![]() ![]() ![]() The baby rotates again beginning restitution.įinally, when the shoulders (first the anterior, then the posterior) passes under the symphysis pubis its called expulsion. The baby’s head then goes into complete extension to lead the shoulders through the pelvis. This leads into external rotation which allows for the shoulders to rotate internally into the pelvis. This is usually what takes the longest to happen during the pushing phase, especially with first-time parents. (Baby literally begins turning inside of the pelvis like some kind of synchronized swimming maneuver)Įxtension happens when the internal rotation has completed and the head is passing beneath the symphysis pubis (pubic bone) while in flexion. Which is the distance from the pubic symphysis to the sacrum. This is immediately followed by internal rotation, allowing the longest part of the head to line up with the longest part of the mother’s pelvis. Next, is the descent, the head moves down until it reaches the pelvic inlet. Then, as the head reaches the fleshy pelvic floor, the baby tucks its chin towards it chest to decrease the diameter that is presenting, this is called flexion. Its widest presenting part (usually the occiput- or back of the head- is this part) that drops into the pelvis. For reference sake, take note of the different bony landmarks of the pelvis to the right, in order to grasp and visualize how a baby will navigate through a pelvis into the birth canal.įirst, the baby engages in the pelvis. These movements are called the cardinal movements, which we will discuss below. As the baby’s station (position of the head in relation to the ischial spines) changes, the contractions from the uterus work with the baby’s movements to help it navigate through the pelvis. Depending on the width of the inlet of the pelvis, the baby needs to navigate in different ways to maneuver through each one. This conclusion is based on my own experience and knowledge regarding the birthing person’s standard anatomy and shape.Įssentially, human beings capable of birth have four distinct and differently shaped pelvises. I’ve learned that nothing my clients or I do will alter the way the baby is positioned. ![]() Six…almost seven years into this doula gig, and countless births under my belt- I don’t feel the same way anymore. I believed so much in this, that I spent my precious time and money attending workshops to learn all the suggested techniques and positions to have my clients practice during pregnancy. I also thought that if I helped clients try different positioning techniques in pregnancy, that the baby would get lined up perfectly for birth. I needed to help them fight for their choices because they needed an extra voice talking at their care provider. I felt responsible for their birth outcomes. I used to be a doula that was sure had some type of effect on the way that a person’s birth went. New information is a way to expand your horizons and in come cases, check your bias, drop your judgement and be fully present in many situations. I am a firm believer that knowledge is power, and that it can be very empowering to learn.
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