I work at Warragul Hospital in our antenatal clinic OP position is discussed 
with all women and infomation given to promote optimal position as part of 
routine antenatal care.  If women have previous had an OP labour we usually 
lend Jean Sutton's OP booklet.
Cheers
Eleanor Crighton


>From: "Ken Ward" <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: <[EMAIL PROTECTED]>
>Subject: RE: [ozmidwifery] OP babies
>Date: Thu, 15 Aug 2002 15:59:04 +1000
>
>It is suppose to be our life style. Too much sitting around.  My last baby
>was ol to oa and rotated around to op during labour and got stuck.. Awful
>feeling, as if I had a piece of 4x2 up there.  Anyway a gentle keillands
>rotation, and she just about fell out.  Where I did my mid the obests. 
>would
>often do a rotation and then let the babies birth naturally.  I don't think
>it's my pelvis 'cause the boys were oa,s.  But no. 1, another girl, was 
>also
>an op.--Original Message-----
>From: [EMAIL PROTECTED]
>[mailto:[EMAIL PROTECTED]]On Behalf Of Jo & Dean
>Bainbridge
>Sent: Tuesday, August 13, 2002 9:04 PM
>To: [EMAIL PROTECTED]
>Subject: [ozmidwifery] OP babies
>
>
>   I have a question that will probably be seen as a silly one to some (but
>remember I am a consumer so it is my right to ask silly questions!)  If one
>of the main reasons for cs is failure to progress and fetal malpresentation
>AND a common factor with both these 'reasons' is a baby that is 
>persistently
>in OP ... why doesn't anyone do anything to correct this before labour?  I
>know a large portion of bubs are OP then turn during labour; but it seems
>like we have found that it is easier to deal with it by cs or forceps
>rotation...why is it we don't try to avoid the situation altogether?
>   Very few women I have encountered were even aware of the term OP or what
>the whole OP presentation involves (longer labours more interventions etc).
>Why do we pregnant mums not get told during ante-natal check ups what
>position bubs in?  Why doesn't anyone check when labour commences?
>   I am aware of the optimal presentation booklet and now try to encourage
>all women I come across to be aware of their posture and to try swimming 
>and
>sitting in positions as well as vertical positioning during labour that 
>will
>encourage bub to be OA ....but this is AFTER I had a cs for failure to
>progress (8cm and stalled for 2 hours no fetal distress- due to having a
>monitor on and being made to be supine...no wonder bub did not turn
>himself!)
>   I am curious why this seems to be something that is ignored by 
>mainstream
>but something that plays a major role in how birth results as cs or ivd??
>   can anyone shed some light??
>   Jo Bainbridge
>   founding member CARES SA
>   email: [EMAIL PROTECTED]
>   phone: 08 8388 6918
>   birth with trust, faith & love...




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