Birthwares Newsletter>
Are Birth Stools A Magic Bullet?

Birth Stools are not a magic bullet. Instead, they are 
another tool that can assist a midwife or other 
practitioner in managing labor. They can be used 
specifically during 2nd stage (pushing) to aid in delivery. 
 
Birth Stools are also an option that may be chosen by the 
laboring mother. Have you ever had one of those moms who 
won’t get off the toilet? Many laboring women find Birth 
Stools extremely comfortable and prefer to sit on them 
during contractions.  
 
Regardless of when or how you use the Birth Stool in 
labour, remember the following: 
 
DO NOT allow the mom to park herself on the birth stool 
continuously.  
 
First Stage: Birth Stools are most effective when used 
spontaneously during 1st stage, when required, with lots of 
movement and walking in between contractions. They are a 
great place to rest, while still using gravity to aid in 
labor.  
 
Second Stage: Do not allow mom to push continuously in one 
position for entire pushing stage. Have her shift and 
change position to avoid overly straining her perineum.  
 
Always be ready to support her pelvic floor and ease the 
baby’s head out whenever mom pushes in an upright posture.  
Use warm compresses, oil and perineal massage to aid her 
perineum as it stretches. 
 
If you observe any tearing or bleeding after delivery, move 
mom to a bed and have her lie on her back so that you may 
properly assess and locate any bleeding. In an upright 
posture, a tear may appear much larger than it is. 
 
I love Birth Stools, have found them highly effective and 
think the more options you can offer, the more choices 
women have. 
 
You'll find birth stools available for purchase here: 
http://www.birthwares.com/birthstools.html 
 
Happy Birthing! 
 
copyright 2005 Sarah Hilbert-West  
 
www.birthwares.com