Vertical childbirth - this slightly unusual name refers to a completely natural process of childbirth, when the expectant mother, without lying on her back, pushes her baby through the birth canal, and during its release is in any of the variations of the vertical position. It can be a squatting pose, it can be on all fours or knees, when a woman is pushing with her hands on anything, and more often on anyone.
Indeed, most often vertical childbirth - partner. That is, the expectant mother gives birth in company with her husband or any other family member.
Reviews of family psychologists, by the way, are almost unequivocal in this matter. Most of them believe that properly conducted joint childbirth will only strengthen the relationship between the spouses, the father’s participation from the first seconds of the child’s life, from his first sighs, from the first cry forms the strongest bond.
Of course, there is a risk with this method of partner childbirth to break the harmony in the intimate life of the spouses. But if you follow the same advice, so that the husband does not have the opportunity to observe the very generic activity itself, that is, he should not see the woman’s crotch when the baby exits, but supports her from behind, then everything will be very good. And vertical childbirth just suggests the presence of a loved one and his constant support.
Emptying the bowels - is it always necessary
Most often, after the first tangible contractions, the woman is strongly recommended to undergo a enema - that is, to put an enema and free the small intestine from the feces. Some women refuse this, arguing that they visited the toilet not so long ago, that they have no problems with emptying, or simply because they are not in the mood for such a procedure. They do it for nothing. The simplest explanation for the need for this procedure is that during contractions not only amniotic fluid and baby can come out, but all this will also be supplemented with completely unnecessary secretions. But even if this does not happen, then for some time after giving birth, it will be very difficult for a young mother to visit the toilet for this task, and the intestines that have been cleaned beforehand will be able to wait at least 24 hours until the crotch begins to recover.
If childbirth is complicated and the doctor has to make an incision, then it will be even harder, more painful to empty. Therefore, whatever natural method of birth is chosen, anyway, obstetricians strongly recommend mandatory clipping before childbirth. The most optimal time for this is the beginning of the first, latent, painless stage, that is, the first hours.
Risks and difficulties of the first and second stage
The first stage - the disclosure of the cervix to four centimeters, can in some cases even not be noticeable for a woman. Often this process begins during sleep, and therefore there are stories among young mothers that one or another was able to give birth in just two or three hours, almost without realizing what was the matter. But if there are no sensations of contractions, this does not mean that the uterus does not open. That is why the gynecologist is trying to most accurately determine the term of the future birth and advises the woman to be especially careful during this period. And in some cases, the future mother is simply placed in advance in the hospital so that the body can prepare for the process. Thus, the doctor determines whether everything goes according to plan.
When a woman enters the birth ward, a vaginal examination is performed, which is repeated several times.
Mandatory inspection steps:
- water discharge stage
- time of change in the frequency of contractions
- inadequate, for example, bloody discharge from the vagina,
- decrease in the intensity of contractions
- a sharp increase in the intensity of contractions.
According to the results of the vaginal examination, the state and well-being of the woman in labor, her blood pressure, uterine contractions, uterus tone and uterine contours, the obstetrician monitors the condition of the woman, deciding whether or not she needs additional medical or surgical intervention.
When is Caesarean prescribed?
A cesarean section or removal of a baby from an incision in the abdomen of the uterus may be prescribed before the onset of labor as a preventive measure if the fetus is in the wrong position or cord is entangled, or if there are viral, bacterial infections in which birth can naturally and absolutely be contraindicated.
Also, a caesarean section can be assigned in an emergency variant, for example, when the labor activity is weakened, if the child suddenly turned not in the way he should, when the condition of the woman deteriorates, while the fetal heart rate slows down and other extreme situations.
Many of them can be circumvented if you behave correctly in the first and second stages. Here you need to carefully listen to the recommendations of the doctor and try not to feel sorry for yourself, and even if they do not want to perform their tasks, do not argue and try. After all, it is better to endure once even very unpleasant feelings than to clear up the consequences of a minute self-pity for many months or even risk the life of your little crumb.
From many troubles associated with the appointment of an emergency caesarean section, can protect the active in the measure of movement and breathing exercises, the system which should be learned in advance.
Vertical childbirth, by the way, just implies a moderate obligatory activity of the parturient in the first two stages.
How much a woman should be active in the first two stages
In order for vertical childbirth to be successful, in the first two stages a woman should be as active as possible, but all movements should be carried out under the constant supervision of the medical staff. In some clinics of the European sample in the ancestral halls there are even pools with warm water. Immersion in warm water relieves pain symptoms, helping the expectant mother to relax after the next stage of labor. That is, in this case it is allowed not only to move, but even to swim, to sit in the water. If there is confidence in the sterility of the room, as well as the pool itself, then this is a great practice.
During not the most painful bouts and after them, a woman can walk, knead her back, crouch and stand up. Very good results can give movement on a special rubber ball. Psychologists are advised to try to maintain maximum calm, not allowing either fear or panic even a meter closer to their own consciousness. Excessive release of adrenaline detrimental to many systems. In addition, if you let the wave of fear to yourself and surrender to these emotions, then it will be very difficult to calm down afterwards.
A person in a state of panic begins to hear, understand, perceive the world around worse, and the woman giving birth should be very controllable. Ideally - to fully comply with all the requirements of the doctor for the first word. Rapid response and correct execution of the doctor’s commands are practically a guarantee that the delivery will take place as quickly as possible, smoothly and perfectly.
That is, during the first two stages of labor, a woman should not lie without movement - walking, squats, even a pool or a shower are allowed, but under the supervision of medical personnel.
And as it was before - why now almost all give birth horizontally
In fact, horizontal birth is less natural and not so familiar to our body. This method began to spread only a few centuries ago from France. Few people know, but horizontal birth is popular only in European countries. In Asia, Africa, and in the East, women give birth more vertically, unless, of course, there are no special prescriptions.
Horizontal birth is more convenient for the obstetrician than for the woman in labor. The fact is that in such a position it is easier for him to monitor the state of health of the infant and regulate the whole process.
In Russia, childbirth was traditionally taken at home, not in a hospital. There was even a peculiar category of female midwives. In some places they were called witches, that is, knowing, knowledgeable mothers. They regulated the process of childbirth as follows: the first two stages, but rather one and a half, because the midwife only reached half of the first stage to the woman in labor, the birth often took place in the bath. For a woman, the bath was melted, but not very hot. There she was washed, cleaned, her pores were opened with bath brooms, in general, they were prepared. In parallel with this, the midwife forced the woman to move as much as possible, even sometimes to lift moderately heavy objects, if the process of childbirth was delayed.
Sometimes the immediate exit of the child also took place in the bath. Any presence or participation of the husband, the father of the child, and in general any man was not allowed. Usually they just waited, listening to, when between the cries of their women you will hear a thin long-awaited cry of the baby.
Of course, women in labor then were incomparably healthier than they are now, but help in critical situations then was not as qualified as today. But it is known for sure that most women, many centuries ago, did not give birth in a strict horizontal position, but in the way that was convenient for them. As for Africa, eastern countries, in particular, Japan, women there more often give birth in the upright position, because it is considered the safest for the future mother and her baby.
Pros and cons of birth in an upright position
Childbirth in the upright position is more natural and more comfortable for the expectant mother and her baby. The fact is that labor activity in this position is more active, and, accordingly, less exhausting for the infant and his mother. As they say, research and statistics, the average duration of total labor activity, which includes labor and the childbirth itself, when choosing the vertical position, can be reduced by up to three to four hours. This is due to the fact that the uterus, the uterine contractions, are more active in this situation and the fact that a woman who chooses this option for herself is more active in the prenatal preparation period than the one who, if possible, chooses the horizontal method. .
If the woman is in a vertical position, of course, if she does everything correctly and mentally prepared for the process, there is a lower risk of ruptures and the integrity of the vagina and uterus.
The child passes faster through the birth canal - this is also a plus, it does not have to be squeezed out. The faster the child passes through the birth canal, the less time he will have for hypoxia or acute oxygen starvation. By the way, it is in it that many doctors find the cause of the critical deterioration of the infant’s health in the first moments of life.
If vertical childbirth passes safely, then the woman feels less pain. Again, according to statistics, with this method of childbirth, a smaller percentage of women require epidural anesthesia.
Epidural anesthesia - pain relief when the drug is injected into the spine. It is a relatively safe way, but it can pull a lot of complications after it, if the anesthesiologist doesn’t choose the right place for the injection.
In any case, it is believed that the less drugs will be introduced into the woman’s body during childbirth, the more healthy the baby will end up and the shorter the recovery period will be. And if the expectant mother plans HBV (breastfeeding), and the results of the analyzes allow her to do this, then the question of minimizing the medication effect is more than acute. Indeed, in the milk of a woman all the substances that fall into her blood accumulate. And no anesthetic will not be a useful component of food crumbs.
Another undoubted advantage is that when a woman is in an upright position, her uterus does not press on the bladder, and most importantly, does not pinch the necessary and important blood supply.
Moreover, during vertical childbirth, a woman feels more that the situation depends largely on her, that she controls the whole process, so it is psychologically easier for her.
But vertical childbirth, despite its naturalness and convenience, also have negative sides. First, not every clinic can conduct such childbirth. Turning to statistics, we can sound one more conclusion: at the moment, there are much more courses on preparing a woman for vertical labor than competent specialists practicing this type of labor.
Secondly, during such birth, it is much more difficult for the doctor to monitor the health of the baby and the condition of the birth canal. That is why in case of complications, if a caesarean section was rejected, as a way to protect herself and the child, the woman would most likely have to give birth lying on her back.
As a result, we can say that there are much more advantages in vertical childbirth than minuses. And if there is such an opportunity, and there are no pathologies for either the future mom or her crumbs, then it is better to choose this option. Especially if partner births are planned. But in case of horizontal childbirth it is better not to use the partner option - it can definitely lead to a weakening of sexual attraction between spouses in the future, of course, more from the man.
Why horizontal labor is better not to partner
Unlike vertical births, it is better not to do horizontal partnerships, because a husband who is in the abdomen of a woman will have access to a full view of the opening crotch, and some men may change their attitude to a woman after this. It may become less sexually attractive for them, and as you know, the harmony of intimate relationships is a very important part of a joint marriage.
Vertical delivery on the contrary will be able to bring together partners. Having gone through with his beloved all the difficult stages, having experienced with her both pain, and exultation, and incredible tenderness and warmth after the appearance of the crumbs, a man will be able to begin to treat his beloved more tenderly and reverently. He may want to take a more active part in caring for the baby.
Dry numbers only
Gynecologists have calculated that the percentage of any complications during vertical labor rarely reaches four percent, and at horizontal it sometimes goes up to 35%. Therefore, it is now being so actively re-forming in such a familiar and already well-established issue for many.
For mothers with vertical childbirth, there is an insignificant one-percent probability of injury, while on the contrary, with horizontal, this percentage increases to five. This is due to a more natural and harmonious flow of the whole process in the first case.
The opening of the cervix of the mother during vertical labor is about two hours faster than at the horizontal. The pressure of the head of the child and the activity of the woman during the preparatory stage ensure this acceleration without the risk of complications.
About 100-150 milliliters of blood are lost by a woman during the final stage of discharge of the placenta, if the birth was held vertically, and if the woman remained seated in a vertical or semi-vertical position. Contraction of the uterus and disposal of the placenta stimulates the baby to suck the newly formed colostrum from the breast. Moreover, the woman more adequately and calmly perceives the situation as a whole.
The percentage of postpartum depression is lower in women who give birth upright. On the one hand, the reason for this is in the absence of such a strong and prolonged pain, as in horizontal births, on the other, in a calmer perception of everything that is happening. In addition, if vertical childbirth is also a partnership, then the woman does not have the feeling of being abandoned and unnecessary, so psychologically she recovers faster.
Faster psychological recovery is the key to quick physical recovery.
How to prepare for vertical birth
Not only before vertical, but also before any other types of childbirth, women should thoroughly prepare. It is best to take a course of lectures from specialists, and even better - to go through a series of individual consultations. The state and structure of the body each have a unique and individual, so general advice can help only in general, but are unlikely to be able to solve anyone's specific problems.
Although, the list, the items of which relate to each, of course, exists. The first task is to learn how to breathe correctly. The second is self-regulation of mood and the ability to self-relaxation. If a woman does not learn this before giving birth and cannot stop panic attacks, which will begin in her, then this will not lead to anything good.
Before vertical birth, a complete diagnosis of the body is needed, ranging from mandatory tests for sexually transmitted diseases and HIV infection, to timely genetic examination and high-quality ultrasound examination. But such tests need to pass before any types of birth. Every gynecologist who monitors the condition of a woman during pregnancy should inform her of the need for these examinations.
Если вертикальные роды партнёрские, то и мужчина или любой другой человек, который будет планировать своё присутствие, должен сдать ряд анализов, чтобы он был допущен в родовой зал. Даже если человек уверен в собственном здоровье и даже не имеет медицинской карточки и страховки, а врача последний раз посещал в родовом зале, когда сам был младенцем, всё равно сдать анализы ему необходимо. Таков порядок.
Заранее обсудить с доктором, который планирует принимать роды у женщины, их способ. Все дополнительные рекомендации он должен будет сообщить лично.
And the last thing - if the vertical childbirth will be joint, then all the stages of preparation, both partners must be held together. Not only a woman should be mentally prepared for what will be held in the birth hall, but also her partner. It is one thing to calm the future mom during the process, but if the very future mom has to calm her partner, this will not lead to anything good either. But fortunately usually in those clinics where this type is practiced, there are also courses that prepare for the main thing. If the doctor has agreed to take delivery of the woman, thus, and has the appropriate qualifications for this, and there are no corresponding courses in the clinic, it is still worth finding a place where they can be passed.
- vertical delivery is shorter than horizontal at least 3 hours,
- vertical labor is less painful and traumatic for a woman and her baby,
- vertical childbirth - a more natural option resolution of the burden,
- if an affiliate delivery is chosen, then it is better to consider only vertical birth without the presence of appropriate contraindications.
- with vertical childbirth, less blood loss and a smaller percentage of tears and injuries for the mother.
Vertical delivery is a great option for women, especially primiparas, who do not have appropriate contraindications for this option.
Pluses vertical childbirth
It is believed that the uninterrupted physical activity already even at the time of contractions greatly facilitates the condition of a woman, it’s not for nothing that expectant mothers in the maternity homes are recommended to walk and move during contractions to cope with the pain.
At the time of the second stage of labor - attempts - in case of vertical labor, the woman, again, chooses the most optimal position for herself. For each woman who gives birth, this position will be “his own”: half-sitting on his haunches, kneeling, standing with a slight inclination forward and with an emphasis on the bed, standing in a special design of the chair. Vertical delivery does not require any special equipment or the specific qualifications of an obstetrician - unless the need for the woman to be placed will arise during the birth itself.
However, experts say: as a rule, such situations practically do not arise. According to them, vertical childbirth can rightly be called soft, they are less traumatic, accompanied by less blood loss, provide easier passage of the baby through the birth canal. Vertical childbirth, experts say, is much preferable for both mother and baby.
For the parturient woman, in the sense that they are transferred more easily: due to gravity, the fetus gradually and naturally presses on the lower part and the cervix, so the uterus opens gradually, and then the baby moves along the birth canal due to its own weight. Due to the fact that the woman is constantly in motion before the onset of attempts, the pain is felt less and anesthesia is required less often. In addition, physical activity significantly reduces the stage of contractions - by 2-3 hours. And the fact that, having passed through the birth canal and “pushed” by the shoulders into the light, the baby slips out with relief, further reduces the risk of tears and the need to cut the crotch of the woman. There are data according to which if, in horizontal births, in 25% of cases, the perineum has to be cut, in the case of vertical births, this figure is only 5%. So, even if a baby is born large enough, with vertical birth only small tears are possible, while serious obstetric interventions are practically not required.
What is vertical delivery?
What are such childbirth? This physiological natural process, less painful than normal (in the prone position). From the very beginning of labor, a woman can walk, just stand, squat or sit on a special chair.
The laboring woman spends a period in several possible postures:
• sitting or even standing in a specially adapted chair, in which there is a hole in the center,
• standing on his knees on the bed, turning his back to the doctor who takes birth.
Baby seat comes out when mommy is already holding her baby in her arms. The main difference of such childbearing is that a woman can actively behave during the whole process. Of course, the medical staff is always nearby.
How is the vertical birth?
Vertical delivery is not necessarily standing up. Pose future mother can choose the most convenient for her from all possible in this case. In addition, at any moment there is an opportunity to refuse this method and lie down. The doctor is always there and will help you make the right choice in favor of a method.
How is the birth? Here everything goes as usual: contractions, attempts, the birth of a baby, then the placenta. The only difference is in position and constant movement. By the way, the most painful stage facilitates precisely the activity of the woman in the motor plane. At present, walking, hanging on the support (or the husband’s shoulders), rotation by the pelvis, the future mother’s seat on the fitball are advisory in nature, even if the birth is planned in the prone position. This is necessary because movement relaxes the body and muscles, eliminating pain. So, smoothly proceed to the benefits.
How does the child go
Of course, it is necessary to take into account that if something is good for one expectant mother, this will not necessarily have a positive effect on the other. But still in some cases there are even indications for vertical childbirth. These include:
• severe vision problems when retinal detachment is possible during normal childbirth,
• diseases of the heart and blood vessels,
• myopia is above 6 diopters (meaning myopia).
For such pathologies, a cesarean section is recommended. But it can be replaced by childbirth sitting. This way of giving birth to a baby will allow mother not only to avoid surgery, but also the possible negative effects of cesarean.
But this procedure has its drawbacks.
Cons of vertical birth
Negative aspects of vertical delivery are:
1. Not every woman in labor can choose a position that is convenient for herself, despite the choice of poses.
2. An obstetrician in this position is much more difficult to control the process of childbirth and to perform the necessary manipulations.
3. In such cases, you can not do anesthesia.
4. For childbirth, sitting or kneeling is necessary (well, if it is) a special chair. It is a table with a hole in the center, above which is the pelvis, as well as the vagina, when the woman sits on it. It has a manual support, footrest. Through the notch (hole), the midwife receives the baby.
There are situations when vertical delivery can not be carried out.
Contraindications to vertical birth
1. The beginning of labor activity much earlier than the allotted time.
2. The wrong location of the baby in the womb.
3. Narrow pelvis.
4. Large size fetus.
5. Prompt birth.
6. Complications of childbirth (for example, high blood pressure).
As well as standing, it is impossible to give birth if an incorrect attachment (presentation) of a child's seat and the presence of various diseases of internal organs are confirmed.
In general, you should carefully weigh the pros and cons, before making your choice in favor of a particular method. And even more so at the same time do not forget about contraindications.
Which genus is better: vertical or horizontal?
The first step in choosing should be a consultation with a doctor. It is known that the opinions of obstetricians in this matter are divided. But nevertheless, it is necessary to exclude the possibility of unpleasant consequences that may arise if you choose a vertical method of childbirth, without taking into account the existing contraindications to this method of labor management.
Despite the inconvenience of controlling the process of the appearance of the crumbs into the world, each time more and more doctors are inclined to favor the vertical delivery. Still, their advantages are quite significant.
Preparing for vertical birth
Begin preparation should be early, not just before the birth, but in 3-4 months. In general, this process is almost always prepared on courses for expectant mothers. But the snag is that not every hospital practices such childbirth. Therefore, it is also necessary to pre-select this institution. It should be borne in mind that the institution must have a license for
Further, after consultation with the doctor who will conduct the birth, you should be familiar with the postures. Specifically, your choice should not be stopped at any position, you just need to consider all of the possible.
Pose for vertical childbirth
Provisions may be as follows:
1. Sitting or half sitting, leaning legs and hands in special for this device on the chair for such childbirth. The pelvis should be located above the hole.
2. Squatting. With or without support. This position stands out as the best for the baby to pass through the birth canal. But she has a significant disadvantage - she is very tiring, especially at such a moment.
3. Kneeling. Also supported either by yourself. Pose is the most popular in such childbirth.
4. Standing on all fours. This position can be used to rest during contractions, to reduce painful manifestations, and also with its help you can reduce the speed of labor.
All the proposed options are best rehearsed to get a feel for everyone. Then any inconvenience arising from a particular situation will not be news. And during labor, a woman at the level of intuition will understand what exactly suits her at the moment. Perhaps she even wants to give birth to a baby in a horizontal position.
Reviews of vertical birth
One of the important moments in childbirth is a positive attitude. He, along with the implementation of the recommendations of the obstetrician-gynecologist and careful preparation will provide a positive result. And this is evidenced by numerous positive reviews of women in childbirth about vertical birth. They say mostly about less pain, duration (if moms compare with the previous horizontal ones), that everything went without breaks or with minimal trauma.
And also more and more doctors recommend giving birth vertically. Despite all the inconveniences that this position causes in the work of obstetricians, many recognize that such a delivery is still more close to natural childbirth. After all, the baby moves along the birth canal under the action of its own weight, moreover, under its pressure, the neck is more "calm" and without tears. All doctors note less blood loss in labor, shortening of the period of labor. The main thing is that the heavy uterus, reaching an average of 6 kg by the end of pregnancy, in the standing position and other postures used in vertical childbirth, does not squeeze blood vessels, which happens when a woman gives birth lying down.
But do not take all the advantages of vertical management of childbirth as a call for the fact that it is necessary to give birth in this way. No need to resist, if the process still appears a desire to lie down. There is nothing bad and scary about it. Moreover, you don’t have to despair if you take a horizontal position for medical reasons.
Before choosing a way with which the crumb will be born, it is necessary to study in detail what are the birth itself in general, and only then proceed to the development of methods. A lot of information on the Internet, literature covering such questions, courses for pregnant women, consultations of experienced specialists (obstetricians) will help you make the right decision. And if it is necessary to change this decision in the course of labor activity to the opposite, then there is no need to be upset. The main thing is that the baby was born healthy. And a healthy mother!
Difference between vertical and horizontal genera
To give birth in a horizontal position (lying on your back) is not very convenient for the woman in labor. But this position is most suitable for doctors. They can help in time. This is a tedious process for a woman's body, the uterus squeezes blood vessels more strongly, therefore the blood flow can be disturbed. The baby gets less oxygen. The expectant mother has to put maximum effort to push the fetus.
Being upright, a woman can take any comfortable posture. The disadvantage is that the process is uncomfortable and long.
Horizontal birth is inevitable in the following cases:
- high risk of bleeding
- probability of umbilical cord loops,
- the woman has a narrow pelvis,
- there are complications
- the fruit is in the wrong position
- chronic hypoxia
- premature birth.
Vertical occur in three stages:
You can move freely, stand, half-sitting, passes faster than during horizontal birth.
The poses must be thought out and rehearsed beforehand.
It passes faster and painlessly than in a prone position.
A pregnant woman can choose a position that will reduce pain, relieve pressure from squeezing of blood vessels, help optimal muscle coordination.
It is necessary to take into account the forecasts of doctors, the state of health, to choose the option for childbirth.
To give birth to a child in a special chair, in a standing or sitting position, has long been possible in Switzerland. In this country there is even a monument to a woman who gives birth standing up. Our midwives gradually adopt such experience and try to keep up with Europe in the process of obstetrics.
The fact is that they gave birth upright 2 centuries ago, when there was no Rakhman bed yet. And now the forgotten old comes back gradually to medical practice.
The history of obstetrics. A look into the past
It should be remembered how women gave birth a few centuries ago. Childbirth in a horizontal position on the bed became popular only 250-300 years ago.
And even more ancient times, women were completely dependent on the mercy of nature. In France, it was considered convenient and safe to give birth, standing on all fours, in China - sitting on a chair. And in many European countries also gave birth while sitting. In Holland, even there was a custom, following which the mothers handed over, along with the dowry, to the wedding, a chair for vertical delivery. These were ordinary wooden chairs, without any upholstery, even.
Women had a very hard time, and the danger to life was incredible. After all, no one at that time did not follow how the baby was located in the womb and how ready the woman’s heart was for such physical activities. Now medicine is well prepared for any situations during childbirth and doctors know when a woman can give birth to herself, and when her body is simply not ready for it.
Pros and cons of such kind
Those obstetricians who have already converted their chambers and have the opportunity to perform obstetric care in an unconventional way, argue that there are many advantages in this situation.
What are the benefits of vertical childbirth? The pros and cons of this approach is important to understand before deciding on anything.
- Less trauma.
- Pain less, because the pressure is not on the colon, but on the muscles of the pelvic floor.
- A woman feels freer and can move, walk.
- Gravity in this position helps the child easier to enter the birth canal.
- The head of the baby in such a posture of a woman adapts more smoothly and physiologically to the curves of the birth canal.
- Minimal risk of hypoxia in a child.
- Children born in this way rarely have birth trauma and adapt more quickly to the world around them.
- During normal labor, lying on their backs, doctors make incisions in 25% of cases, and in childbirth sitting only 5%.
The negative sides are much smaller, but they are significant:
- A physically untrained woman cannot cope on her own.
- Epidural anesthesia is not performed for these women.
- If there is no special chair that is adapted for both positions, that is, horizontal and vertical delivery, it will be difficult for doctors to provide professional obstetric care in case of ruptures.
Another important note about why you should not get carried away with the idea of such genera. In the country, there are very few trained chambers in maternity hospitals and specialists. Finding such personnel or investing money in training existing staff is very difficult now.
Indications and contraindications
For medical reasons, which is still desirable to give birth to unconventional, include cardiovascular disease in pregnant women. Then she can not do cesarean. And the second is the risk of retinal detachment from excessive pressure.
Who definitely can not decide on natural vertical childbirth? There is a list of contraindications in which a woman risks her own life and the life of a child if she goes to give birth without control and without medication. These are mainly several categories of pregnant women:
- Pregnant women, to whom, according to physiological parameters, doctors prescribed a planned cesarean section.
- Those who have an ultrasound can see that the child has not turned the head down by the appointed time, it is also not recommended to take risks.
- Physiologically narrow pelvis in a woman.
- Bad uterus.
- The stitches left after the first birth, which were cesarean.
- Abnormal location of the placenta.
- Pathology of the uterus, which were before pregnancy, or cancer of the uterus.
- Chronic fetal hypoxia.
- Крупный ребенок либо двойня.
Это самые основные противопоказания. Есть еще одно, очень важное. Девушкам, у которых уже в молодом возрасте есть варикозное расширение вен, рожать сидя практически невозможно. Так как нагрузка на ноги большая, заболевание вен усугубится.
Естественные роды. Как готовиться?
A woman who plans to give birth by herself, without epidural anesthesia, must undergo a course of physical training. I must say that it is worth it.
It is very difficult to give birth to a modern woman who is used to home comfort, personal transport and the presence of all kinds of pain pills for all occasions. Civilization has made adjustments in lifestyle and physiology.
Wild pains are not easy to endure. You need to physically prepare yourself so that generic pain does not cause panic. A woman in a panic begins to scream, and this is harmful both for the child and for the expectant mother. A woman in labor can get breaks from physical overstrain. And since the woman stops breathing fully oxygen and exhales it during a cry, the child will definitely get hypoxia.
Preparation lasts a long and hard. With the help of training in the fresh air and constant control of breathing, you can gradually strengthen your will and endurance. It is best to perform yoga asanas aimed at endurance and training the muscles of the pelvis. Be sure to learn to relax all the muscles. In the period of a short rest between contractions, you need to maximally restore strength and mental stability.
But this is not 1, and not even 2 months of training. This should begin to do with the onset of pregnancy. It is best to take courses where specialists will explain everything and make you practice deep breathing.
No less important is the psychological preparation. Of course, vertical labor is physiologically natural and freer birth. A woman can intuitively select a body position in which she feels less pain.
Women who have given birth in this way all claim that it is much easier to push, but it can take longer. After all, such birth no one stimulates. The chair for vertical childbirth helps a lot to feel comfortable. But this is not enough; emotional help from a husband or midwife is also needed.
To risk giving birth without medical care, you need to be as ready as possible emotionally to severe pain.
It is necessary to read a lot of information about what stages in childbirth, what awaits a pregnant woman and how to tune herself to a favorable outcome. Psychological adjustment is essential.
At this time, you can neither fear nor panic. The best thing to think about during labor is not about pain or risks, but about how lucky you are to get pregnant. After all, not all women have the opportunity to even get pregnant, not to mention taking out.
Choosing a maternity hospital
Not many women in labor are aware of the advantages of this method, and not everyone can naturally give birth. Nowadays, many people suffer from gynecological chronic diseases, in which the doctor does not approve the desire to produce a child without medicines. When allowed, it is necessary to choose a suitable hospital, in which vertical labor has been practiced for a long time, and doctors have experience. Honey. The institution should be satisfied both by the criterion of the attitude of the staff to the parturient woman and by the price category.
To understand what kind of maternity hospital you need is a mandatory planning point. Vertical labor is not practiced in all hospitals. Now this is the exception rather than the rule. To take them from a medical institution must have a license.
Behavior during labor
In all other respects, except for the position of the pregnant during labor, vertical birth does not differ from the traditional in obstetrics horizontal.
A woman can walk around the ward during the rest period between contractions. And the attempts themselves can be experienced, holding on to special handrails or ropes. All maternity hospitals are equipped differently. If the husband agrees to be present when the child is born, he can greatly help by supporting the woman when it is difficult for her to stand on her feet.
It is important to listen to what the midwife says. When the head is already shown, the midwife usually asks all the same to lie down so that it is convenient to pick up the child in her arms. Although some use a container of water so that the child falls into the water, but it may be unsafe.
Woman giving birth reviews
What will those who become mom say thanks to the help of specialists who study vertical labor? Photos of women in labor who survived such childbirth, and their own reviews tell us that they really feel better.
And mothers are restored much faster. For women leading an active business lifestyle, it is important to stay on their feet. The most important advantage of vertical childbirth, the reviews of mothers already confirm this, is the rapid adaptation of the child in our world. When both mother and child did not receive any injuries, there is no hypoxia in the newborn, the two of them can go home the next day.
So, not all women are shown to give birth sitting. Physically and psychologically it is necessary to tune in advance to such an experiment, if the doctors allowed you. Next, choose a maternity hospital, which can provide an opportunity to give birth in an upright position without risk to the child's life, which is not so easy now. But if all goes well, you will have the happiest and safe birth.
What is an upright birth?
Many misunderstand this concept. Vertical delivery does not imply the obligatory standing position of the parturient woman (this is quite inconvenient), but rather have a free character. A woman can stand, sit in a special chair, kneel or squat and change her chosen position depending on her own needs.
Also currently very popular affiliate childbirth. This is a great way to alleviate suffering.
General method of conducting
In fact, vertical birth is no different from the traditional, the exception - the position of the woman. In childbirth in a horizontal position, the woman is shackled in movements, and the generic process is almost completely subordinated to obstetricians and doctors who manage the birth.
The vertical position implies a greater participation of the expectant mother in labor and the opportunity to adopt a position convenient for her. The medical staff always oversees the process, but access to the parturient is a bit complicated. If desired, a woman can use a special chair with armrests and a hole in the middle through which the obstetrician can take the child. Looks like a chair, you can see in the photo.
When do doctors recommend a similar approach?
In cases where the birth process is delayed, and the woman experiences a huge amount of painful and unpleasant sensations, obstetricians often recommend themselves to take a more comfortable position. The first period of labor (labor) on average is reduced by 2-3 hours if the woman in labor behaves actively. Attempts proceed faster in a standing position, due to gravity and the ability to move the pelvis. Indications for vertical childbirth are varicose veins or retinal diseases (with the risk of detachment), including a high degree of myopia.
How to prepare?
After consulting an obstetrician-gynecologist and obtaining permission from him for vertical delivery, expectant mothers attend special preparatory courses for training in proper breathing. They are also taught to feel and control the generic process, to select the correct position, which will be convenient for the parturient at the same time and will not harm the baby.
Gymnastics for pregnant women should not be neglected (the main set of exercises can be seen in the photo), it will prepare the body and the muscular skeleton for childbirth and help to transfer pain more easily. The psychological component is also important, so you need to monitor your mood, learn to manage emotions and eliminate everything that can be frustrating from life. Another important factor is the participation of the spouse. It is better if the birth will be a partnership.
Positions of the parturient during the labor process
At the first contractions, when the uterus is just beginning to open, the woman is advised to behave actively: walk, move, sit backwards, or lean on the shoulders of her husband. At the stage of attempts, when the generic process has already begun, the woman assumes a comfortable position for herself - squats, kneels, holding onto a support, or sits on a special chair with a hole. Possible positions can be seen in the photo.
Often, spouses or other relatives are present at vertical births, who can also participate and help the woman give birth. The final stage (the birth of the placenta) is faster, due to more intensive contraction of the uterine wall.
How to behave?
Choosing this or that way of the birth process, a woman should be confident in her decision, since comfort and psychological state play an important role in the birth process. In the case of choosing a vertical position, the movements will be free and practically not constrained. However, you must listen to the advice of doctors and obstetricians, who oversee the process. Do not forget that comfort and safety are not always equivalent. Proper breathing reduces pain during contractions and speeds up the process of childbirth, this can be learned in courses for expectant mothers.
What is the advantage?
The advantages of the generic process in a vertical position are many:
- The risk of rupture is significantly reduced due to the fact that the baby passes through the birth canal more smoothly.
- The mother's pain syndrome is noticeably lower - both during contractions and in the process of attempts.
- According to statistics, the risk of postpartum complications in babies is 30% lower than with traditional births.
- The blood loss of the woman in labor is less, since the placenta is born faster.
Some obstetricians recommend that you attach it to your chest after the baby is born (this stimulates the uterus) to speed up the birth of the placenta. Babies born in an upright position are less likely to have neurological problems and gain weight faster.
However, there are also negative sides. You should not be afraid, it will be much more useful to study them. The main difficulties faced by the future mother, the decision to give birth vertically:
- today, not in every maternity hospital, staff are ready to receive vertical deliveries, so you need to be prepared for failures and continue the search for "your" maternity hospital,
- A woman who has neglected preparation courses for childbirth can face difficulties in finding a comfortable generic position, despite the fact that the choice is quite diverse,
- women who are sensitive to pain will not be able to receive anesthesia, while during traditional childbirth pain relief is not denied,
- Due to the fact that the participation of doctors and the possibility of examining a woman in childbirth during vertical childbirth are greatly reduced, there may be situations when help to the child will not be provided in a timely manner.
Horizontal or vertical: what kind of childbirth to choose?
Thinking over the question of what kind of birth to choose, you need to carefully examine all the pros and cons, contraindications, consult with experts, analyze your own strengths and capabilities. Hasty decisions in this matter should not be, the main task of a pregnant woman is to collect as much information as possible and realize all the responsibility that falls on her for the life of the child.
In addition, it is recommended to use all possible methods of preparation: courses, video tutorials, gymnastics, compliance with the recommendations of doctors, the community, familiarity with mothers who gave birth in an upright position and with those who plan to do this. All this will help to give birth quickly and painlessly, regardless of which birth was chosen.
Maternity hospitals using vertical labor
Not all hospitals practice vertical childbirth. Therefore, if you decide to give birth in an upright position, rather than lying, then you need to find a maternity hospital ahead of time, where you will agree to accept such childbirth.
It should be noted that in most maternity hospitals, doctors are not at all against the vertical position of the woman in the first stage of labor. That is, when there are fights. A woman may be allowed to walk, stand, or sit. She can choose the most comfortable position in which the contractions will not be so painful.
But the second and third phases of labor in most maternity hospitals are carried out in the supine position. The position of the woman in labor is also adapted to the chairs on which the women lie, leaning with their legs and holding hands on the handrails during the fights. No doubt, these chairs are very comfortable for the doctor and midwife. But they are not always convenient for the mother in labor.
Therefore, if you are looking for a maternity hospital, you need to find out if BP is practiced in it, and what equipment they have for such genera. First of all, in the hospital there should be a special chair for vertical birth. Unlike a chair for childbirth lying, this chair allows the woman in labor to sit even during attempts.
In addition, in the delivery room can be fitball. It is more convenient to give birth sitting on a fitball than lying down or standing. In the delivery room, there may also be a special staircase where the woman in labor can stretch and relieve muscle tension between contractions.
And most importantly, in the maternity hospital using vertical delivery, there should be well-trained and positive-minded staff. Not all doctors, especially doctors of the old school, are good at innovations. Therefore, you need to choose a professional who understands all the benefits of BP for a woman and a fetus, and would be willing to put up with some inconveniences of such kind for yourself.
In Kiev, there are several maternity hospitals, in which doctors take vertical birth. For example, this is the maternity hospital number 3 and number 5 (Railway Hospital). The seventh hospital also practices this innovation.
In Moscow and Leningrad, you can also find maternity homes, where you can give birth vertically. In Moscow, officially BP practices maternity hospital №4. You can also contact the fifteenth maternity hospital. And in St. Petersburg you should contact the hospital number 18. There is still the fifteenth hospital, at which the center for preparing for childbirth Rainbow was created. There, too, take vertical childbirth.
Armchair for vertical delivery
To give birth vertically, it is not necessary to use a special chair for vertical childbirth. Childbirth can take place in a standing position, squatting or kneeling. At the same time, the woman maintains mobility and can easily change the position, if necessary.
But, nevertheless, an armchair for BP facilitates this process, both for the parturient woman and for the doctor. Unfortunately, such equipment is not in all maternity hospitals. What does a chair for vertical childbirth look like and how does it differ from the usual “reclining” chair?
Such a chair can be called a chair. You can not lie on it. A woman sits in such a chair during childbirth. It has handles for handholds and a footrest. Also, in the stool there is a “slot” or a notch, due to which the woman’s pelvis and vagina are on the weight and the child can freely go outside.
As a rule, this chair is not very high, which complicates the work of medical staff. After all, the doctor has to sit "curl" near the woman during the attempts. Therefore, not all doctors want to take BP.
Childbirth in an upright position
What is the difference between childbirth in a vertical position and traditional childbirth lying on your back? Vertical delivery is different from “recumbent” delivery at all stages of this process. As you know, childbirth has several stages. The first of these is contractions. The muscles of the woman are actively working and open the cervix to release the fetus.
In traditional “bedridal” labor, a woman spends most of the time lying on her back or side. Then, as with BP in the first stage, a woman not only does not lie, but is not limited at all in posture or motor activity.
In other words, she can walk, sit, stand or endure contractions in a sitting pose on a fitball. She can even hang on a horizontal bar or a special ladder, or sit on her husband’s lap, if it is a partner birth. In addition, when a woman is not lying, but is standing or sitting, her maternity partner can massage her back or lower back, which will help ease the pains during labor.
In addition, in the upright position, the fetus and uterus do not put pressure on the blood arteries, as is the case when lying down. The blood circulation in the woman’s body improves and the risk of fetal hypoxia decreases. That is, when BP improves air flow to the child.
In addition, the pain during contractions is not as severe as with lying childbirth. If a woman is sitting on a fitball, she can make swaying movements with her pelvis. They massage the muscles, relieve excessive tension and reduce pain. In addition, the movement at the stage of contractions accelerates labor and shortens the period of contractions. The cervix opens faster.
Deliveries in an upright position have many advantages over lying in the second stage of this process. At the second stage, attempts begin, and a child is born. He enters the birth canal and goes outside.
The main advantage of vertical childbirth is the naturalness of the pose. If a woman lies on her back, then she has to promote the child through the birth canal by the force of contraction of her own muscles. That is, to have to suffer very strongly and almost to exhaustion.
With BP, the fetus moves down under its own gravity. The strength of the child helps to move down and be born faster.
Even in the third stage of labor, vertical childbirth has significant advantages. The third stage is the birth of the placenta. Again, it is accelerated by the force of the force. In addition, when standing or squatting, blood loss during labor is reduced.
Contraindications for vertical delivery
Есть ли противопоказания для вертикальных родов? Конечно, есть. Например, преждевременные роды могут послужить таким противопоказанием. Еще одно противопоказание – это неправильное положение ребенка. Если ребенок не лежит головкой вниз, то врачу придется его перевернуть внутри утробы матери. Сделать это при ВР практически невозможно. Therefore, in this case, traditional horizontal labor is recommended, where the doctor has more space, convenience and access to the woman in labor.
Another contraindication to vertical birth is a narrow pelvis of the woman in labor or a very large fetus size. BP can flow faster than horizontal, because the child naturally moves down under its own weight. He is faster and "assertive" opens the birth canal. There is a narrow pelvis or the head of the fetus is too large, there may be strong ruptures of the birth canal in the woman in labor or birth trauma in the infant.
As is known, all repeated deliveries proceed faster than the first. After all, the birth canal is already “toric” and it is easier for the baby to pass through them. At vertical birth, the process may even accelerate, which can lead to ruptures in the parturient woman.