Get off your back! (Unless it feels right for you)
Instinctive birthing wouldn't prescribe any specific position for birthing. You may intend birthing on all fours and end up squatting. It's absolutely fine to do whatever is right for you at the time. But what about birthing on your back?
Without antenatal education, birthing on your back may be the first position you think of when giving birth? The videos you saw at school probably were of a women on her back in agony. The last birth you saw in Coronation Street was probably on her back in hospital (Unless the circumstances were more dramatic). How many women in One Born Every Minute give birth on their backs? It's hardly surprising then, that most women think they need to birth on their backs.
Reasons not to birth on your back...
1. You are fighting gravity - literally pushing your baby up hill.
2. You give medical staff an easier route to intervene.
3. Legs strapped - open wide in stirrups give me nightmares. (This is my personal opinion)
4. Compression of main arteries mean a restricted amount of blood and oxygen flow to the baby - leading to foetal distress.
5. Foetal distress may lead to a c/section, forceps etc...
6. It's disempowering for women and can effect birth satisfaction.
7. Slower labour.
8. More painful.
Birthing on your back prevents you from taking advantage of the benefits gained from moving around and having a active labour
"An active labour positions the baby in the best possible way to exit –
she has a clear run to the outside world and is better able to manoeuvre
around her mother's bones. Labour is shorter and less painful in
upright positions, and gives baby a far better oxygen supply - because
lying on the back cuts off part of the blood supply to the placenta.
The mother does not have to push her baby out against the effects of
gravity, and there is less need for intervention, epidurals, forceps,
ventouse and caesarean section." Margaret Jowitt
Milli Hill explores this further in the following article: Moving freely in labour wor
ks best, yet getting support for this can still be a struggle...
Moving freely in labour works best, yet getting support for this can still be a struggle...