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Vertical delivery

Referring to the vertical birth, most people consider them a kind of novelty, invented not so long ago, and suddenly invading the traditional practice of obstetrics. However, it is exactly the opposite.

Childbirth in a sitting or standing position should be seen as traditional, they experienced many generations of women in all corners of the globe.

Birth squatting – the tradition of the peoples of Central Asia, North, many African countries, South America, they are typical of Mexico, Asia, and China. As for the states of Europe, the birth of vertical plan is actively practiced in Germany and Holland. In the early nineteenth century, the Dutch part of the dowry of the bride was a special chair, which was intended for delivery.

Vertical delivery is not new for Russia, our great grandmother did not lay in bed during labor, and constantly went to the bath of melted and even step over obstacles. At the same time permit himself from the burden, as many researchers, new mother, or knelt, or “poluvisela” to her husband, clasping his neck – that is happening all around as they are today in some modern teaching facilities, the leading training to the vertical birth in Moscow and other Russian cities.

But why the situation has changed?

Fashion to give birth in the supine position is believed to be introduced in the XVIII century France, when the woman-midwife replaced by a male doctor. And changed the original position are not mothers, because it’s more convenient to give birth, but only because the doctor lying on his back at the woman’s labor is much easier to take.

However, there is a very interesting version, bytuyuschaya forums, reviews and rumors about the vertical birth, according to her first “packed” laboring women at the back of the King Louis XIV, who wished to personally observe the occurrence of his favorite childbirth.

Whatever it was, but still the “traditional” pose for a pregnant woman admits to “lying on his back,” despite the fact that it is not too physiologic and maloudobnoy for the woman and the fetus. Lying is much less convenient to bear, and even more painful than standing or sitting.

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If you look at the vertical childbirth video can be seen as a process of natural delivery.

What happens in the accepted standard position: when the new mother is on her back, her uterus, whose weight at the end of pregnancy is increased to six pounds, a great burden on the blood vessels that run along the spine. Because of this, normal blood flow is disturbed, and a baby receives in the womb is not received enough oxygen. As a result – slow delivery, and therefore more likely to use pain medications and stimulants, as they may affect the health of the newborn. In addition, to push, when you lie on your back, and very uncomfortable – in fact in this case, the woman “push through” the child has to itself, it does not help the force of gravity, as in the vertical delivery. There is also another important point: while the horizontal delivery woman in labor is idle, is the active role played by the midwife or doctor.

If the vertical maternity home birth practice, women in their course are allowed to do much itself.

What is the vertical confinement and how they are?

During their first stage – the stage of cervical openings – the concept of vertical delivery implies freedom of movement of pregnant women. New mother listens to her body and is free to do whatever it pleases: to walk, “hang”, clasping her husband’s shoulders, stand or sit on a special chair polusidet or chair of some of the original design, and can even swim, of course, if there such a possibility.

Due to the fact that a woman chooses a pose, in any way it comfortable to hold the bout, each of which is less painful and the disclosure of the cervix is softer. Because at the time of preparation for childbirth vertical infrequently require anesthesia. Recently, I should say, almost all obstetricians have come to the reasonable conclusion that a woman in labor should not lie. Because the freedom of women and physical activity during the first stage of labor is welcomed not only by supporters of the “vertical” families in Moscow and other large cities, but most doctors, who usually take on the traditional delivery of obstetric beds.

In the second stage-the stage of expulsion, that is, any attempts – and is, in fact, the birth of a child. During the descent phase of the vertical position of women in labor is possible in various ways: on his knees, half-sitting on his haunches, standing, or sitting in a special chair constructed. On the Internet, by the way, you can find a vertical birth free video and photo, they can also be viewed on our website.

Typically, a woman intuitively, what position would be the best for her, and usually guesses the most physiologic and favorable position for birth. Of course, many experts recommend a prior rehearse all sorts of poses, but to decide which of them will labor in advance, not only pointless, but even harmful. Better posture, that is such a way a child moves to their “exit” gently, gently and gradually, their may be a future for every mom. One is easier to be at the time of delivery at the knees, the other – to be on his haunches, and the third – perhaps, in fact, must lie in what is also nothing wrong with that.

The vertical position during labor is certainly not a panacea, but rather the empowerment of the woman and her fetus. If the doctor notices that the “standing” position “does not work,” he was always able to put a woman in childbirth, and try the “classic way”.

If the vertical births to watch from the standpoint of most physiologic anatomy at the second stage of labor is recognized position in which a woman is in the course of any attempts on his knees on the bed, with her ??face turned toward the back and she leans forward slightly. It also can be considered a successful position at which the woman in labor gets a person to the doctor on his heels, or is in a semi-sitting position. In such cases, as already mentioned, the force of gravity helps to release the child, rather than hinders it. In addition, a woman may feel much more comfortable – with the movements of the pelvis it is easier to relax and release the child, of course, sitting or standing to do it a lot easier than lying down. The head of the baby enters the birth canal mother more gently. It is worth emphasizing that gently and gradually reaching attempts – one of the main advantages of vertical delivery of reviews.

Well, the third stage of the passage of sorts – that is, the birth of the placenta – also takes place in a vertical position. During her a woman sits holding a baby at the breast. Due to this situation women in labor and uterine contractions, reflex occurring after the infant takes its mother’s breast, the separation of the placenta is faster than in the “horizontal” childbirth.

This is a brief process of vertical delivery, in addition I want to say about its advantages and some disadvantages.

Of course, vertical Moscow hospital births are practicing more frequently than in smaller towns, but over time the situation should change, the arguments of the advocates of the vertical position of women in labor is very convincing. This is mainly the fact that women in this situation is significantly reduced uterine pressure on major blood vessels. What is happening in the traditional position of vessels and compression of the aorta, which departs from the heart and carries blood enriched with oxygen to organs and tissues, as well as the bottom. vena cava, the way all the blood from the lower part of the body is returned back to the heart, is very harmful for both the expectant mother and baby.

Kinked aorta can lead to the fact that the uterus will also receive a small amount of blood, and with it of oxygen. As a result of possible attack of oxygen starvation – that is, fetal hypoxia. Kinked same vein fraught with a decrease in the lower return of blood back to the heart and can lead to stagnation of venous blood in some internal organs, including the uterus, and that, in the end, again, leads to poor blood supply to the fetus.

When the vertical delivery vessels or pinch the uterus, preventing the development of hypoxia in the infant and the first and the second stage of labor. If you read about the vertical labor forums, women who have experienced this method, note that during labor is short. What happens is, first, because the pressure exerted by the fetal bladder and the head of the child to the lower segment of the uterus and the cervix itself in an upright position, the most efficient, very smooth and, importantly, the rapid opening of the uterine mouth. An important role, and secondly, the position of women is a free, self-selects a comfortable position, and thereby influencing the process of labor. Because of this, she is less scared, not feeling so squeezed, and therefore the disclosure is easier and faster.

According to statistics, 1-st stage of labor, which are held vertically, decreased by approximately 2-3 hours in comparison with the traditional horizontal births in the control group.

It is important that the vertical delivery contraindications are the same as natural, that is, if a woman is shown to give birth on their own, they can practice. In the course of their mothers show much less intense pain sensations (feeling the pain of the mothers of both groups were asked to evaluate on a ten point scale). And because the pain reduced, hence the need for pain medication is no longer that way, may not be safe for the baby.

In the course of any attempts mothers stay upright as preferable to the horizontal. The duration of the second period, conducted by standing or sitting, of course, a slight increase in comparison with “traditional” childbirth, but this is solely for the benefit of both mother and child. In standing or sitting woman, the child is moving down the birth canal is not only much slower, but much more smoothly. Consequently, while the vertical birth reduces the risk of birth trauma and the mother and child.

Statistics is such that the horizontal female birth injury is 5%, and 25% of cases have cut the crotch. In carrying out these sorts of vertical figures are 1% and 5%.

In the course of any attempts achieved the desired coordination of back muscles, abdominals, pelvic floor, as well as all the muscles of the skeleton, in addition, helps a woman to give birth to the acting force of gravity, which in this state is directed in the same direction in which the fetus moves. Therefore, from a woman during any attempts it takes much less effort, and they are productive. In addition, decreases the possibility of infection of the uterus.

If you will look for vertical delivery of video and photos, you’ll see how everything happens naturally, and that doctors almost never have no need to “pull” of the child with the forceps, he alone can easily move through the birth canal, applying to him the least energy costs.

Blood loss during delivery, such as reduced, due to the fact that the birth of the placenta is faster than than the usual delivery. Unfortunately, at this stage of development in Russia midwifery courses that would prepare women for childbirth standing and sitting there is much more than the maternity hospitals, where the vertical delivery could take a professional. Because it makes sense to almost the beginning of pregnancy to look for just such a specialized hospital in advance and discuss with your doctor all the prospects of this method of delivery.

Of course, preparation for the vertical birth in Moscow and the presence of the greatest number of institutions of their host does not mean that everyone should bear vertically to go there. Gradually changing as the benefits of birth in an upright position for doctors increasingly evident.

Our discussion of any method of delivery would be incomplete without the story of how it affects the children born. We have already mentioned that the incidence of birth injury during labor vertical fixed lower. Assessing the complications of childbirth and injury in children, researchers concluded that while the vertical birth, despite the frequent occurrence of more rapid, the number of complications in the newborn is only 3.5%, while in the case of traditional – 35% (this is mainly cephalhaematomata .)

“Vertical” born children have higher Apgar scores, quickly recover the loss in weight after the birth, in addition, they are much less likely to detect a variety of neurological disorders. Another interesting fact is that the reviews of mothers who took an active part in the vertical birth their babies, and was applied immediately after the birth of the breast, they are much longer breastfed.

The studies were conducted in Moscow, showed that 100% of the children in the study group, in any way made ??vertical childbirth, breast-fed were up to three months in the control group, the figure was 71%. Up to six months breast milk received 46% of children, 31% of them continued to breastfeed after 6 months of age.

Weight dynamics of the child is above average for vertical delivery was 60%, directly in the control group – thirty-eight. According to studies of psychomotor development, children who are ahead of time, were in the vertical group, 31% in the group of horizontal birth – 8%.

These increases are explained. Many of the problems in newborns occur in the latter due to lack of oxygen during birth, and delivery is taking place in the vertical oxygen goes smoothly. Sometimes an injury can occur due to excessively rapid passage of the baby through the birth canal – mainly concerned cephalhaematoma above (in other words, bruises on the head of the crumbs.) Vertical births allow the kid to go more smoothly, as a result of these injuries, he did not get it.

However, it is worth remembering that any complications arise during delivery, from both the mothers and the child’s need of medical care, of course, it is more convenient to have a doctor in the horizontal position of a female. The same applies to the possibility of using equipment that is needed for complicated births.

Thus, returning to the question of whether vertical counter-deliveries, we can say that if in the process of delivery, any complications arise, you can find them a contraindication to the continuation of the vertical delivery. If during the process of normal descent, the vertical method has advantages against the traditional horizontal, so is unlikely to be a mistake to assume that the future is just behind this new, or rather “order-forgotten old” method of delivery, which is tested over the centuries.

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