May 26, 2014
With my first I was 17 and didn't do any research and didn't really know anything that went on with my body. I also didn't know what a birth plan was and what positions I could do. Well 6 years later it's time for me to take the wheel when it comes to my pregnancy and labor. My first I was induced, had drugs(not epi), and was on my back. This time NO DRUGS FOR ME, I will get induced if necessary and I will NOT be on my back for it is actually the worst position to give birth in and is done for the convenience of the doctor and as far as I'm concerned the doctor doesn't even need to be there. So here is some info for you already mommies and mommies to be I hope it helps. By the way I will be trying all positions to find what I find more comfortable for myself but I'm really interesting in squatting or on hands and knees.
LABOR LAYING ON YOUR BACK
While in lithotomy(laying on your back), if too much pressure is exerted on the woman's legs, excessive hip abduction and external rotation occur which can further distract the joint, forcing the sides of the pelvis apart, resulting in excruciating postpartum pain as well as prolonged supra-pubic pain for the mother and lasting complications after birth such as difficulty walking severe enough to require the use of crutches or a wheelchair, or more rarely, bladder dysfunction. Dorsal lithotomy also restricts a woman from freely moving and puts greater pressure on the perineum, all of which can lead to other unnecessary interventions or complications like tearing, episiotomy, forceps delivery, or vacuum extraction. Not to mention this position will also cause the mother to be pushing upward and against gravity and we all know how great gravity is for a baby to come out. In addition, risk to the baby also increases. Ineffective birth positions like lithotomy can compress major blood vessels which interferes with circulation and lowers maternal blood pressure, which can then lower fetal transcutaneous oxygen saturation as much as 91% decrease fetal heart rate or contribute to other forms of fetal distress, including cord compression, which may lead to continuous or internal fetal monitoring, increased risk of shoulder dystocia/problems with fetal presentation, or a prolonged pushing phase
HANDS AND KNEES POSITION(DOGGY STYLE)
Quadruped childbirth positions, which include the "crawl" and the "full moon", are beneficial for back labor, turning a posterior baby, and are often the best birth positions for birthing a large baby.
Sitting positions combine the helpful force of gravity with relaxation. A birth ball, rocking, or toilet sitting can be utilized to rest while gravity helps labor progress.
Squatting positions are helpful in opening the pelvis to allow a baby to find the optimal position for birth. Squatting can be performed through use of a birth companion or a tool such as a squatting bar.
SIDE LYING POSITIONS
Lateral or Side-lying positions are beneficial for resting during a long labour, promoting body-wide relaxation, and minimizing extra muscular effort. They are best used in the latter stages of labor since gravity isn't able to speed the process.
UPRIGHT OR STANDING POSITIONS
Upright positions for childbirth use gravity to the mother's advantage. They help the baby drop into the pelvis and prevent pressure from being concentrated in a particular spot. They also allow the birth companions to apply other comfort measures easily. They represent the most under-used birth positions.