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Answer
This is an excellent question and one not without some measure of
controversy. It has long been thought that walking during labor does
help by shortening or speeding up labors. And this, from a common sense
point of view seems to make sense, since the baby needs to descend
through your pelvis, why not let gravity help, and the back-and-forth
rocking motion of your hips when you walk would seem to help your
pelvis open up and welcome the baby's descent. Contrary to this, when
someone is having unwanted preterm contractions, it's long been noticed
that exertional activities, such as walking, tend to be a problem and
bedrest is often prescribed.
However, there was a recently published study that got a fair amount of
press coverage that seemed to disprove the old adage that walking in
labor is helpful. The authors compared two groups of ladies, some that
had no restriction on their movement, and others that were kept in bed.
When all other factors were held equal, there were no differences in
the outcomes of their labor. The walking group seemed to be no better
off.
At closer inspection though the study was, perhaps, flawed, since the
ladies in the walking group were not encouraged to walk (just allowed
to walk) and many did not do much of it.
My own take on the subject (unencumbered by the scientific method, but
backed up by my wife who practically ran laps around our Labor and
Delivery floor this past June) is that walking is indeed helpful. It
only makes sense to me that being upright, and changing positions in
general, seems to help speed up labors, to make you a bit more
comfortable with contractions at times, and probably helps the baby
descend and rotate into just the right position for delivery.
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