x Beth x
Im due to be induced tomorrow but last time i saw my consultant, the baby was back to back, he is head down but is facing outwards instead of inwards. The ideal position for birth.
They told me to rock back and fourth on all fours and he will turn.
If he hasn't turned, do you think they will still induce me?
Answer
They shouldn't! If your baby is still back to back. Unless you have a medical problem or you are 14 days overdue then there is NO reason to be induced. Hospital POLICY is NOT the law. If you do not want to be induced which i would advise not to for an extra few days after trying hard to get bubs to turn and asuming you aren't 14 days overdue already. Giving birth to a posterior baby can result in a csection or asissted delivery with episiotomy. You need to work very hard between now and ESPECIALLY during labour up until the pushing phase to get your baby to turn. Many babies have turned just before pushing but other have not due to the mothers lying down on their back mostly from the effect from pain relief.
Ideally, baby will lined up as to fit through your pelvis as easily as possible. To be in this position, baby needs to be head down, facing your back, with his back on one side of the front of your tummy. In this position, the babyâs head is easily âflexedâ, i.e. his chin tucked onto his chest, so that the smallest part of his head will be applied to the cervix first. This position is called âocciput anteriorâ or in shorthand (OA).
The âocciput posteriorâ (OP) position is not as ideal. In a posterior position, the baby is still head down, but facing your tummy instead of your back. Mothers of babies in the âposteriorâ position are more likely to have longer and more painful labours (backache labour) as the baby usually has to turn all the way around to face your back in order to be born. He cannot fully flex his head in this position, and diameter of his head, which has to enter the pelvis, is greater. This means that often posterior babies do not engage (descend into the pelvis) before labour starts. The fact that they donât engage means that itâs harder for labour to start naturally, so they are more likely to be born post-dates. Braxton Hicks contractions before labour starts may be especially painful, with lots of pressure on the bladder, as the baby tries to rotate while itâs entering the pelvis. Sometimes a low anterior placenta can be the reason why baby is posterior.
The babyâs back is the heaviest side of its body. This means that the back will naturally gravitate towards the lowest side of the motherâs abdomen. So if your tummy is lower than your back, e.g. if you are sitting on a chair leaning forward, then the babyâs back will tend to swing towards your tummy. If your back is lower than your tummy, e.g. if you are lying on your back or slouching on a sofa, then the babyâs back may swing towards your back.
**** Avoid positions which encourage your baby to face your tummy. The main culprits are said to be lolling back in armchairs, sitting in car seats where you are leaning back or anything where your knees are higher than your pelvis. The best way to do this is to spend lots of time kneeling upright, or sitting upright, or on hands and knees. When you sit on a chair, make sure your knees are lower than your pelvis, and your trunk should be tilted slightly forwards.
>>>Here are some suggestions:
# If you are watching television, do this while kneeling on the floor, over a beanbag, fitball or cushions, or sit on a dining chair. Try sitting on a dining chair backwards and if you need, prop some cushions under your bottom to ensure your pelvis is higher than your knees.
# Use yoga positions while resting, reading or watching television â for example, tailor pose (sitting with your back upright and soles of the feet together, knees out to the sides).
# Sit on a wedge cushion in the car, so that your pelvis is tilted forwards.
# Keep the seat back upright
# Donât cross your legs! This reduces the space at the front of the pelvis, and opens it up at the back. For good positioning, the baby needs to have lots of space at the front
# Donât put your feet up unless your doctor has advised you to or you need a quick rest! Lying back with your feet up encourages posterior presentation.
# Sleep on your side, not on your back.
# Avoid deep squatting in late pregnancy, which opens up the pelvis and encourages the baby to move down, until you know he/she is the right way round. It is useful later in labour though!
# Swimming with your belly downwards is said to be very good for positioning babies â not backstroke, but lots of breaststroke. Breaststroke in particular is thought to help with good positioning, because all those leg movements help open your pelvis and settle the baby downwards.
# A fitball can encourage good positioning, both before and during labour. Opt to sit on a fitball over a chair.
# Various exercises done on all fours can help, eg wiggling your hips from side to side, or arching your back like a cat, followed by dropping the spine down.
Remember above all that you are able to labour well even if your baby is in posterior position. Reasearch ahead of time what positions are helpful to posterior babies and what relief is availa
They shouldn't! If your baby is still back to back. Unless you have a medical problem or you are 14 days overdue then there is NO reason to be induced. Hospital POLICY is NOT the law. If you do not want to be induced which i would advise not to for an extra few days after trying hard to get bubs to turn and asuming you aren't 14 days overdue already. Giving birth to a posterior baby can result in a csection or asissted delivery with episiotomy. You need to work very hard between now and ESPECIALLY during labour up until the pushing phase to get your baby to turn. Many babies have turned just before pushing but other have not due to the mothers lying down on their back mostly from the effect from pain relief.
Ideally, baby will lined up as to fit through your pelvis as easily as possible. To be in this position, baby needs to be head down, facing your back, with his back on one side of the front of your tummy. In this position, the babyâs head is easily âflexedâ, i.e. his chin tucked onto his chest, so that the smallest part of his head will be applied to the cervix first. This position is called âocciput anteriorâ or in shorthand (OA).
The âocciput posteriorâ (OP) position is not as ideal. In a posterior position, the baby is still head down, but facing your tummy instead of your back. Mothers of babies in the âposteriorâ position are more likely to have longer and more painful labours (backache labour) as the baby usually has to turn all the way around to face your back in order to be born. He cannot fully flex his head in this position, and diameter of his head, which has to enter the pelvis, is greater. This means that often posterior babies do not engage (descend into the pelvis) before labour starts. The fact that they donât engage means that itâs harder for labour to start naturally, so they are more likely to be born post-dates. Braxton Hicks contractions before labour starts may be especially painful, with lots of pressure on the bladder, as the baby tries to rotate while itâs entering the pelvis. Sometimes a low anterior placenta can be the reason why baby is posterior.
The babyâs back is the heaviest side of its body. This means that the back will naturally gravitate towards the lowest side of the motherâs abdomen. So if your tummy is lower than your back, e.g. if you are sitting on a chair leaning forward, then the babyâs back will tend to swing towards your tummy. If your back is lower than your tummy, e.g. if you are lying on your back or slouching on a sofa, then the babyâs back may swing towards your back.
**** Avoid positions which encourage your baby to face your tummy. The main culprits are said to be lolling back in armchairs, sitting in car seats where you are leaning back or anything where your knees are higher than your pelvis. The best way to do this is to spend lots of time kneeling upright, or sitting upright, or on hands and knees. When you sit on a chair, make sure your knees are lower than your pelvis, and your trunk should be tilted slightly forwards.
>>>Here are some suggestions:
# If you are watching television, do this while kneeling on the floor, over a beanbag, fitball or cushions, or sit on a dining chair. Try sitting on a dining chair backwards and if you need, prop some cushions under your bottom to ensure your pelvis is higher than your knees.
# Use yoga positions while resting, reading or watching television â for example, tailor pose (sitting with your back upright and soles of the feet together, knees out to the sides).
# Sit on a wedge cushion in the car, so that your pelvis is tilted forwards.
# Keep the seat back upright
# Donât cross your legs! This reduces the space at the front of the pelvis, and opens it up at the back. For good positioning, the baby needs to have lots of space at the front
# Donât put your feet up unless your doctor has advised you to or you need a quick rest! Lying back with your feet up encourages posterior presentation.
# Sleep on your side, not on your back.
# Avoid deep squatting in late pregnancy, which opens up the pelvis and encourages the baby to move down, until you know he/she is the right way round. It is useful later in labour though!
# Swimming with your belly downwards is said to be very good for positioning babies â not backstroke, but lots of breaststroke. Breaststroke in particular is thought to help with good positioning, because all those leg movements help open your pelvis and settle the baby downwards.
# A fitball can encourage good positioning, both before and during labour. Opt to sit on a fitball over a chair.
# Various exercises done on all fours can help, eg wiggling your hips from side to side, or arching your back like a cat, followed by dropping the spine down.
Remember above all that you are able to labour well even if your baby is in posterior position. Reasearch ahead of time what positions are helpful to posterior babies and what relief is availa
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