December 2010 Moms

Birthing Positions- Let's talk L&D

...and forget the fact that it scares the crap out of most of us!! :)) So I'm reading a book called "Birthing from Within," and it promotes birth without using pain medication. I am learning a lot from it, but the last chapter I read was about birthing positions.

The book strongly promotes NOT delivering on your back. They say to try standing, hands and knees, side lying, sitting on side of bed, etc... It goes into great detail about medical problems/slowing delivery if you deliver flat on your back. It really kind of opened up my mind to these ideas- I guess I just never considered any other way.

So, mamas (1st time and old timers), what are your thoughts on birthing positions? What do you plan on doing & why?  

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Re: Birthing Positions- Let's talk L&D

  • All my natural GF's squatted. They said it felt better than anything else. I personally don't know. LOL
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  • I've seen two live births and I thought it was so freakin cool, but now that my turn is coming up I'm not so sure about it. I am prpbably going to deliver in a hospital so that pretty much means on my back. I've had 2 M/C and I don't want to chance lossing this baby also. I think if you have no complicaitons during your pregnancy then try a Midwife since you have more control. I watched A Baby story yesterday and it was this lady's 4th child. The frist 3 were born in a hospital and she decided to do the 4th at home in a birthing pool. When she delivered she was on her hands and knees. He seemed so in control of the whole situation and it was just cool watching that happen.
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  • I have never thought about it.  I'm assuming I'll learn more at our birthing class.  I'm all for doing things the easiest and less painful way possible.
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  • My hosital doesn't allow any positions other than on your back and feet in stirrups. You can labor anyway you want but when it comes time to push it's up in bed you go!
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  • imagelilmgirl:
    I have never thought about it.  I'm assuming I'll learn more at our birthing class.  I'm all for doing things the easiest and less painful way possible.

    That's what got me thinking when I read it in the book. They said that on your back is the most painful, slow way to deliver. Someone described it as "pushing the baby out uphill." I've heard the other positions open up your pelvis and help baby descend more (which makes sense). I'm planning on bringing it up to my OB today and see what she has to say about it.  

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  • imagefmgrice:
    My hosital doesn't allow any positions other than on your back and feet in stirrups. You can labor anyway you want but when it comes time to push it's up in bed you go!

    Eek. I probably need to ask about this, too. I wish hospitals didn't have policies on how YOU want to push your baby out of your body.  

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  • My MW will let me do what I need to do to get the baby out. I'm not sure I'm going to attempt a natural birth but with my MW I know I have that option.

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  • With DD I walked around until I couldn't take it anymore (which was 8cm) then I got an epidural.  I know that walking around helped me go from 4 to 8 cm in an hour and a half.  After the epi you have no chose but to lay on your back.  I plan on doing pretty much the same thing this time.
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  • imagesssysami:

    ...........

    ????? 

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  • imagefmgrice:
    My hosital doesn't allow any positions other than on your back and feet in stirrups. You can labor anyway you want but when it comes time to push it's up in bed you go!

     

    that is the STUPIDEST thing I have ever heard!!

    birthing on your back can cause delays in descending the baby... I can not believe hospitals are still so out of date when it comes to delivering babies... makes me sick..

     I'm a 3rd time mommy and learned through my other 2 what to do...

    The hospital I will be at, is a very NATURAL hospital. I'm allow to birth/push anyway I want... They have a brthing stool, birthing ball, birthing tub all at the hospital...

    I'm hoping to be squatting in the birthing tub, when I need to be pushing.. I will not be anywhere near that bed except too maybe hold on..

  • When I was in labor, I was in all kinds of positions, on my hands and knees, sitting, walking, etc. But for delivery, I was on my back and it was fine. (I had a med free birth)
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  • imageSchick'sChick:

    imagefmgrice:
    My hosital doesn't allow any positions other than on your back and feet in stirrups. You can labor anyway you want but when it comes time to push it's up in bed you go!

    Eek. I probably need to ask about this, too. I wish hospitals didn't have policies on how YOU want to push your baby out of your body.  

    I know, it sucks but I think it's a liability thing. I would love to try a tub or birthing stool but I think I would have to do it at home if I really wanted it. I thought about trying a home birth but I don't want to risk anything going seriously wrong. There aren't any birthing centers around me or I would look into that.

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  • imageSchick'sChick:
    imagesssysami:

    ...........

    ????? 

     

    I forget to included someones answer as a quote.. I'm new to this board, still trying to figure it all out

  • imagefmgrice:
    imageSchick'sChick:

    imagefmgrice:
    My hosital doesn't allow any positions other than on your back and feet in stirrups. You can labor anyway you want but when it comes time to push it's up in bed you go!

    Eek. I probably need to ask about this, too. I wish hospitals didn't have policies on how YOU want to push your baby out of your body.  

    I know, it sucks but I think it's a liability thing. I would love to try a tub or birthing stool but I think I would have to do it at home if I really wanted it. I thought about trying a home birth but I don't want to risk anything going seriously wrong. There aren't any birthing centers around me or I would look into that.

     Have you looked for other hospitals??

    The hospital that we are going too, has a birthing center inside of it....

    I think it is funny hospitals have these policys, I also want to bet that this hospital has a high csection rate... hmmm

  • imagesssysami:
    imagefmgrice:
    imageSchick'sChick:

    imagefmgrice:
    My hosital doesn't allow any positions other than on your back and feet in stirrups. You can labor anyway you want but when it comes time to push it's up in bed you go!

    Eek. I probably need to ask about this, too. I wish hospitals didn't have policies on how YOU want to push your baby out of your body.  

    I know, it sucks but I think it's a liability thing. I would love to try a tub or birthing stool but I think I would have to do it at home if I really wanted it. I thought about trying a home birth but I don't want to risk anything going seriously wrong. There aren't any birthing centers around me or I would look into that.

     Have you looked for other hospitals??

    The hospital that we are going too, has a birthing center inside of it....

    I think it is funny hospitals have these policys, I also want to bet that this hospital has a high csection rate... hmmm

    I've thought about other hospitals but this one is the closest and I really like the doctors. They actually have the lowest C-section rate in the area. Like I said though, they'll let you labor anyway you want and I think is the most important part. By the time you go to push the baby has already descended to where it needs to.

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  • we are driving 1 hr away for our hospital.. :)
  • My thought: When it happens it happens for me.

    Both daughters were born right after I got to the hospital, I barely had time to get hooked up to monitors..But both labors I was sitting/squating so I think i want to do that again, since it helped a great deal with pushing.

    ????????
  • As I'm still staring a mandatory c-section in the face, I'm not thinking about this too much.

    Plus I don't know my hospital's policy.  I know they let you labor however you want, but I'm not sure about delivery. We start our classes at the hospital next week.

  • imagefmgrice:
    My hosital doesn't allow any positions other than on your back and feet in stirrups. You can labor anyway you want but when it comes time to push it's up in bed you go!

    I *believe* this my hospitals policy as well, tho I plan to ask when I tour L&D (need to do that!!!)  basically everyone I know has done it that way so I figure I'll be fine..

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  • Ooh my midwife suggested this book, I really want to read it. I've been reading The Birth Partner by Penny Simkin and I've been learning a lot as well. I don't want to lay on my back unless I'm too exhausted and can't do anything else. But I do have a midwife and I'm sure her and my husband will help me get into whatever position is most comfortable and quick. I plan on bringing that giant exercise ball which I hear is great to lean and rock on.
  • I'm hoping to learn all the laboring positions to try and use them until it's time to push.  My hope is that when the baby is ready to come, she'll come whether I'm squatting, standing on my head (ok, maybe not) or in the hospital bed.  These laboring questions are on my list for my OB when I see her in a few weeks.  Every birth is different and I am prepared for the unexpected.  I'll just have to do my best to go in with confidence and hope for the best.

    Yesterday I read the book "Easy Labor" by William Camann, MD and Kathryn J. Alexander, MA. (Amazon link https://tinyurl.com/37ydhbu ) I found it be an informative, and balanced look at medical and non-medical pain relief strategies- everything from epidurals to aromatherapy. It also included a discussion of birthing fears and interviews with various labor care providers (doulas, midwives, MDs), real women and, even included birth stories from labor care providers and how they birthed their children.

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  • I was squatting during my son's waterbirth at home. My hubbie was behind me supporting my back, my mom and doula were holding my knees back...wonderful experience with extremely quick and easy recovery. Lying down during labor was the most painful position I tried. Lots of hands and knees and squatting and movement were the most comfortable for me.
  • I have asked about this and my doctor was very vague. I am very against being on my back and have told him so multiple times. I figure I'll try to laber at home as long as I can so that I can be as free as possible lol... I'm sure that will go out the window as we get closer.  I need to ask more about it... I just don't want to be forced to be on my back.. it makes no sense to me... I mean they don't want you to sleep on your back that late but they want you to deliver on your back? How can that make any sense?
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  • imageCRFJAG:

    There has to be something said about all those "I didn't know I was pregnant" girls who squat on the toilet and bam, they thought they took the biggest dump of their lives and instead gave a newborn baby a swirly.  Stick out tongue

    Ok, ok... don't attack me for that one... but I watched "The Business of Being Born" and I thought the squatting ones looked the "easiest."  I'm not saying I'm going to pop a squat when it comes to pushing on my own, but it's definitely something to consider! 

    I'm pretty sure my OB mentioned that while the hospital doesn't allow midwives, they have a birthing center with a tub and everything.  I don't know if that means I can labor in the tub and then pop my LO out on the table or what, but I'm sure I'll find out soon enough!

    I have some nerve issues in my hip due to sports injuries, so I'm concerned about laying on the table with my legs being pushed back.  I've had my hip cramp up during the deed before, and I can only imagine that would hinder the process.  I'm thinking laying on my left side might actually be the best for me, but I'm willing to wait it out and see how I feel!

    If your hospital has a tub then you should definitely try that! You can move around very easily and weightlessly and lean forward and take the weight off your back.Might be something to look into. I wish we had that at our hospital. 

  • imageCRFJAG:

    There has to be something said about all those "I didn't know I was pregnant" girls who squat on the toilet and bam, they thought they took the biggest dump of their lives and instead gave a newborn baby a swirly.  Stick out tongue

    Ok, ok... don't attack me for that one... but I watched "The Business of Being Born" and I thought the squatting ones looked the "easiest."  I'm not saying I'm going to pop a squat when it comes to pushing on my own, but it's definitely something to consider! 

    I'm pretty sure my OB mentioned that while the hospital doesn't allow midwives, they have a birthing center with a tub and everything.  I don't know if that means I can labor in the tub and then pop my LO out on the table or what, but I'm sure I'll find out soon enough!

    I have some nerve issues in my hip due to sports injuries, so I'm concerned about laying on the table with my legs being pushed back.  I've had my hip cramp up during the deed before, and I can only imagine that would hinder the process.  I'm thinking laying on my left side might actually be the best for me, but I'm willing to wait it out and see how I feel!

    I heart you. You make me laugh! Give the newborn baby a swirly- bwa ha ha! :)) But yeah, it does look easier with the squat. Who knows? I guess time will tell!  

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  • I'm pretty sure if you want drugs, then you have to be on your back. If I was delivering naturally with a midwive, then I'm sure I'd squat or choose some other more comfortable position. However, since I want the drugs and the monitoring, then I'll probably be on my back. I think it's well worth the trade off.
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  • imagetiffanyp:
    I'm pretty sure if you want drugs, then you have to be on your back. If I was delivering naturally with a midwive, then I'm sure I'd squat or choose some other more comfortable position. However, since I want the drugs and the monitoring, then I'll probably be on my back. I think it's well worth the trade off.

    Yes and no. There are medication options that are not a full epidural/spinal block that allow you to move around while laboring.

    But, yes, if you have an epidural, you're really not allowed to or move around much since you can't feel your legs.  That's why a catheter is also pretty much mandatory with one as well.

  • I think when you are in Stage 1, they advocate doing all the different positions, but I actually read that in Stage 2, it is sometimes helpful to be on the back, because it may relieve pressure on the pelvis and keep the baby from coming too fast and tearing your area.  I think I will try to do stage one without the epidural so I can get up and walk around (which you really can't do if you get one right away because it numbs your legs) and Stage 2 with, because I love me some drugs and am not ashamed :)
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  • imagecurlydoglover:

    imagetiffanyp:
    I'm pretty sure if you want drugs, then you have to be on your back. If I was delivering naturally with a midwive, then I'm sure I'd squat or choose some other more comfortable position. However, since I want the drugs and the monitoring, then I'll probably be on my back. I think it's well worth the trade off.

    Yes and no. There are medication options that are not a full epidural/spinal block that allow you to move around while laboring.

    But, yes, if you have an epidural, you're really not allowed to or move around much since you can't feel your legs.  That's why a catheter is also pretty much mandatory with one as well.

    Interesting option. I didn't know such drugs existed. I'll probably still opt for the full-blown epidural though. I'm not a hero. Smile

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  • I'm planning on playing it by ear.  Whatever feels best and most effective at the time. 

     

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  • imagetiffanyp:
    imagecurlydoglover:

    imagetiffanyp:
    I'm pretty sure if you want drugs, then you have to be on your back. If I was delivering naturally with a midwive, then I'm sure I'd squat or choose some other more comfortable position. However, since I want the drugs and the monitoring, then I'll probably be on my back. I think it's well worth the trade off.

    Yes and no. There are medication options that are not a full epidural/spinal block that allow you to move around while laboring.

    But, yes, if you have an epidural, you're really not allowed to or move around much since you can't feel your legs.  That's why a catheter is also pretty much mandatory with one as well.

    Interesting option. I didn't know such drugs existed. I'll probably still opt for the full-blown epidural though. I'm not a hero. Smile

    They talk about something called a Combined Spinal Epidural, or a "walking epidural", in my book.  It's a lower dose epidural combined with a pain-reliever (typically a narcotic).  It takes effect faster but, obviously, wears off faster as well (though they leave the catheter in place if they need to administer more).  Apparently you don't get to do much walking, per se (enough to shuffle to the bathroom, KWIM?), but it leaves you more mobile in bed or in a chair, etc.

    But it depends on if your hospital and anesthesiologist use it.  I've heard a lot of places don't.

  • imageCRFJAG:

    Alright, I $hit you not, but I had a student who did this.... it was a huge cluster-phuk and didn't end well, but that was only because of some other VERY poor decisions that followed the birth.  When all the crap was going down in the school and her parents were in the newspaper every other week, *Swirly* may or may not have been a code name to discuss said student/family.  I know, I know... in very poor taste. *hangs head in shame for a sec*

    OMG, that's an awesome code name! Sorry to the people if it didn't end well, but that's pretty comical.

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  • I gotta tell you I don't think that I have the muscle strength in my legs to squat and push!  Maybe I should start working out those squatting muscles. 

    And, with my last delivery (a med-free VBAC) I didn't even give it any thought.  They broke down the bed, gave me stirrups (which I actually liked) and I pushed that way, semi-sitting up.  I didn't really have all my faculties to say "I'd like to squat, please!"  Plus, I was under continuous monitoring (VBAC) and had an IV (GBS+) so I can't imagine getting up with all those wires and trying to squat.  I really hope I don't need the IV this time and that I can use the wireless monitors! 

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