Pain Relief and Anaesthesia in Childbirth Useful positions during the first stage (or dilatation phase) of labour

1st stage positions Many women have a strong urge to walk around with the support of their companion(s) during the early and established stages of labour. Others prefer to lean forward over a bed or bench, or sit in a chair. Some women find a 'hands and knees' or 'all fours' position most helpful - particularly when pain is being experienced in the lower back. Others find comfort kneeling over a bean bag, or Lying on their side in a semi-sitting position supported by bean bags and pillows.

While frequent changes of position during labour are recommended, you might also appreciate the help and imagination of others. In all positions, the ability to support your head and arms is desirable to allow complete relaxation between contractions.

It has been claimed that the upright position improves the efficiency of uterine contractions and shortens the duration of labour - although this has not been demonstrated conclusively. Adopting different positions invariably helps you feel more comfortable. The figures illustrate positions that you may find helpful during the first stage of labour. It is best to practise using them, well before going into labour, so that you can find out for yourself which positions are most comfortable.

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