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'''Back labor''' (less commonly called '''posterior labor'''<ref name="posterior1">Moore, Mary Lou & Ora Strickland, ''Realities in Childbearing'', p. 398 (1978) (using term "posterior labor")</ref><ref name="elhalta">El Halta V. ''[[http://www.midwiferytoday.com/articles/paininback.asp Posterior Labor---A pain in the back!]]'', ICAN Clarion 1996; 2(1)</ref>) is a term referring to sensations of pain or discomfort that occur in the lower back, just above the [[Coccyx|tailbone]], to a mother during [[childbirth]].<ref name="backlabor1">[http://americanpregnancy.org/labornbirth/backlabor.html Back Labor], American Pregnancy Association, retrieved 8 September 2014</ref><ref name="mayo1">Harms, Rogert W. [http://www.mayoclinic.org/healthy-living/labor-and-delivery/expert-answers/back-labor/faq-20058547 Does back labor really happen?], mayoclinic.com, Retrieved 8 September 2014</ref>
'''Back labor''' (less commonly called '''posterior labor'''<ref name="posterior1">Moore, Mary Lou & Ora Strickland, ''Realities in Childbearing'', p. 398 (1978) (using term "posterior labor")</ref><ref name="elhalta">El Halta, Valerie ''[http://www.midwiferytoday.com/articles/paininback.asp Posterior Labor---A pain in the back!]'', ICAN Clarion 1996; 2(1)</ref>) is a term referring to sensations of pain or discomfort that occur in the lower back, just above the [[Coccyx|tailbone]], to a mother during [[childbirth]].<ref name="backlabor1">[http://americanpregnancy.org/labornbirth/backlabor.html Back Labor], American Pregnancy Association, retrieved 8 September 2014</ref><ref name="mayo1">Harms, Rogert W. [http://www.mayoclinic.org/healthy-living/labor-and-delivery/expert-answers/back-labor/faq-20058547 Does back labor really happen?], mayoclinic.com, Retrieved 8 September 2014</ref>


Back labor may be noted when the baby is face up in the birth canal (occiput posterior), and not face down, so that the back of the baby's skull ([[occiput]]) is pushed against the mother's [[sacrum]]. But back labor can also occur when when the baby is not in that position.<ref name="mayo1"/> The discomfort is often noted to be intensely painful, and may not completely abate between contractions.<ref name="nursing">Klossner, N. Jayne. ''Introductory Nursing, Vol. 1'', pp. 190, 432-33 (2006)</ref> Whether back labor will occur cannot be predicted in advance. Reports of how many mothers experience back labor vary,<ref name="easing">Lieberman, Adrienne B. [http://books.google.com/books?id=vxZxksJNLgkC&pg=PA17&#v=onepage&q&f=false Easing Labor Pain: The Complete Guide to a More Comfortable and Rewarding Birth], p. 17 (1992) (This 1992 book says childhood educators typically cite 25%)</ref> though estimates in the range of 30% are commmon.<Ref name="30one">Curtis, Glade B. & Schuler, Judith. [http://books.google.com/books?id=wfFmAgAAQBAJ&pg=PA290#v=onepage&q&f=false Your Pregnancy After 35: Revised Edition], p. 290 (2001)</ref>
Back labor may be noted when the baby is face up in the birth canal (occiput posterior), and not face down, so that the back of the baby's skull ([[occiput]]) is pushed against the mother's [[sacrum]]. But back labor can also occur when when the baby is not in that position.<ref name="mayo1"/> The discomfort is often noted to be intensely painful, and may not completely abate between contractions.<ref name="nursing">Klossner, N. Jayne. ''Introductory Nursing, Vol. 1'', pp. 190, 432-33 (2006)</ref> Whether back labor will occur cannot be predicted in advance. Reports of how many mothers experience back labor vary,<ref name="easing">Lieberman, Adrienne B. [http://books.google.com/books?id=vxZxksJNLgkC&pg=PA17&#v=onepage&q&f=false Easing Labor Pain: The Complete Guide to a More Comfortable and Rewarding Birth], p. 17 (1992) (This 1992 book says childhood educators typically cite 25%)</ref> though estimates in the range of 30% are commmon.<Ref name="30one">Curtis, Glade B. & Schuler, Judith. [http://books.google.com/books?id=wfFmAgAAQBAJ&pg=PA290#v=onepage&q&f=false Your Pregnancy After 35: Revised Edition], p. 290 (2001)</ref>

Revision as of 17:22, 8 September 2014

Back labor (less commonly called posterior labor[1][2]) is a term referring to sensations of pain or discomfort that occur in the lower back, just above the tailbone, to a mother during childbirth.[3][4]

Back labor may be noted when the baby is face up in the birth canal (occiput posterior), and not face down, so that the back of the baby's skull (occiput) is pushed against the mother's sacrum. But back labor can also occur when when the baby is not in that position.[4] The discomfort is often noted to be intensely painful, and may not completely abate between contractions.[5] Whether back labor will occur cannot be predicted in advance. Reports of how many mothers experience back labor vary,[6] though estimates in the range of 30% are commmon.[7]

Actions that have been suggested to ameliorate back labor include physical activity, changing positions,[8] back rubbing, water massage, application of hot or cold to the lower back, use of a birthing ball[9] and medication including an epidural.[4][10] Some research has suggested that injecting sterile water into the lower back may provide pain relief, there but is no consensus that it actually helps.[11]

References

  1. ^ Moore, Mary Lou & Ora Strickland, Realities in Childbearing, p. 398 (1978) (using term "posterior labor")
  2. ^ El Halta, Valerie Posterior Labor---A pain in the back!, ICAN Clarion 1996; 2(1)
  3. ^ Back Labor, American Pregnancy Association, retrieved 8 September 2014
  4. ^ a b c Harms, Rogert W. Does back labor really happen?, mayoclinic.com, Retrieved 8 September 2014
  5. ^ Klossner, N. Jayne. Introductory Nursing, Vol. 1, pp. 190, 432-33 (2006)
  6. ^ Lieberman, Adrienne B. Easing Labor Pain: The Complete Guide to a More Comfortable and Rewarding Birth, p. 17 (1992) (This 1992 book says childhood educators typically cite 25%)
  7. ^ Curtis, Glade B. & Schuler, Judith. Your Pregnancy After 35: Revised Edition, p. 290 (2001)
  8. ^ Simkin, P. The fetal occiput posterior position: state of the science and a new perspective, Birth 2010 Mar; 37(1)l 61-71
  9. ^ (25 July 2013). Positions and comfort measures to easy back labor, allparenting.com
  10. ^ Murkoff, Heidi & Sharon Mazel. What to Expect When You're Expecting, p. 367-368 (4th ed. 2008)
  11. ^ Derry, S.; Straube, S.; Moore, RA.; Hancock, H.; Collins, SL. (2012). Derry, Sheena (ed.). "Intracutaneous or subcutaneous sterile water injection compared with blinded controls for pain management in labour". Cochrane Database Syst Rev. 1: CD009107. doi:10.1002/14651858.CD009107.pub2. PMID 22258999.