When is ambulation recommended during labor?

Ambulation during labor is recommended particularly in the context of managing hypotonic uterine dysfunction. This condition involves ineffective contractions that do not adequately progress labor, and walking can help stimulate contractions by using gravity to aid in the descent of the fetus and promoting a more efficient labor process. Movement during labor can facilitate better fetal positioning and increase pelvic mobility, which in turn can enhance uterine contractions and overall labor progression.

It's important to consider that while ambulation is beneficial for many stages of labor, its specific recommendation in hypotonic uterine dysfunction highlights its role in actively addressing a specific complication rather than a broad guideline applicable in all situations, such as after the water has broken or exclusively during active labor. Moreover, walking is generally encouraged to enhance comfort and promote a positive labor experience, making this option particularly relevant for its therapeutic effect on labor progression issues.