Why CounterPressure in Labor is Counterproductive

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

Your child’s place enormously 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 carry ache reduction and optimum child positioning.

In case you’re hoping for an unmedicated beginning, I will cowl tricks to get the ache beneath management, get baby in a good position, and have the pure beginning expertise you’ve got ready for!

Counterpressure for labor graphic showing a mom on a birth ball

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 varieties 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 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 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. You could 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 if you labor with a child within the posterior place. As you may 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 could not really feel a number of strain 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 strain 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 jot down a beginning plan that will get your beginning group in your aspect for a gorgeous beginning 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 reduction. By pushing in arduous in your sacrum, your beginning 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 beginning baggage to rub into the sacrum and provides counter strain. This is an image of the artistic answer considered one of my MamaBaby Birthing course college students got here up with:

mom leans on birth ball during labor

Listed below are directions to your help individual to do counter-pressure successfully:

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

You could must strive totally different counter strain factors over or to the aspect of the sacrum (typically on the high of her bum) – you’ll know if you get the “proper” spot!

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

The quantity of strain it’s essential to use could appear to be so much, however it’ll carry large reduction to her!

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

Doula demonstrating counter pressure with ball

This methodology is usually very efficient at controlling the ache of labor and beginning!

In reality, 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 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 take into account 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 rapidly!).

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 utterly ready for a gorgeous, secure, and assured beginning 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 somewhat 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 reduction and can purchase you relaxation time with out utilizing ache medicine. In case you’ve been working arduous, 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 strain to your sacrum. As soon as you feel extra in management, your beginning companions can add in further strategies.

These could result in a shorter length of labor! Good labor progress and a better beginning are each doable 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 palms and knees or lean ahead over the beginning ball/mattress. She will additionally stand for this method.
  • Have her flex her hips
  • Use your fingers to seek out her hip bones, the transfer your palms in direction of the roundest a part of her bum.

This video demonstrates find out how to transfer your palms:

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

You could must strive some totally different positions. These movies present find out how to press – use a gradual urgent motion as soon as you discover the fitting place

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

Utilizing the heel of your palms will be more practical than the flat if the mother needs a number of strain. If doing this with two beginning companions, place one hand over your different as you push in.

The Double Hip Squeeze supplies strain reduction 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 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 carry extra reduction to the mom. Collectively they may also help considerably!

(NOTE:Need Labor Ache Methods 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 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 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. In case you 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 to your child!

Posture could play a job in that – do not lean again in chairs too typically! Sitting on a beginning ball and leaning ahead barely (comfortably) on the hips is an effective approach to sit at your desk/desk.

Spending a while kneeling or on hands-and-knees each 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

Options for Positioning Child Throughout Labor

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

If you may get right into a beginning 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. Outdoors the bathtub, strive standing the place you rock and sway your hips.

Your beginning associate is not ignored. 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 find out how to do it (your doula is a good useful resource!) – this video offers a fast preview:

Strolling and hip spiraling/dancing, sitting on a beginning 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 additionally helps relieve ache.

Good positions to strive for those who’re feeling again ache:

  • Standing and swaying your hips
  • Strolling
  • Arms-and-knees (ideally with a hip press)
  • Sitting on a beginning 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 palms and knees, then kneel
  • Be sure to’re steady in a kneeling place
  • Slowly lean down, crossing your arms to type a relaxation to your brow
  • Raise your bum into the air
  • Have your help individual put a folded blanket or mat beneath your knees to ease the strain on them, if wanted.

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

It is a good place to make use of for those who’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 way that can assist child rotate, resembling sitting on a beginning child whereas leaning ahead into the mattress. You may as well sit up on the beginning ball and rotate your hips. Or strive sluggish dancing whereas leaning into your associate.

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, 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 favored 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 might sway or spiral my hips backwards and forwards.

This was my favored place till I received into the beginning tub with my previous couple of infants. It helped me cope with 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!

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 beginning coach can get into the birthing tub with you, making use of counter strain or doing a hip squeeze is feasible. It is extra seemingly, nonetheless, 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 may immerse in a beginning tub.  Water birth is a great option for you and baby!

You possibly can have a bathtub for those who’re having a house beginning, and plenty of beginning heart and hospital birthing rooms now supply a bathtub for labor (and typically hospital employees is open to water beginning 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 ideal reduction that many mothers swear by it! Research have proven that birthing in water will be as efficient as ache drugs for a lot of mamas.

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

Having a beginning tub out there for labor has different advantages, like decreasing blood strain and providing you with freedom of motion. Transferring extra simply may also help you get your child in place for birthing. Along with lessening muscle pressure, the heat water may also help you soften and loosen up pelvic muscle tissue, 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 help to remain wholesome and low-risk by means of your being pregnant? Eager for genuine steerage to make your sacred beginning dream a actuality?

Click to book a pregnancy and birth visioning call with me. We’ll speak about your hopes and desires and discover if my being pregnant teaching program is an effective match for you.

Handle Labor Pain

The Labor Ache Administration Collection

Husband uses rebozo on wife

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