A new investigation has revealed that when the mother changes position during childbirth, it speeds up and facilitates the birth of the baby, decreases the number of episiotomies and perineal tears and, in the longer term, there is also a reduction of up to 28% in pelvic floor disorders that affect some women who have had children, such as urinary incontinence.

In the study, coordinated by the physiotherapist Carolina Walker, and whose conclusions have been published in 'International Urogynecology Journal', 196 women participated who gave birth between 2005 and 2007. In all cases they were deliveries with epidurals, because the specialists associate the use of this anesthesia, which in our country is used in about 80% of deliveries, with an increase in need for assistance during childbirth, probably because of the lack of activity of the mother, who does not feel the need to push for the baby to leave.

In the group of women who opted for alternative labor, fewer tears were produced, fewer episiotomies were performed, and the pushing time was reduced during the expulsive, which was less than 20 minutes

For this reason, the authors of the study wanted to see if with a model of alternative delivery Traditional-in which the mother remains lying on her back without moving-managed to reduce the risks involved in assisted births, both for the mother and the baby.

42% of the 95 women who chose the traditional delivery model required assistance, while only 20% of those who opted for alternative delivery needed help and, in addition, in the latter group there were fewer tears, a lower birth rate was practiced number of episiotomies, and the pushing time during the expulsive was reduced, which was less than 20 minutes.

The women who participated in the study who opted for the alternative childbirth model were offered different options to change their position every so often, once they had reached full dilation. When the baby's head was already positioned so that the expulsion occurred with little pressure, the mother was placed on its side, with the spine and pelvis in a neutral position, and the leg that was up with internal rotation. This position had been chosen by researchers because it facilitates the work of the abdominal muscles to push.

Walker emphasizes that most of the women who gave birth in this way and who could compare it with previous births were satisfied with the experience. And adds an important fact, and is that four months after the birth of the babies were performed pelvic floor assessments of the participants in the study, and could verify that the incidence of urinary incontinence was also much lower in women who gave birth to side.

The results show that changes in posture and, above all, the position that the mother adopts to expel the baby, significantly influence the need for assistance, as well as the complications that can occur with epidural anesthesia, and the expert trusts in which this study contributes to the adoption of the new delivery model because, furthermore, it explains that it would not imply major changes in delivery rooms.

Episiotomy (November 2019).