Practices... - Midwifery - Labour Positions

It still remains that most hospitals encourage women to give birth lying down on their backs. In some cases, particularly when an epidural is being used, this may be a reasonable position. On the other hand, if you have full use of your body, there are many other ways to give birth that assist in the process and create less stress for your baby.

The image of a woman giving birth on her back is one that has been firmly planted through television and probably was the experience of our mothers and grandmothers. Although this may be the most convenient way for the caregiver to "assess progress" and "help" the baby birth, it is not necessarily the easiest method for you.

First, lying flat results in a great deal of pressure from the baby against your back, causing a decrease in blood flow coming from your heart. This, in turn, sends less blood to your baby and reduces his or her available oxygen.

Second, contractions from your womb become less effective in this position, thus lengthening the amount of time you need to be in labour. Walking, standing, sitting, squatting, or even lying on your side may be alternative positions that not only use the force of gravity but also give you the freedom of movement that allows you to feel empowered and in control. Every midwife should be familiar with these positions during labour, encourage their use, and be capable of helping you deliver your baby in the position most comfortable to you.