[pamamidwife]

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.

 

[pamamidwife]

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.

 

[pamamidwife]

oh, yeah, totally. I just mean if you have an anterior baby with it overriding the pubic bone late in labor, it is usually a better indicator of a contracted inlet.