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Why CounterPressure in Labor is Counterproductive

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

Your child’s place significantly impacts what you are feeling throughout the contractions. Utilizing strategies that reposition your child can pace labor up and make contractions much less painful. 

I will focus on what causes again labor, the professionals and cons of counter strain, and different consolation measures to convey ache aid and optimum child positioning.

For those who’re hoping for an unmedicated start, I will cowl tricks to get the ache underneath management, get baby in a good position, and have the pure start 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 known as your coccyx) attaches to a bony plate behind 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 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 commonly 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. It’s possible you’ll 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 once you labor with a child within the posterior place. As you possibly can see, the infant’s head pushes in opposition to the sacrum and tailbone because it engages throughout energetic labor:

baby doll head pushes back against the sacrum on model pelvis

It’s possible you’ll not really feel lots of strain throughout early labour, when the infant continues 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 Excellent Beginning Plan Template? Use this template and step-by-step movies to jot down a start plan that will get your start group in your facet for a ravishing start expertise! Get the birth plan kit here.)

Handle Labor Pain

CounterPressure Strategies for Fast Ache Aid

The aim of counter-pressure in labor is to offer ache aid. By pushing in exhausting in your sacrum, your start accomplice 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 start 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 in your help individual to do counter-pressure successfully:

  • Have the mother lean ahead over the mattress, on a start 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 in your stability and to maintain the mother safe
  • Use your fist, heel, or a tennis ball to press firmly into her again

It’s possible you’ll have to attempt totally different counter strain factors over or to the facet of the sacrum (generally on the prime of her bum) – you’ll know once you get the “proper” spot!

Preserve regular strain on this space – keep away from rubbing, massaging, and many others.

The quantity of strain it’s worthwhile to use could appear to be so much, however it would convey large aid 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 start!

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 aid 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 method to get a break from the depth of the contractions, however contemplate combining it with different strategies 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 perhaps extra shortly!).

On the lookout 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 hundreds of birthing households, you may be fully ready for a ravishing, protected, and assured start expertise.

Handle Labor Pain

Getting Lasting Aid (and a Smoother Beginning)

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 moderately than serving to her or him to rotate. This results in an extended labor, or perhaps a labor stall, which isn’t what you need!

Counter-pressure brings aid and should purchase you relaxation time with out utilizing ache treatment. 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 strain to your sacrum. As soon as you feel extra in management, your start companions can add in extra strategies.

These could result in a shorter period of labor! Good labor progress and a neater start are each potential once 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 palms and knees or lean ahead over the start 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 palms in the direction of the roundest a part of her bum.

This video demonstrates transfer your palms:

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

It’s possible you’ll have to attempt some totally different positions. These movies present press – use a gentle urgent motion as soon as you discover the suitable place

You may also do that with a helper, which makes it simpler for the start accomplice!

Utilizing the heel of your palms may be more practical than the flat if the mother desires lots of strain. If doing this with two start companions, place one hand over your different as you push in.

The Double Hip Squeeze supplies 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 infant rotate into an optimum place whereas relieving strain 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 convey extra aid to the mom. Collectively they can assist considerably!

(NOTE:Need Labor Ache Strategies that REALLY Work? Get these 11 mom-tested strategies for dealing with contractions from begin to end Get the mom-tested natural labor techniques here.)

Handle Labor Pain

Extra Strategies for Again Labor

Most infants will flip throughout labor. Infants need to flip anterior. Some infants are born “sunny facet up,” however most will activate their very own throughout labor until hindered by medicines (proof reveals that the epidural, for instance, causes infants to be posterior).

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

Your purpose 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 perfect!

Your pelvis is perfect for birthing your baby and can OPEN fantastically in your child!

Posture could play a job in that – do not lean again in chairs too usually! Sitting on a start 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 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

Strategies for Positioning Child Throughout Labor

Throughout labor you need to use a number of the similar strategies – sitting on a start ball or hands-and-knees positions can encourage the infant to show. 

If you will get right into a start tub, you may discover that your freedom of motion will increase. You will naturally transfer to positions or transfer in ways in which assist your child transfer down. Exterior the bathtub, attempt standing the place you rock and sway your hips.

Your start accomplice is not unnoticed. She or he can help you standing (keep away from squats till the infant has turned).

Some strategies, 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 point out you do it (your doula is a superb useful resource!) – this video provides a fast preview:

Strolling and hip spiraling/dancing, sitting on a start 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 adjustments are particularly vital should 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 should you’re feeling again ache:

  • Standing and swaying your hips
  • Strolling
  • Arms-and-knees (ideally with a hip press)
  • Sitting on a start ball
  • Open knee-chest place

The Open Knee-Chest Place

This place is right for shifting your child. This is do it:

  • Get down on palms 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
  • Raise your bum into the air
  • Have your help individual put a folded blanket or mat underneath your knees to ease the strain on them, if wanted.

This place is not probably the most comfy or sustainable for an extended time frame, however it’s glorious for transfer child again out of your pelvis. This may ease again labor and create room in your child to rotate.

It is a good place to make use of should 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 method that may assist child rotate, equivalent to sitting on a start child whereas leaning ahead into the mattress. You may also sit up on the start ball and rotate your hips. Or attempt gradual dancing whereas leaning into your accomplice.

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

Sluggish Dancing

Sluggish dancing, or different positions that give your hips a lot 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 appreciated to lean on my lavatory counter, which is a low counter. I pressed my palms 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 received into the start tub with my previous few infants. It helped me cope with the contractions (generally moaning/vocalizing too) whereas additionally shifting my infants down.

Labor progressed in a short time as soon as I received 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 Beginning Advantages

In case your start 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, nonetheless, that you’re going to be within the tub your self with out that added method.

Heat water has been proven to assist in labor all by itself, particularly when you possibly can immerse in a start tub.  Water birth is a great option for you and baby!

You’ll be able to have a bathtub should you’re having a house start, and plenty of start heart and hospital birthing rooms now provide a bathtub for labor (and generally hospital employees is open to water start as nicely).

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

It will not completely take the ache away, as an epidural may, nevertheless it relieves the discomfort of the contractions as a way to get right into a rhythm and deal with labor extra simply.

Having a start tub out there for labor has different advantages, like decreasing blood strain and supplying you with freedom of motion. Transferring extra simply can assist you get your child in a very good place for birthing. Along with lessening muscle rigidity, the heat water can assist you soften and loosen up pelvic muscle mass, 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 a simple journey into your arms.

Need private help to remain wholesome and low-risk via your being pregnant? Eager for genuine steerage to make your sacred start dream a actuality?

Click to book a pregnancy and birth visioning call with me. We’ll speak about 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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