Research and references

Research and references

Bibliography for Asynclitism

Bibliography for Asynclitism 

[Created for "The Tipping Point; Helping the Asynclitic Baby"]

2011

Read more: Bibliography for Asynclitism

Bibliography for OP

Click here to download a list of references [Adobe Acrobat PDF - 60.23 KB] You will download the following Spinning Babies Bibliography pdf. Use Acrobat Reader to view the pdf. file once it is on your desktop. You can download the Adobe Acrobat Reader for free onto your computer to see this and other pdf. files.

Read more: Bibliography for OP

Get an Ultrasound before a vacuum or manual rotation

Its hard to tell baby's head position from a simple vaginal exam. The baby's skull is made up of portions of the skull that move and overlap somewhat. These are called "plates" and they have names. The borders between them are mobile and are called "sutures." Sutures lines are supposed to reveal fetal head position. Is it worth an ultrasound in a difficult labor?

OP by Martino

Who stays OP?

These studies help show which babies may stay occiput posterior using modern university labor and delivery practices.

Finish researcher Gardberg has helped us understand the rates of occiput posterior and how often they rotate. We'll start with a 1998 Gardberg study here and I'll refer you over to the 2005 Lieberman study which finds similar rates, though reports it as new information. Both show that about 1/3 of babies that start OP stay OP. Again, we miss the rates of left occiput transverse (lateral) and right occiput transverse (lateral) and the route of rotation for these babies. 

Read more: Who stays OP?

Penny Simkin's 2010 article on OP position

Birth

The Fetal Occiput Posterior Position...

PennySimkin, PT

From Birth Volume 37 Issue 1, Pages 61 - 71

The occiput posterior position challenges every aspect of labor care. Trying to prevent OP fetal position, diagnosing the OP position, correcting the OP position, supporting labor and making decisions about what to do for labor, and the delivery itself. Mothers and babies outcomes are often worse with both physical and psychological trauma being more common than with fetal occiput anterior positions. Here Penny Simkin highlights nine common beliefs and shows which are myths. Gail comments afterwards.

More Simkin

"What's your research?"

It would be nice to have some research on all of the Spinning Babies recommendations and posted techniques. I can't wait to address the needs of birthing women until someone does the research on the Spinning Babies approach to childbirth. I can only be non-interventive and request that women work openly with their doctors and midwives about the techniques on this site. We'd all be being born out of glass jars before each of these techniques are thoroughly researched.  The Spinning Babies approach is active, holistic, anecdotal, and grassroots.

Research?

Breech References

Scroll down (Read More) to see the list of articles and books contributing to the Spinning Babies view on breech position and breech birth. Click on these underlined words to begin downloading the Bibliography for Breech pdf. [Adobe Acrobat PDF - 99.22 KB] You will download the Breech Bibliography pdf. that is at the bottom of this page. Use Acrobat Reader to view this pdf. file once it is on your desktop. You can download the Adobe Acrobat Reader for free onto your computer to see this and other pdf. files.

More Breech

Thyroid and posterior presentation

A study published in Clinical Endocrinology finds evidence that low levels of the thyroid hormone called thyroxine may be associated with more posterior positioned babies. While the 3 Principles are often effective in correcting malposition, there are occasional women whose babies do not respond, or respond in the amount of time the mother has after finding out her baby is posterior. This may be helpful information. In addition, it may be helpful to have your thyroid levels checked in pregnancy. The New England Journal of Medicine suggests a type of iodine supplementation in pregnancy.

Thyroid & OP

Hands and Knees studies

Will a mother going into a hands and knees position during late pregnancy help rotate her posterior baby? Many mothers advise each other to spend time on hands and knees each day. Pelvic rocking helps relieve a sore lower back. But will it help the posterior baby rotate before labor starts? Gail comments afterwards with her Spinning Babies point of view.

Kariminia

Which side should I lay on? by Matsuo, and Wu

There are reasons that laying on your left side is helpful in pregnancy. Most women (but not all) will have a lower blood pressure while lying on their left side compared to when lying on their right side. But with fetal positioning will lying on one's left help the baby's back to come over to the left, too? Two articles help answer the question of whether you should try and sleep on your left side to help your baby turn anterior.

Click to de side

Patience when labor stalls by Caughey

Researcher Aaron Caughey finds giving more time will reduce 400,000 cesareans a year. See the Nov. 18, 2008 Orgyn.com article called Patience after stall in labor advised. Read the research itself. Obstetrics and Gynecology 2008; 112: 1109-15 Perinatal Outcomes in the setting of active phase arrest in labor.

Caughey

Review: Dr. Ellice Lieberman on Posterior and Epidurals

Ellice Lieberman’s 2005 research article on Fetal Position and Epidural Analgesia

Ellice Lieberman and her research colleagues looked at which came first, the posterior positioned baby or the epidural. In previous research studies it was somewhat unclear if women having epidural anesthesia (here called analgesia) were more likely to have a posterior baby or whether women with a posterior baby in labor were more likely to ask for an Epidural. While they tracked that question to an answer they observed multiple changes in fetal position at four times during labor. 

Research article title: Changes in Fetal Position During Labor and Their Association With Epidural Analgesia.

Lieberman