For a firm hotpack that holds heat for a considerable period of time, dampen a folded bath towel, fold it up in a Chux (waterproof bed pad) and heat in a microwave for approximately two minutes, turning after one minute. Wrap again in a soft dry towel or receiving blanket. This can be rolled or folded as needed and is especially useful for back labor.
-Arlene Settle in Midwifery Today's Tricks of the Trade Volume One, 1996
To ease back labor: The laboring woman positions herself on hands and knees or in any forward leaning position she finds comfortable. The midwife stands next to her at her waist, facing away from the woman's head. She puts pressure with the heel of her hand on the posterior aspect of the sacrum (behind) and applies downward pressure to the sacrum in the direction that is away from the woman's head. From a chiropractic and neurological view, this technique is more beneficial than applying pressure to the sacrum in an upward or directly inward direction while positioned behind the woman.
-Douglas Carlstrom D.C. in Midwifery Today's Tricks ofthe Trade Volume One, 1996
Reprinted from Midwifery Today E-News (Vol 1 Issue 14, Apr 2, 1999)
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