When labor starts, contractions are light and mamma has lots of energy. She is upbeat and if at home, she flits around making sure everything is ready for her new little one to arrive. As things progress, contractions intensify and she slows down.
There is a natural rhythm to her pattern of moving, pausing, moving again. When contractions require all of her focus, she may find a place and stay there. The rocking chair, the couch, her bed. It takes so much energy to stay on top of the waves that she may not want to shift positions or move.
If she is settled in, it can take a lot to break in to her world and convince her to get up. It is really beneficial for women to move during all stages of labor. Baby is moving with the contractions, turning and shifting, looking for the one way her head will fit down into the pelvic opening. She’ll make it on her own eventually, but it helps if mamma will move as well.
As mamma walks, sways, kneels, the pelvis rocks, tilts, and opens in ways that encourage baby to make her descent. If we can keep mamma moving, we can keep labor progressing.
Practical tips are these: mamma needs to move or change positions every hour, and get up to go to the toilet every hour and a half. These are not hard and fast rules, but they are a guideline to keep in mind while supporting labor.
If labor is taking place in a hospital setting, even if mamma is tied to the bed because of monitoring or an epidural, we can keep her moving. If you haven’t seen or used a peanut ball, these tools open so many doors for positioning in bed. Mamma may not be able to get up to go to the toilet, but it is important if she is under anesthetic with an I.V. to remember to ask for her bladder to be emptied for her. She may not feel the fullness of her bladder, but that does not mean it isn’t in need of relief. Voiding makes room for things to keep moving.
Check out the videos below for tips on moving in labor and the use of a peanut ball.
Working together to move labor along.