08/29/2023
Let’s talk about optimal positions for birth 🕺
As a Labor & Delivery nurse, one of most common positions I see women give birth in is the lithotomy position, where mom is lying on her back with both her legs held up by stirrups. Although this position can be the most convenient for doctors & midwives, it is not always the best for mom and their babies.
That’s because this position fundamentally works against ✨PHYSIOLOGICAL BIRTH!✨ It goes against gravity - making it more difficult for baby to descend & make their way through the birth canal.
Some positions that can help better open up the pelvis include squatting, hands & knees, or even just standing! If mom has an epidural - movement may be limited, but know there are still options. Mom can lie on either side & hold her top leg up (or have her support person assist with this). Another option is for mom to sit up right by adjusting the head of the bed completely up with the foot of the bed lowered, and her legs positioned in a natural squatting position. Mom can also kneel at the foot of the bed & lean forward.
Another key reason to avoid birthing on the back is to promote blood flow & avoid compression of major vessels - this can reduce blood flow to the uterus and placenta & in turn affect baby’s oxygen supply, whereas being upright or forward-leaning can improve blood circulation!
Lying on your back can also hinder contractions as the pressure on your lower spine can slow down & stall labor. When we choose positions that encourage movement such as rocking or swaying - this will help keep contractions steady & strong. Increased movement may also increase comfort, ease pain, and reduce the need for medical interventions.
Every woman, body, and birth is unique but it’s important to know there are always options & adjustments to be made. The best thing you can do in the process is to stay informed and advocate for yourself! After all it is YOUR birth, YOUR body and YOUR right.