By Dr. Barry Gillespie and Krystil McDowall
Krystil McDowall brought to my attention some confusion about our generalized term “birth trauma.” She noticed that some mothers assumed that “birth trauma” meant trauma relating to their baby’s labor and delivery only. They did not correlate any in utero compressive strain as part of their “birth trauma” equation.
In our Lancaster research we surprisingly found that most trauma occurred inside the uterus during pregnancy. We had expected the opposite, that most of the trauma happened at labor and delivery. We learned that in utero trauma was important because the craniosacral fascial system holds the memory of its trauma from conception.
We are dealing with soft tissue trauma of this system during these forty weeks, where developing tissues can be especially vulnerable to compressive strains. The good news is that the Gillespie Approach can help correct theses strains at birth. We have noticed that significant osseous changes where the legs of clubfoot babies have straightened during therapy. Skeletal ossification begins at thirteen weeks in utero and stretches to adolescence.
In an effort to be more inclusive and accurate, we would like to introduce the term “in utero-birth trauma.” This terminology would cover the 40-week journey of gestation-labor-delivery from conception to first breath.
Sign up for Gillespie Approach Training Opportunities
Foundation Trainings
Gillespie Approach Foundation Training is designed for students to work with children and adults.
2026 Dates:
- January 22–24 | Melbourne, FL
- March 19–21 | Greenville, SC
- May 14–16 | Westfield, IN
- June 25–27 | Bozeman, MT
- August 6–8 | Boise, ID
- October 1–3 | Olathe, KS
- November 9–11 | Newtown Square, PA
- November 12–14 | Newtown Square, PA
Infant Trainings
Gillespie Approach Infant Training is designed for students to work with infants.
2026 Dates:
- January 25–27 | Melbourne, FL
- March 22–24 | Greenville, SC
- May 17–19 | Westfield, IN
- June 28–30 | Bozeman, MT
- August 9–11 | Boise, ID
- October 4–6 | Olathe, KS
- November 15–17 | Newtown Square, PA
New to Gillespie Approach–Craniosacral Fascial Therapy?
Read a collection of articles handpicked by Dr. Barry Gillespie to help you grasp core information and understand training and treatment options.
Make a Gillespie Approach Appointment to Get the Help You Need
Talk About the Gillespie Approach With Our Community on the Gillespie Approach Forum
Catch Every Story! Get a Free E-book and Infographic With Your Email Newsletter Subscription
Explore Gillespie Approach–Craniosacral Fascial Therapy Articles Based on Hundreds of Health Conditions and Anatomical Regions
Enjoy Many Powerful Testimonials for Babies, Children and Adults
From fussy babies experiencing breakthroughs and children excelling in school to adults emerging triumphant over mystery health conditions, get inspired by these heartwarming and soul-stirring testimonials.

