In addition to greater expectant management of the second stage, two other practices could potentially reduce cesarean deliveries in the second stage: 1) operative vaginal delivery and 2) manual rotation of the fetal
occiput for malposition.
Not exact matches
as I'd required an IV just in case things went pear - shaped (low B12 and low iron and was told that I'd have needed a transfusion if I'd lost more than 500mL), needed a little boost of pitocin
for that one, and my babies tend to be Persistent
Occiput Posterior Position deliveries.
When a baby is head - down but facing your abdomen, she's said to be in the
occiput posterior (OP) position — or posterior position,
for short.
The most optimal position
for a baby to be in to deliver vaginally is left
occiput anterior (LOA).
Left
Occiput Posterior places the baby's back opposite the maternal liver and may let the baby flex (curl) his or her back and therefore tuck the chin
for a better birth.
Left
Occiput Anterior (LOA): As with ROA, this common fetal body position makes it easier
for the baby to go through the birth canal versus other positions.
An explanation
for this change could be cranial base shortening and increased proximity of the atlas to the
occiput.
Proximity of the atlas to the
occiput would decrease the overall volume of the craniocervical junction; indeed, atlanto - occipital overlapping would not be a prerequisite
for this to occur.
One can appreciate the increased height of the rostral cranial cavity (greater diameter of the occipital lobe circle) and decreased in size of angles 2 and 5 (yellow) in compensation
for shortening of the entire cranial base and increased proximity of the atlas to the
occiput.