Posterior symptoms in Pregnancy
There are physical symptoms that the baby may not be in an ideal position, as early as 34 weeks of pregnancy. Discomfort may begin even earlier if the mother's ligaments are really tight.
Many people suppose that a pregnant woman will have back pain if her baby is posterior.
Back pain is not a reliable sign that the baby is posterior.
There are other signs, besides back pain, that indicate that the uterus may not be in position for an ideally positioned baby. Especially, in pregnancy, other signs are more reliable.
A tight spot in the broad ligament will feel, to the mother, as if there is a tight, and often tender, spot in her uterus. It might be near the top or to one side. When the baby's bottom, or head, pushes against this tight spot, it can cause tenderness, a heat, or actually hurt a little. The broad ligament naturally softens at the end of pregnancy. But, for a woman with a breech or posterior baby, her baby may have grown larger and held in that position by one or both tight round ligaments. Special technques would be done to release the tight ligament, such as Walchers.
When the midwife or doctor feels the lower abdomen to find the baby's head their fingers will press on the round ligaments. Pain during this part of the abdominal exam reveals tension in the round ligaments. Tension on one or both sides may be associated with both breech and posterior fetal position. (As is a rotated sacrum, but that may not cause the mother any pain.)
Hip pain can indicate tension in the broad ligament or a twist in the pelvic floor muscles.
Pubic bone pain is more commonly associated with a posterior fetal head position than is back pain.
There can be a grinding feeling when the 37-42 week fetus tries to reposition his or her head between the round ligaments.
A baby that switches his or her back from side-to-side just might be a posterior baby. The head may not be changing position even though the back switches from side-to-side. I observe this often and observe that midwives and mothers will often think that the baby is changing positions randomly and just hasn’t “chosen” their final birthing position. Quite a different scenario may be true. It may be the baby is trying, ever so diligently, to turn their head to face the right hip, but the head is caught in the posterior position.
Tension in the round ligaments may be what blocks the head from rotating. A pressure on the pubic bone can be dull and achy or sharp. Sharp pains are usually occasional and, if they occur, can be from the forehead pressing on the clitoral ligament which wraps over the pubis.
Lifting the lower abdomen with a pregnancy belt (or tied scarf) can support the slope of the uterus and help the baby slip behind the pubic bone, instead of on top of it. We don't really want to encourage the posterior baby to drop early before giving her a chance to rotate first. So, attend to the balance of the uterus and the supporting ligaments first. And this use of the belt shouldn't be so tight as to prevent the baby from dropping down into the pelvis. It is snug, however.
Another type of pubic bone pain is from the natural separation of the pubis symphysis joint by the hormones of pregnancy. Some women will get particularly loose. Then the bone rubs together when she rolls over at night or walks. A pregnancy belt can help that. Wear the belt snuggly around the hips and not across the baby. This pubic bone pain is not associated with fetal position and is not a sign of soft tissue tension or looseness. It is about the cartilage between the pubes.
Of course, the main sign that a baby is posterior is the movement of hands just above the pubic bone and somewhat below the navel. Rarely, a breech baby will run his or her feet over the bladder in that area, but typically, small movement in the front, below the navel and above the pubic bone, is due to hand movement of the OP baby.
A co-venture video experience with Spinning Babies and Blooma Yoga! Coming Soon!
Spinning Babies; Daily Essentials Video.
Together Sarah Longacre, international prenatal yoga instructor and birth doula, and Gail Tully, yours truly, created a unique instructional video for flexibility and comfort in pregnancy and to support better fetal positioning in time for birth.
Here are daily activities for stretching and balancing a pregnant body. Start early in pregnancy to prepare to make the most space for baby's best birth position and the most ease for mother's opening during the birth process.
We begin the program for women of average flexibility (or just plain stiff to start with) and beginner tips. But soon, you'll be ready to move freely! That's when Sarah brings the stretches all together into her easy to follow, playful, sensual, and flowing "Blooma Style" daily routine.
Sarah's "dance of opening," moves joints and ligaments to come alive under the delightful melody and percussions of Carin Vagle. This isn't about core strength; its about freedom of movement and creating space in the body.
Sarah plays along with Gail's little game of "Flashlight" to show pregnant women how to evaluate their own posture and positions. Smart Maternal Positioning helps baby snuggle their backs into the front of the womb for Optimal Fetal Positioning.
Daily Essentials includes tips for using Maternal Positioning around the house. Actual scenes in the bedroom, living room -and even the bathroom- gives practical instruction like no other video. You will be sleeping more comfortably immediately when using these tips. Within a week or two many pregnancy discomforts of the pelvis and lower back may be reduced when all these nurturing techniques are integrated into your daily lifestyle. Spinning Babies and Blooma Yoga-- a natural collaborative!
Spinning Babies Childbirth Preparation Class.
Soon pregnant parents around the world can take a Spinning Babies class from their own monitor! Join six couples as they learn the reason why Spinning Babies works and how it can enhance your labor and birth.
See techniques to do daily or weekly. Actual, real consultations with two couples right at our class location, one with a breech baby (head up) and one with a baby in a transverse lie (lying sideways).
Couples do the techniques together and show you how to do these at home.
Used alone or with the Daily Essentials, Spinning Babies Childbirth Preparation Class goes beyond the basics. Simple props show complex concepts sweetly. Little-known anatomy is linked to childbirth and the role of fetal positioning.
The section on labor discusses two labor patterns- the one "promised" in other books and the unexpected one associated with the posterior labor. Learn the common causes of long labor and techniques to help baby through the pelvis.
Be empowered; be prepared. After using this video throughout your pregnancy, while we can't promise, of course, you may not need the tips for labor progress. You can use that knowledge to help your neighbor. This video is all Spinning Babies.
Blooma Yoga Prenatal Yoga for AM and PM.
Warm up in the morning and cool down in the evening in two 30-minute sequences. Sarah Longacre shares her own blossoming pregnancy, Blooma style, to the exquisite music of Carin Vagle. Sarah's affirmations will carry you through labor with emotional strength and encouragement. Bring your hormones into harmony with the day. Begin your day with serious play. Cool down at night with a sleep enhancing stretch before bed. This video is all Blooma!
Sarah's video is ready for you now! Get Blooma's AM/PM Yoga here
All three videos are professionally produced by Melissa Koch of Grey Duck Productions, with stills by Tanya Villano Photography, each of these three videos are dynamic on their own. Together they will enhance your pregnancy and labor experience with fun and empowerment in the most practical manner. Feel hope for your birth abilities, this is support for your journey. Gain the confidence and flexibility to fully bloom. I believe these videos carry the potential to bring your best birth dreams into the gentle reality.
Compassionately priced. Estimated Due Date for Daily Essentials April 2014; for Spinning Babies Parent Class, Fall 2014.