It is hard to recommend the absolute perfect position for delivery, but the ideal tool to ensure a comfortable birth there - this movement. Most wrong attitude to the movement during childbirth - a stereotype that a woman in labor should lie on his back. Women are so fixated on this position, they are forced to suppress the instinct to climb during fights. Use your instincts to take the right position before the fight, or during it, and thus relieve pain. Movement is one of the main components of a successful birth. Modern women need to reprogram and return to long-forgotten instincts. Women brought up in the traditions of the culture of different countries and peoples that do not involve a horizontal position during labor, mainly taking vertical or inclined posture.
Why horizontal vertical childbirth is better?
First of all, to answer the question why the position lying on the back is uncomfortable for the mother, and not entirely safe for children. First of all - it's the law of gravity when a woman in labor lying on his back, gravity pulls the child to the back. This abnormal posture leads to two abnormal things: causes pain in the back of his mother and because of the pressure on the blood vessels that pass along the spine, reduces blood flow to the uterus. Pathological phenomena begin to grow like a snowball. The mother can drop the pressure, the child may not get enough oxygen, the uterus contracts less efficiently inhibited generations, the mother of the child is forced to push "the mountain." If the mother's legs are raised up, it has to cut the crotch. As a result, suffer and mother and child.
Consider what happens when the mother is sitting, standing or supported partner. Gravity pulls the baby down, as the pose of the mother is in harmony with the forces of nature. The child is easier to pass through the birth canal, and cervix dilates faster. The child passes the pelvis to the desired angle and meets the least resistance in the birth canal. When a mother does not feel extra pressure on your back, it feels less pain. Contractions become more efficient labor go faster.
Connective tissues of the pelvis are weakened under the influence of pregnancy hormones, they become more mobile. When you are in a vertical position, the birth canal becomes wider, they are easier to adapt to let out a little man with a big head and broad shoulders. If you lie or sit bones can not move freely and narrow birth canal. In addition, the vertical posture - more forgiving to the perineum. In this case, there is no need for episiotomy and tears are unlikely.
Modern researchers have led a lot of evidence for the benefits of the vertical key delivery. When a woman moves during labor and give birth in a vertical position, it experiences less pain, she is less anesthesia required. It also reduces the time of delivery, less episiotomy, a small probability of breaks, elektromonitoring fetus shows a satisfactory condition of the child, the body is better supplied with blood and oxygen.
Births in vertical positions come into the practice of midwives, but still unknown to the majority of obstetricians. In textbooks on obstetrics no picture, which depicts a mother, giving birth squatting, a partner that supports its back, and an obstetrician, kneeling and taking the child's bottom. I do not think that if a doctor will be on his knees, it will diminish his professionalism. The best position for birth that in which you are comfortable. Choose a location for delivery, where you will be free to choose, and the obstetrician who will support your choice.
There is no posture in which the mother can stay for all deliveries. Below is a description of some of the most comfortable postures.
Squatting - this is the best position for birth. It is suitable both mother and child for the following reasons:
- accelerates delivery;
- extends the pelvis;
- It relaxes the muscles of the perineum;
- It relieves pain in the back;
- improves the supply of oxygen the baby;
- It contributes to an easier birth afterbirth.
Even with the small capacity of the pelvis and the largest fruit in the likelihood of vaginal birth this posture is greatly improved. When you sit on all fours, the angle of the pelvis is the most convenient for the promotion of the child through the birth canal, and gravity helps him in this. If you give birth lying on his back, the child has to get out of the narrow aisle and folded. Change the position, and before it opens a direct and broad way.
This position is best suited for faster delivery. Contractions become more intense as the baby's head presses on the cervix. If, during the squat contractions become too painful, but genera are OK, try to take a more comfortable position for you. Squatting almost do not need to sit in the first stage of labor, when the cervix begins to open. It is not necessary to weary legs and expend energy. They will be useful to you during attempts. It is best to squat when the birth attendant says that the cervix is fully dilated and the approaching or beginning of the second stage of labor. The urge to push is a signal for you to ensure that the squat. When will the fight, potuzhtes and then sit back and forth on his knees to rest before the next battle. In this position, a second stage of labor is faster, but may be more intense.
It is unlikely that you will be offered an option of delivery on his haunches in the district hospital. Pose the need to learn during pregnancy, and you must help your partner or assistant. Your partner has to learn to keep the woman in childbirth in advance, so you can trust themselves and each other. Partner is better to be barefoot. Stand up for the mother and stand with your feet shoulder-width apart. Take the woman in childbirth under the arms and let it hang on your hands. Keep your back straight, bend your legs slightly at the knees to a woman in labor could rely on them buttocks. You can lean back against the wall or sitting behind mothers. Keep it up until it snaps on his knees or sit back.
The more you train, the easier it will be to hunker down during labor. Stand with your feet shoulder-width apart and slowly (do not jerk!), Scroll down. Spread your knees on the width of the feet, heels rest against the floor. If you are hard pressed to the floor the entire foot, wear shoes with a small heel. Not to forget that you need to raise your knees to the side, bend your arms and place your elbows on the inside of the knee.
Squatting can be quite tedious. So try it out the following options for this position:
Squatting with support
Supporting you, your partner stands behind you, leaning back against the wall, headboard, or sitting on a chair. Or he can sit in front of you and hold your hand, that you may be in equilibrium.
Standing on his heels, with the support
In this position, it achieved the most efficient use of gravity and angle of the pelvis for optimum delivery. Legs spread shoulder-width apart, you hang in the hands of a partner. In this position, not only relaxes the body but the mind. The best way to achieve satisfactory delivery - submit your body. Relax your stomach, like you are in the eleventh month. Let it sag more with each contraction. If you try to pick the abdomen and will strain the muscles, it can hurt you.
In addition, you can lean against the wall, sitting on a chair, holding on to the edge of the table, his chair or bed. Do not try to jump on all fours, as this greatly stretch the muscles and ligaments. Some women accelerate delivery and reduce pain, swaying from side to side. Do not overwork. Use to support his body pillows, furniture, walls, people - anything that will help you reduce stress legs, relax the uterus and fully turn its attention to birth. Take delivery more tolerant to leave lying on its side, or half-sitting, as in these positions, they can see what is happening. But taking birth can gain access to the mother and baby in any position.
A natural transition from pose squatting is doggy style
. When the contractions become too strong, you can rest on his knees on a cushion on the floor, leaning on a chair or standing on all fours
. To stand on all fours is especially useful for back pain when you try to turn the baby coming buttocks, or to slow down a bit too violent birth
. If you do not want to slow delivery, take such a position that the stomach was located vertically as possible, and his knees were spread that would expand the pelvis
. And do not forget to put a pillow under the head and legs
. Kneeling, many women experience a natural need to shake her hips from side to side
. This helps the child to turn over to the buttocks on his head
. If you feel the need to change the position, do not deny yourself this
. If you use the bed for delivery, then stand on the lower part of the knee and lean on the upper part
Squatting, lower one leg at the knee. Periodically, my legs and try to sway from side to side in the intervals between contractions.
Very valuable variety of poses on her knees is Bozeman. You can also take the so-called "fetal position", ie the lower the head below the pelvis. In this position the baby's head is no longer pressure on the cervix, which softens and weakens the desire to fight to push, if there is a need (for example, when the cervix is not fully open). In this position, you can slow down the too violent birth.
During the first stage of labor, you may be more convenient to walk a lot and stop only during labor. Instead of just standing, move the weight of your body on the support. To do this, leaning on a wall, chair or other piece of furniture. You can also rely on a partner, while putting one foot on the chair. At this point a man will experience especially as you need it.
If the squatting position battle will seem too hard, you'll probably be able to cope with them sitting. Sit astride a low chair, toilet, chair or corner of the bed for delivery. It is best to sit with his legs apart, on a low stool. If a woman sits during the second stage of labor, it is faster than if it is. In this position the pelvis is wider (but not as much as in the squatting position), significantly reduced bleeding during childbirth and the baby improves the supply of oxygen.
By the way, the toilet seat - the throne for a natural birth, which is always at hand. Its height is ideal for delivery and pelvis and legs long been accustomed to it. Finally, it may be the only place in the world where a woman in labor can retire. Toilet not only serves as a refuge, but is very important in terms of midwives. Mothers often go to this familiar place to resume delivery. When the new mother is sitting on the toilet, contractions become stronger. Tension of the abdominal muscles and the movement of the pelvis during defecation are similar to the second stage of labor. In this comfortable position the bladder empties more readily, giving more space to the child. In this position (knees apart, the pelvic muscles are relaxed) it's best to give birth. To reduce the power of labor, leaning on a table near the seat.
Needless to say that the medical staff is scared to death that if the toilet is used during labor, it can be used to start labor. To make attempts, mother sitting on the toilet, waiting for cutting head and then gets up to have a baby, which picks up the delivery took place.
If labor will last a long time, you can not stand all the time. Many women are easier to carry the fight, lying on its side. In theory, better to lie on your left side to the uterus did not press on the blood vessels that pass on the right side of the spine.
While lying on your side, you lose, by gravity, the uterus is still no pressure on your back. In such a comfortable position to rest between contractions and can slow down the too violent birth. Make yourself comfortable nest of pillows, placing one or two pillows under your head and one - under the belly, upper leg and back. During the fight, you can lie down if you want to slow delivery, or to quickly roll on his knees and take a vertical position. If you decide to make an effort, lying on its side, or taking birth partner can raise your upper leg, which would increase the capacity of the pelvis.
If possible, try to come up with their postures and movements to help you. During labor, use any posture as long as they worked. Freedom of movement during labor and vertical posture is a proven experience of ways to get the most satisfactory delivery.
In conclusion, this chapter will repeat once more recommendations, which will create progress in labor:
- If for medical reasons you have to be in bed, frequently change posture.
- To relax the muscles and mind using massage, imagination, breathing exercises, music and others.
- Every hour, empty the bladder; full bladder causes painful cramps.
- Use the help of gravity: walk, stand on her knees, squatting, sitting.
- Between contractions, relax and get rid of the stress of the previous bout. Do not allow yourself to feel the fear of waiting for the next fight.
- Raise your energy level: a snack when hungry; drink to avoid dehydration.
- If labor is becoming hard to bear, immerse yourself in a bath or take a shower.
- Use the constant support of your partner and professional assistants.