OB Case Study

[dmfisher86]

I'm trying to work on a case study for my OB course, and OB is not my strong point because I have absolutely NO interest in it. Here is the question...

What can be done to help direct the fetal head into the pelvis and convert the head to a synclitic presentation?

The baby has engaged and is in a persistent asynclitic position. Thus, something needs to be done to allow the fetus to descend down the birth canal. However, I cannot find anything in my book or my study guide about what you would do in this situation. Any help would be appreciated!

[melmarie23, MSN, RN]

what about repositioning the woman or having her ambulate?

[weardemgloves]

http://books.google.com/books?id=dSIGj8-9bewC&pg=PA108&lpg=PA108&dq=persistent+asynclitic&source=bl&ots=sOQ4Mw0v4d&sig=PbHOShGnP9frb2PbJpxGwjRqAbg&hl=en&ei=jqhGS6jZBI-6NqCC3ZAJ&sa=X&oi=book_result&ct=result&resnum=1&ved=0CAcQ6AEwAA#v=onepage&q=persistent%20asynclitic&f=false

if the keyword "persistent asynclitic" position does not come up, type it in and it will show you the answer. Google search is great for learning if you can apply the concepts. One learning key to help in nursing is to apply the words into a thought that will help you remember the definition, even if it is dirty sounding.

[canoehead, BSN, RN]

Pelvic tilts and hands and knees position is recommended, best before the head is engaged.