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Victorian, I think she was referring to actual old, granny midwives. That's where Ina May got "her" maneuver. She didn't make it up.


I think that sitting or lying on your sacrum will make birthing a baby harder - even epidurals sometimes interfere with the rotation of a baby through the mid-pelvis. I would hesitate to say that all shoulder dystocia has to do with a tight fit - most often is poor positioning by the mom.
 

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to me, CPD is more an instance of when the baby's head is overriding the pelvic inlet - mainly the pubic bone. If the baby is anterior, I would assume that it means that it is a true case of a contracted pelvic inlet.

I think this is very, very rare, however.
 
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