The Gentle Birth Method: The Month-by-Month Jeyarani Way Programme. Karen MacLeod Swan

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       Provides anxiety relief

       Increases musculoskeletal mobility to shorten labour

       Encourages the baby’s head to engage

      The purpose of this light massage technique is to help stimulate the lymphatic system, to drain the tissues, reduce oedema (swelling) and help the muscles work more efficiently. It can be an ideal time for the mother to practise simple relaxation and visualization phrases (we will look at this in detail in the next section) so that she links feelings of relaxation with pleasant touch and hypnotic triggers. The birth partner can help her with this, saying softly and slowly: ‘Take three deep breaths and whisper I’m going into self-hypnosis now’, or ‘Relax for me’, or ‘Let your mind drift to your safe place and feel safe there…’ For this treatment all you need is virgin olive oil. Some mothers ask if essential oils can be added to this and yes, of course, you can add a couple of drops of good quality organic lavender essential oils to about 50ml of olive oil. However, it isn’t advisable to complicate matters by adding a combination of oils to this, as the merits of Creative Healing are based on working on the energy lines and have nothing to do with the healing properties of essential oils (unlike Aromatherapy, for example).

      The treatment is done with the mother sitting upright on a firm surface, such as a chair (sideways on, so that the back of the chair does not get in the way), stool, or bench. Note: All back treatments are done sitting up as lying down will close the spaces between the vertebrae and it will not be possible to treat the spine effectively. The mother’s upper back is exposed, but she can hold a towel in front of her body to prevent feeling exposed or cold. It is important for you to feel comfortable as well, so find a chair to sit on while administering the massage. Start by standing behind the mother, make sure your hands are warm, then place them on her shoulders and be still for a moment.

      During this massage the whole of the back is worked on, so for ease of understanding the back and spinal area is divided into three sections. (By the way, don’t be put off by the medical jargon, it simply provides an accurate description of the spaces to be massaged.)

       I) The upper back

      This covers the neck area from the occiput (the base of the skull) down over the shoulder blade area to the area where a bra line would be.

       Normalizing temperature

      Using the back of your hand, sweep across the back and neck to identify ‘hot spots’ (or areas of congestion). When you find them, cup your hand and use the ‘cooling breeze’ to reduce the temperature in those areas (as described on page 54).

      Opening drainage channels (alternate with Removing Congestion (see below)) To drain the lymph down the sides of the neck, use your three middle fingers. Place the three central fingers together with the middle finger slightly behind the other two, to create a ‘trough’. The three fingers are then used to make downward sweeping movements from behind the ear, close to the bony prominence (the mastoid bone) down towards the base of the neck. On every third or fourth stroke, make longer sweeps that continue across the top of the shoulder. Start on either side of the neck and after about 12 or so sweeps, do the other side. Use your right hand to treat the right side of the mother’s neck and the left hand to do the left side.

      Identify the triangular clavicle space or hollow (called the supraclavicular fossa) created by the lines of the collarbone and the outer margin of the trapezius (or neck muscles). Within this area are lots of important structures such as blood vessels, nerve plexuses and lymphatics. The main lymph drainage channel is called the thoracic duct. This collects lymph all the way up from the feet to the chest. It traverses the triangular space above the clavicle and drains into the subclavian veins within the neck area. This massage will ensure good drainage so that toxins from the whole body are carried away.

       Removing congestion and clearing the primary lymphatic filter area in front of the neck

      Using the tips of the index, middle and ring fingers, make small, light circular rotations across this space, covering the edges too. Imagine your fingertips are searching for grains of sand in the tissue just beneath the skin surface. This can be done for a minute at a time, alternating with the drainage movement down the sides of the neck (above) – one side at a time. It is very important to use a light touch for this technique – it should be gentler than when working on muscle.

      For further drainage of toxins, cup your hands with the thumbs closed next to the fingers and create a slightly cupped shape with the palms of your hands. Place them on either side of the spine on the lowest part of the ribs. Now move your cupped hands up the back using small circular movements. You want the movement of your hands to be like a caterpillar (I actually call this movement the ‘cupped caterpillar’), so you will find that as you move your hand the middle part of it will move closer and then further away from the back. During this treatment your intention is to create a vacuum and drain all the toxins over the shoulders into the triangular supraclavicular space in front of the neck.

      To complete, once again clear the triangular space above the clavicle using little circular movements with your fingers as you have done previously.

      If the shoulders feel tense you can alternate the cupped caterpillar movement with a feathering movement (small short circular strokes with the thumb, moving up the back) to help loosen tense muscles. The thumbs work across the muscles between the shoulder blades and spine, just gently teasing out the muscles (this can be done during the birth too, to help keep the mother relaxed and loose).

       Loosening the neck muscles downwards

      The final part of treating the upper back and shoulders includes the loosening up and downward drainage of the muscles directly at the back of the neck at the midline, from the occiput (base of the skull), down to the last cervical vertebrae. Often these muscles feel like two solid columns due to muscle tension and the most efficient way of loosening these neck muscles is to work downwards in little circular movements using gentle but firm pressure of the thumb and forefinger of your right hand. These movements should be followed by draining straight down the vertical columns of muscle, with longitudinal strokes, using the same fingers. Alternate between the circular and straight-down movements. Finish by draining the toxins that you have released from the neck by using the cupped caterpillar movement from between the shoulder blades, up over the shoulders into the triangular (supraclavicular) spaces in front of the neck (as done earlier).

       II) The middle back

      This covers the area below the lowest part of the shoulder blades (around where the bra line would be) to the iliac crest (the rise of the hips).

       Encouraging drainage

      Cup the hands and make gentle, downward flowing strokes across the kidney area. As the hands approach the iliac crest, let them glide over the hips and travel under the bump, towards the pubic joint (below the front of the belly). This movement helps to encourage kidney drainage and pushes excess tissue fluid toward the lymphatic channels in the groin. Perform these movements for about 3-5 minutes.

       III) The sacrum

      Here you will be working on the sacrum and loosening up the sacro-iliac joints and the ligaments in that area. The sacrum is the upside-down triangle below the last vertebra.

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