What are my options for positions when I give birth?
There's no rule that says you must give birth lying flat on your back in a bed. You can choose to move around and into different positions throughout your baby's birth. It's your choice. Birthing positions can help you to feel in control, reduce pain and open your pelvis to help the baby come out.
You can choose the birth position that makes you most comfortable, unless there is a medical reason not to. Many people find positions naturally during their labour and birth. You may also practise some of them before you have your baby.
It is a good idea to walk, move and change positions frequently during the various stages of labour.
What positions can I use for stage 1 of labour?
Early labour
During the first stage of labour, your cervix gets thinner and dilates (opens up) to about 3cm. You may still be at home and choose to stand in the shower, sit in the bath, walk around or find another position that's comfortable for you.
Lying on your back is generally not advised in the first stage of labour because it can reduce blood supply to your baby. It could also lead to a longer labour. You can, however, rest during this early phase to conserve your energy. Choose a comfy position lying on your side or sitting with your feet up.
Keep moving and changing positions to prevent tiredness and ensure your muscles don't get too sore. You may find yourself standing upright or bent over while rocking and swaying. This is sometimes called the 'dance of labour'. This can help both you and your baby by:
easing reducing pressure on the your pelvic area and
encouraging your the baby to move into the correct position in the your pelvis.
Active labour
As you move into established, also known as active labour, your cervix dilates from 3cm to 10 cm. Your contractions will become more frequent and stronger.
Your maternity team will encourage you to choose your own positions during this phase of labour. They may make suggestions to help you. An upright position has many benefits, including:
allowing your baby to move down and into the right position
bringing on stronger contractions and potentially a shorter labour
decreasing your need for an epidural
giving you less severe pain or backache
reducing the likelihood of a forceps or vacuum-assisted birth
decreasing the chance of problems with the baby's heart rate
helping to open your pelvis for the next stage
Here are some positions you can choose:
kneeling, using a chair or birthing ball (yoga, or 'fit' ball) for support
swaying or walking and holding a support person during contractions
standing and moving in the shower to help reduce pain
sitting or kneeling in a bath, to reduce pain and make you light, making it easier to change positions
squatting, using a birthing stool, ball or squatting bar; this can help the flow of oxygen to your baby, reduce back pain and move the baby correctly into position
sitting and rocking on a chair or edge of the bed
sitting backwards on a chair, with arms resting on the chair-back
leaning forward over the bed
sitting on a chair leaning forward
lunging with one foot up on a chair or footstool
kneeling on hands and knees to help reduce back pain
If you want, your birth partner can massage you, help guide your breathing, and support you while you are in these positions.
What positions can I use for stage 2 of labour?
The second stage is when your cervix is fully dilated. This is when you push during contractions so your baby can move down and out of your vagin*.
Maintaining an upright position can open your pelvis and make it more comfortable for you to push. It can also help angle or tilt the pelvis to help your baby come down and lead to a faster birth.
If you are in bed, you can still kneel or go on all fours. You can also try sitting, semi-lying down on the bed, or lying on your side with your top leg bent.
If your baby is positioned facing your back (posterior) or halfway between your back or front (lateral), being on your hands and knees can help, particularly with back pain.
What might stop me from moving or choosing my own positions?
There are a number of reasons why you may not be able to move around when you are in labour, including if you or your baby need to be monitored or you are having an assisted delivery.
An epidural usually makes your legs feel heavy and numb so you will need to lie on the bed. However, new mobile, or 'walking', epidurals are now available to allow you to get up and move. You will need to check whether your hospital provides this.
An electronic monitor may be placed around your abdomen to check the baby's heart rate and this may restrict your movement. Ask if your birthing facility has a mobile monitor, which will let you move around.
If forceps or a ventouse (vacuum) is used to help your baby out of your vagin*, you will need to lie on your back. You will also need to lie down for a vagin*l examination or episiotomy.
How can I practise using positions for labour and birth?
It’s a good idea to practice the positions that you think you might like to use during your labour and birth. You can do this by:
Joining an antenatal class.
Searching for images and videos on the internet and practising at home.
If you can stay upright you will have gravity to help you. Keeping your knees below your hips will open your pelvis wider, giving your baby more space to move through. If you need a rest, it is better to lie on your side, rather than on your back.
If you can stay upright you will have gravity to help you. Keeping your knees below your hips will open your pelvis wider, giving your baby more space to move through. If you need a rest, it is better to lie on your side, rather than on your back.
Lying on your back is generally not advised in the first stage of labour because it can reduce blood supply to your baby. It could also lead to a longer labour. You can, however, rest during this early phase to conserve your energy. Choose a comfy position lying on your side or sitting with your feet up.
Lying on your side while giving birth works well, even if you're receiving an epidural. It's also Stiltner's favorite birthing position because it: Allows you to push with your knees closed, which helps open your lower pelvis. Takes pressure off the perineum and causes less tearing.
Stretching the pelvic floor helps your body relax, says Green, who recommends spending up to five minutes a day doing squats once baby is in the head down position. (Don't worry, you don't have to set your stopwatch—you can break up the five minutes into several intervals throughout the day.)
Kneeling, on the bed or floor, leaning against a large pile of pillows, or supported by a partner. Some women may feel more comfortable with one knee up. Squatting, supported by partner behind, or holding onto a bar. The woman should stand to rest between contractions.
Squatting births have many benefits for laboring people, ranging from less perineal tearing to easier pushing, but they have some drawbacks as well. For example, the knees-bent position is tiring to maintain, and you're at an increased risk of hemorrhoids due to strain.
Kneeling: Kneeling on all fours or with the upper body elevated can help relieve back pain and reduce pressure on the perineum. It may also encourage the baby to rotate into an optimal position for birth.
Try to achieve a deep squat with your legs in a “V” position. This position can really help to open up your pelvis, move your baby down, which can also help to dilate your cervix.
Certain upright positions such as squatting position and sitting position, may correlate with perineal trauma and greater blood loss. Lithotomy and supine position should be avoided for the possible increased risk of severe perineal trauma, comparatively longer labor, greater pain, and more fetal heart rate patterns.
Labor was slightly shorter in the women lying down, but there were no differences in other outcomes, including cesarean section or other medical interventions. “We'd recommend that women try to lie down on their sides when the cervix is fully dilated,” said the lead author, Dr.
Standing or walking during the first stage of labor might make that stage go faster. Lean on a labor partner for support during contractions. You also can put your arms around your partner's neck and sway, as though you were slow dancing. This is a good position for a back rub too.
The optimal position is Occipito-Anterior and this is the most effective way for a baby to journey through the maternal pelvis. In the OA position, your baby is head down with his or her face looking at your spine. In the OP position, your baby is head down, facing your naval.
To give yourself a rest in the first stage of labor, lie on your side. Keep one or both knees bent. Place a pillow between your knees for comfort. You also might put a pillow under your belly.
The best position for the baby to be in to pass through the pelvis is with the head down and the body facing towards the mother's back. This position is called occiput anterior (OA).
Introduction: My name is Terence Hammes MD, I am a inexpensive, energetic, jolly, faithful, cheerful, proud, rich person who loves writing and wants to share my knowledge and understanding with you.
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