But only to call them "alternative" and "new" way of delivery is still not entirely correct - the tradition to take birth in this way existed in many countries until the 18th century. It was at this time - about three centuries ago - the fashion to put the future mother in a horizontal position for the birth of a baby introduced by King Louis XIV, wanting to see the birth of his favorite. The tradition of taking birth horizontally has survived to this day, although the idea that a much more physiological and preferred way for a woman to give birth is more often is the vertical position.
Vertical births: pluses and minuses
Vertical birth is a technique according to which the woman in labor does not take a horizontal position at the time of the onset of labor, but is able to move freely, to seek the most comfortable position for herself, in which discomfort is felt least.
Pros of vertical childbirth
It is believed that uninterrupted motor activity even at the time of labor significantly facilitates the state of the woman, for good reason, in the maternity homes, the expectant mothers are directly recommended to walk and move around fights to cope with the pain.
At the moment of the second stage of childbirth - the attempt - with vertical childbirth the woman, again, chooses the most optimal position for herself. For each child, this position will be "own": on his haunches half-sider, on his knees, standing with a slight inclination forward and with an emphasis on the bed, standing in a special design of the chair. For vertical delivery, no special equipment or specific qualification of the obstetrician is required - unless the need to put the woman in place will actually arise during the birth.
However, experts say: as a rule, there are almost no such situations. According to them, vertical childbirth can be rightly called soft, they are less traumatic, are accompanied by less blood loss, provide an easier passage of the baby through the birth canal. Vertical birth, experts say, is much preferable for both the mother and the baby.
For the woman in labor - in the sense that it is easier to bear: the fruit, due to gravity, gradually and naturally presses on the lower part and cervix of the uterus; Thus, the uterus opens gradually, and further the baby moves along the birth canal at the expense of its own weight. Due to the fact that a woman is constantly in motion before the onset of attempts, the pain is less and anesthesia is required less often. In addition, motor activity significantly reduces the stage of contractions - for 2-3 hours. And the fact that after passing through the birth canals and "pushing" the shoulders to the light, the baby slips more easily, reduces the risk of ruptures and the need to cut the maternity's perineum. There are data according to which if in horizontal childbirth in 25% of cases it is necessary to cut the perineum, then in the case of genera vertical this figure is only 5%. So, even if a child appears large enough, with vertical childbirth, only small ruptures are possible, while serious obstetrician interventions are almost not required.
Vertical births for the baby have their advantages, if only because they completely exclude the possibility of fetal hypoxia development. So, with the traditional position for delivery - horizontal - the uterus of the future mother, reaching in weight of about 6 kilograms, strongly presses on the internal organs and blood vessels. This is the cause of an impaired blood flow to the uterus and a complicated outflow of venous blood from the organs. As a result, impaired blood circulation can affect the baby's oxygen starvation. And the process of delivery in a horizontal position can be slowed down - due to the fact that in this case there is no uniform and constant pressure of the fetus on the lower segment and cervix of the uterus. Quite often the way out of this situation is the use of stimulant drugs and pain medications, to avoid which there is a chance for vertical childbirth.
The duration of the third stage of labor - the period of retreatment of the placenta - vertical labor also reduces. This is due to the fact that a woman gives birth to the placenta, already holding the baby in her arms and putting it to her chest. The placenta departs faster not only due to the vertical position of the mother, but also because the uterus contracts simultaneously and by suckling the baby's breast.
Disadvantages of vertical genera
Many women who have experienced all the benefits of vertical delivery, advise future mothers to choose this method of appearance of the baby. However, obstetricians warn pregnant women: they have such kinds and disadvantages, which should also be known before making a final decision.
The biggest disadvantage is the inconvenience for the midwives themselves and limiting them in carrying out some manipulations, because from such a position the mother "field of view" for the doctor is not available. In particular, it is somewhat difficult and problematic to follow the progress of the fetus along the generic pathways, behind its heartbeat and other vital signs with the vertical method of delivery. But the inability to fully exercise control over the condition of the mother and child carries a certain risk.
Also, the expectant mother should understand and accept that the risk and likelihood of complications increases in the case of rapid delivery, as well as violations in the structure of the perineum and genital tract. Since vertical childbirth provides for the location of the mother on her legs (even if on all fours), the use of epidural anesthesia is impossible.
Well, and one more conventional disadvantage of this type of delivery is the presence of some contraindications.
Vertical births are contraindicated when it comes to even the slightest complications. They can be pelvic presentation of the fetus, a large head of the baby, hypoxia of the baby, premature birth. Also, you can not give birth vertically, if there is a need to use obstetric forceps or the need to cut the perineum, there are diseases of the internal organs of the mother. You should know, that at carrying out of a delivery vertically at repeatedly women the high probability of prompt current of sorts and reception by the child of birth traumas exists.
In all other cases, vertical births practically "from all sides" become a worthy and more sparing alternative to genera horizontal. Another thing is that most maternity hospitals rarely practice such a technique, although at the stage of fights obstetricians usually advise women to always move more, and only when the uterus opens enough, they are laid on the table.