Why CounterPressure in Labor is Counterproductive

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

Your child’s place significantly impacts what you’re feeling throughout the contractions. Utilizing methods 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 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 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 via 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. You might 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 indicate you what occurs whenever you labor with a child within the posterior place. As you may see, the newborn’s head pushes towards the sacrum and tailbone because it engages throughout energetic labor:

baby doll head pushes back against the sacrum on model pelvis

You might not really feel loads of strain throughout early labour, when the newborn remains to be greater 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 Good Delivery Plan Template? Use this template and step-by-step movies to jot down a beginning plan that will get your beginning staff in your facet for an exquisite beginning expertise! Get the birth plan kit here.)

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CounterPressure Methods for Fast Ache Aid

The aim of counter-pressure in labor is to offer ache reduction. By pushing in exhausting in your sacrum, your beginning companion 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 luggage to rub into the sacrum and provides counter strain. This is an image of the artistic answer one among my MamaBaby Birthing course college students got here up with:

mom leans on birth ball during labor

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

You might have to strive totally different counter strain factors over or to the facet of the sacrum (typically 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 seem to be rather a lot, however it’ll deliver large 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 truth, 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 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 shortly!).

In search of 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 will be fully ready for an exquisite, secure, and assured beginning expertise.

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Getting Lasting Aid (and a Smoother Delivery)

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 quite 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 reduction and can purchase you relaxation time with out utilizing ache treatment. If you happen to’ve been working exhausting, 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 methods.

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

The Double Hip Squeeze

Probably the greatest strategies for that is the Double-Hip Squeeze:

  • Have the mother get on fingers 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 fingers in direction of the roundest a part of her bum.

This video demonstrates tips on how to transfer your fingers:

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

You might have to strive some totally different positions. These movies present tips on how to press – use a gentle urgent motion as soon as you discover the fitting place

You may as well do that with a helper, which makes it simpler for the beginning companion!

Utilizing the heel of your fingers might be more practical than the flat if the mother desires 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 reduction 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 newborn rotate into an optimum place whereas relieving strain 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 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.)

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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 except hindered by medicines (proof exhibits that the epidural, for instance, causes infants to be posterior).

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

Your purpose 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 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 efficient method to sit at your desk/desk.

Spending a while kneeling or on hands-and-knees each 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 a number of the identical methods – 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 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, strive standing the place you rock and sway your hips.

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

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

Stomach sifting is greatest carried out with somebody skilled to indicate you tips on how to 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 via intense contractions. You are still encouraging your child to show and transfer down via 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 necessary when you’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 strive when 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. This is tips on how to do it:

  • Get down on fingers 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
  • Raise your bum into the air
  • Have your help 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 a protracted time frame, however it’s glorious for transfer child again out of your pelvis. This will ease again labor and create room to your child to rotate.

This can be a good place to make use of when you’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 can assist child rotate, akin to sitting on a beginning child whereas leaning ahead into the mattress. You may as well sit up on the beginning ball and rotate your hips. Or strive sluggish dancing whereas leaning into your companion.

This 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, can assist you deal with labor’s power whereas encouraging your child to spiral down into the pelvis in an optimum place.

Throughout my labors I favored to lean on my rest room counter, which is a low counter. I pressed my fingers 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 obtained into the beginning tub with my previous few infants. It helped me cope with the contractions (typically 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 Delivery 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 may immerse in a beginning tub.  Water birth is a great option for you and baby!

You may have a bath when you’re having a house beginning, and plenty of beginning heart and hospital birthing rooms now supply a bath for labor (and typically hospital workers 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 an important reduction that many mothers swear by it! Research have proven that birthing in water might be as efficient as ache medication 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 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 decreasing blood strain and providing you with freedom of motion. Shifting 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 muscular tissues, providing child a better time rotating.

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

Need private help to remain wholesome and low-risk via 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 desires and discover if my being pregnant teaching program is an efficient match for you.

Handle Labor Pain

The Labor Ache Administration Collection

Husband uses rebozo on wife

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