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Direct contact between provider and laboring mother, in the form of support and comfort,
Heat increases local skin temperature and circulation, reduces muscle spasm, and raises the pain
threshold which can help in labor. This may be applied as a hot, moist
towel or heating pad (or any other kind of hot pack) applied to the lower
painful hemorrhoids) using an ice pack, gel pack, latex glove filled with ice, wet wash cloth, etc.
Cold is useful for musculoskeletal and joint pain, decreases muscle spasm, creates a numbing
Hydrotherapy
bath. The even distribution of hydrostatic pressure over the immersed portions of the womans
body bring pain relief and more rapid active labor progress.
Movement
Movement in labor may help resolve fetal malposition, enhance fetal descent by changing the
shape and size of the womens pelvic basin, reduce labor pain, and increase the womans active
participation and decrease her emotional distress, also contributing to fetal well-being.
Movement can include walking or stair climbing, pelvic rocking, lunging, slow dancing, etc.
hair, scratching her back, etc. The mother will often let you
know whether she wants lighter touch or more pressure, during a contraction or in between, or
where she wants it. Massage can be short (1-3 minutes) and simple including shoulder massage,
crisscross over the lower back, hand massage, foot massage, etc.
Attention Focusing