Tactics of conducting vertical childbirth

In addition to the classical, there are several more provisions in which a future mother can bring out her baby. Each of them has its own pros and cons. The choice is yours! The tactics of conducting vertical childbirth and many other poses are all in our article.

Childbirth

All this can be avoided during vertical childbirth: if a woman sits or is on all fours, the uterus presses less on large vessels, uteroplacental circulation improves, and the child receives enough oxygen. Hence, neither during fights, nor during the passage of the head through the birth canal in the 2nd stage of childbirth, the child is not threatened with hypoxia - oxygen starvation. The first stage of labor is faster. Because during vertical childbirth a woman can move, and not just lay on the bed, the baby's bladder and head are pressed more evenly and intensively on the lower part of the uterus and its neck. As a result, uterine pharynx opens more smoothly and effectively, and the first period of labor passes more quickly. Winning in 2-3 hours is beneficial not only for patients, reducing the stage of painful fights, but also for the child, because during each fight for a while oxygen ceases to come to him. The risk of birth trauma is reduced. If the duration of the 1st period of vertical childbirth is reduced by 2-3 hours, the second stage, on the contrary, increases slightly (about 20-30 minutes). This does not mean that the birth of a baby in an unconventional situation causes the future mother more pain. Observations show that in standing or seated women the child moves down not only more slowly, but also more smoothly. And this means that the risk of getting a birth injury is reduced to zero. Plus, in the second stage of labor, the muscles of the abdominal press, back, pelvic floor and all the skeletal muscles of the future mother work in an organized and clear manner, and, as already mentioned above, the woman is helped by the force of gravity. And the patient makes less effort for the baby to be born, the pelvic floor muscles relax, the child moves more easily through the birth canal and consumes less energy. The future mother loses less blood (at the moment of birth, the afterbirth goes up to 300 ml). In the event that the young mother sits (it is in the sitting position that the third period of vertical childbirth passes), the placenta separates faster and blood loss decreases to 100-150 ml. Immediately after the baby is born, and the umbilical cord does not stop pulsating, it will be placed on the mother's stomach so that he crawls to the nipple himself, grabs it and receives milk.

Squatting

Under the weight of his body, the baby moves faster through the birth canal. Back and legs get tired faster, you have to get up for a warm-up or lie down on your side. To help the doctor and midwife will require special skills. During the fights and attempts, the woman squats. Uterus and the baby are well supplied with oxygen. The future mum is pushing, helping herself with the muscles of the back and shoulder girdle.

On knees

In this position it is easier to breathe, the waist is less tired. Leaning directly on the hands and feet, the future mother is easier to manage attempts, she sees the results of her work, because the baby is born right before her eyes. In this situation it is easier to give birth to large children. It will be more difficult for a doctor and midwife to help a woman. And at this point you will need a special bed and a table, they may not be in the maternity ward that you have chosen. The woman stands on all fours, leaning on her bent arms and knees. This position is considered the most physiological: the interaction of the child's gravity and fights make his promotion more effective. In the intervals between contractions and attempts, the center of gravity can be moved from the palms to the hands.

On the back

During fights and tugs, the legs can be put on the supports or pressed to themselves, bending at the knees, and hands - to hold onto the handrails of the table, as if pulling the reins. A large baby can squeeze the vessels of the abdominal cavity, because of which blood circulation is disrupted, oxygen circulation decreases, the woman becomes more tired. Then between contractions and attempts doctors lay it on its side. The woman lies on her back, spreading her legs and bending them in her lap. With her hands she holds on to the handrails of the delivery room. This provision is adopted in all maternity hospitals. It is convenient for mom and staff.

Sitting

If a woman has problems with the spine (for example, scoliosis or trauma of the coccyx), it is better for her to choose a different position. The lower leg of a woman is bent at the knee, and the upper one in most cases rests against a special crossbar of the delivery table. With its weight, the baby does not squeeze the large vessels of the abdominal cavity (which happens if the mother lays only on her back for a long time).