Acupressure Points For Pain Relief In Labour
Ciliao BL-32
Point Location
This acupressure point lies midway between the dimples above the buttocks and the
lumbar spine (please note that Ciliao BL-32 is not the dimple). If you cannot see
the dimples clearly, It lies approximately one of the women's index finger lengths
above the top of the buttock crease, approximately one thumb width either side of
the spine. When you place your finger on Ciliao BL-32 you can feel the small depression
of the sacral foramen where the point lies. As labour begins you can start here
and as the labour progresses move down the spine (approximately one thumb width
at a time moving slightly closer to the centre of the spine until as you arrive
at the top of the buttock crease, your knuckles will be touching). The timing of
this movement downwards will depend on the women, who will usually instinctually
tell the support person to apply pressure lower as the baby descends during labour.
Acupressure Technique
The support person places their knuckles into the acupressure points and applies
firm pressure. This pressure can be increased by the women rocking backwards into
the support person at the beginning of a contraction.
From feedback these appear to be the most frequently used points. Producing a pleasant
"anaesthetising" effect on the strength of the contractions, noticeably "wearing
off" when the pressure is discontinued and building up again when recommenced.
There is a distinct sensation produced when you are pressing into the sacral foramen.
This may be felt as a numbness, warmth, tingling, aching or buzzing. If there is
sharp pain the support person is pressing on the surrounding bone and need to readjust
their pressure slightly.
It is important to note that for some women the sacral foramen are not exactly in
a straight line. Be guided by the women's feedback.
This acupressure point is most frequently used with women leaning or kneeling against
a wall, table or bed. It can also be effectively used in water; it just requires
a little flexibility on behalf of the support people!