How to Work with Forceps and Venteuse Trauma

Historical Context
Karlton provides a historical overview of the development and use of forceps and vacuum extraction in childbirth, highlighting the evolution of these tools over time. 

Physiological Impact
Detailed descriptions of the physical impact of forceps and vacuum extraction on newborns are provided, including bruising, swelling, and potential damage to the cranium and brain. 

Parental Involvement
The role of parents in the healing process is highlighted, with the speaker emphasizing the need for parents to be on board and able to tolerate the emotional expressions of their children. 

Accurate Empathy Sounds
The concept of accurate empathy sounds is introduced as a way to mirror the emotions and experiences of the baby, helping them to express and release their trauma. 

Tolerance Thresholds
The importance of understanding and managing tolerance thresholds in both the baby and the parents during therapy is discussed. 

Case Study
Alex Caiano presents the case of a venteuse born baby and describes the progress the little girl makes through baby therapy. 

Introduction to Therapeutic Protocols 
Karlton introduces therapeutic protocols designed for pre-crawling babies who have experienced traumatic births. These protocols are not intended for very young babies, as they are still in a state of shock and orientation. The focus is on older pre-crawling babies with supportive families. Among those are: 

Assisted Silly Putty Stretch 
The "assisted silly putty stretch" is a technique to help unwind the compressive trauma caused by forceps or venteuse during birth. This method involves gently holding the baby's ear and allowing the baby to move its head to find and stretch connective tissue pathways in the brain.

Energetic Palpation
Energetic palpation involves using gentle, non-invasive touch to interact with the baby's energy field. The therapist observes the baby's responses, such as movements or sounds, and mirrors these responses to help the baby process trauma.

Mirroring Agency 
The concept of mirroring agency involves acknowledging and celebrating the baby's movements and responses as signs of agency. This helps the baby regain a sense of control and power, which was often lost during the traumatic birth experience.

Regressive Crying 
Regressive crying is a natural response to the therapeutic process, where the baby releases pent-up emotions and memories from the traumatic birth. The therapist should allow the baby to cry and express these emotions without interference.

Use of Impediments 
Impediments, such as salad tongs or a rubber cup, are introduced to simulate the forceps or ventouse. The baby is encouraged to overcome these impediments, which helps build confidence and a sense of agency.

Doll Reflection Therapy 
Doll reflection therapy involves using a doll to mirror the baby's experiences and emotions. The therapist acts out the traumatic birth scenario with the doll, allowing the baby to process and release emotions in a safe and controlled environment.

Celebrating Baby's Achievements 
Celebrating the baby's achievements, no matter how small, is crucial in the therapeutic process. This helps build the baby's confidence and sense of agency, reinforcing positive behaviors and responses.