Horizontal positions for giving birth

The horizontal birthing positions are currently the most widely used in hospitals. We explain what types of horizontal positions are used and what their advantages and disadvantages are.

The birthing position is something very personal that every woman must choose on the basis that she is comfortable with her. These are divided into horizontal and vertical positions. While it is true that the most used, as I said, are horizontal.

Types of horizontal positions for giving birth

Within the horizontal positions we will talk about four different types of positions.

Lithotomy or supine position

Also called the gynecological position, it is the most commonly used so far. It is about the mother lying on the stretcher with her legs bent and resting on the stirrups. While it is true that this is the most common posture, it is not the best condition for natural birth. In the next section of the article we will see the advantages and disadvantages of this position.

Position on all fours

This position, also known as four-legged, has two variants. The mother can be placed on the stretcher or directly on the floor. Choosing the floor will place pillows and other items in such a way that it is not uncomfortable.

In both cases the placement of the body is the same. It will be placed “on all fours” and the weight will carry it well in the hands or on the elbows, using the part that is easiest and easiest for the mother to use. It is also advisable to place the feet and legs more open than the knees to better support the weight.

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SIMS-Position

Also known as the English position or left lateral pressure ulcer. In this position the mother will lie but to one side. Support one of the legs on the stirrup and bend the knee to be in the best position at the time of pressing.
Horizontal positions for giving birth

Fetal posture

It’s the same position as the SIMS, but the body is shrunk or curled up. As the abdomen shrinks and leans against it, the pelvis expands, making it easier for the baby to be born.

Advantages and disadvantages of horizontal positions for giving birth

Once we know the four horizontal positions that need to be born, we want to reveal the pros and cons of each of them so that you can choose the one that you like the most.

Lithotomy or supine position

Benefits:

  • There is less chance of blood loss, i.e. bleeding, during delivery.
  • It is the best position for doctors to follow every step of the birth.
  • The ability to bend the legs as much as possible widens the pelvis, which allows the baby to walk faster.

Disadvantage:

  • It is not a comfortable position for the woman, the effort must be greater and the pain is greater.
  • In this position, the nut has to push against gravity, which is much more complicated and expensive.
  • There is more chance of tearing.
  • The baby gets less oxygen than in other positions.
  • Eliminates a lot of freedom of movement for women.

Position on all fours

Benefits:

  • It relieves back pain.
  • Greater elasticity in the perineum.
  • It is the best position for overweight women.
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Disadvantage:

  • Some rejection from mothers for the position in which they should be placed.
  • The experts should practice with this position as it is more difficult to continue delivery.

Horizontal positions for giving birth - 2

SIMS-Position

Benefits:

  • Comfortable posture for the woman so that she can rest more if necessary.
  • Contractions of greater intensity and therefore more effective.
  • Good position for the dam to control the baby’s head.
  • It benefits the uterus.

Disadvantage:

  • It doesn’t have any major drawbacks like the previous ones.
  • The fetal position has similar advantages and disadvantages to the SIMS because, as I said, it is practically in the same position.

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