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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Lying on your back when pregnant isn't that bad - read this!

10 replies

Lizkin · 23/09/2010 10:14

I've read a lot of posts from people who are worried about lying or sleeping on their back in pregnancy - here's something I found that seems to explain things and definitely reassured me. The website it comes from is here.

"Sometimes women are concerned that sleeping on one's back is dangerous in pregnancy, either because it may deprive the baby of oxygen, or because it may encourage posterior presentation. Here are some comments from independent midwife, Virginia Howes, of Kent Midwifery Practice:

"One thing I do come across often is the idea that sleeping on your back is bad when you are pregnant. Women should sleep in whatever way they are comfortable. The important thing is a good night's sleep and women do not need to feel guilty when they wake up on their back. This is a myth that has come about through a misunderstanding of the facts and unfortunately is constantly perpetuated.

"When epidurals were first introduced into childbirth the dose of drugs used was considerably higher than it is now and the paralysing block very dense. Women were being left on their back and unable to move even if they wanted to. The heavy uterus would press onto the big oxygen-carrying blood vessels in the lower back and cause a decrease in a woman´s oxygen levels and consequently the oxygen reaching the baby. Thus came about the information that women should not be left to lie on their backs when they have an epidural. Quite correct information for that group of women.

"However if a woman without an epidural lies on her back and her oxygen levels are compromised, the first thing that will happen is she will become short of breath. That will happen prior to the baby being compromised and of course the woman will move off of her back or wake up and move."

Virginia Howes - Kent Midwifery Practice

OP posts:
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DetectivePotato · 23/09/2010 10:20

Lying on your back in pregnancy puts pressure on your lungs etc which are already pushed up and it can cause you to pass out. Almost happened to my friend when she had her scan laying on her back. The sonographer said they can scan while you are laying on your side so it obviously happenes to other women.

Smithy1979 · 23/09/2010 10:24

That's very interesting about edidurals!

I haven't been able to lie on my back since I was about 20 weeks (33 now). It makes me feel slightly sick and dizzy and very uncomfortable. I used to sleep on my back and now I always wake up on my side.

This is from Baby center:

"Lying on your back In your second and third trimesters, your growing uterus can slow the circulation in your legs by compressing the inferior vena cava (the large vein that returns blood from the lower half of the body to the heart) and the pelvic veins.

Lying flat on your back can make this problem worse. In fact, about 8 percent of pregnant women in their second and third trimesters develop a condition called supine hypotensive syndrome: When they lie on their back, their heart rate increases, their blood pressure drops, and they feel anxious, lightheaded, and nauseated until they shift their position.

To avoid this problem, lie on your side instead of flat on your back. Either side is better than your back, although the left side is best. A pillow placed behind you or under your hip can help you stay on your side ? or at least tilted enough to keep your uterus from compressing the vena cava."

My midwife's advice was sleep however you feel comfortable. If you have the problem detailed above you soon know about it - and now everyone does.

Sometimes I can't even recline on the sofa as it makes me feel lightheaded!

Smithy1979 · 23/09/2010 10:25

Sorry I meant 'not' everyone does.

Lizkin · 23/09/2010 10:47

Yes, it definitely isn't the best position, and being 37 weeks pregnant I also feel a bit strange when I lie on my back - a bit breathless.

But what I found reassuring about the midwife's comments was that, for a normal, healthy woman, her body will tell her when things start to feel wrong and she'll naturally shift position. So no need to be afraid that you'd harm your baby without realising it - I think that's what I found most helpful.

Of course, in other situations, such as an epidural or in the middle of a scan, there might be other reasons why a woman couldn't shift position even if she were feeling faint, which is why it might be unsafe.

Anyway, hope people find this helpful!

OP posts:
EmmaKateWH · 23/09/2010 11:18

I don't think the website referred to in the OP looks like a terribly authoritative source of medical information. I have been told by several doctors that lying on your back causes the baby to compress your vena cava which are the veins that return de-oxegynated blood to your heart from the rest of your body. Stopping this blood flow makes you feel pretty ill, and even if it doesn't is compromising a significant part of your circulatory system. There is a separate issue about whether if you have posterior placenta lying on your back could cause your baby to lie on the placenta and on the umbilical cord where it meets the placenta, thus compromising cord blood flow. Again, doctors have explained that for that reason I should avoid lying on my back. Personally, I think I will take their advice!!!

Librashavinganotherbiscuit · 23/09/2010 13:06

If you lie on your back YOU will feel ill and move before your baby is affected. Last pregnancy I slept on my back all the way thru with no problems, this pregnancy I haven't been able to lie on my back at all without feeling sick.

To the point: this shouldn't be high up on your list of things to worry about.

planner26 · 23/09/2010 14:01

My physio told me not to lie on your back from 30w, but I explained that the only way I can lie without getting backache/ spd pain is on my back, but PROPPED UP. She said that this was fine, and I support my hips by putting pillows under my knees - BLISS!

nymphadora · 23/09/2010 14:09

I end up on my back every night. I'm never completely flat so maybe thats why I never feel ill. Although sometimes I not far off.

sh77 · 23/09/2010 14:10

Sounds like utter bollocks to me - not backed up my any medical facts. When I was induced (and before epidural was given), my daughter's heart rate was monitored constantly. There were two episodes when I lay on my back and her heart rate dropped very quickly. When I turned to my side, it recovered. There are very good reason pregnant women are advised not to lie on their back.....

2ndDestiny · 23/09/2010 14:28

I don't think the OP is suggesting that pregnant women should lie on our backs, or ignore doctors' advice - I think the midwife she quotes is just trying to make the point that those of us who have had trouble breaking the habit of sleeping/waking up on our backs needn't feel terribly guilty and worried about it.

I still often wake up on my back, or just find that lying on my back for a while is the only way to ease the pain in my hips. I try to keep my head and shoulders propped up or lie slightly tilted but like nymphadora, sometimes end up not far off flat.

I was waking up worried about it every morning but my midwife just laughed and said it is really not an issue, if it makes me feel dodgy, I'll turn over.

Even the babycentre advice cited above says only 8% of pregnant women are badly affected by lying on their backs, which suggests it may not be a problem for most women.

Agree with Libra. Personally, I've done more than enough unnecessary worrying this pregnancy Confused

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