Tip 237: Prenatal exercise/posture for natural birth

These days, most babies are not in the head down and most optimal position in the womb to deliver through natural birth. That is why there is increasing occurrence of cesarean, usage of forceps, vacuum and high intervention of the doctor during labour. The World Health Organization has stated that a cesarean rate over 15% is harmful as it increases maternal death rate and infant morbidity. The USA rate is 33% and is rising and is much higher in some states. Yet, this can be avoided through better prenatal posture and exercises.














Our modern lifestyle today is to blame for the less than optimal position of the baby. If we move back in history, women were in different postures during their daily chores, often times leaning forward washing the dishes in the sink or sowing seeds in the farms, on their hands and knees while cleaning the floor or gardening, or at least sitting upright in straight backed hard wooden chairs. These days, most postures and lifestyle encourage leaning back on a comfortable computer chair or couch.















Hence, the mother need to be extra conscious of the need for good posture and put efforts in prenatal exercises. By sitting straight up or leaning forward, gravity will naturally pull the fetal's head and spine down and forward into the anterior position in the womb. Postures to avoid include sitting back on a couch, recliner or soft chair, sleeping on the back or crossing the legs. It is preferable to sleep on the side (preferably the left side) with a pillow beneath the knees. When sitting, it is best to ensure the knees are always lower than the hip bones. A pillow can thus be placed on the seat. Besides posture, there are 2 exercises as shown on the left. The one on top is called knee chest position to be done 3 times a day for 15 minutes. It gently brings down the fetus out of the pelvis, so it can rotate into a more favorable position. The bottom exercise is called pelvic rock, which can be done after the knee chest position. It is an excellent exercise to relieve back pressure and keep the fetus in the optimal position.














Previously, I also blogged about visiting a chiropractor who is trained in the Webster technique. Besides moving the fetal into a head down position, it also alleviates pelvic and uterine restriction, so the fetal can move to the optimal position on its own. Another blogpost speaks about a Japanese midwife tip to always keep mummy's leg warm.














Getting all this right is key to a smooth and fast labour, besides one that is natural, without intervention by the doctor and no necessary need for knives and other equipment that may harm the baby and the mother.














Being in the delivery room, I am in awe at how a 3164 gram baby with a head circumference of 32cm and a height of 48cm can come out of the womb in 1 hour without any tear on the vagina or the need for the doctor to incise to enlarge the passage. Neither was epidural taken, so Sayaka is fully alert through this natural birth.

(Photos show Sayaka and sister, Haruka at the hospital with friends who have visited us. Video at the bottom shows 10 minute old Sayaka waving peace for 2011).