A Midwives Top 5 Birth Tips

Ask A MidwifeTop 5 Tips

1. Pelvis and Positions

When your baby is in an OPTIMUM position – baby’s head is down in your pelvis and baby’s back is running alongside your abdomen. If you are standing up baby is looking/facing your back. When a baby is in this position the smallest part of baby’s head enters the pelvis first and your baby can navigate through the pelvis a lot more efficiently- making your labour and birth quicker and less of a chance of needing intervention.

To assist your baby into this position- there are a few things you can do… Think of the back of your baby’s head is its’ heaviest part and you want that to be swinging to the front of your abdomen, this should help you understand the correct positioning.

• When you sit down/ relax in the evening try and ensure that your pelvis (top part) is tilting forward – it’s sort of like your bum will be sticking out.

• Your knees should also be lower than your pelvis too.

• Birthing balls (blown up correctly) and straddling a chair (so backwards and leaning over the back) are great ways of sitting.

• If you do want to lie down or slouch back in a comfy sofa I would always do so on your side.

• If you do a lot of driving then you can pop a small cushion at the base of your spine to again, help you lean more forward.

These are all tips that you can adopt at any time of your pregnancy. However, it is most important from 36 WEEKS as baby will be entering (getting engaged) into your pelvis at this point. You can continue to adopt these positions in labour to keep baby in this optimum position by leaning FORWARD (on your partner, a wall, leaning on a bed- whatever is in sight) with contractions so the strength of your uterus contracting will also be working to get baby into this optimum position.

Another thing that you can do to make sure that your ball is going to come out that maze quickly is by keeping your pelvis UPRIGHT. Imagine dropping a ball through a pelvis, it’s going to come out the bottom. If you lie that pelvis down then put the ball in there- you no longer have gravity on your side. So another top tip for birth is to stay standing or walking as then gravity will be pulling from the bottom whilst your uterus is pushing from the top. Use the forces of nature to lend you a hand!

2. Protect your space

Lights, camera, no action. If anyone here is anything like me and is slighty, Instagram obsessed then I am sure you are partial to a photograph. Any avid photographers amongst us? But, have you ever noticed the most creative photo opportunity of a loved one, with perfect composition and great lighting. Only to get the camera out and they have moved from a chilled out, natural form to an uncomfortable, stiff pose? I always think of Chandler and Monica here too, Friends fan anyone? The minute the photographer goes to take a photo of the newly, engaged couple, Chandler puts on the most awkward of smiles. Anyway you get the idea.. The camera makes people act weird! Similar situations can occur during labour. It is called the ‘Fear Of Being Observed’ and it makes total sense. If you think about being in a new situation, such as birth then put your friend in the corner, or your mother in law or the postman etc. this is going to change the way you react to your tightenings. Birth is instinctual and primitive. Tightenings can make you want to squat to the floor or lean over on all fours, they are going to make you want to breathe rhythmically and sometimes noisily like you do if you are exercising. Sometimes having extra people in the birth room, such as a friend, mother in law or sometimes even your own mother (depending how close you are I suppose) can alter how you behave and this can effect the hormones in your body.

So this tip would be PROTECT your space. If you are feeling overwhelmed with birth and your surroundings, take yourself into your bathroom as it is often the only place where you can guarantee that you will be on your own for. Just until you have got back in your zone again.

3. DIM LIGHTS.

Having bright lights on decreases your production of melatonin (the night time hormone). This hormone directly works on the uterine muscles assisting them in contracting, so we need dim lights for lots of melatonin to be produced. Also, think of mammals, they always go into a dark space- free from distraction to birth. It is again a primitive instinct as in this environment we would have been free from predators, making a safe birthing environment. Also, most likely the reason why women often go into spontaneous labour in the night time, the darkness indicates the environment is free from predators.

Keep the lights dim in labour, either whilst you are at home or in the hospital.

4. Birth Affirmations

A POSITIVE MINDSET, is something that you will always own in all situations and I encourage you to utilise this to your advantage. Use affirmations to strengthen this mindset every day. Your mindset will be using words like CONFIDENCE, STRENGTH, RELAXED.

I make the right choices for me and my baby.

I breathe for calmness.

I feel confident about birth.

I feel relaxed about birth.

Birth is safe.

I relax my mind and my body follows.

I believe in myself.

I am strong.

I birth without fear.

(Note here that birth is ALL modes: Instrumental births, vaginal births and cesareans)

By following a positive mindset- your body will naturally align with this, without you predicting or planning what will happen.

The more you go over these affirmations and follow this positive mindset- the more your body believes that all is well and will naturally align with this. What I mean by this is there is going to be less adrenaline in your body, which is a hormone that can stop / reduce contractions. If you are feeling calm, relaxed and confident about birth then the OXYTOCIN hormone is going to be released-keeping your contractions effective and therefore reducing the need for intervention.

Your feelings surrounding birth you can control, which can influence your birth for the positive. However, to plan a birth journey, not so much.

5. STRAWS

I bet you’re thinking what has this small bit of drinking equipment got to do with birth??

Well let me tell you this drinking tool goes two fold…

Firstly let’s talk about the less obvious one… I’m going to take you back to a time where you felt a bit nervous about something maybe a presentation at work or an impending exam. The things that we notoriously do to our bodies around this time is hold tension in our shoulders, hands and jaw. Even now sitting here, reading this email be aware of your jaw are you holding tension in it?  What about your shoulders? Roll your shoulders back and down and you may notice that they were tense beforehand. Ever noticed how you clench your fists when feeling stressed? Our body is connected all the way down- if we are holding tension in our jaw, hands and shoulders then the rest of our muscles in our body hold tension as our body feels as if it is under stress. If you then apply this to your cervix.. a cervix that is tense will not open as readily as one that is relaxed. Which leads me onto a STRAW… when you drink a drink through a straw your jaw is relaxed. You try drinking through a straw with a tense jaw.. it is impossible!! Therefore, with the same rule applying- if your jaw is relaxed then the rest of your body is going to follow suit, meaning that your cervix will be relaxed enough to open efficiently. You can apply this same method to your palms, ask your birth partner to stroke your palms to encourage them to remain open and relaxed. Also, to your shoulders, having your birth partner pop his hands on your shoulders and reminding you to relax them will have the same effect. An extra bonus of both these too is that TOUCH increases the birth hormone OXYTOCIN, which again will encourage contractions.

This same method can and should be used in all birth situations. If you are having a cesarean, it may not be as important what your cervix is doing, however, you are still going to want to be feeling relaxed and calm during the cesarean and when meeting your baby. Get your partner to pop his hands on your shoulders whilst the spinal anaesthetic is going into your back, ask him to hold your hands and stroke your palms during the cesarean. Get that oxytocin flowing at this point, it helps greatly post birth with breastfeeding and bonding with your baby. PLUS it makes you feel good.

Second point of the straw is HYDRATION. Your uterus is a muscle. Think about going to the gym to body bump or HIIT and not bringing your water bottle… ludicrous!! It’s exactly the same as in labour, your uterus contracting requires fluid to work effectively.

Nb. Get yourself a recyclable straw then you’ll be helping your birth and the environment all at the same time.

So that’s a wrap for your 5 POSITIVE BIRTH tips.

For more tips for pregnancy and birth and the fourth trimester come to antenatal class or hypnobirthing.

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