OP or Occipital Position

These are classic signs of OP that i experienced:

  •  “Feeling lots of hands and feet in front by the mother’s belly
  • Difficulty finding the baby’s heart tones where you usually would find them
  • Prolonged labor, especially in the pushing stage
  •  ‘Back labor’ – painful contractions felt mostly in the back; common with posterior labors because the baby’s back is pressing against the sacrum (low back); also found with the arm across the baby’s face because the arm is pressing on the mother’s sacrum
  •  ‘Early transition’ – showing the signs of transition (nausea, chills, high pain levels, shakiness, etc.) between 4-7 cm instead of between 7-10 cm
  • ‘Fetal distress’ – baby’s heart rate has problems because baby is stuck and gets stressed; this may also increase incidence of fetal meconium in labor
  •  ‘Early pushing’ – feeling the urge to push before being fully dilated
  •  ‘Anterior lip’ – dilating to about 9.5 cm but a small ‘lip’ of the cervix is stubbornly left
  •  ‘Stuck baby’ – a baby that gets stuck before passing the ischial spines (0 station) and does not descend even after hours of pushing “

There were signs, and there were ways to help. i did rock my hips back and forth and rock on all fours during most of my labor. that is what felt the most natural.

I wonder if the hematoma actually helped him get into the wrong position as it is theorized that a large fibroid would do the same. just my thoughts.

http://www.plus-size-pregnancy.org/malpositions.htm#Common Complications Seen With Baby Malpositions

“No one knows for sure why malpositions happen. As noted above, malpositions may occur because of our modern tendency towards poor posture and unphysiologic positioning. These malpositions tend to be very responsive to maternal repositioning, and often resolve if the mother has sufficient mobility in labor. However, the way most women are forced to labor (on their backs in bed, with limited mobility due to constant fetal monitoring) can make it difficult for babies to turn.

Malpositions may also occur with large and significant fibroids. These may tend to crowd the baby in-utero and force the baby to assume an unnatural position. Sizer and Nirmal (2000) noted that malpositions were more common with big babies; they theorized that it may be more difficult for larger babies to rotate when labor progresses, so perhaps this is why these were the ones that tended to have persistent malpositions that did not resolve on their own.

In addition, women with Symphysis Pubis Dysfunction (i.e., pain turning over in bed, discomfort lifting one leg to put on clothes, sciatica, a ‘clicking’ feeling in the hips/pelvis, difficulty moving apart their legs to get in and out of the car, etc.) probably have a misaligned pelvis, especially in the front where the pelvic bones almost meet. This area is called the ‘pubic symphysis’, and if these bones are out of alignment, they pull on the soft cartilage in between the bones (pubic symphysis), causing a great deal of pain both in front and in the back, and may predispose the woman to a baby malposition.

A misaligned pelvis can cause the soft tissues to pull, twist, or spasm the uterus out of its optimal shape, thus forcing the baby into a less-than-optimal position and making it difficult for the baby to descend properly.”

 

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