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> Sorry to ask again, but noone answered last time I asked:

>

> My baby was back to back in the womb and born like that (induced

labour...no

> intervention...and I now feel very lucky I had a normal delivery!).

DEspite

> it taking nearly 3 hours to push the head out, why exactly is it so

much

> harder and more painful to give birth to a baby in that position?

>

> My doctor suggested an epidural as it would be a very painful

delivery, but

> never told me why. Can someone please explain.

>

> Thanks,

>

>

> Mum to Rohan (4 mths)

Correct me if I am wrong, but from IIRC

This labour is called posterior, baby's spine against your spine and

is difficult and longer for a few reasons:

Firstly you are likely to have almost constant backache contractions

because of the pressure of the baby's weight.

Then the baby has another 90 degrees to rotate from the baby in the

optimal position, and can get stuck in the pubic bones on his way

round. If he is born still facing up, then he is presenting the

widest rather than the narrowest part of his head, which could explain

your long struggle to deliver the head.

I went to a very fascinating study day run by Optimal Fetal

Positioning Guru and midwife Jean Sutton earlier this year and since

then I have really pushed the advantages of OFP in my classes. If the

pregnant woman spends a lot of time slouching back or sitting leaning

back, the baby is much more likely to settle in the posterior

position. Midwives are likely to tell you that the baby is head down,

but not whether it is anterior or posterior, so it's worth asking.

Spend more time on all fours, or at least leaning forwards, to

discourage the baby from settling posterior.

HTH

Ruthie

>

>

>

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Guest guest

> Sorry to ask again, but noone answered last time I asked:

>

> My baby was back to back in the womb and born like that (induced

labour...no

> intervention...and I now feel very lucky I had a normal delivery!).

DEspite

> it taking nearly 3 hours to push the head out, why exactly is it so

much

> harder and more painful to give birth to a baby in that position?

>

> My doctor suggested an epidural as it would be a very painful

delivery, but

> never told me why. Can someone please explain.

>

> Thanks,

>

>

> Mum to Rohan (4 mths)

Correct me if I am wrong, but from IIRC

This labour is called posterior, baby's spine against your spine and

is difficult and longer for a few reasons:

Firstly you are likely to have almost constant backache contractions

because of the pressure of the baby's weight.

Then the baby has another 90 degrees to rotate from the baby in the

optimal position, and can get stuck in the pubic bones on his way

round. If he is born still facing up, then he is presenting the

widest rather than the narrowest part of his head, which could explain

your long struggle to deliver the head.

I went to a very fascinating study day run by Optimal Fetal

Positioning Guru and midwife Jean Sutton earlier this year and since

then I have really pushed the advantages of OFP in my classes. If the

pregnant woman spends a lot of time slouching back or sitting leaning

back, the baby is much more likely to settle in the posterior

position. Midwives are likely to tell you that the baby is head down,

but not whether it is anterior or posterior, so it's worth asking.

Spend more time on all fours, or at least leaning forwards, to

discourage the baby from settling posterior.

HTH

Ruthie

>

>

>

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Guest guest

> Sorry to ask again, but noone answered last time I asked:

>

> My baby was back to back in the womb and born like that (induced

labour...no

> intervention...and I now feel very lucky I had a normal delivery!).

DEspite

> it taking nearly 3 hours to push the head out, why exactly is it so

much

> harder and more painful to give birth to a baby in that position?

>

> My doctor suggested an epidural as it would be a very painful

delivery, but

> never told me why. Can someone please explain.

>

> Thanks,

>

>

> Mum to Rohan (4 mths)

Correct me if I am wrong, but from IIRC

This labour is called posterior, baby's spine against your spine and

is difficult and longer for a few reasons:

Firstly you are likely to have almost constant backache contractions

because of the pressure of the baby's weight.

Then the baby has another 90 degrees to rotate from the baby in the

optimal position, and can get stuck in the pubic bones on his way

round. If he is born still facing up, then he is presenting the

widest rather than the narrowest part of his head, which could explain

your long struggle to deliver the head.

I went to a very fascinating study day run by Optimal Fetal

Positioning Guru and midwife Jean Sutton earlier this year and since

then I have really pushed the advantages of OFP in my classes. If the

pregnant woman spends a lot of time slouching back or sitting leaning

back, the baby is much more likely to settle in the posterior

position. Midwives are likely to tell you that the baby is head down,

but not whether it is anterior or posterior, so it's worth asking.

Spend more time on all fours, or at least leaning forwards, to

discourage the baby from settling posterior.

HTH

Ruthie

>

>

>

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Having said that, some babies won't turn in utero if the placenta is

on the anterior (front) wall of the uterus because , it seems, they

don't like to lie against the placenta so it is vital that

midwives/health profs/mothers understand that progress in first stage

will be slow, labour is often overdue and that spending time in labour

on all fours is very important as it maximises the uterine

contractions which will try to turn the baby round. What you don't

need with a back to back baby is a hospital which induces labour and

then puts mother in a supine (backward leaning) position with

continuous monitoring.

Well done for birthing your OP baby - you must have a lovely roomy

pelvis. Many mothers don't get to second stage, they end up with

sections for " failure to progress " or they have to have an epidural

for the pain and then end up in difficulties in second stage because

the muscles which rotate the baby are over-relaxed by the epidural so

forceps/ventouse/c section are again common. Whenever I talk to women

about difficult births, posterior position just seems to come up again

and again yet often they are never even told that the baby is in the

position and hospitals seem to be clueless how to help.

Lesley

ANT, tr BFC, Mother, Wife, Friend, Mender of Broken Hearts,

Keeper of Secrets, Chauffeur, Cook, Maid, Writer. Overweight, Over

thirty, Over here in Worthing..

" Believing Oneself to be perfect is often the sign of a delusional

mind! " Star Trek.

Re: Back to back births

>

> > Sorry to ask again, but noone answered last time I asked:

> >

> > My baby was back to back in the womb and born like that (induced

> labour...no

> > intervention...and I now feel very lucky I had a normal

delivery!).

> DEspite

> > it taking nearly 3 hours to push the head out, why exactly is it

so

> much

> > harder and more painful to give birth to a baby in that position?

> >

> This labour is called posterior, baby's spine against your spine and

> is difficult and longer for a few reasons:

>

> Firstly you are likely to have almost constant backache contractions

> because of the pressure of the baby's weight.

>

> Then the baby has another 90 degrees to rotate from the baby in the

> optimal position, and can get stuck in the pubic bones on his way

> round. If he is born still facing up, then he is presenting the

> widest rather than the narrowest part of his head, which could

explain

> your long struggle to deliver the head.

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> Having said that, some babies won't turn in utero if the placenta is

> on the anterior (front) wall of the uterus because , it seems, they

> don't like to lie against the placenta

; thanks for improving my knowledge base of OP pregnancies! I

don't recall JS mentioning anterior lying placentas! Appreciated!

Ruthie

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> Having said that, some babies won't turn in utero if the placenta is

> on the anterior (front) wall of the uterus because , it seems, they

> don't like to lie against the placenta

; thanks for improving my knowledge base of OP pregnancies! I

don't recall JS mentioning anterior lying placentas! Appreciated!

Ruthie

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Lesley wrote:

> Well done for birthing your OP baby - you must have a lovely roomy

> pelvis. Many mothers don't get to second stage, they end up with

> sections for " failure to progress " or they have to have an epidural

> for the pain and then end up in difficulties in second stage because

> the muscles which rotate the baby are over-relaxed by the epidural so

> forceps/ventouse/c section are again common. Whenever I talk to women

> about difficult births, posterior position just seems to come up again

> and again yet often they are never even told that the baby is in the

> position and hospitals seem to be clueless how to help.

>

'Failure to progress' isn't that just an awful phrase? It is writ large on

the notes from my first labour - during labour no one told me that was

posterior - or suggested that I might like to get up and move around (not a

possibility after the epidural anyway), nor did they tell me that the lip of

my cervix was trapped between the babies head and my pelvic bone, and that

getting onto my hands and knees with my bum in the air *may* have relieved

this problem. What did happen is me being wheeled through the reception area

with my legs in stirrups - to the emergency delivery room, being told all the

while that 'baby' was in distress, a third degree episiotomy and a ventouse

delivery - after which the doctor who delivered him whisked away my silent,

denim coloured baby without a word to me or my husband and the midwife

telling me that I was lucky not to have needed a C-section.

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Lesley wrote:

> Well done for birthing your OP baby - you must have a lovely roomy

> pelvis. Many mothers don't get to second stage, they end up with

> sections for " failure to progress " or they have to have an epidural

> for the pain and then end up in difficulties in second stage because

> the muscles which rotate the baby are over-relaxed by the epidural so

> forceps/ventouse/c section are again common. Whenever I talk to women

> about difficult births, posterior position just seems to come up again

> and again yet often they are never even told that the baby is in the

> position and hospitals seem to be clueless how to help.

>

'Failure to progress' isn't that just an awful phrase? It is writ large on

the notes from my first labour - during labour no one told me that was

posterior - or suggested that I might like to get up and move around (not a

possibility after the epidural anyway), nor did they tell me that the lip of

my cervix was trapped between the babies head and my pelvic bone, and that

getting onto my hands and knees with my bum in the air *may* have relieved

this problem. What did happen is me being wheeled through the reception area

with my legs in stirrups - to the emergency delivery room, being told all the

while that 'baby' was in distress, a third degree episiotomy and a ventouse

delivery - after which the doctor who delivered him whisked away my silent,

denim coloured baby without a word to me or my husband and the midwife

telling me that I was lucky not to have needed a C-section.

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> What you don't

> need with a back to back baby is a hospital which induces labour and

> then puts mother in a supine (backward leaning) position with

> continuous monitoring.

Thanks ,

If I ever get into this position again I will try to TELL the said

midwife a bit more forcefully that I DO NOT want lie on my back being

monitored. I was induced so I was told I had to be monitored.

> hospitals seem to be clueless how to help.

All fours for me in future

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My baby was back to back in the womb and born like that (induced labour...no

intervention...and I now feel very lucky I had a normal delivery!). DEspite

it taking nearly 3 hours to push the head out, why exactly is it so much

harder and more painful to give birth to a baby in that position?

My doctor suggested an epidural as it would be a very painful delivery, but

never told me why.

You have just brought back memories of my 1st two boys births.

DS1 was also posterior and my waters broke and I went into the hospital but

nothing was happening as far as I was concerned. I had back ache for hours,

but just thought it was nothing. I had never heard of posterior babies. The

shift changed and a new midwife asked when I was last examined " never " so she

did a quick internal and told me I was in labour - news to me. Jack was born

after a fair bit of pushing, but with only pethadine (which I think I had a

little too late really). I had not felt 1 contraction.

DS2 was also posterior but with him I could feel every contraction and also

had bad, bad backache. This was worse than DS1 as I could not get

comfortable, again I had pethadine and he was born after 3 pushes.

DS3 was not posterior and I have told of his birth before. But briefly, I

was induced, and his birth was very quick and he arrived in my knickers at

the side of the bed, whilst the midwife went to get me pethadine! I think I

was only in the delivery room for about 5 mins max.

Trisha

SAHM to 3 boys

Jack 7, 6 and Isaac 2

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wrote..

< >

With my birthing plan for Eloisa (I had a weird agreement over the homedelivery

could not get cover over the 4 days around the millennium so had agreed to go

into hospital if it happened then) I had in italic's .. I do not wish to be put

on the fetal monitor as I am certain that this was one of the reasons my first

labour was as long as it was. Should you want to monitor baby please use a

handheld monitor (I have temporarily forgotten the name of this thing am sure

someone can help me here ;o) )..

That was my one thing about having to perhaps go into labour I so did not want

to get anywhere near that darn monitor.. Thankfully my mw was great about this

and ensured me that it would be ok (and put on my notes that I had objections to

this so it was not to even be suggested)

It will be on my notes again though should I for some reason end up in hospital

(I have ordered a repeat Eloisa labour though ;o) )

Lonnie Phoebe & Eloisa's mama

& expecting a Christmas delivery...

My therapist told me the way to achieve true inner peace is to finish what you

start.

So far today, I have finished 2 bags of chips and a Chocolate cake.

I feel better already.

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- that was all really fascinating...thanks....I suppose if the

placenta is on the anterior wall you can't do optimal positioning

things before the birth, but could you please remind us of how to try

to persuade baby into an optimal position for labour? Is it lying a

lot on your left side, not sitting lolling backwards etc??

Caro

> Well done for birthing your OP baby - you must have a lovely roomy

> pelvis. Many mothers don't get to second stage, they end up with

> sections for " failure to progress " or they have to have an epidural

> for the pain and then end up in difficulties in second stage because

> the muscles which rotate the baby are over-relaxed by the epidural

so

> forceps/ventouse/c section are again common. Whenever I talk to

women

> about difficult births, posterior position just seems to come up

again

> and again yet often they are never even told that the baby is in the

> position and hospitals seem to be clueless how to help.

>

> Lesley

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- that was all really fascinating...thanks....I suppose if the

placenta is on the anterior wall you can't do optimal positioning

things before the birth, but could you please remind us of how to try

to persuade baby into an optimal position for labour? Is it lying a

lot on your left side, not sitting lolling backwards etc??

Caro

> Well done for birthing your OP baby - you must have a lovely roomy

> pelvis. Many mothers don't get to second stage, they end up with

> sections for " failure to progress " or they have to have an epidural

> for the pain and then end up in difficulties in second stage because

> the muscles which rotate the baby are over-relaxed by the epidural

so

> forceps/ventouse/c section are again common. Whenever I talk to

women

> about difficult births, posterior position just seems to come up

again

> and again yet often they are never even told that the baby is in the

> position and hospitals seem to be clueless how to help.

>

> Lesley

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Guest guest

- that was all really fascinating...thanks....I suppose if the

placenta is on the anterior wall you can't do optimal positioning

things before the birth, but could you please remind us of how to try

to persuade baby into an optimal position for labour? Is it lying a

lot on your left side, not sitting lolling backwards etc??

Caro

> Well done for birthing your OP baby - you must have a lovely roomy

> pelvis. Many mothers don't get to second stage, they end up with

> sections for " failure to progress " or they have to have an epidural

> for the pain and then end up in difficulties in second stage because

> the muscles which rotate the baby are over-relaxed by the epidural

so

> forceps/ventouse/c section are again common. Whenever I talk to

women

> about difficult births, posterior position just seems to come up

again

> and again yet often they are never even told that the baby is in the

> position and hospitals seem to be clueless how to help.

>

> Lesley

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Ruthie..

Ahh, that will explain the agonising back ache and my deciion to have an

epidural. THe pain in my back was actually far worse than the contractions,

and I didnt have the urge to push, as it was masked with back ache. I

managed to push baby out but purely because I wanted to stop the pain! I

guess sitting on my bad back for 17 hours didnt help much!! (nor did a broken

coxcyx!).

Thanks for the explanation. I coulnt kneel on all fours as I had a bad back

all through pregnancy anyway...hope the next one is better!

Mum to Rohan (4 mths)

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Ruthie..

Ahh, that will explain the agonising back ache and my deciion to have an

epidural. THe pain in my back was actually far worse than the contractions,

and I didnt have the urge to push, as it was masked with back ache. I

managed to push baby out but purely because I wanted to stop the pain! I

guess sitting on my bad back for 17 hours didnt help much!! (nor did a broken

coxcyx!).

Thanks for the explanation. I coulnt kneel on all fours as I had a bad back

all through pregnancy anyway...hope the next one is better!

Mum to Rohan (4 mths)

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In a message dated 17/07/2001 13:54:54 GMT Daylight Time,

jenny@... writes:

> Having said that, some babies won't turn in utero if the placenta is

> on the anterior (front) wall of the uterus because , it seems, they

> don't like to lie against the placenta so it is vital that

> midwives/health profs/mothers understand that progress in first stage

> will be slow, labour is often overdue and that spending time in labour

> on all fours is very important as it maximises the uterine

> contractions which will try to turn the baby round. What you don't

> need with a back to back baby is a hospital which induces labour and

> then puts mother in a supine (backward leaning) position with

> continuous monitoring.

>

> I was induced and they knew he was back to back...makes me wonder why they

> insisted on a mobile epidural, and then made me lie flat on my back for the

> whole labour with a fetal monitor stuck to my bump. Looking back it seems

> that the odds were really stacked against me having my baby without

> intervention. They did let the whole epidural wear off....which quite

> frankly was ******* agony, as I had been sitting on a bad back and broken

> coxcyx for 17 hours....it was far worse than the contractions!!

>

> In fact, 4 months on, and I am still suffereing from sitting in one

> position for all that time...really messed my back up! Still....the

> outcome was great!

Just wish I had known all this before hand, and I would have held off the

induction for another few days, and tried to be more mobile during labour!

>

> Mum to Rohan (4 mths)

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In a message dated 17/07/2001 13:54:54 GMT Daylight Time,

jenny@... writes:

> Having said that, some babies won't turn in utero if the placenta is

> on the anterior (front) wall of the uterus because , it seems, they

> don't like to lie against the placenta so it is vital that

> midwives/health profs/mothers understand that progress in first stage

> will be slow, labour is often overdue and that spending time in labour

> on all fours is very important as it maximises the uterine

> contractions which will try to turn the baby round. What you don't

> need with a back to back baby is a hospital which induces labour and

> then puts mother in a supine (backward leaning) position with

> continuous monitoring.

>

> I was induced and they knew he was back to back...makes me wonder why they

> insisted on a mobile epidural, and then made me lie flat on my back for the

> whole labour with a fetal monitor stuck to my bump. Looking back it seems

> that the odds were really stacked against me having my baby without

> intervention. They did let the whole epidural wear off....which quite

> frankly was ******* agony, as I had been sitting on a bad back and broken

> coxcyx for 17 hours....it was far worse than the contractions!!

>

> In fact, 4 months on, and I am still suffereing from sitting in one

> position for all that time...really messed my back up! Still....the

> outcome was great!

Just wish I had known all this before hand, and I would have held off the

induction for another few days, and tried to be more mobile during labour!

>

> Mum to Rohan (4 mths)

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> Ahh, that will explain the agonising back ache and my deciion to

have an

> epidural. THe pain in my back was actually far worse than the

contractions,

> and I didnt have the urge to push, as it was masked with back ache.

I had a posterior labour too and it wasn't pleasant. In fact, if I

ever get any bowel cramps it reminds me of labour and the intense

feeling she was emerging from my bum, not my vagina!

I couldn't make DH or my mum understand just how hard they needed to

push against my lower back to counteract the pain and got very

frustrated. I spent a lot of the early part of labour leaning

forward, draped across the monitoring machine which was at the side of

my bed (but not hooked up). It went some way to easing the pain but

wasn't enough.

I've heard that to achieve OFP (optimal foetal positioning), amongst

other things, it's good to get into the 'floor-scrubbing' position for

about half an hour every day for the last few weeks of pregnancy.

Also slack abdominal muscles might contribute as well as speding too

much time slouching around.

--

Sue

Oz

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Guest guest

- that was all really fascinating...thanks....I suppose if the

> placenta is on the anterior wall you can't do optimal positioning

> things before the birth, but could you please remind us of how to

try

> to persuade baby into an optimal position for labour? Is it lying a

> lot on your left side, not sitting lolling backwards etc??

>

> Caro

>

Yes but its worth a try even if your placenta is anterior as you might

manage to persuade baby to lie laterally from which it is a short

rotation to anterior once labour starts.

Basically if you can sit with your legs crossed in the last 6 weeks

of pregnancy then your pelvis is tilted too far back. Lying on your

left side (right will do but left optimises the blood return to your

heart and foetal blood flow) is helpful at night but don't get

pressure sores. If you can get one of those kneeling stool things and

your knees can stand it, they are excellent for sitting at the pooter

or just sitting really! Also spending some time each day slumped

forward over a beanbag (knees really wide, sit your bottem on your

heals and slump forward from the hips) really helps and is a good

excuse to do nothing and watch telly!! Its also a great position to

be massaged in. If you have a Pezzi ball then kneeling on the floor

with your upper torso on the ball and rocking slowly back and forth

helps to ease back pain. Janet Balaskas has got some great stuff in

" Easy Exercises for Pregnancy " which title nearly put me off and I

wish she would call it " Postures " or something so it doesn't put off

the weak willed and flabby like me. Above and beyond all else it

made me feel like I was doing something positive to help myself avoid

another badly positioned baby but the big rule is do not berate

yourself if baby still won't turn as there are a variety of reasons

why they might not, including the shape of your pelvis. Crawling

about is useful but energy sapping but might be a saviour in labour.

I've read somewhere about going up the stairs sideways but don't fully

understand that, I think Ruthie might know more.

As to why it hurts more, imagine the uterus as a balloon into which

you have a large solid object. The heaviest parts of the object

(baby) are its back and head. If those are facing towards mum's tum,

the abdominal cavity and wall are much more flexible, indeed because

they flex they help baby to tuck his chin down on his chest so that

the smallest diameter of his head presents to the pelvis - this is why

many posterior babies do not engage into the pelvis and why labour may

also be delayed because the head is not down over the cervix, one of

the things we know stimulates the release of oxytocin which causes

contractions. Anyway, if the heavy part of the baby is against mums

lower spine then she gets a lot more pressure against the spine and

there is much less " give " in it as the baby moves down hence the

additional pain. In addition the baby is likely to move down, if at

all, with his head more upright, presenting a much bigger diameter to

the pelvis at which point labour may slow or stop. If, like me, some

ill informed wotsit decides to break your waters before the baby has

descended into the pelvis the resulting suction force may cause baby

to tilt his head backwards into a brow position which is unbirthable

except by c-section.

Sorry, a bit long!

Lesley

ANT, tr BFC, Mother, Wife, Friend, Mender of Broken Hearts,

Keeper of Secrets, Chauffeur, Cook, Maid, Writer. Overweight, Over

thirty, Over here in Worthing..

" Believing Oneself to be perfect is often the sign of a delusional

mind! " Star Trek.

Re: Re: Back to back births

> - that was all really fascinating...thanks....I suppose if the

> placenta is on the anterior wall you can't do optimal positioning

> things before the birth, but could you please remind us of how to

try

> to persuade baby into an optimal position for labour? Is it lying a

> lot on your left side, not sitting lolling backwards etc??

>

> Caro

>

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I've read somewhere about going up the stairs sideways but don't

fully

> understand that, I think Ruthie might know more.

According to JS sideways walking up the stairs, taking

big wide crablike steps, not dainty little ones, particularly using

the leg on the left side to open up the pelvis on that side to its

fullest, can help a baby out of the OP position, as sometimes it's our

legs which are restricting movement. During the study day we watched a

video of a woman in a posterior labour who was moving freely around

the floor on all floors. At one stage the woman seemed instinctively

to lift one leg high, a bit like a dog doing a wee. This apparently

helped the baby to turn and he was born soon after that.

Ruthie

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During the study day we watched

a

> video of a woman in a posterior labour who was moving freely around

> the floor on all floors.

Whoops, that was meant to be all *fours* not all floors :-))

Ruthie

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If you can get one of those kneeling stool things and

> your knees can stand it, they are excellent for sitting at the

pooter

> or just sitting really! Also spending some time each day slumped

> forward over a beanbag (

I used one of these for most of my second pregnancy and also used it

during labour......kneeling on the floor and resting over the seat

part the knee part gave good bump support during contractions.....it

did howver get rather amusing when I suddenly went into second stage

and wanted to get rid of it ...there wasn't much room in the bedroom

to lose it and as second stage was only ten minutes it got a little

intense!!!!!!!!!!!!!!!

Sonjia

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One further thing that can be done in labour is lunges . Left foot forward,

right foot spaced well behind and then 'dipping' with bent knees. Hope that

makes sense - almost like a fencing thrust. In theory it encourages the baby to

rotate.

Caroline

Retired ANT Jersey

> I've read somewhere about going up the stairs sideways but don't fully

> understand that, I think Ruthie might know more.

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As well as the walking up the stairs sideways, my midwife told me to walk up the

stairs " sumo " style before and during labour to help turn DS - which worked a

treat!

Joanne King

SAHM to Ethan - HB 29.06.00

Minute Secretary Colchester & District

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