Standing up and moving helps the baby's head to press on the cervix, increasing dilation. Plus, moving around, whether kneeling, squatting or standing, helps to widen the pelvis for when baby's head is ready to pass through. Massage: For some distraction, have the support person can give a little massage during labor.
Don't Lie Down
Staying upright throughout much of labor lets gravity work to your advantage: The baby's head pressing on your cervix will help it dilate. And trying a variety of positions—standing, kneeling, or squatting—can lessen discomfort and move labor along.
Pushing can be one of the most intense and exhausting parts of the labor and delivery process—and it can take anywhere from several minutes, up to a few hours to push your baby out.
Whether it's sitting, walking or switching sides, before receiving an epidural, try to change your position often to ensure labor progresses. Audio analgesia, or using music, white noise or environmental sounds like waves crashing, boosts mood, reduces anxiety and stress, and can lessen pain during labor.
Deliver in an upright, nonflat position.
There are a number of delivery positions that might reduce the risk of a vaginal tear during childbirth. Rather than lying down flat during delivery, deliver in an upright position. Your health care provider will help you find a comfortable and safe delivery position.
Medications also can be given to help induce softening and dilatation of the cervix. Oral or vaginal suppository drugs, such as misoprostol and other prostaglandins, are also commonly used to ripen the cervix.
Try being upright
One of your biggest allies is gravity. When you are upright—standing, sitting or kneeling—the weight of your baby presses on the cervix, encouraging it to open. An upright position may also help get your baby into the best position for birth.
Walking around the room, doing simple movements in bed or chair, or even changing positions may encourage dilation. This is because the weight of the baby applies pressure to the cervix. People may also find swaying or dancing to calming music effective.
Due to the amount of pressure caused by your baby's head on your perineum, it is unlikely that you will feel any tearing. But everyone's birth is different and some women may find that they feel a lot of stinging, especially as the head is crowning (when your baby's head can be seen coming out of the birth canal).
Since the 1950s, obstetricians have sometimes sewn an extra stitch while repairing vaginal tears and episiotomies after childbirth. The purpose of the extra stitch is to tighten the woman's vagina and increase sexual pleasure for her male partner.
Three to four pushing efforts of 6 to 8 seconds in length per contraction are physiologically appropriate (AWHONN, 2000; Roberts, 2002; Simpson & James, 2005). When the time is right for pushing, the best approach based on current evidence is to encourage the woman to do whatever comes naturally.
The point is located above the ankle on the backside of the lower calf. It's about four finger widths wide above the inner ankle bone. Acupressure is applied by using your index finger to apply firm pressure to this point for a few seconds.
According to Brichter, sitting on an exercise or birthing ball in neutral wide-legged positions prepares the body for labor by increasing blood flow, opening the pelvis, and encouraging cervical dilation. You can also try birth ball exercises such as circular hip rotations, rocking, and gentle bouncing.
Abstract. Background: Studies have shown increased incidence of severe vaginal lacerations (third and fourth degree) in women under the influence of epidural analgesia. This increase has been attributed to the increased the use of operative vaginal delivery (OVD), with attendant increased risk of laceration.
Your vagina may be looser after giving birth.
The muscles may improve over time, but often do not. Kegel exercises and pelvic floor therapy can help strengthen these muscles. If it continues to be a problem, Vaginoplasty can dramatically improve a loose vagina. See if Vaginoplasty is right for you.
The episiotomy tradition
Experts believed an incision would heal better than a natural tear. The procedure was also thought to help preserve the muscles and connective tissue that support the pelvic floor. Today, however, research suggests that routine episiotomies don't prevent these problems after all.
When they're almost ready to make an entrance or just at some point during labor, the bag pops or breaks — and amniotic fluid leaks out through the vagina. Typically, your water will break because your contractions or baby put pressure on it — like popping a balloon from the inside.
Theoretically, the unequal walking pattern created by the curb causes the pelvis to open and allows the baby's head to descend. When the baby's head is deeper into the pelvis, there is more pressure on the cervix, causing dilation and effacement. This uneven walk should be done for about 10 minutes.
Early dilation often feels like menstrual cramps as the cervical changes cause pain and cramping noticed in the lower part of the uterus. It is the same sensation and location as menstrual cramps. Active labor tends to be felt in a larger area but can be a similar sensation as cramping (with more intensity of course).