Hospitals in the UK are halting the practice of telling pregnant women when to push, citing a significant decrease in instances of tearing.
. I cringed as I type that. It makes me want to slap every man who lets out an exaggerated groan when they think of being kicked in the balls.But one hospital in the UK has found a way to achieve better outcomes for mothers and their perineums.So instead of feeling like they’re on a rowing crew while having repetitive instructions bellowed at them during labor, women at Medway Maritime Hospital are.
Laboring mothers are also encouraged to try positions other than lying on their back, like coming up on all fours, standing upright, or squatting. Many women will tell you that lying on your back in labor feels unnatural and that they often feel an intense urge to come up into a more comfortable position. Lying on your back decreases blood flow and closes the pelvis by as much as 20%, increasing the chances of tearing or episiotomy.
And don’t worry. If a mother or child is in distress or there are other complications, the midwives aren’t going to let her just lie there while they shrug their shoulders and say “Well, we aren’t supposed to tell her to push.” There are exceptions to every rule. But birth is, typically, an uncomplicated matter. Our bodies tend to know how get ’em out of there. The times when this isn’t the case is why doctors and midwives are standing by rather than just some guy with a catcher’s mitt.
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