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BH & posterior babies

post #1 of 10
Thread Starter 
Hello ladies. I come here and lurk often but never take much time to post. If I start posting too much I don't get much of anything else done. I become an addict! For a brief history on me, I'm tentatively planning a UC, but I'm open to possibly going to the hospital if my dh can drag me out of that wonderful birthing pool....lol.

I've been having a lot of BH contractions that are mainly in my back. I don't remember ever having BH in my back like that with my first 3 pregnancies....in fact, the only time I've ever had back contractions is when my baby was posterior and that was my worst labor of all. Do you think that since my BH is in my back, that my baby is posterior? Anyone have experience with this? And what's the best way to get her to turn if she is posterior? I really, really don't want to have back labor this time!!

Sarah
post #2 of 10
http://www.spinningbabies.com/ is a great resource for trying to avoid posterior position, change it if you find your baby is sunny side up, etc ... and they have a 'belly mapping' page that seems awesome, although I haven't had a chance to try it out yet. http://www.spinningbabies.com/BellyMapping.html

Hope that helps.
post #3 of 10
Well, I just had a posterior baby that turned during active labor. She began anterior when my waters broke, then turned afterward. It was a hard, long labor but what turned my baby - finally - was homeopathic pulsatilla (two doses in the morning, two the night before) and a toe pressure point shown to me by a friend. But I never really had any back labor the whole time. Just intense contractions that didn't lead to anything productive until she turned.

Maybe you can do a web search for accupressure points to turn malpresented babies?

Good luck!
post #4 of 10
Stay out of the recliner. Sit on a birthball. Spend time on your hands and knees. This is what I did and two of my babies were posterior in early labor and rolled over and were born about 20 minutes after I got off my hands and knees....If I knew then what I know now they would have been anterior before labor started!
post #5 of 10
My friend is a doula and has an entry in her blog about posterior babies today http://cheekymamaof2.blogspot.com/

Diaphragmatic Release for posterior babies.

So, I've been reading up on posterior babies, and the best ways to encourage them to move into a better position, and I ran across an article by Judy Kay Jones, CPM which talks about Diaphragmatic Release, and her success rate in using it. She claims that it has worked in every single posterior presentation shes used it on and that its been years since shes had a posterior baby born that way. Its totally non-invasive and involves little more than mom laying on one of your hands while your other hand gently rests above her pubic bone. There is no manipulation or forcing of anything and its relaxing for the mom too. A friend of mine is pregnant, and has a posterior baby...or rather, she HAD a posterior baby until today. *grin* I went to her place today to do a belly cast and took her what info I had on posterior babes as well as a few knitting books. Before I left, she asked if I would try the D.R. to see what woulde happen and since it doesn't seem to be anything that could possibly cause any harm...I figured, what the heck? If anything, i will leave with an arm thats asleep. About 15 minutes into the (procedure?) We saw a large rolling movement and she said oh wow i felt that. Several minutes later, the movements of the DR began to fade and We stopped. I felt around, and she felt her own belly and sure enough that baby had turned to an LOA position. YAY! I hope it stays that way but I told her I'd be happy to go over and sit with her again if baby goes back to posterior. I just felt so excited by this because when I initially read the article, I sort of thought...oh yeah whatever. Im a believer now.
post #6 of 10
Hey, that is something I need to learn! Cool! Thanks for posting that. I run across a lot of ladies carrying posterior at term, and it would be nice to have extra "tools" to encourage the baby to flip, as both mine have done...
post #7 of 10
Thread Starter 
Thanks for the info ladies! Here's the article on Diaphragmatic release for those who are interested:

http://www.naturalchildbirth.org/nat...or/labor29.htm

I'll also post it below:

It is easy to recognize a persistent posterior baby. You cannot feel the
back on palpation, rather only little lumps and bumps of limbs. To do a
diaphragmatic release, it is best to have the mother lie on her back. If
she is in advanced pregnancy and this makes her very uncomfortable, you can
have her lie in a recliner or semi-sitting position. If you use that
position, place a small pillow or adequate support behind her lower back.

One hand will go horizontally across her lower back where the uterine
ligaments attach. This is where you would put lower back pressure during
labor. You do not need to press, as just the pressure of the mother lying
on your hand will be sufficient. (Be sure you take off any rings you may be
wearing, for your hand's sake!)

The top hand will go on top of the abdomen, horizontally just above the
pubic bone with the thumb upward. Just rest it lightly on the abdomen, no
pressure. Then all you have to do is wait. Things may start right away or
it may take several minutes before you feel anything. What you will feel is
a motion beneath your hands. For the hand in back it will feel much like it
does when there is a contraction taking place during labor as you feel the
muscles tighten and contract beneath your hand and release. For the top
hand it will be either a waving motion or a circular motion under your
hand. At first you will think you are just imagining it, but you are not.
The best description I can give is that it feels as if the mother has a
tennis ball in her abdomen that is being bounced back and forth between
your hands. As it hits one hand it will roll across it or around underneath
it and then bounce back to the other hand. Sometimes the motion is so great
that it will actually make your hand wave on the abdomen. Sometimes the
mother will feel things inside, sometimes not. What she feels may not be
located where your hand is located. The movement under your top hand may
stay all in one place or move around. If it moves, try to gently follow it
with your top hand to keep it centrally located under your hand. Do not
move the back hand. Sometimes it will move around in a circle, sometimes
off to one side, or even clear down to a hip. It all depends on the muscles
that are involved and the type of injury that precipitated all the spasm of
abdominal muscles. Our muscles really only know how to contract and
shorten, not how to relax and lengthen. They depend on another counter
muscle to contract and pull the first one out of contraction. Abdominal
muscles do not have as many counter muscles, so this technique allows the
muscles to relax.

If you go back into the mother's history, you will almost always find a
history of a car accident (especially with a seat belt on, where there has
been a twisting of the abdominal muscles because we use only one-shoulder
restraints) or severe fall. However, I have had a mother cause it simply by
doing too much hoeing in the garden.

You continue the diaphragmatic release as long as you feel motion under
your hand. Usually it will just fade away and you will no longer feel it.
Sometimes, if you end up over a bony prominence, it will end with a
vibration. The process takes some time, often at least 20-45 minutes. But
if you consider the time you save in labor, it is well worth it. You may
need to repeat the process over several visits. I usually start at about
the 6th month unless I have a mother with a history of car accident or
several prior posterior babies. This procedure has also been used this
technique to turn breech babies. I use it for transverse but find it less
effective for breech. I usually use a tilt board for breech and then do a
diaphragmatic release after the baby turns. It works marvelously well for
posteriors. I have never done one where the baby did not turn to anterior.
However, on some occasions, after a few days the baby will turn back to
posterior and you will need to repeat the process more than once. The more
severe the history, the more likely you will need to do it several times
before the baby will stay anterior.

Posterior babies use to be the worst problem I had in births. The long hard
back labors wore us all out and occasionally ended in transfers for
maternal exhaustion. I am thrilled not to have these any more. Now my
biggest problem is cervical lips! But I am working on a solution for that
also, using evening primrose oil!

I do believe every midwife should have this valuable tool, the
diaphragmatic release, in her bag of tricks. It is so easy and
non-interventive. It is much better than other suggestions I have seen of
putting your fingers in the baby's suture lines and trying to turn the head!
--Judy Jones
post #8 of 10
WOW, thank you so much. Any idea why this makes the baby turn? Sounds neat, and relaxing.
post #9 of 10
it is a craniosacral/myofascial move. Stimulates myofascial release of tension in the pelvic diagphragm. If you have a tense or torqued diaphragm or ligaments, your uterus can also be in a less-than-optimal position. Releasing that will allow the baby to get into proper position. It works for the same types of reasons that the Webster technique works. If the supporting structures are not right, then the uterus might not be sitting right. Therefore the baby is constrained in movement.
post #10 of 10
I have looked at spinningbabies.com a lot for tips too. Keep in mind that your birthing tub will alow for the baby to rotate the most easily. My midwife suggested inversion lying face down to help the baby come into a good position.
I understand that BH get more prevalent in subsequent pregnancies. Had a lot for my 2nd - strong ones too - and he was in a pretty good birthing position.
Best wishes,
Kathy
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