As a rule, there are no medical reasons why women should be encouraged or demanded that they lay on their backs for the delivery of their children. Contrary to the prevalence of this practice in Western medicine, it seems that the best position for delivery may be vertical. Historical birth practices suggest that the current tendency to planting is different from the traditional practice of full maternal mobility. Before the methods focused on physicians were widely used, the most common position for employing and delivering mothers was some form of vertical position. There is also some criticism that medical facilities use a practice that does nothing to improve the health of a mother or child. In addition, many Western countries have been criticized for not allowing women more freedom to control their supplies.
It is difficult to ignore studies that provide more evidence against the use of a lithotomy position during labor and delivery. The use of modern medical interventions for normal delivery, as well as the use of pitocin, analgesics and anesthetics, amniotomy and the position of the lithotomy should be avoided. In most studies, women prefer to be outpatient and upright during labor and delivery. Studies conducted back in the 1930s showed that using the upright position can place the fetus in the position most beneficial for cervical dilatation and descent of the uterus. Arguments for vertical positions also include studies that show the benefits of reduced labor time, fewer births, fewer episiotomies, and an increased likelihood of normal fetal heart rate.
Researchers at the Karolinska Institute in Stockholm, Sweden, found evidence that women who prefer to use the kneeling position during childbirth and childbirth, not only experienced less pain, but also reported greater satisfaction with the experience of birth. They believe that this may be due to the mobility of the pelvic area, which allows to release the pressure of labor in the direction of the lower region of the spinal cord. The available literature emphasizes that this mobility in the lower spine can be severe to reduce pain and ease the process of childbirth and that the provisions that most likely allow optimal pelvic mobility are those in which the mother works and gives birth in an upright position. With all the information available about the possible benefits of live birth, one wonders why women are not recommended to use other methods of delivery, rather than the traditional position on the back.
It was at the beginning of the eighteenth century that the obstetrician in France introduced the situation on his back as an acceptable place of work and delivery. It was for his convenience, not for mom. Since then, women have been working against gravity to facilitate the birth process for the doctor. The risk associated with this position should be sufficient to ensure the use of any of the other numerous available positions. Studies have shown that the influence of the position of the back, dorsal support and lithotomy will likely have an undesirable effect on the circulatory system of the mother-fetus, uterine contractility and progress in labor, fetal blood gases and compression of the cord, as well as mother and mother's fear.
Episiotomy can be a major factor in postpartum pain, bleeding, infection, urinary and fecal incontinence, and dyspareunia, and note that an intact perineum is a worthy goal for any successful delivery. An analysis of almost 3000 genera found that episiotomy rates are at the lowest level during lateral or lateral lying, birth. Vertical positions potentially shortened the duration of the second stage of labor, but did not reduce the possibility of an episiotomy or perineum and that they may have an increased risk of maternal blood loss. However, the traditional birth on the back or half-legale had more than 80 percent episiotomy when visiting the doctor, possibly because of the training of the doctor.
Even with the risk of perineal injury, having a baby in an upright position has a clearly positive effect on the results of treatment. Several common difficulties were found, including failure, retained placenta, postpartum hemorrhage, fetal distress, meconium staining, brachial dysthosia, and cephaloghematome, were significantly lower in the research group that used the squat position in the second stage of labor. The same study showed that an increased risk of episiotomy is present only when the mother was advised to use the pushing method, where she was instructed to hold her breath and hold back as long as possible. This tip certainly reduces the length of the pushing stage, but increases the likelihood of an episiotomy. It was found that encouraging squats in combination with only involuntary striving for a jerk causes fewer torn wounds and fewer episiotomies due to a much slower crotch dilation.
