Doula

Category - Labor & Birth

If a mother does not have the urge to push once she is fully dilated, which of the following is the BEST position for her to adopt?
  1. Squatting
  2. Lithotomy
  3. Side-lying
  4. Semi-recumbent
Explanation
Answer: A - In a squatting position, the stretching of the pelvis, the shortening of the birth canal, and the added pressure baby's head puts on the cervix and vagina all combine to activate nerve pathways and hormone releases that signal to a mother it's time to push. Lithotomy position (lying on her back with her feet in stirrups) is unlikely to help. Lying on her side may be helpful for a mom who is very tired, but will not put enough pressure on the cervix to give her that distinct urge to push. Semi-recumbent, or sitting while leaning back, may be a good second choice in this situation.
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