02/25/2026
✌️Step Delivery
Behind these colored overalls that were my day 3 at a birth wordrobe, is a tshirt that says “in this birth space we remain patient”. The whole room took a big deep breath in this moment as we watched this baby girl rotate her way through the portal both arms reaching for the world.
If you’ve ever seen a hospital birth, the majority of providers would have both of their hands inside this mother … practicing the 1 step delivery. This is where they expect, make, the head and body delivery in one contraction. Interestingly, the big push for this is a nervous provider (trained in 1 step delivery)… wanting to avoid a shoulder dystocia… but studies show that the 1 step delivery actually INCREASES the risk of shoulder dystocia!
Traditionally, midwives practice the 2 step delivery. Since our bodies have been birthing babies, the physiological way is allowing a beautiful pause between head with one surge, a rotation, and then shoulders on the next surge.
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# physiologicalbirth