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4/15/2018 What Factors Influence the Progression of Childbirth? | Taking Charge of Your Health & Wellbeing
Your position
As contractions begin, choose positions of comfort.
Freedom of movement and frequent position
changes can help the baby choose optimal positions
for birth. Upright positions allow you to use gravity to
promote the downward movement of the baby.
You can also use guided relaxation or meditation at any time during labor to help you build
images of safety and strength, or to identify fears that might need to be addressed.
Women in labor are often advised to let go and release control of labor to their bodies' own
innate ability. In order to do this, you will need to feel safe with the environment and with
your chosen care providers and support people. Because labor is a time when many
women feel vulnerable, you should ask for understanding, support, and respect from those
around you to help enhance your feelings of safety and strength.
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Risks of epidurals
Most researchers have concluded that epidurals or
other regional anesthesia may be associated with
longer labors, longer pushing, increased risk of
vacuum, forceps, and cesarean sections, as well
as increased risk of other complications, such as
low blood pressure (which might adversely affect
the baby), fever, headache, and nerve damage. (It
should be noted however that a newer research
study challenges the association with longer labor
lengths and increased cesarean sections.)
Medication might help women who are very fearful and who have not been able to
alleviate this anxiety with emotional support.
Anesthesia might help the pelvic muscles relax when a woman cannot relax using
breathing, relaxation, and supportive techniques.
Epidurals might help women with an uncontrollable urge to push against an only
partially dilated or swollen cervix to stop pushing, allowing the swelling of the cervix to
subside and dilation to continue.
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References
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