|Say I have a baby who is posterior, or shoulder dystocia and the labour is progressing slowly.
|What can be done? What can I do? Is there any danger to the fetus? This is something I would like to know more about, since it seems to be a big cause of interventions...
There's no danger to the fetus. At all. The big cause of interventions is, as others said, just a failure to wait on the doc's part.
If babe is posterior, you'll need lots of counterpressure on your back. You should do hands and knees, pelvic tilting, stair climbing - which helps wiggle the pelvis and allow the baby to turn - etc.
As far as shoulder dystocia goes... don't birth on your back if you can help it, and you probably won't have that problem. If you do, a quick switch to the hands-knees position should allow the pelvis to open enough to allow the babe to pass through. If not, the midwife can insert two fingers and maneuver the baby's shoulder down and out. No biggie
Another way to deal with S.D. is suprapubic pressure, where your pubic bone is pushed down, I believe.
The best thing to do for a slow or start/stop labor is to totally ignore it. My labor lasted, technically, 36 hours but I ignored it until transition. Just do lots of shopping, napping, errands, whatever. It's not that bad, trust me.
About the water breaking....... no baths and nothing - NOTHING - inserted into your vagina. (Hands outta there, docs!!!) Women can go for a week like that and not have any problems, as long as they take their temperature every hour or so to make sure an infection isn't setting in. That's what I'd do