Pros and Cons of 11 Common Labor Positions
Posted on July 27th, 2011 by Lamaze International | Find Out More About Lamaze InternationalBy Paulina G. Perez, RN, BSN, CD, LCCE, FACCE
Movement and positioning in labor work magic. Movement enhances comfort by stimulating the receptors in the brain that decrease pain perception. The result is that you are able to tolerate increasingly strong contractions. When contractions become very strong, endorphins are released and pain perception decreases even more. Ultimately, your movement in response to your contractions decreases pain and facilitates labor – a win-win. Movement also helps the baby move through the pelvis, and some positions enlarge pelvic diameters.
The positions shown here facilitate the normal, natural process of labor. What position should you use? Follow your body. Move freely in response to what you feel. Your body will let you know just what position is best at every point in your labor.
STANDING SUPPORTED SQUATPros
Realigns your pelvis to increase the opening by up to 15 percent
Allows you to be supported by your standing or sitting partner, the wall or a squat bar
Takes advantage of gravity
Makes contractions feel less painful and more productive
Lengthens your trunk and helps your baby line up with the angle of your pelvis
Movement causes changes in your pelvic joints, helping your baby through the birth canal
May increase your urge to push in the second stage of labor
Cons
Requires a strong partner
May be tiring for both of you
Helps relax perineum
You get used to an open-leg position and pelvic pressure
Uses gravity
Cons
Pressure from toilet seat may be uncomfortable
May not be possible if you have high blood pressure
Often tiring
Sometimes hard for health-care provider to hear fetal heart tones
May be hard for you to assist in birth if you wish to do so
Helps get oxygen to the baby
Good resting position
Helpful if you have elevated blood pressure
Fine with epidural
Can make contractions more effective
Easier for you to relax between contractions during the second stage
Can slow a birth that’s moving too fast
Your partner can assist in the birth by supporting your legs
Lowers chances of tearing or the need for episiotomy
Good access to perineum
Cons
May be hard for health-care provider to access fetal heart tones
No help from gravity
If no one can hold your legs, you must support them on your own
You may feel too passive in this position
Uses gravity
Contractions are often less painful
Baby is well aligned in your pelvis
May speed labor
Reduces backache
Encourages descent
Cons
Not recommended if you have high blood pressure
Cannot be used with continuous electronic fetal monitoring
Uses gravity
Helps get oxygen to the baby
Contractions are more effective and less painful
May speed labor
Helps create a pushing urge
Cons
Poor control at birth
Hard for health-care provider to see the baby
Can help shift the baby if needed
Uses gravity
Birth ball can be used
Contractions are often less painful and more productive
Baby is well aligned in your pelvis
Relieves backache
Easier for your partner to help relieve your back pain
May be more restful than standing
Good for pelvic rocking
Less strain on your wrists and arms
Cons
Hard for health-care provider to help with birth
Good for back labor
Assists with rotation of baby, if needed
Takes pressure off hemorrhoids
Good position to avoid tearing or episiotomy
Good delivery position for large baby
Helpful if fetal heart tones are low
Cons
Hard for your support team to maintain eye contact with you
Hard for you to see what’s going on
Comfortable
Good use of gravity
Good resting position
Works well in hospital beds
Good visibility at birth for your support team
Easy access to fetal heart tones for your health-care provider
Cons
Access to your perineum can be poor
Mobility of your coccyx is impaired
Puts some stress on your perineum but less than when lying on your back
Works against gravity
Compresses all major vessels
Tearing or need for an episiotomy is more likely
No use of gravity to aid in birth
Movement and positioning in labor work magic. Movement enhances comfort by stimulating the receptors in the brain that decrease pain perception. The result is that you are able to tolerate increasingly strong contractions. When contractions become very strong, endorphins are released and pain perception decreases even more. Ultimately, your movement in response to your contractions decreases pain and facilitates labor – a win-win. Movement also helps the baby move through the pelvis, and some positions enlarge pelvic diameters.
The positions shown here facilitate the normal, natural process of labor. What position should you use? Follow your body. Move freely in response to what you feel. Your body will let you know just what position is best at every point in your labor.
STANDING SUPPORTED SQUAT Realigns your pelvis to increase the opening by up to 15 percent Allows you to be supported by your standing or sitting partner, the wall or a squat bar Takes advantage of gravity Makes contractions feel less painful and more productive Lengthens your trunk and helps your baby line up with the angle of your pelvis Movement causes changes in your pelvic joints, helping your baby through the birth canal May increase your urge to push in the second stage of laborCons
Requires a strong partner May be tiring for both of youSITTING ON TOILET
Pros Helps relax perineum You get used to an open-leg position and pelvic pressure Uses gravityCons
Pressure from toilet seat may be uncomfortableSITTING
Pros
Good for resting
Uses gravity
Can be used with continuous electronic fetal monitoring
Cons Good for resting Uses gravity Can be used with continuous electronic fetal monitoring May not be possible if you have high blood pressureSQUATTING
Pros
En
courages rapid descent
Uses gravity
May increase rotation of baby
Allows freedom to shif
t your weight for comfort
Allows excellent perineal access
Excellent for fetal circulation
May increase pelvis diameter by as much as 2 centimeters
Requires less bearing-down effort
Descent is encouraged by the position
Your thighs keep baby well aligned
Cons En
courages rapid descent Uses gravity May increase rotation of baby Allows freedom to shift your weight for comfort Allows excellent perineal access Excellent for fetal circulation May increase pelvis diameter by as much as 2 centimeters Requires less bearing-down effort Descent is encouraged by the position Your thighs keep baby well aligned Often tiring Sometimes hard for health-care provider to hear fetal heart tones May be hard for you to assist in birth if you wish to do soSIDE-LYING
Pros Helps get oxygen to the baby Good resting position Helpful if you have elevated blood pressure Fine with epidural Can make contractions more effective Easier for you to relax between contractions during the second stage Can slow a birth that’s moving too fast Your partner can assist in the birth by supporting your legs Lowers chances of tearing or the need for episiotomy Good access to perineumCons
May be hard for health-care provider to access fetal heart tones No help from gravity If no one can hold your legs, you must support them on your own You may feel too passive in this positionWALKING
Pros Uses gravity Contractions are often less painful Baby is well aligned in your pelvis May speed labor Reduces backache Encourages descentCons
Not recommended if you have high blood pressure Cannot be used with continuous electronic fetal monitoringSTANDING
Pros Uses gravity Helps get oxygen to the baby Contractions are more effective and less painful May speed labor Helps create a pushing urgeCons
Poor control at birth Hard for health-care provider to see the babyLEANING OR KNEELING FORWARD WITH SUPPORT
Pros Can help shift the baby if needed Uses gravity Birth ball can be used Contractions are often less painful and more productive Baby is well aligned in your pelvis Relieves backache Easier for your partner to help relieve your back pain May be more restful than standing Good for pelvic rocking Less strain on your wrists and armsCons
Hard for health-care provider to help with birthKNEE-CHEST
Pros Good for back labor Assists with rotation of baby, if needed Takes pressure off hemorrhoids Good position to avoid tearing or episiotomy Good delivery position for large baby Helpful if fetal heart tones are lowCons
Hard for your support team to maintain eye contact with you Hard for you to see what’s going onSEMI-SITTING
Pros Comfortable Good use of gravity Good resting position Works well in hospital beds Good visibility at birth for your support team Easy access to fetal heart tones for your health-care providerCons
Access to your perineum can be poor Mobility of your coccyx is impaired Puts some stress on your perineum but less than when lying on your backON BACK WITH LEGS RAISED
Cons Works against gravity Compresses all major vessels Tearing or need for an episiotomy is more likely No use of gravity to aid in birth
