Pregnancy and Childbirth: A holistic approach to massage and bodywork

447 Pages·2010·17.22 MB·English

by  Suzanne Yates BA(Hons) Dip HSEC(Shiatsu diploma) MRSS(T) APNT Antenatal and postnatal exercise instructor PGCE(PCET)

Pregnancy
and Childbirth
‘ for my children; in binding me to the earth, they freed me to fly ’
Suzanne Yates
For Elsevier
Publisher: Sarena Wolfaard
Development Editor: Helen Leng
Project Manager: Nayagi Athmanathan/Anne Dickie
Designer /Design Direction: Charles Gray
Illustration Manager: Bruce Hogarth
Illustrator: Diane Mercer
Pregnancy
and Childbirth
A holistic approach to massage and bodywork
Suzanne Yates
BA(Hons) DipHSEC MRSS(T) APNT PGCE(PCET)
Shiatsu and massage therapist, and childbirth educator
Director of Well Mother-Education for Maternity Care, Bristol, UK
Foreword by
Michele Kolakowski BA RMT CD(DONA) CIMI
Registered Massage Therapist, Certified Birth Doula (DONA), Certified Infant Massage Instructor
Supervisor , Health Center of Integrated Therapies, Longmont United Hospital
Co-Developer & Faculty, Cortiva Institute Maternity and Infant Massage Program
Colorado , USA
Penny Bussell Stansfield BA (Hons) LMT CD(DONA) CCE
Licensed Massage Therapist, Certified Birth Doula and Doula Trainer (DONA), Certified Childbirth Educator
Co-Developer & Faculty, Cortiva Institute Maternity and Infant Massage Program
New Jersey, USA
Photographers Sherrie Keuhlein and Amanda Hartman
Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2010
‘ for my children; in binding me to the earth, they freed me to fly ’
Suzanne Yates
For Elsevier
Publisher : Sarena Wolfaard
Development Editor :H elen Leng
Project Manager: Nayagi Athmanathan/Anne Dickie
Designer / Design Direction: Charles Gray
Illustration Manager: Bruce Hogarth
Illustrator : Diane Mercer
First published 2010, © Elsevier Limited. All rights reserved.
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ISBN 978-0-7020-3055-0
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Neither the publisher nor the author assumes any responsibility for any loss or injury and/or damage
to persons or property arising out of or related to any use of the material contained in this book. It is
the responsibility of the treating practitioner, relying on independent expertise and knowledge of the
patient, to determine the best treatment and method of application for the patient.
The Publisher
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vii
Foreword
In 2006, we collaborated with teachers across the and detail that makes this book an indispensable ref-
United States to create a comprehensive curriculum erence guide.
in pregnancy, labor, postpartum massage and body- In Section 1, Suzanne thoroughly details both Eastern
work. At the time, it was challenging to find one ref- and Western theories of the fascinating maternal
erence book that provided everything we needed-rich changes as well as embryological/fetal development.
multicultural perspectives on the most common of This provides a solid foundation of knowledge and
miracles; the requisite depth and detail on the com- understanding for the reader to build upon. Section 2
plex maternal transformations and the accompanying contains a thorough overview of the practical appli-
embryological/fetal development; possible devia- cation of massage therapy and bodywork with case
tions from healthy changes with complications, high studies, open dialogues on controversial topics such
risk conditions and unexpected outcomes; a treasure as leg and abdominal massage, guidelines for working
trove of massage therapy and bodywork techniques; with higher risk maternity clients, personal patient sto-
professional issues to prepare practitioners to work ries and insightful professional issues. We are thrilled
effectively in a variety of venues; and most impor- to see breast massage, perineum care and scar tissue
tantly, the wisdom of holistic care for childbearing recovery included, as they are also important aspects
women. Suzanne Yates has achieved this and taken of holistic maternity care. Readers will further benefit
massage and bodywork to a new level with her new from each chapter’s reflective questions, summary of
book, ‘Pregnancy and Childbirth – A Holistic Approach implications, excellent references and further recom-
to Massage and Bodywork.’ mended reading to engage their critical thinking skills
Readers will benefit from an impressive compila- and further their studies.
tion of Suzanne’s twenty years of study and experi- ‘Pregnancy and Childbirth – A Holistic Approach to
ence, plus additional contributions from maternity Massage and Bodywork’ is certainly one of the ‘bibles’
care specialists around the world. Suzanne brilliantly for maternity care specialists, and we are delighted
combines Eastern and Western theories and tech- to have it as an essential book in our professional
niques in one book that offers maternity care special- libraries, at the hospitals and clinics where we work
ists an unsurpassed spectrum of treatment options and in the maternity massage classroom. Thank you
to meet each woman’s unique needs throughout Suzanne for elevating maternity massage and body-
her pregnancy, childbirth and postpartum time. work to a higher level. It brings us great joy to think
‘Pregnancy and Childbirth – A Holistic Approach to of all the maternity care providers, the women and
Massage and Bodywork’ has the essential informa- babies around the world who will benefit from the
tion that massage therapists, bodyworkers and other caring, skilled touch so beautifully shared in this
maternity care providers need to inform, guide and exquisite book!
expand their practices. Experienced maternity care
veterans will also benefit from the profound depth Michele Kolakowski & Penny Bussell Stansfield
viii
Acknowledgements
This book has truly been a collaborative effort: from the All of my students, without whom I would never have
early ideas for the project, to the writing and the editing and developed my work. Firstly the pregnant women to whom
final stages of production. In addition to those listed as con- I taught weekly ante- and postnatal classes in Bristol from
tributors and to the wonderful team at Elsevier who have 1990 to 2002 and later my professional (midwives, massage
given me fantastic support and advice from the conception and shiatsu therapy) students, from 1998. And last, but by
of this book, many other people have also been involved. certainly no means least, the many hundreds of pregnant
I would especially like to thank the models for the photo- women with whom I have had the honour to work indi-
graphs: Clare Sandham and baby Donny, Tanya Meyers, vidually during their pregnancies, sometimes attending their
Cynthia Grundmann, Caroline Martin, Pamela Hammond, births, and supporting them in their new lives with their
Natalie Zinman and Robyn Sanford. Also my thanks to partners and babies. They make it all worthwhile.
those clients and bodyworkers who contributed their testi-
monials of the value of bodywork. Picture credits
Some other people not listed as contributors have also
The following images have been redrawn with permission.
made some contributions to the text: Jan Carusone (of mas-
sage suppliers Know Your Body Best, Toronto), Fi Mazurka Chapter 1
(medical herbalist and massage therapist), Alice Lyon (mid-
wife) and Chris Andrews (midwife/chiropractor). Debra Figures 1.1, 1.2, 1.3, 1.5A and B, 1.6, 1.7, 1.8, 1.9
Betts (acupuncturist) was helpful in discussing many of the Henderson, C., Macdonald, S., 2004. Mayes’ Midwifery:
ideas and in suggesting contributors. Nicola Endicott, Anne A Textbook for Midwives, thirteenth ed. Baillère Tindall,
Badger and Heidi Armstrong, my co-teachers, made inval- Edinburgh. Figures 1.10, 1.12, 1.14 Coad, J., Dunstall, M.,
uable comments from a reader’s point of view, as did my 2001. Anatomy and Physiology for Midwives. Mosby,
administrator Becky Matthews. Edinburgh. Figures 1.13 Moore, K.L., Persaud, T.V.N., 2008.
And in the background were many others who have Before We Are Born, seventh edn. Saunders, Philadelphia.
helped with the development of this text:
Chapter 2
My other co-teachers who in recent years have helped me
expand and develop my work. Figures 2.1, 2.4 Coad, J., Dunstall, M., 2001. Anatomy and
Becky Matthews who did my admin so I had time to write Physiology for Midwives, Mosby, Edinburgh. Figures 2.3A-
the book. C, 2.5A and B, 2.6, 2.8, 2.9, 2.10A and B, 2.11, 2.12, 2.13, 2.14
Sponsors of my courses, especially those who had faith Henderson, C., Macdonald, S., 2004. Mayes’ Midwifery:
in my work during the early days. In particular: Gill Tree A Textbook for Midwives, thirteenth ed. Baillère Tindall,
of Essentials for Health, London who helped me develop Edinburgh.
the Pregnancy Massage Diploma for her school and where
Chapter 3
I continue to teach introductory days; Marina Morton of
the Shambahla Shiatsu School in Vienna who brought my Figures 3.1A and B Coad, J., Dunstall, M., 2001. Anatomy
work to an Austrian audience, translating both my course and Physiology for Midwives. Mosby, Edinburgh.
handouts and my teaching and Birgit Fromm-Leichtfried
Chapter 4
who has also helped with the translations; Gina Debrito
and Laure Huret who brought my work to France, Gina Figures 4.1, 4.3, 4.4, 4.5, 4.6 Maciocia, G., 2006. The Chan-
for organising the courses and Laure for translation of nels of Acupuncture. Churchill Livingstone, Edinburgh.
the course materials; Patricia Carusone of the sadly now Figure 4.2 Yates, S., 2003. Shiatsu for Midwives. Books for
defunct Boston School and Jenny Dorrington, director Midwives, Oxford.
of the Australian Shiatsu College, Jane Brennan of the
Wellington School of Massage Therapy and all the other Chapter 9
people who have organised courses for me over the Figures 9.23, 9.33 Yates, S., 2003. Shiatsu for Midwives.
years. Books for Midwives, Oxford.
My massage teachers, from my early informal teach-
ing in the early 1980s to the Maitri Foundation near Chapter 10
Stroud where I did my diploma. My shiatsu teachers,
Figures 10.2, 10.3, 10.4, 10.5, 10.6, 10.7, 10.8, 10.9, 10.10,
especially Sonia Moriceau who encouraged me to teach
10.11A, 10.11B, 10.12, 10.13, 10.14 Yates, S., 2003. Shiatsu for
shiatsu and more recently Kazunori Sasaki Sensei who
Midwives. Books for Midwives, Oxford.
helped me contact more directly the work of Masunaga and
Kawada Yuichi Sensei who validated much of my work with Chapter 12
the Extraordinary Vessels. Elizabeth Noble, with whom I
trained in Boston in 1989 who set me on the path of integrat- Figure 12.2 Yates, S., 2003. Shiatsu for Midwives. Books for
ing exercise into my bodywork; she was an early source of Midwives, Oxford.
inspiration in setting up Well Mother.
Chapter 14
My children, Rosa and Bram, who for years put up with
my sitting up in the attic writing; they brought me into this Figure 14.1 Henderson, C., Macdonald, S., 2004. Mayes’
work and I hope they have not suffered too much from my Midwifery: A Textbook for Midwives, thirteenth ed. Baillère
dedication to it! Tindall, Edinburgh.
ix
Preface

When I first had the vision for this text, which was development and research. There are still areas where
even before writing Shiatsu for Midwives, I wanted it more research and understanding needs to be devel­
to be a ‘ Bible ’ for bodyworkers. It would be the body­ oped, areas for discussion and ongoing collaboration
work equivalent of Mayes Midwifery. It would include and continued learning from different practices of
everything that a bodyworker could possibly need to bodywork in different cultures worldwide.
inform their practice! After 6 years of writing, how­ When I think back to my early work in the field I
ever, I now realise how ambitious a plan that was. can see that on some levels I did not really know what
Mayes Midwifery is in its thirteenth edition and has I was doing. I had an open heart, a desire to learn
been enriched over many years by the contributions and connect with the women I was working with, a
and experience of numerous practitioners. This is only passion and enthusiasm for the work and a desire to
the first edition of this text, but none the less I have make a difference. However, I wish I knew then what
endeavoured to enrich it through the contributions I know now, 20 years later. This is why I have writ­
of several workers and experts in the field. I offer it ten this book: to share the knowledge which I have
humbly as a textbook on bodywork which has more built up from many different sources, courses, read­
depth than any texts published on this subject so far, ing, study and most of all the hundreds of mothers I
but which I am sure can be developed and improved. have worked with, the hundreds of therapists and the
I regret that for reasons of space I had to omit some of thousands of women they jointly have worked with.
my passions, such as preconceptual care and work with As we move on through this new century, I see a
the newborn. Although others have made their contri­ great future for the use of bodywork in maternity
butions to this text, for which I am eternally grateful, the care. One day I hope that bodywork will be part of
ultimate responsibility for any unintended inaccuracies mainstream care, as indeed, it once was in many tra­
or misrepresentations is entirely mine as the main writer. ditional cultures. As more midwives begin to inte­
I hope that this text helps the process of bodywork­ grate different therapies into their practice, so more
ers taking their place in the provision of maternity research will emerge about their effectiveness. In
care in the 21st century. In order to do that we need to our infatuation with modern technological medi­
be able to demonstrate that we have not only sound cine, we have moved away from the original forms
knowledge of the suitability of techniques but also a of touch-based healing, seeing them as primitive
detailed knowledge of anatomy and physiology and of and ineffective. It is true that not all aspects of tradi­
the medical approach. If we are working with eastern tional healing should be kept and that many aspects
approaches, we need to have a detailed grasp of that of modern medicine are fundamental to the care we
theory. We are not going to be taken seriously, either by expect. This is not a time to return to the past, nor a
primary care providers or by women themselves, if we time for ‘ either, or’ , but a time to move forward and
cannot demonstrate the soundness of our knowledge. to integrate the best aspects of both approaches.
For too long we have accepted texts and courses of My principal aim remains simple: to enable women
inadequate quality. How ridiculous it is to assume to connect with their bodies and their babies at this
that anyone can learn about pregnancy in a 1- or 2-day fundamental time in their lives. Ultimately this con­
course, when midwives train for 3 years or more. The nection makes a difference to us all.
need for more rigorous training courses is gradually
being acknowledged by the industry. This text is not ‘ For the first time since I’ve been pregnant, I felt totally OK
intended to be a substitute for training, but rather to to be me, supported and even happy to be going through all
complement courses: to enable therapists to identify the issues I am dealing with at the moment ... thank you for
appropriate courses and then provide information to all the work and inspiration you give in this field; it’s a good
support them in their training. Ultimately this text way to influence our world ’
cannot stand alone and needs to be supported by rel­ (Pregnant shiatsu student)
evant changes in training and in ongoing professional Suzanne Yates, Bristol