Why CounterPressure in Labor is Counterproductive

Utilizing counterpressure in labor is a fast approach to deliver 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 essential to perceive why again labor occurs and when different strategies can deliver aid and get labor shifting extra easily.

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

I will talk about what causes again labor, the professionals and cons of counter stress, and different consolation measures to deliver ache aid and optimum child positioning.

In case you’re hoping for an unmedicated start, I will cowl tricks to get the ache beneath management, get baby in a good position, and have the pure start expertise you have 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 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 by way of it!). Try the graphic under 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 usually 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 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 whenever you labor with a child within the posterior place. As you possibly can see, the newborn’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 a number of stress throughout early labour, when the newborn remains to be increased 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 Good Delivery Plan Template? Use this template and step-by-step movies to put in writing a start plan that will get your start staff in your aspect for a gorgeous start expertise! Get the birth plan kit here.)

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CounterPressure Methods for Fast Ache Reduction

The aim of counter-pressure in labor is to offer ache aid. By pushing in exhausting in your sacrum, your start associate 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 answer 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 picture above
  • Find the mother’s sacrum – it is down on her decrease again, simply above the tailbone.
  • Maintain the entrance and high 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 have to attempt totally different counter stress factors over or to the aspect of the sacrum (typically on the high 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 on.

The quantity of stress that you must use could appear to be quite a bit, however it can deliver enormous aid to her!

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

Doula demonstrating counter pressure with ball

This technique is usually 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 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 take into account 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 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 gorgeous, secure, and assured start expertise.

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Getting Lasting Reduction (and a Smoother Delivery)

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 towards your child quite 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. In case you’ve been working exhausting, really feel extreme ache, or your child is a persistent posterior and you feel worn out, undergo a number of 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 start companions can add in extra methods.

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

The Double Hip Squeeze

Among the best 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 search out her hip bones, the transfer your palms in the direction of the roundest a part of her bum.

This video demonstrates the best way to transfer your palms:

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

You might have to attempt some totally different positions. These movies present the best way to press – use a gradual urgent motion as soon as you discover the precise place

You may as well do that with a helper, which makes it simpler for the start associate!

Utilizing the heel of your palms may be simpler than the flat if the mother needs a number of stress. If doing this with two start companions, place one hand over your different as you push in.

The Double Hip Squeeze gives stress aid and may also 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 newborn rotate into an optimum place whereas relieving stress for the mom. The mama’s forward-leaning place additionally encourages the newborn to rotate.

Alternate the double-hip squeeze with counter-pressure if wanted to assist deliver extra aid to the mom. Collectively they may also 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.)

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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 medicines (proof reveals that the epidural, for instance, causes infants to be posterior).

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

Your objective throughout birthing it to assist your child do the turning he/she must. In case you 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 on 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 efficient approach to sit at your desk/desk.

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

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

Husband doing hip squeeze on wife

Solutions for Positioning Child Throughout Labor

Throughout labor you should use among the similar methods – sitting on a start ball or hands-and-knees positions can encourage the newborn 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 associate is not neglected. She or he can assist you standing (keep away from squats till the newborn has turned).

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

Stomach sifting is finest accomplished with somebody skilled to point out you the best way to do it (your doula is a good 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 way of intense contractions. You are still encouraging your child to show and transfer down by way 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 essential when you’ve been reclining again for some time. Getting up and shifting to a greater place can’t solely get your child shifting down, but additionally helps relieve ache.

Good positions to attempt when you’re feeling again ache:

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

The Open Knee-Chest Place

This place is good for shifting your child. This is the best way to 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 type a relaxation on your brow
  • Raise your bum into the air
  • Have your assist individual put a folded blanket or mat beneath your knees to ease the stress on them, if wanted.

This place is not probably the most snug or sustainable for an extended time period, however it’s wonderful for transfer child again out of your pelvis. This could ease again labor and create room on your child to rotate.

This can be a good place to make use of when 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 may assist child rotate, corresponding to sitting on a start child whereas leaning ahead into the mattress. You may as well sit up on the start ball and rotate your hips. Or attempt sluggish dancing whereas leaning into your associate.

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

Gradual Dancing

Gradual dancing, or different positions that give your hips numerous motion, may also 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 preferred to lean on my toilet 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 forwards and backwards.

This was my favored place till I obtained into the start tub with my previous few infants. It helped me cope with the contractions (typically moaning/vocalizing too) whereas additionally shifting my infants down.

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

Husband helps wife with Counterpressure during labor

Water Delivery 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 seemingly, 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’ll be able to have a bath when you’re having a house start, and lots of start middle and hospital birthing rooms now provide a bath for labor (and typically hospital workers is open to water start as properly).

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

Having a start tub obtainable for labor has different advantages, like reducing blood stress and providing you with freedom of motion. Transferring extra simply may also help you get your child in an excellent place for birthing. Along with lessening muscle stress, the heat water may also help you soften and chill out pelvic muscle mass, providing child a better time rotating.

These proactive actions not solely allow you to deal with these heavy contractions whereas child is posterior, they allow you 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 way of 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 discuss your hopes and goals and discover if my being pregnant teaching program is an efficient match for you.

Handle Labor Pain

The Labor Ache Administration Collection

Husband uses rebozo on wife

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