Back labor (less commonly called posterior labor[1][2]) is a term referring to sensations of pain or discomfort that occur in the lower back, just above the
tailbone, to a mother during
childbirth.[3]
Back labor may be noted when the baby is face up in the birth canal (occiput posterior), and not face down, so that the back of the baby's skull (
occiput) is pushed against the mother's
sacrum. However back labor can also occur when the baby is in a different position.[3] The discomfort is often noted to be intensely painful, and may not completely abate between contractions.[4] Whether back labor will occur cannot be predicted. Reports of how many mothers experience back labor vary,[5] though estimates in the range of 30% are common.[6][7]
Actions that have been suggested to ameliorate back labor include physical activity, changing positions,[8] back rubbing, water massage, application of hot or cold to the lower back, use of a
birthing ball[9] and medication including an
epidural.[3][10] Some research has suggested that injecting sterile water into the lower back may provide pain relief, but there is no consensus that it actually helps.[11]
^Melzack, R. & D. Schaffelberg.
Low-back pain during labor, Am J. Obstet Gynecol., 1987 Apr; 156 (4):901-05 (abstract) (1987 finding that "continuous low-back pain is severe and is reported by about 33% of women during labor.")