Midwife bilang ini juga salah satu penyebab pingin ngejan pada saat bukaan belum lengkap karena posisinya yang membelakangi. Pas hamil azka nggak seperti ini padahal kata midwife biasanya pas kehamilan pertama kejadian. Alhamdulillah bisa melewati back labor yang menyakitkan dan bisa lahiran normal.
What is back labor?
Back labor refers to the intense lower back pain that many women feel during contractions when they're giving birth. Some women even feel it between contractions.
This pain is usually attributed to the pressure of your baby's head against your lower back, but other factors may be at work, too. One unproven but interesting theory is that the pain is "referred" to your lower back from your uterus.
That idea is supported by the fact that some women complain of low back pain when they have menstrual cramps – which clearly can't be blamed on a baby! One study found that women who had back pain during their periods were more likely to have back pain during labor.
Is back labor related to the baby's position?
Back labor has long been thought to be more common when the baby is facing up during labor, with the back of the baby's head pressing on the bony part of your spine. But research suggests that this assumption is wrong.
In a 2005 study of nearly 700 women in labor, moms whose babies were in this "sunny-side up" position when they were admitted to the hospital were no more likely to complain of back labor or more intense pain at that time than those whose babies were facing down or sideways. (Ultrasound was used to tell what position the babies were in.)
Unfortunately, the study produced no information about how the moms-to-be in the study felt later in labor because over 90 percent of them ended up choosing an epidural for for pain management.
What can I do to ease back labor?
You may not be able to prevent low back pain during labor, but you can try one or more of these tactics to help relieve it:
- Get up on all fours. This position may reduce the pressure of your baby's head on your spine. (Take a look at our video on positions to ease labor pain.)
- Do pelvic tilts. These simple exercises also may help minimize the pressure on your spine.
- Ask your labor coach to rub your lower back between or during contractions – or both, whatever feels best to you.
- Many women find that steady counterpressure on the lower back relieves some of the pain. Ask your labor coach to push on this area with his fists during contractions or massage it with a tennis ball.
- Take a warm bath or shower, or apply warm compresses or a hot water bottle to your lower back. Heat may ease the achiness and bring you some comfort. On the other hand, some women find cold packs more soothing or that alternating heat and cold is helpful. You may want to give both a try. Just be sure to use a towel to protect your skin from direct contact with heat or cold.
Some women have found that sterile water injections provide some relief from back pain. This is a procedure in which small amounts of sterile water are injected just beneath the skin in four places on the lower back. The injections are temporarily painful, but afterward, the pain relief lasts for a few hours. No one knows for sure why it works, and it's not available everywhere.
Check out some other natural childbirth techniques that may help you deal with labor pain.
If you don't have your heart set on natural childbirth and nothing is helping you manage your back pain, consider getting an epidural. In most cases, it provides total relief from all kinds of labor pain, including back labor.
Sumber : https://www.babycenter.com/0_back-labor_1451580.bc
What does it mean that a baby is in the "posterior position"?
When a baby is head-down but facing your abdomen, she's said to be in the occiput posterior (OP) position – or posterior position, for short. The term refers to the fact that the back of your baby's skull (the occipital bone) is in the back (or posterior) of your pelvis.
You may also hear this position referred to as "face-up" or "sunny-side up."
How common is it for a baby to be in this position?
It depends on how close you are to delivery. Many more babies are posterior at the beginning of labor than when they're born. While as many as half are posterior when labor starts, only 4 to 10 percent of babies are posterior at birth. (The percentage of babies who are posterior at birth is higher among first-time mothers.)
It's common for a baby's position to change during labor, often more than once, and your baby may not assume his final position until shortly before birth.
A study published in 2005 used ultrasound to look at the position of more than 1,500 babies of first-time mothers over the course of labor. The results showed just how variable and unpredictable a baby's position can be.
The first ultrasound was performed when the mothers were admitted to the hospital in labor or to be induced. Close to a quarter of the babies viewed were face-up (posterior), nearly half were facing sideways, and the rest were face-down. Ultrasounds were repeated at one or two other points during labor and then at the time of birth.
Most of the babies were in the more favorable face-down position by the time they were delivered. Among the babies who were posterior late in labor, about 1 in 5 was still that way at the time of delivery. Among babies who were face-down later in labor, only 1 in 20 was born face-up.
A 2007 study of 270 women being induced found that more than a third of the babies were in the posterior position just before the induction started, but fewer than 1 in 12 were still that way at delivery. Of the babies who were posterior at birth, over two-thirds of them weren't posterior in the beginning.
Studies published since then (which also used ultrasound to confirm position) also show that a baby's position at the onset of labor does not predict his position at birth. Many babies who are posterior at some point in labor rotate on their own to the face-down position before birth.
f my baby is posterior during labor, does that mean I'll have back labor?
Back labor — the intense lower back pain that many women feel during labor – was long thought to be more likely when the baby is facing up. But research using ultrasound (much more accurate than a clinical exam, especially in the first stage of labor) suggests that this common assumption is probably wrong.
In the 2005 study above, nearly 700 of the women were asked about pain when they were admitted to the hospital. More than 1 in 4 reported having back labor at that time, but moms whose babies were face-up were no more likely to complain of back labor or more intense pain than those whose babies were facing down or sideways.
Unfortunately, the study produced no information about how the moms-to-be felt later in labor because over 90 percent of them ended up choosing an epidural for pain management.
If my baby is posterior at birth, how will it affect my delivery?
Mothers whose babies are face-up at birth tend to push longer, more commonly need Pitocin to stimulate contractions, and have a significantly higher risk of having an assisted vaginal delivery or a c-section. They also have a greater risk of a postpartum hemorrhage.
Those who do give birth vaginally to a baby who is posterior are more likely to have an episiotomy and severe perineal tears than moms whose babies are in the more favorable face-down position, even after taking into account the higher rate of forceps and vacuum-assisted delivery.
The posterior position at birth also is associated with a higher risk of short-term complications for the baby, such as lower five-minute Apgar scores, an greater likelihood of needing to be admitted to the neonatal intensive care unit, and a longer hospital stay.
Is there anything I can do to make it less likely that my baby will be in the posterior position?
You may have heard that being on your hands and knees during late pregnancy or labor helps rotate your baby face-down, but current research suggests that being on all fours won't reduce the likelihood that your baby will be in the posterior position at birth.
That said, if your back aches, you may want to give this position a try anyway. Research shows that being on your hands and knees during labor may offer some relief from back pain.
A 1983 study found that when moms whose babies were posterior at 37 weeks spent ten minutes on their hands and knees, it appeared to help turn the babies, at least in the short term. But a later study – in which one group did slow pelvic rocking exercises on all fours for ten minutes twice a day from 37 weeks on and a second group did nothing – looked at the longer-term effect and found that an equal percentage of women (about 8 percent) in both groups had babies who were posterior at birth.
Another study looked at women who used the hands and knees position intermittently during labor and found that it didn't significantly reduce the number of babies who were posterior at birth. It was associated with a significant reduction in back pain, however.
Some research shows a link between having an epidural during labor and having a baby who is posterior at birth. But it's not clear whether having an epidural makes you more likely to have a posterior baby or having a posterior baby (and often a longer and possibly more painful labor) makes it more likely that you'll request an epidural. And one study found that the percentage of women opting for an epidural was the same regardless of the baby's position at admission to the hospital.
That said, if your back aches, you may want to give this position a try anyway. Research shows that being on your hands and knees during labor may offer some relief from back pain.
A 1983 study found that when moms whose babies were posterior at 37 weeks spent ten minutes on their hands and knees, it appeared to help turn the babies, at least in the short term. But a later study – in which one group did slow pelvic rocking exercises on all fours for ten minutes twice a day from 37 weeks on and a second group did nothing – looked at the longer-term effect and found that an equal percentage of women (about 8 percent) in both groups had babies who were posterior at birth.
Another study looked at women who used the hands and knees position intermittently during labor and found that it didn't significantly reduce the number of babies who were posterior at birth. It was associated with a significant reduction in back pain, however.
Some research shows a link between having an epidural during labor and having a baby who is posterior at birth. But it's not clear whether having an epidural makes you more likely to have a posterior baby or having a posterior baby (and often a longer and possibly more painful labor) makes it more likely that you'll request an epidural. And one study found that the percentage of women opting for an epidural was the same regardless of the baby's position at admission to the hospital.
Finally, some practitioners may attempt to turn a posterior baby by manual rotation. Once you're fully dilated, the practitioner reaches into your vagina, puts his hand or fingers on your baby's head, and tries to rotate it. It may take a few contractions to get the baby into a face-down position and it doesn't always work.
Sumber : https://www.babycenter.com/0_posterior-position_1454005.bc?page=2
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