The position of normal childbirth, whether sitting up or lying down?

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Medical Video: Normal Vaginal Childbirth

Many doctors recommend that women who want to give birth to sit up or walk more often to speed up the labor process. However, the actual delivery position is actually determined by you. From the various labor positions that are often undertaken, such as sitting or lying down, which is better?

Giving birth in a lying position is easier to undergo normal labor and without forceps

A British researcher randomly gave a low-dose epidural during the second stage of labor to mothers who want to give birth in an upright position (whether walking, kneeling, standing, or sitting upright) and in the mother lying down with 30 degrees of slope .

The results of the study found that 41.4 percent of women who underwent a lying posture tend to undergo normal labor without forceps or childbirth aids. Meanwhile,women who undergo an upright delivery position make it possible to undergo a normal (vaginal) delivery without using a forcep of 35.2 percent. So it can be concluded that the position of labor lying down is more likely to undergo normal labor than an upright position.

Why is the position of childbirth while lying down better than sitting upright?

The position of giving birth by lying turns out to run faster than the upright sitting position. Based on one study published in the British Medical Journal, lying position has greater benefits in causing spontaneous birth.

This is because the possibility of women giving birth in an upright position tends to experience obstruction around the birth canal due to posture pressure and the effects of gravity on the spread of epidural drugs.

In addition, a woman who is undergoing labor while sitting may experience pressure on her tailbone. This is caused by a blockage of the veins so that soft tissue blockages occur in the pelvic tract.

Meanwhile, women with a lying posture are more likely to reduce fetal head pressure in the pelvis so that blood flow in the uterus becomes smooth. As a result, activity in the uterus increases and the pelvic opening opens wider. This will certainly facilitate the delivery process. In addition, there is a presumption that the risk of perineal trauma may also decrease in the labor group lying down.

The lying position in bed may be the most comfortable position for most mothers to give birth. However, you should try to be rather upright. This is estimated because there are several benefits such as:

  • Helps overcome contractions.
  • Increase the opportunity to speed up the labor process.
  • Helps you and your baby work together during labor.

Therefore, Dr. Peter Brocklehurst, a professor of women's health at the University of Birmingham in the UK, recommends that women try to lie on their sides when the cervix is ​​really wide. Because, most women want spontaneous labor so it is recommended to lie on their side to provide a better chance of spontaneous labor.

Even if it's in a lying position, keep your body propped up slightly

Even though your lying position is better during childbirth, you still need to support your body a little erect or called semi-sitting. Because, gravity can help push the baby's head toward the cervix to open the birth canal. So, this can help your baby pass through the pelvic area and immediately be born.

If you are in bed, place a pillow on the back to support your body. This will reduce some of the possibilities that can occur during labor:

  • Need a birth aid
  • Have episiotomy or an incision in the birth canal
  • Affects your baby's heartbeat when he is pushing

In the middle of a contraction, you can put your hands around your knees to pull away like you are squatting. Relaxation and help from gravity are very important to get your baby out quickly and minimize tears in the birth canal.

Actually there is no best position. Because in reality, most women often change positions during labor. So, let your body be a comfortable delivery position guide so you can go through the labor process well.

The position of normal childbirth, whether sitting up or lying down?
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