We all know that classic image of a woman lying flat on her back while giving birth shown in movies and even in educational videos. That’s what experts call the traditional supine position. It’s been around for ages and is still very common in hospitals and birthing centers in our country. The main reason for it being so common is that it’s easier for the doctors and nurses to do their thing when the mom-to-be is lying down in that position. But, many experts are starting to question if it’s really the best way to go about it. Let’s explore some of the pros and cons and studies supporting various birthing positions that are common in other countries and cultures
Historical and Cultural Perspectives on Birthing Positions
Alright, let’s take a little trip back in time and talk about how birthing positions have changed over the years both in the U.S. and across different cultures. Around the 17th-18th centuries, the supine position (laboring and birthing on your back) became the go-to position in the western cultures.. The reason for this change was that this position makes it easier for the use of tools like forceps at the time. This position is convenient for doctors, but not necessarily the most comfortable for all soon-to-be moms. Interestingly, if you look around the world, you’ll find a whole range of birthing positions. In some cultures, women squat or kneel during labor, while others opt for a sitting or even standing position.
More recently, there’s a growing interest in exploring these and other alternative positions in America’s healthcare system too. ore experts are realizing that a one size doesn’t fits all when it comes to comfort and safety when bringing new life into the world is not always what is best for baby and mama.
The Supine Position: Pros and Cons
According to this article by the American College of Obstetricians and Gynecologists (ACOG), it’s generally safe and ok to switch up your position during labor to make yourself more comfy as long as the positions you’re trying out still let the doctors and nurses safely keep an eye on you and the little one. Of course, if you’re having any medical issues, they’ll need to make sure the positions won’t cause any problems.
Pros
In terms of pros of supine position, most of the evidence for this position refers to the second phase of labor (the “pushing stage”). So, here’s the scoop from this study on the second stage of labor: being upright during this part, especially if you haven’t had an epidural, could speed things up a bit, especially for new moms. Also, you might even dodge the need for an episiotomy or extra help getting your baby out with upright positions. But, it’s worth noting that there’s a slightly higher chance of more blood loss or maybe even a second-degree tear if you’re upright during this stage. Just something to keep in mind!
Cons
As far as cons of the supine position, one study suggests that lying flat on your back during the first phase of labor (the contractions phase before pushing starts) has been linked to changes in the baby’s heart rate and lower levels of oxygen reaching them. It’s possible the “on the back” position isn’t giving the baby enough room to get good blood circulation or move around comfortably.
So, here’s the scoop: according to this study, if you’re up and about, walking, or standing during the early part of labor, it can actually make things go smoother. According to the study, it might make labor shorter, reduce the chances of needing a C-section, and even mean you’re less likely to need an epidural for pain relief. Plus, there doesn’t seem to be any extra risks for you or your baby. Sounds like a win-win if it’s a position you’re more comfortable in!
Alternative Birthing Positions
There are many alternative birthing positions that people use to keep themselves and the baby healthy and comfortable. These include positions like:
- Squatting
- Standing
- Kneeling
- Side-lying
- Hands and knees
- Water birth
- Birthing stools or balls
When it comes to women giving birth, most healthcare professionals agree that, assuming there are no medical complications preventing it, changing positions to whatever feels most comfortable makes sense. In fact, many studies have shown that it’s actually good to change positions and spend time upright or in other comfortable positions like the ones listed above.
Choosing the Right Birthing Position: Options Beyond Lying Back
So here’s the deal: When it comes to bringing your little one into the world, birthing positions can make a big difference and you’re not necessarily locked into laying on your back the whole time. It’s all about finding what works best for you and your baby, whether that’s standing, squatting, or even using a birthing ball. But here’s the key: don’t go it alone! Make sure you’re openly discussing this with your healthcare team so they know your preferences and any concerns you might have. They’re there to support you every step of the way. So, don’t be afraid to speak up and explore all your options. You’ve got this!
At ITR Phyical Therapy, our trained pelvic physical therapists are ready to talk to you about your body, your pregnancy, and what positions might be the best fit for you, your pelvic floor and your baby.