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Planning for birth with PGP involves considering many aspects. You may have concerns about ‘how to get the baby out’. Many women find that after a straightforward birth, symptoms start to resolve immediately.

The ideal is a controlled birth which does not last too long, avoids intervention, and controls the position of the legs, avoiding being on the back with legs in stirrups (the lithotomy position), and aiming for birth on all fours, lying on one side or in water.

  • Home water birth, hospital birth, birthing centre, caesarian section and epidural are all possible choices when taken with a supportive team caring for women as individuals. This means taking into consideration their range of joint movement (pain-free gap) and ability to turn themselves over and change position.
  • Water can be ideal with PGP as it allows you to move easily.
  • Induction may increase the need for pain relief and lead to the “cascade of intervention” which it is best to avoid when you already have a painful pelvis; therefore, it is important to discuss with your team what you will do in the event of needing more intervention.
  • The ideal birth for someone with PGP is a straightforward labour where they can move around and change position, using normal active birth movement, but avoiding over-stretching any painful joints. This often means that squatting is not helpful, but birthballs, birthing stools or birthing pools may be very helpful. The labour should progress straightforwardly and reasonably quickly, and the baby should be in a good position for birth. 
  • Anything that indicates that it is going to be a long labour or that intervention is likely may make you wish to consider an elective caesarian at an earlier stage than it might otherwise be done, to avoid the need for forceps or ventouse. 
  • We receive a large number of calls from women who have had a forceps delivery in a previous birth and have experienced an increase in symptoms as a result. Experts therefore suggest avoiding the use of forceps unless absolutely necessary.
  • Vaginal examinations, stitching and even ventouse and forceps can all be done by an experienced midwife or doctor, with you lying on your side – again, it is worth exploring what your options might be should you need any of these.
  • We have found that the women who have the best outcomes, both physically and emotionally, are the ones who have made an informed choice to have either a vaginal or a caesarian birth.
  • Women seem to cope better, even when they still have symptoms afterwards, if they feel that they made their own choice that was best for them in the circumstances and that they were supported in this choice.
 
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