3.5 Comfort Measures: Manual Pressure on the Bottom of the Sitz Bones | Cook’s Pressure

3.5 Comfort Measures: manual pressure on the base of the sitz bones | Cook’s Pressure

Also more popularly known as ‘Cook’s Pressure’ is a great OMP Comfort Measures to use to open mid pelvis to outlet pelvis.

Placing your palms on the mother’s sitz bones, you apply pressure and spread outwards to modify the opening of the mid and outlet pelvis.

This is most comfortably done with the mother either in a standing position or kneeling position with her birth supporter behind her or beside her applying Cook’s Pressure..

You can use this technique in a non-problematic labor and/or to modify the pelvic opening and create more space in the mid pelvis to outlet pelvis. Any techniques for the second stage are best utilised with good and effective breathing techniques to enable the mother to bear down effectively.

For OMP Active Birth Positions , OMP Pelvic Mobility Protocols and OMP Comfort Measures to be effective, it has to be done during contractions and used for 5-10 consecutive contractions to see if it is effective in enabling labor to progress.