If labor is prolonged, the easiest and most obvious solution is to - TopicsExpress

If labor is prolonged, the easiest and most obvious solution is to do something different. The first thing I do for a woman with obstructed labour is to ask her to go for a short walk. If there is a stairway in the house, I ask her to walk to the top and down again. I explain to her that the changes in posture, particularly in the movement of the lumbar spine, frequently enable baby to alter the position of its head. The head then enters the pelvis, causing descent and moulding to start. Moulding is a valuable clue in these cases; the head propped on the brim does not mould, but as soon as progress commences, the moulding sagittal suture becomes easy to feel. This simple trick works so often that it is crazy not to try it. — John Stevenson Excerpted from “Managing First Stage Problems,” in First Stage Stage of Labor, a Midwifery Today e-book

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