![]() Then, when labor does finally get going and the woman mentions that her contractions are strongest in her back, optimism for a fast, straightforward labor and birth begins to fade, and, as the day or night wears on with more pain, little progress, and, finally maternal exhaustion and pleas to do something, the reality of the situation becomes unavoidable. Time goes by, the pain continues, and there is no sign that true labor has begun, no cervical change or fetal descent. When a baby descends into the pelvis with the face up, a woman will typically start to complain of lower back pain and uncomfortable contractions days or weeks before her due date, and become increasingly frustrated, impatient, and sleep-deprived. And because of this perspective, the teamwork between the mother and her baby will give her the best chance of a swifter easier delivery.Laboring women, midwives, nurses and doulas all have reasons to hate the dreaded persistent OP position of the fetal head. ![]() Creating a smooth path for the baby to navigate through the pelvis during labour and birth depends on the ability for the baby to work through the cardinal movements during the processes of descent and dilation. OMP is an equally important concept which has a direct impact on optimal foetal positioning. This is where ‘Optimal Maternal Positioning’ (OMP) comes in. This is where Optimal Maternal Positioning (OMP) can support you The good news is there are many things that pregnant women can do to not just help with the key – key, meaning the baby! And there is a lot more than she can do to create space within the keyhole – meaning the pelvis, for the baby to pass through. ![]() The key may get stuck and cause difficulties turning to unlock or even removing the key. ![]() If the key hole is not aligned, there may be problems of a smooth insertion. Having a baby pass through the pelvis is like putting the key through the keyhole. Whilst OFP has contributed to the knowledge of both pregnant mothers and birth attendants alike in enabling smoother deliveries, it also has its flaws that have not been taken into consideration such as the fact that research shows that 67% of mothers start labour with the baby in Left-Occiput-Transverse (LOT) and not Left-Occiput-Anterior (LOA).Īlso, when we assume that LOA is the most favourable position, we do not take into consideration the different types of pelvis there is amongst women, and even if the mother has the type of pelvis that majority of women have, imbalances within the pelvis can also hinder the progress of labour. Many women come to us for a VBAC (vaginal birth after caesarean) because their previous birth team missed classic signs of a posterior before and during labour including: going past due dates, mom feeling lots of limbs in front during her pregnancy and back pain during pregnancy, slow-to-start early labour, irregular contraction patterns, slow dilation with slow progress, or even rapid dilation with a slow and often difficult, if not excruciating second stage of pushing, or continuous back ache during labour and where the backaches are more intense than the contractions itself. However, the emphasis on having babies positioned in the Left-Occiput-Anterior (LOA) position before or at the start of labour can also trigger other insecurities, fears, exhaustion, and interventions for mom and baby. Tips such as not sitting in the bucket seat of a car for too long are given, and mom’s willingness to follow suit is essential.
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