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Lisa Marie Oxenham
@barefootmidwife

35,733 followers

Shoulder Dystocia. It happens sometimes. This client has bigger babies that enjoy gestating about 42 weeks. When she was laboring her 12 lb baby down she kept complaining about a pain on her pubic bone, but suggestions to help were not able to be integrated by her nervous system. Consent is very important to me so we waited, prepared for what we sensed would happen. When the head was born it fully restituted and the next wave didn’t not yield shoulders. Because she is on her hands and knees the tail bone is able to move as far out of the way as possible, and baby’s back allows for a hand to go in. Anna asked for help at this point and that’s when Richard @beardedmidwife was able to rotate baby a quarter turn to the anterior/posterior diameter and then rotated back to the direction baby was facing. This allowed the shoulder to drop in and, after I released a cord, baby was passed through to mom. The heart tones were excellent so we waited while baby transitioned to the cardiovascular system. Shoulder dystocias in hospitals are handled while the person is on their back, creating obvious issues. The situation in Georgia really brings to light the need for practitioner training in these upright maneuvers, because they save lives and are much easier than when a person is on their back. @birthinginstincts and @nathanrileyobgyn, along with Dave @breechwithoutborders (amongst others!) are proof that doctors can go against the system in an attempt to help heal it. See my stories for more. @agapebirth_wellness #shoulderdystocia #blackmaternalhealth #midwifery #acog #obgyn @spinningbabies