Some posterior babies are born in less than hours without the need for interventions. Some posterior labors are manageable when women are mobile, supported, and eat and drink freely, as needed. Some posterior labor needs extra support that a well-trained and experienced doula may provide, but that typically a mate or loved one would not have the skills or stamina to keep up with. Some posterior labors progress only with the help of a highly-trained pregnancy bodyworker or deep spiritual, or otherwise a non-conventional model of care.
Or, they seem only able to finish with medical intervention. Some posterior labors are served by an epidural, meaning the pelvic floor relaxes enough for the baby to rotate and come out. Some epidurals, on the other hand, make it so that a woman can not finish the birth vaginally. This is a spectrum of possibilities. The forehead that overlaps the pubic bone after labor starts must turn and drop into the pelvis to allow the birth to happen naturally.
A cesarean finish of the labor is possible. Look at Abdominal Lift and Tuck in Techniques to guide you to solutions for easier engagement and progress.
These effects are in comparison to a baby in the left occiput anterior or left occiput transverse fetal position at the start of labor. This family just had a fast posterior birth of their second child!
Ease in labor includes other factors beyond baby position. These are general observations. They are neither condemnations nor promises. Overall, some posterior babies will need help getting born, while some posterior babies are born easily easy being a relative term. While most posterior babies do eventually rotate, that can still mean there is quite a long wait — and a lot of physical labor during that wait. Sometimes it means the doula, midwife, nurse, or doctor is asking the mother to do a variety of position changes, techniques, and even medical interventions to help finish the labor.
Patience works for many, but for some a cesarean is really the only way to be born. There is a rising incidence of posterior babies at the time of birth. Low thyroid function is associated with fetal malposition such as posterior or breech. Most babies who are posterior early in labor will rotate to anterior once labor gets going. Some babies rotate late in labor, even just before emerging. My observations are that the majority of babies are posterior before labor.
Sleep on your side, not on your back. Swim with your belly downwards. Any exercises that you do on all fours can be helpful too. Sutton and Scott, ; Andrew, Show references.
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Leave this field blank. Have a significantly higher risk of having an assisted vaginal delivery or c-section. Are more likely to have an episiotomy and severe perineal tears than moms whose babies are in the more favorable face-down position, even after taking into account the higher rate of forceps and vacuum-assisted delivery.
Have a greater risk of postpartum hemorrhage. Risk factors for posterior position You're more likely to have a baby in the OP position at delivery if: This is your first baby. You're 35 years of age or older. You're obese. You're African-American. You've had a previous OP delivery. You have a small pelvic outlet. You're 41 weeks or more. Your baby weighs 4, grams 8 pounds 13 ounces or more. Your placenta is attached to the front of your uterus anterior placenta.
Is there anything I can do to make it less likely that my baby will be in the posterior position? Sources BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world.
Featured video. Postpartum hemorrhage. Back labor. Is labor faster with a second, third, or fourth baby? The Apgar score. Membrane stripping: How it's done and what it's like. Breech, posterior, transverse lie: What position is my baby in? Forceps and vacuum deliveries. New to BabyCenter? Join now.
Password Forgot your password? A relaxing tea, such as valerian or skullcap may also help before trying the slant board.
Do it very gently…do not force the baby. Homeopathic pulsatilla has been known to help turn a baby. It apparently evens out the muscles in the uterus, allowing baby to fit into an optimal position. Sometimes a posterior position is caused by a lack of strength in your lower stomach muscles…in this case a belly support or belly binding a large sheet or towel wrapped tightly around the belly for support might help.
Often, chiropractic adjustments of the back and pelvis will be just what the baby needs to rotate. Chiropractic adjustments throughout pregnancy should avoid this situation altogether. Ask your chiropractor about it. Babies come out! First thing is to get into a knee-to-chest position and stay there for at least 45 minutes, or until baby turns.
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