Why CounterPressure in Labor is Counterproductive

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

Your child’s place significantly impacts what you are feeling in the course of 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 stress, and different consolation measures to carry ache reduction and optimum child positioning.

For those who’re hoping for an unmedicated delivery, I am going to cowl tricks to get the ache below management, get baby in a good position, and have the pure delivery 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 in the back of 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 means of it!). Take a look at the graphic beneath to see the 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 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 point out you what occurs whenever you labor with a child within the posterior place. As you possibly can see, the infant’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 stress throughout early labour, when the infant 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 stress on the sacrum, again ache will get extra pronounced.

(NOTE: Desire a Excellent Delivery Plan Template? Use this template and step-by-step movies to write down a delivery plan that will get your delivery workforce in your aspect for a fantastic delivery 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 delivery associate 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 delivery baggage to rub into the sacrum and provides counter stress. Here is an image of the inventive answer one among my MamaBaby Birthing course college students got here up with:

mom leans on birth ball during labor

Listed here are directions on your help particular person to do counter-pressure successfully:

  • Have the mother lean ahead over the mattress, on a delivery ball, or on hands-and-knees like within the photograph above
  • Find the mother’s sacrum – it’s miles down on her decrease again, simply above the tailbone.
  • Maintain the entrance and prime of the hip bone on your steadiness and to maintain the mother safe
  • Use your fist, heel, or a tennis ball to press firmly into her again

You might must attempt completely different counter stress factors over or to the aspect of the sacrum (typically on the prime of her bum) – you’ll know whenever you get the “proper” spot!

Preserve regular stress on this space – keep away from rubbing, massaging, and so forth.

The quantity of stress you want to use might appear to be so much, however it can carry enormous reduction to her!

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

Doula demonstrating counter pressure with ball

This technique is commonly very efficient at controlling the ache of labor and delivery!

The truth is, 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 does 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!).

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 1000’s of birthing households, you may be utterly ready for a fantastic, protected, and assured delivery expertise.

Handle Labor Pain

Getting Lasting Aid (and a Smoother Delivery)

The aim of labor and birthing is to get your child out! Counterpressure in labor might trigger your child to take longer to show and be born as a result of it is simply pushing again towards your child slightly 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 should buy you relaxation time with out utilizing ache medicine. For those who’ve been working exhausting, 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 stress to your sacrum. As soon as you feel extra in management, your delivery companions can add in further methods.

These might result in a shorter length of labor! Good labor progress and a better delivery are each attainable whenever you create more room in the pelvis.

The Double Hip Squeeze

The most effective strategies for that is the Double-Hip Squeeze:

  • Have the mother get on arms and knees or lean ahead over the delivery ball/mattress. She will be able to additionally stand for this method.
  • Have her flex her hips
  • Use your fingers to seek out her hip bones, the transfer your arms in the direction of the roundest a part of her bum.

This video demonstrates the way to transfer your arms:

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

You might must attempt some completely different positions. These movies present the way to press – use a gentle urgent motion as soon as you discover the proper place

You too can do that with a helper, which makes it simpler for the delivery associate!

Utilizing the heel of your arms could be more practical than the flat if the mother needs loads of stress. If doing this with two delivery companions, place one hand over your different as you push in.

The Double Hip Squeeze offers stress reduction and will help 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 stress 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 carry extra reduction to the mom. Collectively they will help 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 need to flip anterior. Some infants are born “sunny aspect up,” however most will activate their very own throughout labor except hindered by drugs (proof exhibits that the epidural, for instance, causes infants to be posterior).

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

Your objective throughout birthing it to assist your child do the turning he/she must. For those who 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 might play a job in that – do not lean again in chairs too typically! Sitting on a delivery ball and leaning ahead barely (comfortably) on the hips is an effective strategy to sit at your desk/desk.

Spending a while kneeling or on hands-and-knees day by day will assist too.

Have to stretch out? Lie down on the sofa in your left aspect, leaning barely into your stomach.

Recommendations for Positioning Child Throughout Labor

Throughout labor you need to use among the similar methods – sitting on a delivery ball or hands-and-knees positions can encourage the infant to show. 

If you will get right into a delivery 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 delivery associate is not neglected. She or he can help you standing (keep away from squats till the infant has turned).

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

Stomach sifting is finest performed with somebody skilled to point out you the way to do it (your doula is a superb useful resource!) – this video offers a fast preview:

Strolling and hip spiraling/dancing, sitting on a delivery 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 modifications are particularly necessary 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 in addition 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 delivery ball
  • Open knee-chest place

The Open Knee-Chest Place

This place is good for shifting your child. Here is the way to do it:

  • Get down on arms and knees, then kneel
  • Ensure you’re secure in a kneeling place
  • Slowly lean down, crossing your arms to kind a relaxation on your brow
  • Raise your bum into the air
  • Have your help particular person put a folded blanket or mat below your knees to ease the stress on them, if wanted.

This place is not probably the most comfy or sustainable for a protracted time period, however it’s glorious for transfer child again out of your pelvis. This will ease again labor and create room on your child to rotate.

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

Then stand up and transfer into a method that can assist child rotate, corresponding to sitting on a delivery child whereas leaning ahead into the mattress. You too can sit up on the delivery ball and rotate your hips. Or attempt sluggish dancing whereas leaning into your associate.

Here 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, will help 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 might sway or spiral my hips backwards and forwards.

This was my favored place till I acquired into the delivery tub with my previous few infants. It helped me take care of the contractions (typically moaning/vocalizing too) whereas additionally shifting my infants down.

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

Water Delivery Advantages

In case your delivery coach can get into the birthing tub with you, making use of counter stress or doing a hip squeeze is feasible. It is extra doubtless, 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 possibly can immerse in a delivery tub.  Water birth is a great option for you and baby!

You possibly can have a bathtub in the event you’re having a house delivery, and lots of delivery middle and hospital birthing rooms now supply a bathtub for labor (and typically hospital workers is open to water delivery as effectively).

Water helps present even help and stress round your physique, taking away among the weight and instantly canceling out some aches and labor ache. It is such an awesome reduction that many mothers swear by it! Research have proven that birthing in water could 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 as to get right into a rhythm and deal with labor extra simply.

Having a delivery tub out there for labor has different advantages, like reducing blood stress and providing you with freedom of motion. Shifting extra simply will help you get your child in an excellent place for birthing. Along with lessening muscle pressure, the heat water will help you soften and chill out pelvic muscular tissues, providing child a better time rotating.

These proactive actions not solely assist you to deal with these heavy contractions whereas child is posterior, they assist you to get your child to show and put together for a simple 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 delivery 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

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