Pushing Positions w/ Epidural? - Mothering Forums

Forum Jump: 
 
Thread Tools
#1 of 11 Old 06-22-2013, 07:46 PM - Thread Starter
 
Tara415's Avatar
 
Join Date: Jun 2013
Posts: 15
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Hi ladies-

With my last pregnancy, I had planned on having a non-medicine, natural birth so I didn't really look into options for what you can/can't do if you get an epidural. However, I did end up getting one and since I didn't know enough about it, let the nurses tell me exactly how I needed to be throughout labor and pushing. My L&D nurse told me I had to be flat on my back the whole time, which I went along with since I didn't know about physical limitations with an epi. I'm due in a few months with my second and I'm pretty sure I'll get an epidural again. But I want to go in more prepared. Anyone know about being able to sit up, or be reclined (instead of lying flat) during labor/pushing with an epi? I know from the natural birth classes I took that lying down isn't the best to get baby moving. TIA!  

Tara415 is offline  
#2 of 11 Old 06-22-2013, 08:02 PM
 
Lovin_Life's Avatar
 
Join Date: Sep 2008
Posts: 195
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Talk with your care provider because they are the ones that are going to encourage a certain position so if you have a problem with said position you can talk with them about ones you would like to try. It is much easier to have this conversation in an appointment rather when you are pushing. Depending on the strength of the epidural, it may be possible to push on hands and knees, sidelying, and/or semi-reclined. 

Lovin_Life is offline  
#3 of 11 Old 06-22-2013, 09:30 PM
 
MeepyCat's Avatar
 
Join Date: Oct 2006
Location: Boston, MA
Posts: 3,724
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 40 Post(s)

I had an epidural, and pushed reclining - I think I was actually sitting up and screaming when he came out.  Definitely talk to them about what would make you most comfortable.

 

The real concern about mobility and epidurals is that your legs may not work as well as usual.  "Paralysis" is usually an overstatement, but they might not bear weight as well as usual, and hospitals do get really cautious about trip and fall risks.  There's nothing inherent to en epi that prevents you from reclining, sitting up, lying on one side or another, or rolling onto all fours (maybe the leg thing a little, but if you're on the bed, you don't have far to fall).

MeepyCat is online now  
#4 of 11 Old 06-22-2013, 09:47 PM
 
pokeyac's Avatar
 
Join Date: Apr 2011
Location: Bay Area, Ca
Posts: 3,446
Mentioned: 5 Post(s)
Tagged: 0 Thread(s)
Quoted: 16 Post(s)

I had a doula client who had an epidural, and she pushed on her side and felt more comfortable that way.  I imagine it would help keep things moving if you could sit up while you are dilating so that the baby's head is pushing down on the cervix.  I agree that it is a good idea to talk to your care provider about possible positions.  Depending on how numb your legs are, hands and knees may not work if you can't hold yourself up.  I hope everything goes well! 




Married to a wonderful woman since 2010. Baby boy C arrived in June 2013!

Check out our User Agreement.
pokeyac is online now  
#5 of 11 Old 06-23-2013, 10:25 PM
 
cynthiamoon's Avatar
 
Join Date: Nov 2009
Location: Denver, CO
Posts: 1,508
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
What a great thread topic! I am interested in hearing what experienced moms have to say. I am planning not to use pain relief, but it's always good to know the options out there if things don't go as planned!

Writing about life-long learning and discovery at: www.neoapprentice.com 

:: A neo-apprentice knows there are no true masters. 

 

25yo FTM to a Wiggle Panda diaper.gif, student teacher read.gif, newlywed love.gif 

cynthiamoon is offline  
#6 of 11 Old 06-24-2013, 01:44 AM
 
heket's Avatar
 
Join Date: Nov 2003
Location: Ruling my own Library
Posts: 2,760
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
My first was an epi birth. From my readings, pain management and numbness varies for each woman. However, I was totally numb and had no problems pushing in the traditional reclined on your back pose. It was annoying that I couldn't get my own legs up into the stirrups so dh had to pick up my legs and place them.
heket is offline  
#7 of 11 Old 06-26-2013, 01:11 PM
 
Magali's Avatar
 
Join Date: Jun 2007
Location: Molten Core
Posts: 2,333
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Lovin_Life View Post

Talk with your care provider because they are the ones that are going to encourage a certain position so if you have a problem with said position you can talk with them about ones you would like to try. It is much easier to have this conversation in an appointment rather when you are pushing. Depending on the strength of the epidural, it may be possible to push on hands and knees, sidelying, and/or semi-reclined. 

This.


 caffix.gif

Magali is offline  
#8 of 11 Old 06-26-2013, 01:54 PM
 
scottishmommy's Avatar
 
Join Date: Nov 2009
Location: in a little apartment
Posts: 1,095
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Side lying all the way. It's a great position for avoiding tears.

Wife to amazing dh, mama to dd 12/08
scottishmommy is offline  
#9 of 11 Old 06-26-2013, 04:00 PM
 
Katie8681's Avatar
 
Join Date: Dec 2010
Location: Northern Cali
Posts: 676
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 3 Post(s)
I have had women with epidurals push semi-sit, side-lying, all fours, and squatting (butt on edge of bed, leaning onto squat bar). Whatever works! It just takes a little teamwork to get situated smile.gif

At home amongst the redwoods treehugger.gif with my husband and my son, born 7/5/11 familybed1.gif  Instant CNM, just add caffix.gif !

Katie8681 is offline  
#10 of 11 Old 06-29-2013, 05:06 AM
 
skycheattraffic's Avatar
 
Join Date: Apr 2012
Posts: 2,699
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I pushed semi reclined, DH and my mom had my legs curled up to my chest and I only had a small tear. I'm hoping to go epi free since last time I was 9cm by the time it was administered so I figure I can get through it. What a great idea for a thread! I like the idea of side lying too but I think I'll try hands and knees this time around if I skip the epi like I plan to smile.gif
skycheattraffic is offline  
#11 of 11 Old 06-29-2013, 12:23 PM
 
pillowy's Avatar
 
Join Date: Apr 2013
Posts: 80
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)

I was semi-reclined, which worked great for me. I was super comfortable and the baby came down just fine.

pillowy is offline  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off