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Childbirth Cubby

Donna BaloPosterior Presentation
by Donna Harvel Balo ARNP, CNM, MS

Q. At my last midwife appointment, I was told baby is "back to back" (baby's back is on the right hand side but facing the back). My midwife said baby will *probably* rotate almost 360 degrees to fully engage before delivery. Is there anything I can do to encourage engagement?

A. No, there's really nothing you can do to encourage engagement. Babies tend to engage when they are good and ready.

However, for the posterior presentation, spend time on your hands and knees so the baby's heaviest parts will swing down (off your back and hanging free - get the picture?). Also try squatting (flat footed with everything spread). Work up to squatting 10 times a day for 2 minutes each time.

If baby is still posterior when you go into labor, continue squatting and being in the hands and knees position to get the baby off your back.

Good luck!

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