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Episode 155 Content and Overview
Your baby’s position in the womb seems simple on the surface. You want your baby head down in the third trimester and you are good to go, right? It is a bit more complex than that, and while baby position can be confusing, this episode simplifies how to understand your baby’s position. After listening to this episode, you will know what it means when your doctor or midwife says your baby is LOA. More importantly, you will know exactly what your baby’s position means for you and your baby in birth.
Included in This Episode
Your baby’s presentation
Cephalic: head down
Vertex: the most common, crown (or the top) of your baby’s head is down
Sinciput: forehead down, can also be the brow, face, or chin
Breech: buttocks down
Complete breech: buttocks down with legs crossed
Frank breech: buttocks down with their legs straight, as if they were bent in half, or in a pike position
Incomplete breech: a combination of the different positions, or a footling breech where one foot is down and one is up
Transverse: sideways, their behind is on one side of your belly, with their head at the other
Compound or complex presentation: a limb is presenting with another part, most commonly a hand or arm along with the baby’s head
Anterior: their back is against the outside of your belly, facing your spine
Posterior: their back is against your spine, facing your belly
Transverse: facing directly left or right, for example if your baby is facing directly right, then their back would be facing left
Occiput: refers to the back of your baby’s head
For breech presentations instead of occiput we use sacrum, which refers to the bone at the base of the spine
For shoulder presentations we use dorso, which refers to the scapula (shoulder blade)
Occiput Anterior: the back of their head is directly to your belly button, like they are looking directly to your spine. This would be 12:00, so the hour of the clock is aligned with the back of your baby’s head.
The 6 positions:
(ROA) Right Occiput Anterior: the back of their head is against your belly, and the back of their head is to the right of your belly button, you can think of this as 1:30 on a clock.
(ROT) Right Occiput Transverse: the back of their head is directly facing the right side of your belly, this would be 3:00
(ROP) Right Occiput Posterior: the back of their head is against your spine, and the back of their head is to the right of your spine, this would be about 4:30
(OP) Occiput Posterior: the back of their head is directly to your spine, 6:00
(LOP) Left Occiput Posterior: the back of their head is against your spine, but is facing to the left of your spine, this would be about 7:30
(LOT) Left Occiput Transverse: the back of their head is directly facing the left side of your belly, this would be like 9:00
(LOA) Left Occiput Anterior: the back of their head is against your belly, facing the left of your belly button, this would be 10:30 on a clock
How to tell what position your baby is in
Challenges to finding your baby’s position
The position of your baby’s head and neck:
Flexion/Flexed: head is tucked to heir chest
Extension/Extended: head is looking up
Neutral or military: head is straight forward, not flexed or extended
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