Hi all and Peter,
>Thanks for all your comments on "urge to push". I now have another query,
>asynclitism of presenting part. How difficult is it to diagnose and what
is
>the management of the same?
Agree with all of Lyn Staff's comments.
Thought I would add the way it feels vaginally for clarification. the
sagittal suture is found other than in the middle of the pelvic plane.
Hmmm, does that make sense?
Maybe this will explain it a bit more.......
If you imagine the plane of the pelvis like a clock face, and for example, a
baby that is presenting well flexed, and an LOA position, the sagittal
suture would be found in the position of the clock face from 2o'clock to
8o'clock. with the posterior fontanelle closer to the 2o'clock position from
the middle of the clock face. And ROA, well flexed head would demonstrate
the sagittal suture in the 4 o'clock to 10 o'clock position, posterior
fontanelle closer to 10 o'clock, and so on. An asynclitically moving
baby, as the baby rocks it's head from side to side to wriggle its way into
and down the pelvis, would, in the LOA position, would have it's sagittal
suture in either the 1o'clock to 9 o'clock or the 3 o'clock to 7 o'clock
position, or any variation upon that wriggling from side to side theme and
so in in all the different positions in the presentations of these little
ones.
It's very clever when you think about it, the way the little ones seek to
adapt and negotiate their mum's pelves. And of course, anything and
everything that can open the pelvis more, like the positioning strategies
Lyn suggested, plus the self talk that women can do about 'tissues soft and
stretching like elastic' etc is helpful.
Great question Pete. and I loved your article about birthing on homelands
in Birth Issues some time ago. That was you wasn't it? Where are you now?
love, in action
Carolyn
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