Positions for Labor-Part 2

POSITIONS FOR LABOR – PART 2

Variations of the Squat

The Supported Squat

birthing• Your partner sits or squats behind you, toboggan-like style with back against the wall or bed, or using a chair for support
• Or your partner can be in front, doing a squat, and hold your hands for balance.
Standing Supported Squat
• As you relax down into the squat, take the weight off your feet and melt into the arms and against the body of your partner.
• In this position your body will tell your mind to relax
• You then surrender your mind and body to your labor
Dangle Support Squat
• Your partner supports from behind, or two people supporting you (one on each side) helping in supporting you in the squat position.

Kneeling

image004This position is a natural extension of the squat position when the labor is too intense.

• Kneel on the floor with a pillow
• Lean against a chair
• Or get on all fours
o especially good for back labor
o to try and turn a posterior positioned baby
o or if your labor is accelerating and seems unmanageable.

Kneel-Squat Position

• Kneel with one knee while squatting with the other leg.
• Alternate between legs, or you can do a rocking and swaying motion.
Knee-Chest Position
• Your knees are on the floor, while your head and arms are on a pillow
o Slows overly intense contractions
o Counteracts an urge to push when your cervix is not fully ripened.

Sitting

CHAIR STRADDLE• Sit straddled over a low stool, toilet seat, chair or birthing bed angled like a seat
• The best of these is the sit-squat over a low stool, for the same reasons as the plain old squat position

 

Side-Lying

SIDE-LYING• Does NOT use GRAVITY in the same manner as the SQUAT.
• Best on the left side, to prevent the uterus from compressing major blood vessels that run along the right side of the backbone
• It provides a way to labor without pressure of the uterus on the back, and allows for some sleep in a long labor.
• Use pillows for your head, and pillows under the knee of the right leg, and support pillows behind your back.
o It allows you to quickly roll into the kneel or up into a squat
o Once the contraction is done you can roll back into your nest of pillows.

 

*Images from The Birth Book, Sears & Sears (1994) and internet birthing images/stock photos*

REFERENCES:

Balaskas, Janet. Active Birth: the new approach to giving birth naturally, rev. (1992) Harvard Common Press.

Dick-Read, Grantly. Childbirth Without Fear: principles and practice of natural childbirth, 2nd ed. (2013) Pinter & Marition.

Sears, William and Martha Sears. The Birth Book: everything you need to know to have a safe and satisfying birth. (1994) Little, Brown and Company.

Advertisements

Backache

The body undergoes physical changes in pregnancy in your balance, posture, and your mobility. Your center of gravity becomes thrown off due to abdominal protrusion in the front, enlargement of your breasts, and the anterior   (frontwards) rotation of the pelvis. In order to maintain stability, a pregnant woman tends to increase the strain on the back muscles and the vertebral column.

Another cause is the shortening of the hip flexor muscle group caused by the anterior rotation of the pelvis, as well as the increased size of the muscles of the abdomen. This is not helped when a pregnant woman leads a sedentary lifestyle.

Cross-legged Pregnant Woman

REASONS FOR BACKACHES

• Weight of the baby and the contents of the uterus
• Constipation
• Poor posture
• Standing for long lengths of time
• Urinary tract infections
• Over-working
• SCIATICA is a severe form of backache caused by the sciatic nerve being “pinched” or pressure placed on the nerve.
• The pain radiates to the legs
• Occurs due to growing baby and the womb that causes pressure on the nerve.
• The kidneys can also be affected, do the growing uterus causing pressure.

RECOMMENDATIONS

Good posture can assist sciatic nerve issues. When you improve the posture, not only will the backache be relieved but eating and breathing will improve. You find digestion is much easier as well.

Begin by keeping your head up, looking down throws your posture off. Keep your chin level. If you hold your head correctly your shoulders and back will automatically fall into place. Drop your shoulders to a position that is more natural, and avoid allowing the shoulder blades to be thrown back as it will cause a strain on your back.

Tuck your tailbone under to bring it into alignment. Pull inward the abdominal muscles and tucking the buttocks muscles…tilt your pelvis forward. This will act as a counter-balance to the tendency of arching the back.

• Wear flat comfortable shoes. Keep your knees relaxed, not locked
• Sit up straight in chairs and when you drive

Do stretching exercises, and / or exercise by walking briskly for 30 minutes a day, leg lifts and lunges, swimming, or Yoga. Avoid too many weight-bearing exercises . Doing exercise relieves muscle tension. It also Relieves emotional tension. Another thing you can do is to rock your hips, or make love passionately (no joke), the latter relieves pelvic congestion.

Relieve constipation:

• Constipation is directly connected to lower back pain and pelvic discomfort
• To keep from having constipation, drink more water and eat whole grains.
• Increase Calcium and magnesium (see: minerals hand-out).

Elevate your legs, preferably for 20 minutes a day (up on a chair or lying down with two pillows under them)

DIETARY RECOMMENDATIONS

Keep cold or raw foods to a minimum (these increase kidney strain). Eat grapes, pears, and apples as these are the least “watery” of the fruits and are less strain on the kidneys.

Minimalize fruit juices, and caffeine. (coffee, black tea, chocolate, cocoa, and soda). They act like adrenaline in the system due the chemicals they contain. Adrenaline aggravates the kidneys.

HERBAL RECOMMENDATIONS

If you are tired, feel overworked, or stressed you may be experiencing adrenal gland deficiency. The best herb to nourish the adrenals is nettle leaf, in a strong infusion (steeping for at least ½ hour). Nettle Leaf is one of the herbs found in your “Pregnancy Tea”.

Take St. John’s Wort and skullcap in a tincture form. About 20 to 30 drops in water or juice a couple of times a day. You can also apply the combination of Arnica and St. John’s Wort oils externally to relieve tension and promote the healing of the muscles of the back. It’s also helpful to use a warm water bottle on the area that has been treated with Arnica and / or St. John’s Wort.