What are the possible negative effects of..

cros8380 · October 2010

a baby being Right Occiput Anterior?(head down, back facing out, but approaching from the right)

I am 36w4 and my LO is ROA. Yay for being head down and Anterior, but I know that the optimal position is Left Occiput Anterior. I realize that there is still time for her to move, I was just wondering what (if any) the possible negative effects for labor would be. I read some stuff on spinningbabies.com, but honestly, didn't find it helpful! Also, any recommendations for getting her to move?

Thanks!

GenRN45 · October 2010

according to my doula, it will just make labor longer, because the baby has to make a full turn in order to come out (they don't just turn in the other direction).

My doula recommends only laying on your left (not your right) side, and doing sifting exercises (found on spinningbabies.com).

Temp76535187505890 · October 2010

Don't worry yourself too much over her position. Do what you can and if she doesn't move she doesn't move. I delivered my daughter in the left occiput transverse position without issue which apparently is relatively uncommon to not need assistance. She came out looking right at the nurse who was on my left!

jenair · October 2010

and pelvic rocks. and avoid squatting at this stage.

(did the bradley instructor just say avoid squatting?!? gasp!) Zip it!

SoxChamps · October 2010

It may take a little longer to turn, since most babies turn clockwise(if you are looking down at your pelvis). You can try laying on your left side to have gravity encourage her to turn. It's good that she is anterior to start with though, and to help encourage her to stay that way avoid reclining and spend some time leaning forward. You want to picture the curve of your baby's back fitting into the curve of your belly.

nosoup4u · October 2010

jenair:
and avoid squatting at this stage.
(did the bradley instructor just say avoid squatting?!? gasp!)

hee hee - my yoga teacher always told us not to do deep squats after 35-36 weeks, unless we were very certain about the baby's position being a good one.

To the OP: I think the concern is that your baby can swing to OP presentation, but all the suggestions everyone said are good - definitely lay on your left side! And try not to worry too much, my doula this time around was always reminding me that babies move around until they actually come out.

AshasaurusRex · October 2010

DS was ROA when I went into labor, I had a 16 hour labor including pushing. I believe he tried to turn OP at one point because my back started to charlie horse, luckily my chiropractor was there, she adjusted me and I think that's what kept him from turning posterior. When he did turn to the left, his heartbeat dropped to 90 bpm for about 7 minutes which was concerning, but we made it through without any other complications. All of the PP's suggestions about getting your LO to turn is what I would suggest, I did try all of them, but he was just too comfy to move:).

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