A range of position can be used for birth. At a previous time, the lithotomy position was the major position for birth, but it’s no longer the position of choice in birthing rooms or alternative birth centers-although the work beds in these locales often have attached stirrups to permit birth in a lithotomy position.
Alternative birth positions include the lateral or Sims’ position, dorsal recumbent ( on the back knees flexed ), semisitting, and squatting. Nurse-midwives have a tendency to favor these alternative birth positions for their customers because less stress looks to be placed on the perineum, leading to less perineal tears. An episiotomy can be made in some alternative positions, though suturing is harder than in a lithotomy position. If the doctor prefers a lithotomy position for birth, position the girl into the stirrups while the doctor is scrubbing and donning a sterile mask, robe, and gloves.
Raise both legs simultaneously to stop tension on the woman’s back and lower abdominal muscles. The strap holding the leg in the stirrups should be secured nicely though not so firmly that it causes constriction. Many ladies understand stirrups as a warped position for birth, but they supply the best position for performing an episiotomy or a forceps-assissted birth or for viewing the perineum to see lacerations or other issues when born, and they’re normally not cosy. Pad the stirrups with intestinal pads if the woman has ankle edema ; to stop thrombophlebitis, be sure there is not any force on her calves. Because pushing becomes less efficacious in a lithotomy position, the top portion of the table can be raised to a thirty to sixty degree angle so that the girl can continue to bump efficiently.
Lying for more time than one hour in a lithotomy position causes intense pelvic congestion because blood flow to the lower extremities is impended. Pelvic congestion may open the way to a rise in thrombophlebitis in the postpartal period. It might also make a contribution to unrestrained blood loss with birth and placental relaxing. For those reasons, place the woman’s legs in a lithotomy position only at the last moment. Once the lady is in lithotomy position, the table’s lower half is folded downward ( damaged ) so that the surgeon can be in walking distance to the birth outlet.
Ensure there’s always somebody at the foot of a damaged delivery room table so that if birth should happen precipitously, the child won’t fall and be hurt.