Direct OP position

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Anyone else finding this position more and more common for a reason as for a primary c/section due to failure to progress/descend? I do my best to flip my patients from side to side once the epi's in place but being a night nurse I sometimes find my laboring patients fast asleep so I leave them alone. My question is: Is there anyone magic formula to get these babies out of the "sunny side up" position?

Specializes in Community, OB, Nursery.

A friend of mine used the spinningbabies website while she was pregnant when her midwife found the baby breech at about 35wks. Baby flipped and she delivered @ home (on purpose).

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Those balls are exactly what we use. So essentially using same theory as birthing ball (opening pelvis) for the patient that can not or will not sit on a regular ball.

Somewhat off topic (but on topic), I am amazed at the number of women who come in saying "I want a natural birth" but don't want to get out of the bed and change their positions frequently. Of course these are the same ones that end up with a long labor process and can't believe how much it hurts or they end up getting an epidural as soon as the contractions really get started. I am not a strong advocate either way for my patients. I try to explain all the options, the risk/benefits, and then do everything in my means to support their decision. However, it is tough when they think that I really have anything to do with their length of labor (and their pain). I wish they would realize that when I say, I support and can guide, that is truly all that I can do. Laboring and delivery really does have a lot to do with the mother. As far as the pain goes, when you tell them that movement and positioning, really does help the pain and the entire process, then they look at you like you are nuts! Oh well......

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Specializes in Midwifery.

Great stuff!! Thanks

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Specializes in OB, House Sup, ER, Med Surg.

What size peanut ball do you all use? I looked at the link that Elvish posted, and they come from 30-70cm. I have talked to my manager and the CNM, and we may be interested in getting one.

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We have a couple of sizes. The one that seems to work the best is the red 50 cm one.

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