Sidelying release

This is a position that is used during pregnancy once or twice a week to improve and maintain pelvic balance and stability and is also one of the most effective postions to use during the birthing process. I’ve used it for years in my work as a midwife. It is not guaranteed to resolve a problem caused by a biomechanical issue but I’ve found it to be over 90% effective and feedback from midwives using the position report similar results - it's always worth a try - even on the way to theatre! Using it helps stretch the muscles and ligaments attached to the sacrum and cross over or through the hip to the leg, giving the baby a little more space to get into an optimal position.

Key points about SLR

This position requires the user to be close to the edge of the bed or sofa so the leg can hang freely. Make sure they are safe - arrange furniture to hold on to or have partner assist.  

• Sidelying release can be used at any point in labour, early or active, where malposition is suspected or if you’re experiencing a lot of sharp pain above the pubic area, backache, or if labour is lasting a very long time. Use the position for 5-10 minutes each side or for three contractions. It is suitable to use with an with an epidural.
• Repeat the position every 4 hours if necessary.
• It’s very effective in the pushing (2nd) stage when there is slow progress despite good pushing effort or contractions space out.
• It’s advisable to mobilise for several minutes following Sidelying Release, Always work both sides.
• Some users report hip stretch whilst practising the position - some don’t or feel it or feel it in one hip only - it is still effective.
• If the user feels pain or discomfort under the bump or down the side or back of the legs it means the stretch is not happening in the right place - a minor readjustment of position will usually resolve this. 
  
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