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Why CounterPressure in Labor is Counterproductive

Utilizing counterpressure in labor is a fast approach to convey ache aid when wanted! Most ladies know “again labor” could make contractions extra painful, and that counter-pressure stops that. It is a good instrument, but it surely’s additionally necessary to perceive why again labor occurs and when different strategies can convey aid and get labor transferring extra easily.

Your child’s place tremendously impacts what you’re feeling in the course of the contractions. Utilizing strategies that reposition your child can velocity labor up and make contractions much less painful. 

I am going to talk about what causes again labor, the professionals and cons of counter strain, and different consolation measures to convey ache aid and optimum child positioning.

In the event you’re hoping for an unmedicated beginning, I am going to cowl tricks to get the ache beneath management, get baby in a good position, and have the pure beginning expertise you have ready for!

What’s Again Labor and Why am I Having It?

Counterpressure is utilized in labor for again labor.

Again labor is persistent ache in your again, particularly low in your again round and simply above your tailbone. Your tailbone (technically referred to as your coccyx) attaches to a bony plate behind your pelvis. This plate is your sacrum; above the plate is your backbone.

The sacrum varieties the again of your pelvis and attaches to the remainder of your pelvic bones by cartilage that softens throughout being pregnant (your pelvis is not inflexible and your child can transfer by it!). Take a look at the graphic beneath to see the sacrum: 

Image of a model pelvis with hand pointing to sacrum

Again labor is felt as decrease again ache – in your tailbone, your sacrum, and the decrease a part of your backbone.

This labor ache is commonly due to a posterior child, which implies your child’s again is up towards your again. The again of your child’s head pushes towards the tailbone and sacrum throughout contractions, inflicting again labor. You could hear this child place known as occiput posterior. 

The “occiput” is your child’s head. Click here to read my full article on baby position – it contains illustrations and video!

doll's head in a model pelvis showing posterior positioning

I used my useful doll mannequin, Ari, to point out you what occurs whenever you labor with a child within the posterior place. As you’ll be able to see, the child’s head pushes towards the sacrum and tailbone because it engages throughout lively labor:

baby doll head pushes back against the sacrum on model pelvis

You could not really feel a variety of strain throughout early labour, when the child remains to be greater within the pelvis. However as child strikes down throughout lively labour and the again of his or her head places intense strain on the sacrum, again ache will get extra pronounced.

(NOTE: Desire a Good Beginning Plan Template? Use this template and step-by-step movies to write down a beginning plan that will get your beginning workforce in your facet for a lovely beginning expertise! Get the birth plan kit here.)

Handle Labor Pain

CounterPressure Methods for Fast Ache Reduction

The aim of counter-pressure in labor is to present ache aid. By pushing in onerous in your sacrum, your beginning accomplice helps to push again towards child’s head, lessening the ache that you simply really feel.

It is efficient, which is why there are tales of daddies exhausted from hours of counterpressure. Some doulas carry tennis balls of their beginning baggage to rub into the sacrum and provides counter strain. Here is an image of the artistic answer certainly one of my MamaBaby Birthing course college students got here up with:

mom leans on birth ball during labor

Listed here are directions on your help particular person to do counter-pressure successfully:

  • Have the mother lean ahead over the mattress, on a beginning ball, or on hands-and-knees like within the photograph above
  • Find the mother’s sacrum – it’s miles down on her decrease again, simply above the tailbone.
  • Maintain the entrance and prime of the hip bone on your steadiness and to maintain the mother safe
  • Use your fist, heel, or a tennis ball to press firmly into her again

You could have to attempt completely different counter strain factors over or to the facet of the sacrum (generally on the prime of her bum) – you’ll know whenever you get the “proper” spot!

Preserve regular strain on this space – keep away from rubbing, massaging, and so forth.

The quantity of strain you’ll want to use could seem to be quite a bit, however it should convey big aid to her!

Utilizing a ball to therapeutic massage and apply counterpressure in labor:

Doula demonstrating counter pressure with ball

This technique is commonly very efficient at controlling the ache of labor and beginning!

In truth, the issue is not that counterpressure relieves ache. The issue is that is the one factor it does!

Whereas it is an enormous aid to cease that ache, it does not handle the reason for the again labor to start with, which is child’s place.

Use the approach to get a break from the depth of the contractions, however think about combining it with different strategies that assist open the pelvis so child can rotate and transfer into an optimum place.

This each lessens the ache and helps labor transfer ahead easily (and possibly extra shortly!).

On the lookout for a pure childbirth course that is evidence-based AND centered on honoring your intution and energy throughout your birthing time?

Click here for details on MamaBaby Birthing, my complete online birthing course. Utilized by hundreds of birthing households, you may be utterly ready for a lovely, protected, and assured beginning expertise.

Handle Labor Pain

Getting Lasting Reduction (and a Smoother Beginning)

husband does counterpressure on wife's back

The aim of labor and birthing is to get your child out! Counterpressure in labor could trigger your child to take longer to show and be born as a result of it is simply pushing again towards your child relatively than serving to her or him to rotate. This results in an extended labor, or perhaps a labor stall, which isn’t what you need!

Counter-pressure brings aid and should purchase you relaxation time with out utilizing ache treatment. In the event you’ve been working onerous, really feel extreme ache, or your child is a persistent posterior and you are feeling worn out, undergo a couple of contractions with counter-pressure.

Relaxation between, and benefit from the lessened depth whereas somebody applies strain to your sacrum. As soon as you are feeling extra in management, your beginning companions can add in further strategies.

These could result in a shorter period of labor! Good labor progress and a neater beginning are each doable whenever you create more room in the pelvis.

The Double Hip Squeeze

Among the best strategies for that is the Double-Hip Squeeze:

  • Have the mother get on arms and knees or lean ahead over the beginning ball/mattress. She will be able to additionally stand for this method.
  • Have her flex her hips
  • Use your fingers to search out her hip bones, the transfer your arms in the direction of the roundest a part of her bum.

This video demonstrates methods to transfer your arms:

Use the flat or heels of your arms to use strain in, in the direction of the middle of her physique

You could have to attempt some completely different positions. These movies present methods to press – use a gradual urgent motion as soon as you discover the appropriate place

It’s also possible to do that with a helper, which makes it simpler for the beginning accomplice!

Utilizing the heel of your arms could be more practical than the flat if the mother desires a variety of strain. If doing this with two beginning companions, place one hand over your different as you push in.

The Double Hip Squeeze supplies strain aid and might help open up the underside of the pelvis. 

When mother is in a hands-and-knees place the ischial tuberosities (sitz bones) can unfold extra simply, serving to the child rotate into an optimum place whereas relieving strain for the mom. The mama’s forward-leaning place additionally encourages the child to rotate.

Alternate the double-hip squeeze with counter-pressure if wanted to assist convey extra aid to the mom. Collectively they might help considerably!

(NOTE:Need Labor Ache Methods that REALLY Work? Get these 11 mom-tested strategies for dealing with contractions from begin to end Get the mom-tested natural labor techniques here.)

Handle Labor Pain

Extra Methods for Again Labor

Most infants will flip throughout labor. Infants wish to flip anterior. Some infants are born “sunny facet up,” however most will activate their very own throughout labor until hindered by drugs (proof reveals that the epidural, for instance, causes infants to be posterior).

Being pregnant Suggestions for Getting Your Child Right into a Good Place

Your aim throughout birthing it to assist your child do the turning he/she must. In the event you can persuade your child to show earlier than labor, that is the best!

Your pelvis is perfect for birthing your baby and can OPEN superbly on your child!

Posture could play a job in that – do not lean again in chairs too typically! Sitting on a beginning ball and leaning ahead barely (comfortably) on the hips is an effective approach to sit at your desk/desk.

Spending a while kneeling or on hands-and-knees every day will assist too.

Have to stretch out? Lie down on the sofa in your left facet, leaning barely into your stomach.

Husband doing hip squeeze on wife

Ideas for Positioning Child Throughout Labor

Throughout labor you should utilize a number of the identical strategies – sitting on a beginning ball or hands-and-knees positions can encourage the child to show. 

If you will get right into a beginning tub, you may discover that your freedom of motion will increase. You will naturally transfer to positions or transfer in ways in which assist your child transfer down. Exterior the bathtub, attempt standing the place you rock and sway your hips.

Your beginning accomplice is not neglected. She or he can help you standing (keep away from squats till the child has turned).

Some strategies, such because the hip press or stomach sifting (finished with a rebozo or scarf) can create extra room inside your pelvis and get child to show.

Stomach sifting is finest finished with somebody skilled to point out you methods to do it (your doula is a superb useful resource!) – this video provides a fast preview:

Strolling and hip spiraling/dancing, sitting on a beginning ball, and spiraling your hips are nice methods to maneuver by intense contractions. You are still encouraging your child to show and transfer down by your pelvis.

Place Adjustments

Strikes from any of the above positions to a different can open up room in your pelvis and assist your child transfer down. Place modifications are particularly necessary should you’ve been reclining again for some time. Getting up and transferring to a greater place cannot solely get your child transferring down, but additionally helps relieve ache.

Good positions to attempt should you’re feeling again ache:

  • Standing and swaying your hips
  • Strolling
  • Fingers-and-knees (ideally with a hip press)
  • Sitting on a beginning ball
  • Open knee-chest place

The Open Knee-Chest Place

This place is good for transferring your child. Here is methods to do it:

  • Get down on arms and knees, then kneel
  • Be sure to’re secure in a kneeling place
  • Slowly lean down, crossing your arms to kind a relaxation on your brow
  • Raise your bum into the air
  • Have your help particular person put a folded blanket or mat beneath your knees to ease the strain on them, if wanted.

This place is not essentially the most snug or sustainable for an extended time period, however it’s glorious for transfer child again out of your pelvis. This could ease again labor and create room on your child to rotate.

This can be a good place to make use of should you’re feeling again strain or ache in early labor. Attempt to keep on this place for half-hour or so.

Then rise up and transfer into a method that may assist child rotate, equivalent to sitting on a beginning child whereas leaning ahead into the mattress. It’s also possible to sit up on the beginning ball and rotate your hips. Or attempt sluggish dancing whereas leaning into your accomplice.

Here is a full list of positions to try during labor.

Gradual Dancing

Gradual dancing, or different positions that give your hips numerous motion, might help you deal with labor’s vitality whereas encouraging your child to spiral down into the pelvis in an optimum place.

Throughout my labors I appreciated to lean on my rest room counter, which is a low counter. I pressed my arms down firmly into the counter, about shoulder-width aside. That supported my weight so I may sway or spiral my hips backwards and forwards.

This was my favored place till I acquired into the beginning tub with my previous few infants. It helped me cope with the contractions (generally moaning/vocalizing too) whereas additionally transferring my infants down.

Labor progressed in a short time as soon as I acquired within the tub!

Need to know extra about how I deal with labor ache after 8 infants?  Click here to listen to my podcast on labor pain!

Husband helps wife with Counterpressure during labor

Water Beginning Advantages

In case your beginning coach can get into the birthing tub with you, making use of counter strain or doing a hip squeeze is feasible. It is extra probably, nevertheless, that you’re going to be within the tub your self with out that added approach.

Heat water has been proven to assist in labor all by itself, particularly when you’ll be able to immerse in a beginning tub.  Water birth is a great option for you and baby!

You’ll be able to have a bath should you’re having a house beginning, and plenty of beginning middle and hospital birthing rooms now provide a bath for labor (and generally hospital employees is open to water beginning as effectively).

Water helps present even help and strain round your physique, taking away a number of the weight and instantly canceling out some aches and labor ache. It is such a fantastic aid that many mothers swear by it! Research have proven that birthing in water could be as efficient as ache drugs for a lot of mamas.

It will not completely take the ache away, as an epidural would possibly, but it surely relieves the discomfort of the contractions to be able to get right into a rhythm and deal with labor extra simply.

Having a beginning tub out there for labor has different advantages, like decreasing blood strain and providing you with freedom of motion. Shifting extra simply might help you get your child in an excellent place for birthing. Along with lessening muscle stress, the heat water might help you soften and calm down pelvic muscle tissues, providing child a neater time rotating.

These proactive actions not solely enable you deal with these heavy contractions whereas child is posterior, they enable you get your child to show and put together for an easy journey into your arms.

Need private help to remain wholesome and low-risk by your being pregnant? Eager for genuine steering to make your sacred beginning dream a actuality?

Click to book a pregnancy and birth visioning call with me. We’ll speak about your hopes and goals and discover if my being pregnant teaching program is an effective match for you.

Handle Labor Pain

The Labor Ache Administration Sequence

Husband uses rebozo on wife

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