Those women whose babies will occupy the position in the uterus with their ass or legs down (the so-called pelvic presentation) if the expectant mother will have a significant increase in blood pressure and, finally, weaken, become too rare, contractions and to correct the situation you will need to put a drip. In all these situations, movements can aggravate the problem or interfere with its treatment.
And all other women whose childbirth proceeds without problems, it is better to move during labor. Due to this, the duration of labor is reduced, complications occur less often (one of the most frequent is weakening of contractions), which means that doctors rarely have to use different types of treatment (for example, stimulate contractions with the help of hormones) and interventions (open the membranes in order to strengthen the contractions of the uterus and adjust the rhythm of contractions; use obstetric forceps for weak attempts).
The active behavior of the future mother not only alleviates the pain (after all, women intuitively feel in what position the pressure on the pelvic bones of the baby will decrease), but it also helps the baby to pass the pelvis easier. Of course, this happens if a woman at each stage succeeds in finding postures that are most suitable for both her and the baby.
You can search for them, listening to yourself, already during contractions, or you can “learn” the possible options in advance at birth preparation courses.
With regard to the different positions of the body during childbirth, the classic semi-fit for women is not very natural.
The best option is vertical (kneeling, squatting on a special low chair), when the baby with its weight helps birth (for example, facilitating the final dilation of the cervix, if this process slows down). At the same time, the midwife cannot protect the woman’s perineum during vertical births (this is usually done by hand from the bottom).
This is why future mothers, who were once stitched to the perineum, will not benefit from this situation: there is a risk that a dissection will be required again.
Women who have under-treated inflammation of the vaginal walls (colpitis) by the end of pregnancy will have to give up the idea of vertical birth, otherwise the tissues of the perineum will have difficulty withstanding the strain. Another reason for refusing to give birth in an upright position will be the need to speed up the birth of a child – if, for example, his mother seriously increased pressure, her attempts were weak, bleeding started or the baby is acutely lacking oxygen.
Then the woman will be returned to the classical position – it will be easier to help her (put a drip, cut the crotch).
Another option for posture during childbirth is knee-elbow posture. The woman is on her knees, her torso is stretched forward, her arms bent at the elbows are resting on the pillow. The head rests on the pillow, with hands under it.
A midwife takes the baby from behind. Note that the obstacles to childbirth in this position will be the same situations that we talked about above.
As you can see, now future moms have a choice. Try to determine your preferences in advance and be sure to discuss them with the doctor who will give birth.
Advice on the choice of positions during contractions gives the expectant mother a midwife. But it is better to master them in advance, on courses for preparing for childbirth.