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Why CounterPressure in Labor is Counterproductive

Utilizing counterpressure in labor is a fast solution 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 software, however it’s additionally essential to perceive why again labor occurs and when different strategies can convey aid and get labor transferring extra easily.

Your child’s place vastly impacts what you’re feeling throughout the contractions. Utilizing methods that reposition your child can pace labor up and make contractions much less painful. 

I will 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.

Should you’re hoping for an unmedicated beginning, I will cowl tricks to get the ache below management, get baby in a good position, and have the pure beginning expertise you’ve got 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 kinds 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!). Try 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 suggests your child’s again is up in opposition to your again. The again of your child’s head pushes in opposition to the tailbone and sacrum throughout contractions, inflicting again labor. Chances are 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 point out you what occurs while you labor with a child within the posterior place. As you possibly can see, the infant’s head pushes in opposition to the sacrum and tailbone because it engages throughout energetic labor:

baby doll head pushes back against the sacrum on model pelvis

Chances are you’ll not really feel loads of strain throughout early labour, when the infant remains to be larger within the pelvis. However as child strikes down throughout energetic labour and the again of his or her head places intense strain 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 put in writing a beginning plan that will get your beginning staff in your facet for a lovely 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 aid. By pushing in arduous in your sacrum, your beginning accomplice helps to push again in opposition to 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 strain. Here is an image of the inventive resolution one in all my MamaBaby Birthing course college students got here up with:

mom leans on birth ball during labor

Listed here are directions on your assist individual 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 picture above
  • Find the mother’s sacrum – it is down on her decrease again, simply above the tailbone.
  • Maintain the entrance and prime of the hip bone on your stability and to maintain the mother safe
  • Use your fist, heel, or a tennis ball to press firmly into her again

Chances are you’ll 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 while you get the “proper” spot!

Maintain regular strain on this space – keep away from rubbing, massaging, and many others.

The quantity of strain it is advisable use could seem to be loads, however it can convey enormous aid to her!

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

Doula demonstrating counter pressure with ball

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

In actual fact, 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 would not tackle 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 take into account combining it with different methods 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 rapidly!).

Searching 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 will be fully ready for a lovely, secure, and assured beginning expertise.

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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 in opposition to your child reasonably 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 buy you relaxation time with out utilizing ache medicine. Should you’ve been working arduous, really feel extreme ache, or your child is a persistent posterior and you feel worn out, undergo just a few contractions with counter-pressure.

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

These could result in a shorter length of labor! Good labor progress and a neater beginning are each attainable while you create more room in the pelvis.

The Double Hip Squeeze

Top-of-the-line 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 additionally stand for this system.
  • 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 how you can transfer your arms:

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

Chances are you’ll have to attempt some completely different positions. These movies present how you can press – use a gentle urgent motion as soon as you discover the suitable 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 will be simpler than the flat if the mother needs loads of strain. If doing this with two beginning companions, place one hand over your different as you push in.

The Double Hip Squeeze offers strain aid and can assist 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 infant rotate into an optimum place whereas relieving strain for the mom. The mama’s forward-leaning place additionally encourages the infant to rotate.

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

(NOTE:Need Labor Ache Strategies that REALLY Work? Get these 11 mom-tested methods 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 wish to flip anterior. Some infants are born “sunny facet up,” however most will activate their very own throughout labor except 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 purpose throughout birthing it to assist your child do the turning he/she must. Should 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 fantastically on your child!

Posture could play a task 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 solution 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

Recommendations for Positioning Child Throughout Labor

Throughout labor you should utilize among the identical methods – sitting on a beginning ball or hands-and-knees positions can encourage the infant to show. 

If you may get right into a beginning tub, you will discover that your freedom of motion will increase. You may 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 disregarded. She or he can assist you standing (keep away from squats till the infant has turned).

Some methods, 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 how you can 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 essential if you happen to’ve been reclining again for some time. Getting up and transferring to a greater place can’t solely get your child transferring down, but in addition helps relieve ache.

Good positions to attempt if you happen to’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 transferring your child. Here is how you can 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 type a relaxation on your brow
  • Elevate your bum into the air
  • Have your assist individual put a folded blanket or mat below your knees to ease the strain on them, if wanted.

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

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

Then stand up and transfer into a way that may assist child rotate, comparable 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 gradual dancing whereas leaning into your accomplice.

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

Sluggish Dancing

Sluggish dancing, or different positions that give your hips a lot of motion, can assist you deal with labor’s vitality whereas encouraging your child to spiral down into the pelvis in an optimum place.

Throughout my labors I preferred 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 obtained into the beginning tub with my previous few infants. It helped me take care of the contractions (generally moaning/vocalizing too) whereas additionally transferring my infants down.

Labor progressed in a short time as soon as I obtained 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!

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 possible, nonetheless, 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 possibly can immerse in a beginning tub.  Water birth is a great option for you and baby!

You possibly can have a bath if you happen to’re having a house beginning, and lots of beginning middle and hospital birthing rooms now supply a bath for labor (and generally hospital employees is open to water beginning as properly).

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

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

Having a beginning tub out there for labor has different advantages, like reducing blood strain and providing you with freedom of motion. Shifting extra simply can assist you get your child in place for birthing. Along with lessening muscle pressure, the heat water can assist you soften and loosen up pelvic muscle tissue, providing child a neater time rotating.

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

Need private assist to remain wholesome and low-risk by your being pregnant? Eager for genuine steerage 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 Collection

Husband uses rebozo on wife

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