Pros and cons of vertical childbirth. Vertical childbirth: Cons

IN lately The so-called vertical childbirth is becoming increasingly popular. However, this is not a new-fashioned trend, as many fair sex representatives suggest, and a long-practitioner practitioner. What is it different? Does the shortcomings? It is about this that will be discussed in this article.

How did you give birth before?

The tradition to give birth in a position lying on his back appeared relatively recently - only 300 years ago. This is not a completely comfortable posture, but it allows doctors to keep the whole process under control and, if necessary, to provide timely help. The future mother in this case is given a passive role.

Previously, women gave birth predominantly squatting, less often - standing on his knees. Only after some time there were special chairs designed for this process. Thanks to this "invention", vertical labor was included. The so-called hangouts forced women to go to the bath to speed up the delivery.

Modern option of childbirth in vertical position For the first time was tested in France. So the king watched the appearance of a baby on the light of his favorite. Then such a pose received the approval of doctors as the most convenient option for helping a woman.

What is the difference between childbirth in a vertical position?

In general, the process is similar to the horizontal option, but the behavior of the woman is somewhat different.

First stage - the opening of the cervix. Now absolutely freedom of action is allowed, that is, the lady can behave anything (sit, lie, walk). Supporters of horizontal childbirth claim that during the immediate battles should not lie. Future mom must independently choose the most comfortable posture. Vertical childbirth do not assume pain relief, as it strongly limits the freedom of movement.

The second stage - sweat. The optimal position for childbirth, when a woman kneels on the bed, turning his face to her back. If the future mother chooses in squatting or chairs, she sits down to the doctor. The doctor together with the midwife is observed over the course of the process and take the baby. If you want to emergency help, woman laid on his back.

The third stage is the destruction of the placenta. The last stage of childbirth, during which the woman also remains in a vertical position, applies the child to the chest, which provokes the cutting of the uterus and accelerate the entire process.

Poses for childbirth

There is no such universal position in which the woman should be throughout the process of the child's appearance. Below are the following convenient poses:

Intuitively every representative of the beautiful sex understands which position should be taken to make it easier to facilitate the passage of the baby on the generic paths. According to experts, all options poses should be studied in advance and even rehearse. However, in advance to decide on what kind of form it will be worthwhile, meaningless. One woman is comfortable to stand on the knees, the other is squatting. Absolutely nothing terrible in it. If the doctor understands that the vertical posture future mammy It does not help and delivers only discomfort, he can recommend the position lying.

Pluses of labor in a vertical position

1. The pressure on the uterus is slightly, therefore it comes into it the required amount of blood, as well as oxygen. Vertical childbirth prevent the development of hypoxia and reduce the battles.
2. Many women note the almost complete lack of pain discomfort. It frees from use medicinal preparationswhich can harm the fetus.
3. Low probability of uterus infection.
4. Thanks to the rapid disbursement of the placenta, blood loss is reduced.
5. To a certain extent, a woman can independently control the fighting process.

Cons of childbirth in a vertical position

1. It is impossible to use an epidural version of anesthesia.
2. If any problems arise during the delivery, the obstetrician cannot full extent Control fetal advance. In addition, vertical childbirth (photo photo can be viewed in specialized literature) complicate periodic check Fetal heartbeat after another sweat.

Contraindications

Birth in the vertical position is allowed to practice far from everyone. They are categorically contraindicated to women with pathologies internal organscomplicated by pregnancy ( pelvic preview Fetal, hypoxia, large size), narrow pelvis.

The emergence of even the slightest complications is the basis for the translation of the lady in horizontal positionwhere there is an opportunity to use specialized equipment to provide the necessary assistance.

Preparation for vertical childbirth

Preparation is needed to absolutely any kind of birth. It usually begins with learning a special breathing and the ability to periodically relax muscles. The thing is that pain in childbirth is most often due to the strong tension of the muscles that prepare the way out for the kid. The ability to relax reduces muscle confrontation, and discomfort during the fights decreases. In such a situation, the most ordinary phytball comes to the rescue. Rotational movements during battles also help to relax all the muscles and weaken the painful sensations that accompany vertical childbirth.

Preparation also implies a study of all sorts of positives that may be needed by a future mom. Today in many cities in our country there are special courses in which women are preparing for the upcoming birth. It is better to visit them together with the parter so that he can also learn all the postures and help if necessary. The more such training, the easier it will be a woman.

An important phase of preparation is considered to consult a gynecologist, on which he will tell, how to pass vertical childbirth. Pros and disadvantages of this method will also be considered. Every woman is individual, so it is better to know your physiological characteristics in advance.

Let's talk about the maternity hospital

Not all maternity hospitals even in the 21st century practiced childbirth in a vertical position. That's why future mom It should worry about this issue in advance.

Almost all doctors do not object to the woman in the first stage actively moved and accepted any convenient postures during immediate contractions. In the second and third, in most cases it is placed on a special table designed for horizontal labor. The lady lies on his back, can grab the handrails and rely on the legs. Of course, such tables are primarily convenient for obstetrician doctors, but not for future mothers.

Walking up the hospital where vertical childbirth will be able to hold, the reviews should be considered first. No less important to clarify in advance whether there is medical institution Special armchair, allowing even in attempts to take the situation sitting. In addition to him in the ward, there may be a special staircase and ordinary phytball. It is much more convenient to give birth on the latter, rather than lying or standing. The staircase is designed for tightening between the next fights to reduce pain discomfort and remove muscular tension.

The most important thing is that in the selected institution be prepared for work in the "uncomfortable" posture and qualified personnel, understanding how vertical childbirth pass, the pros and cons of which still, by the way, cause hot spores.

Vertical childbirth is the so-called alternative (different from the traditional) method of a delivery, in which the fever does not lie on the horizontal plane, and is located in the most comfortable position for itself - standing or sitting.

Vertical childbirth (

Nowadays in Russia's maternity homes, as well as, in other countries of the world, childbirth through natural generics and, especially, the period of expulsion is carried out mainly in lithotomic positionIn which the woman lies on the back, and the legs are in the stirrups to support their widely divorced. Such a "traditional" posture is not optimal in physiological relations for no fetus, nor for the mother, since the fever in such a posture is very passive, but spends in childbirth muscular energy. The possession of the feminine on the back is convenient, of course, the obstetrician, leading, it facilitates the visual and manual control of the process of the delivery, control over the birth of the head, as well as execution, if necessary, episiotomy.

Vertical childbirth is a new or well forgotten old?

Many, for the first time hearing about the opportunity to give birth vertically, belong to this method as a certain innovation, invented relatively recently. In fact, it is not.

From a historical point of view, women give birth in the position lying on the back only the last 300-350 years, and it is believed that the French king of Louis 14, who liked to be present in childbirth and observe how his numerous children are taken up in practice. According to another version, childbirth on the back also originated in France, when a man doctor first entered the maternity hospital for the overlay operation obstetric tongs And, creating yourself convenient position For medical manipulation, forced the fever to lie on his back.

Before that, from time immemorial women in all ends of the world, different countries and u of different nations They gave birth vertically, sitting squatting, standing on all fours, kneeling at her husband, on special chairs with a deep semicircular neckline in front and other similar poses. Our great-grandfathers are forced at the time of the fights during the fights to go, pass through obstacles, which contributed to the reduction of the uterus and the more rapid completion of the birth, and did not give a long time to lie down.

Vertical childbirth - one of the few alternative ways recognized by our official medicine and practitioner in some maternity homes and obstetric hospitals.

How to pass vertical childbirth

The vertical position of the feminine in the first period of childbirth (period of disclosure) involves maximum freedom of movements. Change of the situation is the first and most natural desire for any discomfort and feeling of pain.

The woman usually walks, shake, does rotational motions The pelvis hangs on the support or shoulders of a partner or assistant; At a time, the battle stops, leans, leaning on the table, the back of the bed or chair and accepts other different postures designed to unload the spine. Due to the displacement of the pregnant uterus, the pressure on the spine and the lower hollow vein are eliminated.

The effect of gravity on the fruit and labor paths with the vertical position of the woman, its active behavior contributes to strengthening contractual activity uterus, improvement of blood flow, decrease pain sensations Fights.

At the same time, the woman is usually not anesthesia. Among the non-medical methods of anesthesia can be applied: massage lumbar Department spine respiratory gymnastics (Preferably during pregnancy learn to respiratory exercises that will enable concentrate on breathing during battles and distract attention from pain), aquaterapy (take a shower or bath, which has relaxing and painkillers).

A woman may be asked to lie down only if you need a vaginal research, CTG (cardiotokography - control over the heart of the fetus).

The maintenance of vertical labor involves the partnership in childbirth - the presence of a husband or another relative in childbirth, to ensure psycho-emotional support.

In the second period of childbirth (the period of expulsion of the fetus), the impression of a vertical position is carried out at the moment when the head of the fetus enters into a wide part of the cavity of the small pelvis. When the child's head appears, the woman can ask for squatting, holding their hands behind the legs of the chair. The position squatcher is good because it helps the basin to open well and skip the child.

For the prevention of the crotch break, during the teething of the fetus head, the woman is asked to lean a little forward so that there is no excessive head pressure on the pelvic bottom. With such a position, the fever is located on a conventional obstetric (or special) chair, standing on his knees, face to the back of the chair, leaning his hands on the back.

Thus, the woman stands only at the moment of fights, and when there are attempts begin, she gets knees in a chair face to the back of an obstetric chair.

In the third period of childbirth (birth of the post, the placenta separation), the fever can be either in a sitting position on the chair, thereby achieving a more efficient separation of the placenta, since the power of gravity is helped, or as with the traditional delivery - on the back.

After the birth of the child put mother on the belly.

The doctor and midwives are watching the physiological flow of childbirth and are ready to intervene at any time in the event of any pathology.

Vertical childbirth: pros and cons

To determine how it is better to give birth, it is necessary to analyze positive and negative indicators of vertical labor. Like any other method, vertical bodies have both their advantages and cons: less traumatic, more natural for the guinea and child, nevertheless, there are a number of both negative moments (for example, leg load) and contraindications for birth Baby in vertical position.

Contraindications for vertical labor

• heavy form of gestosis;
• pronounced varicose extension veins of the lower limbs;
• pelvic presence and improper position of the fetus;
• hypoxia fruit during pregnancy;
• premature and rapid labor;
• indications for Cesarean section, both from the mother and from the fetus.

Guiding clans in the position as close as possible to the vertical possible, provided that pregnant and the fruit have no deviations in health.

Pros of vertical childbirth

1. The child born vertically has a higher score on the apart scale on the fifth minute than after traditional birth.
2. The active movements of the feminine causes an effective discovery of the uterine zoom, as a result of which the first period of childbirth is reduced by 1.5-2 hours.
3. With the active movement, women usually do not need to use funds that stimulate generic activities.
4. The pressure of the uterus is reduced on large vessels. If the fever lies on the back, the uterus presses on the organs abdominal cavity And on large blood vessels - aorta and lower venu, which leads to hypoxia and the emergence of the "lower vein" syndrome, especially during the expulsion of the fetus. The vertical position of a woman in childbirth, on the contrary, not only reduces the pressure of a pregnant uterus on large blood vessels, but also allows the girlfriend to take advantage of natural gravity forces, especially in the second period of childbirth.
5. Reducing blood loss in the last and early postpartum period Due to the faster branch of the placenta, since the fever is located in a sitting or vertical position.

Minuses of vertical birth

1. Not all maternity hospitals have conditions, experience and license to carry out vertical labor.
2. On the feet and, especially on veins there is a tremendous pressure. Be sure to give birth to compression stockingsEspecially those who have a varicose disease.
3. Good generic activity is needed. If the bouts of the woman in labor are weak, it requires stimulation or kid is experiencing hypoxia (oxygen starvation), then it is safe to give birth in a traditional position.
4. Vertical childbirth is not only directly the moment of the child's exit in the vertical position of the mother, it is also vertical contractions and sweats. And if the fights are long and exhausting for 8-12 hours, then no woman can sit in squatting and bushing.
5. A head can be spinning, a loss of consciousness is possible, especially in women suffering from anemia. Therefore, it is important to choose the right position, which will simultaneously be convenient for a woman and will not harm the baby.
6. Many doctors and obstecra believe that it is the traditional posture, lying on the back is the most safe, since the obstever gets more opportunities for visual control of childbirth and surgical interventionIf it is necessary.

Thus, the conduct of childbirth in the vertical position is a responsible and complex process. How to give birth to - to solve you, taking into account the state of your health, pregnancy, and be sure to consult an obstetrician-gynecologist and obtain permission from it vertical childbirth.

And remember that whatever way of the rewarding is not chosen, the main positive attitude to prosperous childbirth.

In many generic institutions, women who give birth through natural generic paths, during the pathend should lie on the back. The most horizontal fever itself is given a rather passive role. However, there are disputes in modern obstetrics about how natural is such a posture for mother and fetus. The World Health Organization specialists noted in their latest recommendations the need for alternative, gentle methods. When the situation allows, the woman in labor itself chooses a convenient position for himself, which favorably affects the flow and duration of childbirth, in the state of the fetus. This also reduces the frequency of use of funds for stimulation and pain relief.

Why is it uncomfortable?

Vertical is called such births in which all periods (contractions, swelling and the birth of the placenta) are spent in a vertical position. With a conventional "horizontal" position in the genus, a pregnant uterus presses on the blood vessels. If a pregnant woman lies on his back, the uterus, a child, oil flooded water (The total mass of which is an average of about 6 kg) pressure on the abdominal organs and large blood vessels - aorta and lower sexual vein. This leads to a smaller inflow of blood to the uterus, and compressing the vein to the difficult outflow of venous blood from the organs, a decrease in the venous return of blood to the heart, which, in turn, leads to the deterioration of the blood supply to the uterus and the fetus, the uterine-placental blood flow. In this case, there is also no uniform and intensive pressure of the child's head and the fetal bubble to the lower segment of the uterus and its neck, which can lead to a slowdown in childbirth, the need to use stimulating and painkillers.

Vertical childbirth is one of the alternatives recognized as official medicine. When a woman sits or stands on all fours, the pressure of the uterus on large vessels decreases, which improves the uterine-placental blood circulation and prevents the development of hypoxia (oxygen starvation) in the child and when the head pass through the generic paths. The intensive pressure of the preparal part (more often it is the head) and the fruit bubble contributes to the efficient and smooth discovery of the uterine. At the same time, the first period of childbirth is reduced by an average of 2-3 hours. This is good and for the fetus (during each fight temporarily worsens the flow of oxygen), and for a woman.

In the vertical position, the force of attraction of the earth helps a child in promotion generic canal. Risk of generic injuries for mother and child decreases. The fruit is moving along the generic paths slowly and smoothly. As a result, muscle tension required for the expulsion of the fetus is reduced to a minimum due to the coordinated operation of skeletal muscles and power. earth attractionMuscles pelvic dna relax. Generic paths are easier to adapt to the size of the fetus head, stretch. The breaks and the need to disseminate the crotch (perine- or episotomy) during the vertical position there are much less frequently. The predatory part (fetal head and the fetal bubble in childbirth in the occipital pretelling, in which most clans occur) increases the pressure inside the uterus by almost 35 mm RT. Art. The cuts of the uterus become more efficient and less painful.

When the position of the fencers squatting and sitting the sizes of the pelvis are somewhat increasing due to changes in the position of the pelvic bones. A woman actively participates in the generic process and sees the birth of his own child. In some studies, it was found that, with a vertical position, the production of stress hormones is reduced, and the fever feels less alarming and tension. Since the placenta is a vertical position, it is faster, blood loss in childbirth is 100 -150 ml, which is below average. Thus, the positive moments are found and find a scientific substantiation at each stage: in the first period (painful and long fights are most frightened by women), in the second (to facilitate the fence) and the third (when separating the penis, when the risk of bleeding and increasing blood loss during childbirth).

What needs to be done if you want your childbirth to be vertical?

Vertical childbirth in different hospitals may look different. In some institutions, the percentage of vertical genera is large enough, and in a vertical position there are all periods of childbirth. Minority such hospitals - in Moscow, for example, there is one specialized maternity hospital - maternity hospital №4. In a row medical institutions The possibility of vertical labor is provided only when concluding the contract. In the overwhelming majority of maternity homes, elements of vertical genera are used only during battles. If you want all periods of your childbirth in a vertical position, it is better to know about this opportunity in the selected maternity hospital. In specialized maternity hospitals, women who wish to give birth vertically, often recommend passing special training courses, although theoretically give birth in a vertical position easier than horizontal.

The course of childbirth. How are the vertical childbirth?

In the first period, while the fights are not too frequent, the woman can walk, stop during the battle, leaning on the table or window sill, the edge of the bed. A woman during this period has complete freedom of movements. Some women in labor sit on a big ball or the ottoman to relax the crotch. Many women seek to fall on all fours, intuitively taking the most convenient pose. Such a "free" behavior in the fights is now practicing in all maternity hospitals. Anesthesia during vertical childbirth, according to statistics, required less frequently.

Vertical position during the dyg is possible in different versions: Halfing squatting, standing on the knees. Optimal is considered the position when the woman in labor during the fence is on the knees on the ordinary bed, face to the back of the bed, slightly leaning forward. The doctor and obstetrics are watching the physiological flow of childbirth, and only, if necessary, the obstetric intervention of the woman in labor is translated into a lying position (it is placed on the back).

There is also a special chair: its design allows a woman to actively move during childbirth, lying, stand, providing the most appropriate position for the course of childbirth. The chairs of such a design can be in specialized maternity hospitals, but vertical childbirth is possible on a conventional maternity chair. At the same time, his back is put in a vertical position, and the woman stands on his knees; In such a posture and the birth of the baby occurs.

With vertical childbirth, optimally convenient conditions for comparing the fetus head and generic pathways are created, which reduces generic injuries. The doctor only, if necessary, obstetric intervention lays the fever on the back. In the last, third, period of childbirth, when the placenta branch and the birth of the pillar, a woman sits, applied to the baby's chest.

A sedental position contributes more efficient (helps the strength of gravity) cuts in the uterus, and the birth of the placenta occurs faster than with the "horizontal" genus. But if desired, a woman can give birth to a placenta lying. The conduct of labor in a vertical position does not require special organizational efforts and does not imply the presence of special expensive equipment. A woman can choose a convenient position for it in a waiting period (some women in labor prefer the back position, it may be necessary when conducting obstetric manipulations). The maintenance of the first period of childbirth in all maternity homes is carried out using vertical pos. Premature childbirth, pelvic presence of the fetus, lack of oxygen in the fetus, the need to impose obstetric forceps or crotch dissection exclude generation in a vertical position.

A bit of history

It turns out that women give birth to "traditional position" only the last few centuries. Prior to that, childbirth was carried out either standing or squatting. In Central Africa, a woman who felt the approach of the "decisive moment," went into the forest. There, holding for the pole, she squat and got up, and during the birth of the baby sat in squatting. Indian women gave birth, hanging on the liaans or branches of trees. In ancient Babylon, there were special "maternity" chairs. In Holland since a long time before a last century, a special chair for childbirth was also included in the dowry of the bride (armchair with armrests and a deep neckline in the seat). Representatives of the ancient culture of Aztecs the goddess of childbirth was depicted in the form of a woman squatting with a child born between the legs.

In Russia, the grandmother-obstacles in the baths forced the giving birth to a lot of women walk and stop over the obstacles during battles. Such active behavior apparently contributed to a stronger and effective contractions uterus, prevention of weakness generic activity and protracted labor. Until the XVI-XVII century in France, women squatted, and in Germany - on a chair. According to historical literature, in the XVII century, Louis XIV broke a centuries-old tradition. The birth of the heir should have become a state case and the property of the nation - and for the first time the woman was laid on his back to make it easier to observe the generic process. The parents of the empress became the basis for imitation. According to another version, men-doctors have sweated female midwives over time, and the woman has had to lie down for the convenient implementation of medical manipulations (for example, the imposition of obstetric tongs). Using the position on the back during childbirth has become ubiquitous. But over the past two decades, the question of the optimal status of a woman during childbirth began to be actively discussed in the world.

Building:

More and more popularity has recently become vertical childbirth, when a woman does not lie, or either stands or sitting, while choosing the most convenient pose. Like any innovation, this method of the Rhodework has already managed to acquire His Yarry fans and malicious opponents.

He has its pros and cons who stand in advance and weigh before deciding whether to give birth in this way. The more the steam will be informed, the easier it will refuse or agree to vertical childbirth.

In Europe and Russia, there are no controversy about what kind of birth is better: vertical or horizontal - and why suddenly all the massively began to move on new way Rhodewords. In fact, he is not a discovery, since in the old days, and in the countries of Asia and Africa, women gave birth precisely standing (or, as a last resort, sitting). So do not talk about innovations and traditions. Nevertheless, the transition to vertical childbirth is due to the following factors (which are their indisputable advantages).

1. Not squeezing blood vesselsThe child is provided with oxygen, a risk is reduced to a minimum.
2. Vertical childbirth is always held with a partner, which facilitates the state of the young milf: she can hold the spouse (mother, girlfriend) by hand, talk, distract from painful sensations.
3. The woman in labor itself chooses a convenient pose for it, which reduces the pain of the bouts. It can change the position of the body when she wants it.
4. According to statistics, vertical labor rarely ends with the introduction of painkillers, which has a positive effect on the development of the baby.
5. The cervix opens quickly, as the baby head presses on it. As a result, there is a smooth and rapid opening of the uterine.
6. Vertical childbirth compared to horizontal shorter for a couple of hours.
7. Pulls are less painful, since the power of gravity helps the baby move down the generic paths.
8. Stretching is easier than lying.
9. At the stage of the sweat, the muscles of the peritoneum, pelvis, legs, backs, so that swells are productive, smooth and soft.
10. The sizes of the pelvis and the generic paths are increasing, which makes it easier for the child.
11. All the same statistics describes that injury to the feminine in horizontal genus occurs in 5% of cases, with vertical - only 1%.
12. Groxes with this method of the delivery ratio - a rarity.
13. With vertical childbirth, the use of forceps to extract the child from the womb.
14. The number of complications in kids after vertical labor is calculated only 3.5%, and as a result of the horizontal, this figure increases exactly 10 times and is 35% (most often it is a kefalohematoma - a tumor on the head due to blood accumulation).
15. The entrance is much faster.
16. Practically instant birth of the placenta reduces bloodstures up to 100-150 ml (instead of the usual 300-400).
17. Very low probability of uterus infection.

There are even existence medical indications For vertical labor. In particular, this is a high degree of myopia (myopia) and heart disease or vessels. In this case, such a method of delivery is an excellent alternative to cesarean section, which is undesirable. It seems that everything is perfect, but it was not there! To make the right decision, you need to weigh everything for and mind: learn reverse side Medals, i.e. disadvantages of vertical labor.

According to history pages. According to ancient Russian sources, grandmother-obstacles forced women to give birth precisely standing, so that the technique of vertical childbirth is old as the world.

disadvantages

The shortcomings are much less than advantages, but should not be rejected by this fact. Ignoring each of the minuses threatens the serious consequences for health and even the lives of both the mother and the child. The disadvantages of vertical labor include:

• poor-quality control over the promotion of the fetus by the generic paths obstetrician-gynecologist: he is simply inconvenient to do it;
• accordingly, there is no possibility to constantly monitor the heartbeat of the child: if there are problems, help may simply not feed on time;
• impossibility of anesthesia;
• if the crotch structure has a woman with pathologies, the risk of deep breaks, which could be avoided if the feminine was lying;
• Repeated vertical genera, which can entail a childbirth injury.

Is the couple ready to risk that preference to vertical childbirth? It is also worth thinking about the fact that the majority of hospitals are not equipped under such a treaty methodology. In particular, there is no specially designed chair, which is available in all hospitals abroad. Among other things, the disadvantages can be attributed a large number of Contraindications.

That's how! Not so long ago, a special chair for taking vertical childbirth was invented abroad. It is thought out in it the slightest nuances: a woman is comfortable and convenient and convenient, the birth of a child falls into a special hole, which eliminates injury to them. Nevertheless, there is no deficiency: a gynecologist is very uncomfortable with such equipment to track the path of the baby and the condition of the female crotch.

Contraindications

If the couple decided to give birth vertically, the doctor may prohibit it if the fever has contraindications to this method Rhodewords. These include:

• complications of any kind (and both in a young mother and kid);
• premature birth;
• narrow pelvis (clinical or anatomical);
• necessity in obstetric nippers;
• serious diseases;
• hypoxia fetal;
• large size of the head of the child;
• the need for crotch dissection.

Discussions cause both vertical delivery after cesarean section: someone considers this operation to contraindicate to such a method of birth of the second child. Among the arguments they call the risk of seams. However, most doctors do not see cesarean section Prohibition so that the baby is born as a result of such a procedure. One way or another, the decision takes future parents, and specialists (doctors) claim it or give a refusal. If all doubts are behind, you need to be able to properly prepare for this responsible event.

Curious fact. In Switzerland, a monument to a woman who give birth to a vertically, has long been installed.

Stage of preparation

Nothing supernatural preparation for vertical childbirth does not include. It is practically no different from ordinary and comes down to the following events:

1. To do the phytball, which will teach the relaxing muscles.
2. Master techniques.
3. Examine all possible postures that are applicable within the framework of this technique (squatting alone; sitting on squatting with a partner; standing in squatting with support; on all fours; on the knees; knee-elbow generic pose; half-sidia, sitting).
4. Decide who will be a partner at childbirth.
5. Complete special courses.
6. Find an equipped clinic and an experienced doctor in this matter.
7. It is under constant surveillance in the gynecologist throughout the pregnancy.

If a gynecologist watching a young mother already has experience in taking vertical childbirth and even advises her to give birth in this way, it is worth trying. If there is at least the slightest doubts, it is better to refuse. In Russia, there is still too few clinics equipped with such a method of delivery, and staff hospitals have not yet been prepared for them. Perhaps, after a very little time, most of the kids will appear, but so far to safe and painless practices too far.

The sister told how great it. A comfortable position, good focus on my legs and grip, which makes it possible to sleep well. She said that the kid gave birth to three coughs. Probably, you need to talk to your doctor to give birth in a vertical position.

Vertical childbirth: how does it happen?

With this form of the delivery, both in the first and in the second period of birth, the woman can take the position that is most optimal. By the way, this is exactly what our ancestors gave birth - squatting or in the semi-traced. Thus give birth and now in those corners of the planet, where there is no civilization in our understanding of this word.

If in the first period everything is clear and simple, then for the half period you need to understand that when you find a woman in a vertical position, any complicating moments during a generic act can lead to sad consequences due to the fact that the doctor will not have the opportunity for a few seconds to render Need assistance.

Vertical childbirth: What conditions should be?

Both the doctor and the woman should be confident that in the process of birth, the child will not happen any unforeseen situations. It is impossible to guarantee this 100%, but at least a risk must be minimal.

2. Prepared personnel

Yes, no matter how naive it was not sounded, but the doctor and midwife should be able to assist when finding a woman in a vertical position. Unfortunately, this is far from everywhere.

3. Special chair

Of course, it is not at all necessary, but vertical childbirth in a specially designed chair will give more opportunities for this and for the mother, and for midwife.

4. Willingness to change the situation

A woman needs to be finished at any time to move the body in. Regardless that at this point occurs. Sometimes lost seconds create a lot of problems for a woman and a child.

Vertical childbirth: What are the testimony and contraindications?

In some situations in obstetrics, it is simply necessary to give birth vertically. For example, with a high degree myopia and the risk of retinal detachment. As a rule, with this pathology, it is performed, but if the operation for some reason cannot be carried out, then in childbirth such a woman gives birth in a vertical position. This allows you to save her eyesight. Another situation is heart disease at which you need to give birth quickly and without load on vascular system.

Vertical childbirth is impossible for all complications that can violate the natural course of events during the generic act. These are premature birth, the wrong position of the fetus, the prelationship of the placenta, the disease of the internal organs in a woman, any suffering of a hypoxic fetus, the risk of traumatization of a woman and the fetus.

Vertical childbirth: What are the pros and cons?

Yes, you must admit that a woman in a squatting position or in the semi-traced, it is much easier to give birth. She can breathe freely, her muscles work well in attempts abdominal wall, back and legs. Under the influence of gravity, the baby is faster in the generic paths, and pelvic bones Wider diverge, passing the child. Do not forget that the aorta and the lower hollow vein does not occur. This reduces the load on the vascular system of a woman and does not break the blood circulation between the mother and the baby.

Of the minuses need to be noted:

-Nomobability for medical personnel;

The complexity of control over the heartset of the kid in the waiting period;

The inability to anesthesia of labor using epidural anesthesia;

The risk of gaps of the vagina and the perineum with too fast the passage of the child by the generic canal.

A woman can assume or want to choose a version of vertical childbirth, but only the doctor determines how a woman will give birth. It is worthwhile to consult a doctor in order not to feed the illusions regarding the method of the delivery.