MOONDRAGON'S ARTICLES




LABOR SUPPORT TECHNIQUES

Compiled By Andrea Eastman, MA, CCE, IBCLC
©1997-2000





EFFECTIVE LABOR SUPPORT
(Jones, 1987)

  • Be there and share the experience.

  • Guide her through imagery.

  • Be aware of signs of tension.

  • Massage her.

  • Blanket her with love.

  • Bear in mind that labor is a sexual event.

  • Ask for feedback (between contractions).

  • Encourage her to surrender.

  • Encourage her to express herself freely.

  • Do not insist that she breathe a certain way (unless she finds it helpful).

  • Forget the clock.

  • Help her take a warm shower or bath.

  • Apply facecloths soaked in very warm water (or rice socks) to the area of discomfort.

  • If she panics - have her lower her voice and groan, have her breathe with you to calm her down.

  • Be with her if she has a cesarean.





  • TECHNIQUES FOR PRE-LABOR
    (Simkin, 1989)

  • Realize that a long pre-labor is not a medical problem in itself.

  • Recognize pre-labor for what it is.

  • Check with your birth attendant for advice and reassurance.

  • Try distracting activities during the day.

  • Help her rest or sleep at night, or nap during the day.

  • Suggest a bath, or a long shower.

  • Give her a massage to help her relax.

  • SLEEP or at least rest!!!!!

  • Try things to help stimulate labor.





  • TECHNIQUES FOR EARLY FIRST STAGE LABOR
    (Simkin, 1989)

  • Remain close by.

  • Time the contractions.

  • Help her pass the time with pleasant and distracting activities.

  • Discuss whether you should leave for work.
    • Are you readily accessible?

    • How far do you have to travel?

  • When she becomes preoccupied with contractions:
    • Continue to time them.

    • Give her your undivided attention throughout each contraction.

    • watch her during contractions and help her relax.





    TECHNIQUES FOR ACTIVE LABOR
    (Simkin, 1989)

  • Be sure the staff is aware of your birth plan.

  • Follow her lead.

  • Give her your undivided attention.

  • Develop "rituals" of comforting actions, to be repeated during every contraction.





  • LABOR SUPPORT TECHNIQUES FOR TRANSITION
    (Simkin, 1989)

  • Stay calm.

  • Your touch should be firm and consistent.

  • Your voice should remain calm and encouraging.

  • Stay close to her with your face near hers.


  • TAKE CHARGE ROUTINE

  • Remain calm.

  • Stay close.

  • Anchor her - hold her tightly.

  • Make eye contact.

  • Change the way you handle contractions.

  • Encourage her every breath.

  • Talk to her between contractions.

  • Repeat yourself.

  • Do not give up.

  • Ask for help and reassurance from someone else.


  • MORE TRANSITION LABOR TIPS

  • Remind her about the baby.

  • Remind her that this difficult phase (transition) is short, and that she is almost at the birthing stage.

  • Remind her that it is normal for transition to be difficult, and that her mood will improve when her cervix is fully dilated.

  • Be sure the birth attendant know if she has an urge to push.

  • Help her avoid pushing if she is not dilated fully.

  • Movement and position changes.

  • Counterpressure.

  • Bath or shower.

  • Heat or cold.

  • Touch or massage.

  • Relaxation.





  • LABOR SUPPORT - SECOND STAGE (PUSHING PHASE)
    (Simkin, 1989)

  • Be patient during the resting phase.

  • Ask the birth attendant to wait for the pushing urge to come.

  • Match the mother's mood.

  • Stay close to the mother, where she can see, feel, and hear you.

  • Compliment her on how well she is doing with each contraction.

  • Stay calm.

  • Remind her to relax her perineum - let go, open up, down and out - her anus will bulge if the perineum is relaxed, if she is tense it will remain tight.

  • Remind her the baby is almost here.

  • Suggest different positions if the progress is slow.

  • Remind her to listen to her body.

  • Remind her to look in a mirror and touch the baby's head.

  • Do not get so caught up in the birth that you forget about the mother.

  • Cut the cord if you want to.

  • Enjoy the baby and encourage the mother to do the same.

  • Make sure the baby stays warm on Mom's chest.

  • Hold the baby, and ENJOY!





  • READING MATERIAL

    These ideas are from the following excellent books:

    Mind Over Labor
    -- by Carl Jones, New York: Viking/Penguin, 1986

    The Birth Partner:
    Everything You Need to Know to Help a Woman Through Childbirth

    -- by Penny Simkin, P.T., Harvard and Boston, MA: The Harvard Common Press, 1989.

    Pregnancy, Childbirth, and the Newborn: The Complete Guide
    -- by Penny Simkin, P.T., NY: Meadowbrook Press, 1991.





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    MoonDragon's Articles Index

    MoonDragon's Pregnancy Information & Survival Tips

    MoonDragon's Pregnancy & Birth Index





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