Labor Positions: Hands and Knees
What it is:
The mother will be on all fours, such as when playing "horse".
How it works:
The hands and knees position helps to relieve pressure on the back by using gravity to pull the uterus out of the pelvis.
When to do it:
The hands and knees position is very useful when the mother is experiencing back labor. Many women find that laboring this way and doing pelvic rocking helps to turn a posterior baby. Others find that modifying the position to have the head and shoulders on the floor allows gravity to pull the baby toward the top of the uterus, providing some room for the baby to change positions
Incorporating it into labor:
If a birth ball is available, let the mother kneel, facing the ball. Have her lean forward putting the weight of her upper body on the ball. She will need to move her body to keep her balance on the ball, which may help the baby move down the pelvis.
Let the mother kneel, facing a rocking chair. Have her lean forward putting the weight of her upper body on the seat of the chair. If it is comfortable, have her gently rock back and forth. Pelvic rocking may help move the baby into the pelvis.
The mother can push in the hands and knees position.