Why CounterPressure in Labor is Counterproductive

Utilizing counterpressure in labor is a fast solution to convey 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, however it’s additionally necessary to perceive why again labor occurs and when different strategies can convey reduction and get labor transferring extra easily.

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

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

If you happen to’re hoping for an unmedicated start, I will cowl tricks to get the ache below 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 in the back of 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 by means of it!). Try 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 implies 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. 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 consists of 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 if you labor with a child within the posterior place. As you possibly can see, the child’s head pushes towards the sacrum and tailbone because it engages throughout lively labor:

baby doll head pushes back against the sacrum on model pelvis

It’s possible you’ll not really feel quite a lot of stress throughout early labour, when the child remains to be greater within the pelvis. However as child strikes down throughout lively labour and the again of his or her head places intense stress on the sacrum, again ache will get extra pronounced.

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CounterPressure Strategies for Fast Ache Reduction

The aim of counter-pressure in labor is to provide ache reduction. By pushing in laborious in your sacrum, your start companion helps to push again towards 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 baggage to rub into the sacrum and provides counter stress. This is an image of the inventive resolution one among my MamaBaby Birthing course college students got here up with:

mom leans on birth ball during labor

Listed below are directions on your assist 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 on 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 must attempt completely different counter stress factors over or to the facet of the sacrum (typically on the prime of her bum) – you’ll know if you get the “proper” spot!

Hold regular stress on this space – keep away from rubbing, massaging, and many others.

The quantity of stress it’s good to use could look like lots, however it’s going to convey big 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 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 reduction to cease that ache, it does not tackle 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 possibly extra shortly!).

Searching for a pure childbirth course that is evidence-based AND targeted 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 utterly ready for a stupendous, secure, and assured start expertise.

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Getting Lasting Reduction (and a Smoother Beginning)

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 moderately 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 purchase you relaxation time with out utilizing ache remedy. If you happen to’ve been working laborious, 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 stress to your sacrum. As soon as you are feeling 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 better start are each attainable if you create more room in the pelvis.

The Double Hip Squeeze

Top-of-the-line strategies for that is the Double-Hip Squeeze:

  • Have the mother get on arms 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 search out her hip bones, the transfer your arms in the direction of the roundest a part of her bum.

This video demonstrates find out how 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

It’s possible you’ll must attempt some completely different positions. These movies present find out how to press – use a gradual urgent motion as soon as you discover the correct place

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

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

The Double Hip Squeeze offers stress reduction and might 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 child rotate into an optimum place whereas relieving stress for the mom. The mama’s forward-leaning place additionally encourages the child to rotate.

Alternate the double-hip squeeze with counter-pressure if wanted to assist convey extra reduction to the mom. Collectively they might help 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.)

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Extra Strategies 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 drugs (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 aim 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 best!

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

Posture could play a job in that – do not lean again in chairs too typically! Sitting on a start ball and leaning ahead barely (comfortably) on the hips is an effective solution 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.

Strategies for Positioning Child Throughout Labor

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

If you may get right into a start 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. Exterior the bathtub, attempt standing the place you rock and sway your hips.

Your start companion is not omitted. She or he can assist you standing (keep away from squats till the child has turned).

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

Stomach sifting is finest executed with somebody skilled to point out you find out how to 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 by means of intense contractions. You are still encouraging your child to show and transfer down by means of 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 for those who’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 attempt for those who’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 transferring your child. This is find out how to do it:

  • Get down on arms and knees, then kneel
  • Be sure you’re steady 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 assist individual put a folded blanket or mat below your knees to ease the stress on them, if wanted.

This place is not probably the most snug 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.

It is a good place to make use of for those who’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 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 companion.

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

Sluggish Dancing

Sluggish dancing, or different positions that give your hips plenty of motion, might help you deal with labor’s power whereas encouraging your child to spiral down into the pelvis in an optimum place.

Throughout my labors I appreciated 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 may sway or spiral my hips forwards and backwards.

This was my favored place till I received into the start tub with my previous few infants. It helped me take care of the contractions (typically moaning/vocalizing too) whereas additionally transferring 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!

Water Beginning Advantages

In case your start coach can get into the birthing tub with you, making use of counter stress or doing a hip squeeze is feasible. It is extra possible, nevertheless, that you will 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 may have a bathtub for those who’re having a house start, and plenty of start middle and hospital birthing rooms now supply a bathtub for labor (and typically hospital workers is open to water start as effectively).

Water helps present even assist and stress round your physique, taking away a number of the weight and instantly canceling out some aches and labor ache. It is such an amazing 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 may, however 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 accessible for labor has different advantages, like reducing blood stress and providing you with freedom of motion. Shifting extra simply might help you get your child in an excellent place for birthing. Along with lessening muscle pressure, the heat water might help you soften and chill out pelvic muscle mass, providing child a better time rotating.

These proactive actions not solely provide help to deal with these heavy contractions whereas child is posterior, they provide help to get your child to show and put together for a simple journey into your arms.

Need private assist to remain wholesome and low-risk by means of your being pregnant? Eager for genuine steering to make your sacred start 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 Collection

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