph flow, or impaired energy flow.
Babies recover from much of the birth trauma within the first three months. Colics disappear and the baby settles down into a regular sleep cycle. The aftershocks of the birth trauma may however linger on for a year or more. These may show up as difficulties meeting mile stones, asymmetry in movements, weakness in one body part or another, or postural issues. Gross motor and fine motor skills may be affected as well, manifesting in clumsiness or a tendency to trip and fall. Irritability, fussiness, difficulty bonding, and difficulty focusing may all be signs that the baby hasn’t entirely recovered from the birth process.
Craniosacral therapy is utmost gentle, non-invasive, and supportive of the healing process and can be enjoyed as soon as the baby is born, or any time thereafter.