Vertical childbirth: the pros and cons, reviews, preparation, photo
Recently, the so-called vertical childbirth are becoming increasingly popular. However, this is not a newfangled trend, as many of the fair sex assume, but a long-term mode of delivery. How is it different? Does it have flaws? That is what is discussed in this article.
How did you give birth before?
The tradition to give birth in a supine position appeared relatively recently - only 300 years ago. This is not a very comfortable posture, but it allows doctors to keep the entire process under control and, if necessary, provide timely assistance. In this case, the future mother is assigned a passive role.
Previously, women gave birth predominantly in a squatting position, less often on kneeling. Only some time later, special chairs for this process appeared. Thanks to this “invention”, vertical childbirth has become fashionable.The so-called midwives forced women to go to the bath to speed up delivery.
The modern version of the method of birth in an upright position was first tested in France. So the king watched the appearance of the baby in the light of his favorites. Then this position was approved by doctors as the most convenient option to help a woman.
What is the difference in childbirth in a vertical position?
In general, the process is similar to the horizontal variant, but the woman’s behavior is somewhat different.
The first stage is the opening of the cervix. Now absolutely freedom of action is allowed, that is, a lady can behave as she pleases (sit, lie, walk). Supporters of horizontal childbirth argue that during the direct fights should not lie. The future mother should independently choose the most comfortable position. Vertical delivery does not imply anesthesia, as it severely limits freedom of movement.
The second stage - attempts. The optimal position for childbirth, when a woman kneels on the bed, turning to face her back. If the expectant mother chooses a squatting position or a high chair, she sits face-down to the doctor.The doctor and the midwife monitor the process and take the baby. If emergency assistance is required, a woman is laid on her back.
The third stage - the discharge of the placenta. The last stage of labor, during which the woman also remains upright, puts the baby to the breast, which provokes a contraction of the uterus and acceleration of the whole process.
Poses for childbirth
There is no such universal position in which a woman should be throughout the entire process of the birth of a child into the world. Below are the most comfortable postures:
- Sitting down
- On the knees.
- Squatting while supporting a partner.
Intuitively, each woman understands exactly what position should be adopted in order to facilitate the passage of the baby through the birth canal as much as possible. According to experts, all variants of poses should be studied in advance and even rehearsed. However, it is meaningless to decide in advance exactly what kind of birth will take place. It is convenient for one woman to kneel, the other is to squat. Absolutely nothing wrong with that.If the doctor realizes that the vertical posture of the future mom does not help and delivers only discomfort, he can recommend lying position.
Pluses of childbirth in an upright position
- The pressure on the uterus is insignificant, so it receives the necessary amount of blood, as well as oxygen. Vertical labor prevents the development of hypoxia and reduces the time of labor.
- Many women note the almost complete absence of pain discomfort. This frees the use of medications that can harm the fetus.
- Low probability of infection of the uterus.
- Due to the rapid discharge of the placenta, blood loss is reduced.
- To a certain extent, a woman can independently control the process of contractions.
Cons birth in an upright position
- Do not use the epidural anesthesia.
- If problems arise during delivery, the obstetrician cannot fully control the progress of the fetus. In addition, vertical childbirth (photos of the process can be viewed in the specialized literature) make it difficult to periodically check the fetal heartbeat after another attempt.
Childbirth in a vertical position is not allowed for everyone to practice. They are strictly contraindicated in women with pathologies of internal organs complicated by pregnancy (pelvic presentation of the fetus, hypoxia, large size), narrow pelvis.
The occurrence of even the slightest complication is the basis for the transfer of women in a horizontal position, in which it is possible to use specialized equipment to provide the necessary assistance.
Preparing for vertical birth
Preparation is needed for absolutely any birth. It usually begins with training in special breathing and the ability to periodically relax muscles. The fact is that pain during childbirth is most often due to the strong tension of the muscles that prepare the way out for the baby. The ability to relax reduces muscular antagonism, and discomfort during labor decreases. In this situation, the most common fitball comes to the rescue. Rotational movements during contractions also help to relax all the muscles and ease the painful sensations that accompany vertical labor.
Preparation also implies the study of all sorts of poses that the future mom may need.Today, in many cities in our country, special courses are held in which women are prepared for the upcoming birth. It is better to visit them together with the partner, so that he can also study all the postures and help if necessary. The more such training, the easier it will be a woman.
An important stage of preparation is considered to be consultation with a gynecologist, at which he will tell you how vertical births take place. The pros and cons of this method will also be considered. Each woman is individual, therefore it is better to know in advance your physiological characteristics.
Let's talk about the hospital
Not all maternity homes, even in the 21st century, practice childbirth in a vertical position. That is why the expectant mother should worry about this issue in advance.
Practically all the doctors do not object to the woman in the first stage actively moving and taking any comfortable postures during the direct fights. In the second and third, in most cases, it is placed on a special table designed for horizontal labor. The lady is lying on her back, can grab the railing and lean on her legs. Of course, such tables are primarily convenient for obstetricians, but not for expectant mothers.
When looking for a maternity hospital where they will be able to carry out vertical deliveries, reviews should be considered first. It is equally important to clarify in advance whether there is a special chair in the medical institution that allows you to take a sitting position even in vain attempts. In addition to it, there may be a special ladder and an ordinary fitball in the ward. It is much more convenient to give birth at the last, rather than lying or standing. The ladder is designed for tightening between successive contractions, in order to reduce pain discomfort and relieve muscle tension.
The most important thing is that the chosen institution should be prepared for work in an “uncomfortable” posture and qualified personnel who understand how vertical childbirth takes place, the pros and cons of which, by the way, still cause heated debate.
On specialized portals you can see positive reviews of childbirth in an upright position. Many women note that contractions are shorter and less painful, the opening of the neck is faster. In all cases, healthy babies are born. As for the negative moments, they did not avoid vertical delivery.Reviews of many women mainly concern low qualification of specialists. Unfortunately, not all doctors own this technique in practice, including in those institutions where births are held in a vertical position. Most often this is only possible when there is a trained doctor on duty.
Some reviews say that childbirth is not taken in the selected position, but only half-sitting. Such a posture is much more convenient for a specialist. There is not a single critical comment that the child was born sick because of this technique, or the mother had complications.
Let's sum up
This article provides information on the topic: "Vertical childbirth: cons and pros, preparation, reviews." It should be noted that at present the process described above for the appearance of a baby into the world is considered to be the most physiological and at the same time favorable both for the mother and for her child. Childbirth in a vertical position is not an experimental innovation. However, they should be prepared in advance and constantly consult with the obstetrician to ensure that the result meets all expectations.
How the delivery should take place should be decided individually with a specialist. If there are no serious contraindications and allow financial opportunities, since such births in our country are practiced only in paid clinics, you can resort to this technique.