Why CounterPressure in Labor is Counterproductive

Utilizing counterpressure in labor is a fast strategy to deliver ache reduction when wanted! Most girls know “again labor” could make contractions extra painful, and that counter-pressure stops that. It is a good device, but it surely’s additionally vital to perceive why again labor occurs and when different strategies can deliver reduction and get labor shifting extra easily.

Your child’s place enormously impacts what you are feeling through the contractions. Utilizing strategies that reposition your child can pace labor up and make contractions much less painful. 

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

If you happen to’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 known 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 usually due to a posterior child, which suggests 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. It’s possible you’ll 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 consists of illustrations and video!

doll's head in a model pelvis showing posterior positioning

I used my useful doll mannequin, Ari, to indicate you what occurs if you labor with a child within the posterior place. As you’ll be able to see, the newborn’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

It’s possible you’ll not really feel loads of stress throughout early labour, when the newborn remains to be larger within the pelvis. However as child strikes down throughout lively labour and the again of his or her head places intense stress on the sacrum, again ache will get extra pronounced.

(NOTE: Need a Excellent Beginning Plan Template? Use this template and step-by-step movies to jot down a beginning plan that will get your beginning group in your facet for a good looking beginning expertise! Get the birth plan kit here.)

Handle Labor Pain

CounterPressure Strategies for Fast Ache Reduction

The aim of counter-pressure in labor is to present ache reduction. By pushing in laborious in your sacrum, your beginning accomplice helps to push again towards child’s head, lessening the ache that you just 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 luggage to rub into the sacrum and provides counter stress. Here is an image of the artistic resolution one among my MamaBaby Birthing course college students got here up with:

mom leans on birth ball during labor

Listed below are directions to 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 is down on her decrease again, simply above the tailbone.
  • Maintain the entrance and high of the hip bone to your steadiness and to maintain the mother safe
  • Use your fist, heel, or a tennis ball to press firmly into her again

It’s possible you’ll have to strive totally different counter stress factors over or to the facet of the sacrum (generally on the high of her bum) – you’ll know if you get the “proper” spot!

Hold regular stress on this space – keep away from rubbing, massaging, and so on.

The quantity of stress you’ll want to use might seem to be rather a lot, however it’ll deliver enormous reduction to her!

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

Doula demonstrating counter pressure with ball

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

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

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

Use the method to get a break from the depth of the contractions, however contemplate 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 1000’s of birthing households, you may be fully ready for a good looking, protected, and assured beginning expertise.

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Getting Lasting Reduction (and a Smoother Beginning)

The aim of labor and birthing is to get your child out! Counterpressure in labor might trigger your child to take longer to show and be born as a result of it is simply pushing again towards your child somewhat 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 reduction and can purchase you relaxation time with out utilizing ache medicine. If you happen to’ve been working laborious, really feel extreme ache, or your child is a persistent posterior and you feel worn out, undergo a number of contractions with counter-pressure.

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

These might result in a shorter length of labor! Good labor progress and a neater beginning are each doable if 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 palms and knees or lean ahead over the beginning ball/mattress. She will be able to additionally stand for this system.
  • Have her flex her hips
  • Use your fingers to search out her hip bones, the transfer your palms in the direction of the roundest a part of her bum.

This video demonstrates transfer your palms:

Use the flat or heels of your palms to use stress in, in the direction of the middle of her physique

It’s possible you’ll have to strive some totally different positions. These movies present press – use a gentle urgent motion as soon as you discover the best place

You too can do that with a helper, which makes it simpler for the beginning accomplice!

Utilizing the heel of your palms could be simpler than the flat if the mother needs loads of stress. If doing this with two beginning companions, place one hand over your different as you push in.

The Double Hip Squeeze gives stress reduction 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 newborn rotate into an optimum place whereas relieving stress for the mom. The mama’s forward-leaning place additionally encourages the newborn to rotate.

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

(NOTE:Need Labor Ache Strategies 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.)

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Extra Strategies for Again Labor

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

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

Your objective throughout birthing it to assist your child do the turning he/she must. If you happen to can persuade your child to show earlier than labor, that is the perfect!

Your pelvis is perfect for birthing your baby and can OPEN fantastically to your child!

Posture might play a task in that – do not lean again in chairs too usually! Sitting on a beginning ball and leaning ahead barely (comfortably) on the hips is an effective strategy 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.

Solutions for Positioning Child Throughout Labor

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

If you may 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. Outdoors the bathtub, strive standing the place you rock and sway your hips.

Your beginning accomplice is not disregarded. She or he can help you standing (keep away from squats till the newborn 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 greatest finished with somebody skilled to indicate you do it (your doula is a superb useful resource!) – this video offers 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 Modifications

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 vital when you’ve been reclining again for some time. Getting up and shifting to a greater place cannot solely get your child shifting down, but additionally helps relieve ache.

Good positions to strive when you’re feeling again ache:

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

The Open Knee-Chest Place

This place is right for shifting your child. Here is do it:

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

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

It is a good place to make use of when you’re feeling again stress or ache in early labor. Attempt to keep on this place for half-hour or so.

Then rise up and transfer into a way that can assist child rotate, comparable to sitting on a beginning child whereas leaning ahead into the mattress. You too can sit up on the beginning ball and rotate your hips. Or strive 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 a lot of motion, might help you deal with labor’s power whereas encouraging your child to spiral down into the pelvis in an optimum place.

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

This was my favored place till I received into the beginning tub with my previous few infants. It helped me take care of the contractions (generally moaning/vocalizing too) whereas additionally shifting my infants down.

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

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

Water Beginning Advantages

In case your beginning coach can get into the birthing tub with you, making use of counter stress or doing a hip squeeze is feasible. It is extra seemingly, nevertheless, that you will be within the tub your self with out that added method.

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 bathtub when you’re having a house beginning, and plenty of beginning middle and hospital birthing rooms now supply a bathtub for labor (and generally hospital workers is open to water beginning as effectively).

Water helps present even help and stress round your physique, taking away a number of the weight and instantly canceling out some aches and labor ache. It is such an excellent reduction 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 as a way to get right into a rhythm and deal with labor extra simply.

Having a beginning tub accessible for labor has different advantages, like reducing blood stress and providing you with freedom of motion. Transferring extra simply might help you get your child in a great place for birthing. Along with lessening muscle stress, the heat water might help you soften and loosen up pelvic muscle groups, providing child a neater time rotating.

These proactive actions not solely make it easier to deal with these heavy contractions whereas child is posterior, they make it easier to get your child to show and put together for a simple 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 discuss your hopes and desires and discover if my being pregnant teaching program is an effective match for you.

Handle Labor Pain

The Labor Ache Administration Sequence

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