Several of my clients thought they'd like to deliver on a
birth stool, but after trying it decided they weren't as
comfortable as side-lying. One of the reasons they cited was
the inability to totally relax and let go between pushes.
Another important reason why clients decide against using
the birth stool is that sitting on the sacrum reduces the
pelvic diameter. The sacrum and coccyx encroach into the
birth canal, sometimes dramatically. Rolling a woman back
off the sacrum will increase the diameter, especially if she
is assisted in pulling her legs up as well. In addition,
this also helps pull up that cervical lip that seems to
plague so many women.
-Alison Osborn
Reprinted from Midwifery Today E-News (Vol 2 Issue 27 July 5, 2000)
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