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Why CounterPressure in Labor is Counterproductive

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

Your child’s place significantly 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 deliver ache aid and optimum child positioning.

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

Counterpressure for labor graphic showing a mom on a birth ball

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 in the back of your pelvis. This plate is your sacrum; above the plate is your backbone.

The sacrum types 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 means of it!). Try the graphic under 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 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. 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 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 whenever you labor with a child within the posterior place. As you may see, the child’s head pushes in opposition to 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 loads of strain throughout early labour, when the child 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 strain on the sacrum, again ache will get extra pronounced.

(NOTE: Need a Good Start Plan Template? Use this template and step-by-step movies to jot down a beginning plan that will get your beginning staff in your aspect for an exquisite beginning expertise! Get the birth plan kit here.)

Handle Labor Pain

CounterPressure Methods for Fast Ache Aid

The aim of counter-pressure in labor is to provide ache aid. By pushing in onerous in your sacrum, your beginning companion 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 answer considered one of my MamaBaby Birthing course college students got here up with:

mom leans on birth ball during labor

Listed here are directions in your help 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 photograph 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 in your stability and to maintain the mother safe
  • Use your fist, heel, or a tennis ball to press firmly into her again

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

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

The quantity of strain it is advisable use could appear to be quite a bit, however it should deliver big aid to her!

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

Doula demonstrating counter pressure with ball

This methodology is usually 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 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 contemplate 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 targeted 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 an exquisite, secure, and assured beginning expertise.

Handle Labor Pain

Getting Lasting Aid (and a Smoother Start)

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 fairly than serving to her or him to rotate. This results in a protracted 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 remedy. If you happen to’ve been working onerous, really feel extreme ache, or your child is a persistent posterior and you feel 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 feel extra in management, your beginning companions can add in further methods.

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 additionally stand for this method.
  • Have her flex her hips
  • Use your fingers to seek out her hip bones, the transfer your arms in direction of the roundest a part of her bum.

This video demonstrates easy methods to transfer your arms:

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

You could must attempt some totally different positions. These movies present easy methods to press – use a gradual 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 companion!

Utilizing the heel of your arms may 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 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 deliver extra aid to the mom. Collectively they can assist considerably!

(NOTE:Need Labor Ache Methods 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.)

Handle Labor Pain

Extra Methods for Again Labor

Most infants will flip throughout labor. Infants wish to flip anterior. Some infants are born “sunny aspect 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 Ideas for Getting Your Child Right into a Good Place

Your aim 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 superbly in your child!

Posture could play a job 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 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 aspect, leaning barely into your stomach.

Husband doing hip squeeze on wife

Ideas for Positioning Child Throughout Labor

Throughout labor you need to use a number of the similar methods – 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 may naturally transfer to positions or transfer in ways in which assist your child transfer down. Outdoors the bathtub, attempt standing the place you rock and sway your hips.

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

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

Stomach sifting is finest executed with somebody skilled to point out you easy methods to do it (your doula is a good 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 means of intense contractions. You are still encouraging your child to show and transfer down by means of 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 adjustments are particularly vital in the event 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 attempt in the event 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 shifting your child. Here is easy methods to do it:

  • Get down on arms and knees, then kneel
  • Be sure you’re steady in a kneeling place
  • Slowly lean down, crossing your arms to kind a relaxation in your brow
  • Carry your bum into the air
  • Have your help individual 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 a protracted time period, however it’s wonderful for transfer child again out of your pelvis. This may ease again labor and create room in your child to rotate.

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

Then stand up and transfer into a way 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 gradual dancing whereas leaning into your companion.

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

Gradual Dancing

Gradual dancing, or different positions that give your hips plenty 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 lavatory 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 bought 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 bought 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 Start 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 doubtless, 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 may immerse in a beginning tub.  Water birth is a great option for you and baby!

You may have a bath in the event you’re having a house beginning, and lots of beginning middle and hospital birthing rooms now provide a bath for labor (and generally hospital employees is open to water beginning as properly).

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 terrific aid that many mothers swear by it! Research have proven that birthing in water may be as efficient as ache medication for a lot of mamas.

It will not completely take the ache away, as an epidural may, however it 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 obtainable for labor has different advantages, like reducing blood strain and supplying you with freedom of motion. Transferring extra simply can assist you get your child in a superb place for birthing. Along with lessening muscle stress, the heat water can assist you soften and loosen up pelvic muscle tissues, providing child a neater time rotating.

These proactive actions not solely aid you deal with these heavy contractions whereas child is posterior, they aid 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 means of 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 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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