Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“Well, Once A Baby’s Head Is Asynclitic, There’s Nothing You Can Do About It.”
“Well, once a baby’s head is asynclitic, there’s really nothing you can do about it.” – Certified Nurse Midwife to mother.
Just like my posterior baby couldn’t possibly have turned on the way down the birth canal and come out properly. I guess I’m lucky not all of the midwives in my practice were medwives and they called the one who knew about spinning babies so she could help them help me.
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That’s interesting doc, since I, a lowly homebirth midwife, just wrote up an article about how to get the asynclitic baby’s head re-aligned so the mother can push the child out on her own. Good to know that the many babies, who’s births were facilitated in this manner, were a fluke.
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Christina Reply:
August 24th, 2011 at 7:38 pm (Quote)
I wish I had homebirthed with you. My son was posterior and acynclitic (I didn’t know the acynclitic part until after). I pushed for 5 hours and he went from a +1 to a -2 and I gave up on my VBAC. In hindsight, I believe he was giving himself room to fix his positioning. I was moving around during entire labor and was 8 cm in under 4 hours from labor starting with my water breaking. I pushed in every position I could think of and he just took his time. Between my feelings of defeat and the passive aggressive c-section happy doctors, I gave in.
I had a few vaginal examines and an internal monitor (the scab is how I figured out he was acynclitic) and no one every mentioned it. Is an acynclitic head something a doctor should discover during a vaginal exam?
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Kari Birchler Reply:
August 24th, 2011 at 9:32 pm (Quote)
Wait–where did you post this? It took me 5.5 hours of pushing to get little E out because he was asynclitic. Well, that, and 10.5 lbs, lol.
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Really???? Stairs two at a time works great! Lunges work great!!! Get creative. Heck even walking sometimes does the trick. Asynclitic babies do turn! I know this from helping my clients turn their babies and from having to turn my own!!! To navigate my pelvis, all but two of my six kids went asynclitic and they turned—all I had to was walk!
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I birthed an asynclitic babe 3 weeks ago at home. Didn’t even know he’d been asynclitic until after he was born. We realized it because of the location of the caput. (I had no vaginal exams at all before or during the birth.) It makes me wonder how many moms “can’t” vaginally birth malpositioned babies because they KNOW the baby is malpositioned. I don’t mean that they choose not to, but that they are set up to think it’s going to be too hard, or maybe not possible, and they might give up more easily because of that? Hmmmmmm.
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Amelia Reply:
August 24th, 2011 at 7:27 pm (Quote)
On the flip side, though, if baby is malpositioned but no one realizes until many hours into active labor (when the baby doesn’t descend and mom is stuck at 8 cm for ten hours and baby can’t move easily b/c labor began with mom’s water breaking)…well, then you’ve got a bit of a mess. My daughter did turn and un-wedge herself but I would not care to repeat a 31-hour labor, transfer from home to hospital, epidural, etc. The problem was that my midwife’s skill at feeling baby’s position was not at all what it should have been.
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CNicole Reply:
August 24th, 2011 at 7:34 pm (Quote)
That, or their doctor tells them this is the case. I got to 9.5cm, loads of pressure, was told baby was in position that was “too hard to push out” and I had a CBAC (at 10:30 Friday night….) The midwife who I told my story to said, “Why didn’t he just reach in an tilt her head?” I would have gladly tried if given a chance (I know now I could have refused the cesarean before I had a chance to at least try)
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Lisa Reply:
September 4th, 2011 at 6:40 pm (Quote)
I home birthed a posterior, military positioned (chin up instead of tucked) asynclitic baby. Did we know any of that before I went into labor, no. The last ultrasound had been done 10 weeks earlier and there had been no signs of any of that. I had no tears and baby was born normally. Now, I’ve only had the one baby, but it also didn’t seem like an overly hurtful birth either.
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When was this said? I did a ton of walking in the 3rd trimester and lots of laying on an incline and Downward Dog and my son turned on his own (and flipped from breech) by about 34 weeks.
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Well, they must be able to turned sometimes, because my first baby was ascynclitic and the midwife kept on manually turning her head to a normal position. Apparently this usually worked for my midwife, but my stubborn daughter kept turning her head back. But I did have a sucessful, albeit long and hard, vaginal birth with her.
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I understand where this CNM is coming from. My VBAC baby was asynclitic and it took 4 hours and 16 mins to push her out. Worst. Pain. Of my Life. I had severe pelvic pain for 6 months post partum. (I had a hospital birth with CNM’s.) The way her head was titled and wedged made it impossible to correct manually. I jus had to push hard to pass her crooked head.)
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I didn’t evenknow what asynclitic was so I ran a search before I even open this thread. Guess what came up http://spinningbabies.com/baby-positions/all-positions/asynclitism Perhaps the problem is that mom is in bed hooked to a monitor and the staff is looking for problems rather than focusing on prevention and solutions.
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This is my contribution. I was shooting for a VBAC with my second because my first had been asynclitic, so I ended up with a c-section for “Failure to descend.” I did fully dilate and push for a couple of hours, but I had received an epidural at about 7cm, so was stuck in bed.
During one of my prenatal appointments, this midwife (one of many in the practice), asked me if I was worried that I might have a repeat of my first (another asynclitic head followed by failure to descend.) I told her that I hoped not, but I would do everything possible to correct it if it did happen again. Then she said “Well, once a baby’s head is asynclitic, there is really nothing you can do about it.” Not very positive thinking, if you ask me.
I did end up staying with this practice, and wouldn’t you know it, I did end up with a second asynclitic baby. This labor paralleled my first almost exactly- fully dilated, pushing for hours, failure to descend, repeat c-section.
Now I’m in a new state with a new midwife (only one this time), and I’m trying yet again for a VBAC. Going to try chiropractic care, spinning babies, and who knows what else. I’ll do anything! I’m very glad to read so many stories here of women who were able to give birth to asynclitic babies. I’ll just try harder this time!
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Dawn Reply:
August 25th, 2011 at 7:07 am (Quote)
Ask your midwife about the “pancake flip” and also about putting a washcloth under your tail bone. My cousin is an L&D nurse and says babies turn with these things. I’ve read about the Captain Morgan pose too.
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Dee the Doula Reply:
August 25th, 2011 at 12:13 pm (Quote)
I’m so glad you’re going to try chiropractic adjustments! I’ve seen some amazing results from my clients who go to the chiro!
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Herb of Grace Reply:
August 25th, 2011 at 7:27 pm (Quote)
More encouragement for you! I’ve had THREE asynclitic labors (including two with compound presentations) and all three born vaginally, at home. http://www.spinningbabies.com is AWESOME. I’m not going to lie and say the labor were easy, but it can be done! You can do it!!!! I highly recommend water birth, or at the least, laboring in water as long as you can. It helps tremendously with the back labor and makes it easier to do all the gymnastics necessary to spin that baby
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Brisa Reply:
August 26th, 2011 at 2:37 pm (Quote)
I’ve had two asyclitic births at home! The first was also posterior. The second, once he got repositioned and I finally got the urge to push, he popped out in one push! When my midwife thought he was malpositioned, she had me do two contractions on my back, two on my right side, two on hands and knees, and two on my left side. I was in a birth tub. It helped, he turned straight then and was born healthy!
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I did stand and walk and change positions. My midwife even manually tried to turn the head. My baby was persistent OP and asynclitic. Again, her cord was tight. I’d feel her body turn with the midwife (boy did that hurt), and then she would flip right back. With the decels, the midwife just believed I needed to go for it and push. So it’s not always being in bed hooked to a monitor because the midwife certainly did her part to hold a monitor on my belly herself and I rocked. Before that point I walked and bathed and was on hands and knees etc. Baby just didn’t turn for me. But in my previous births I had two known OP babies turn. One was turned by the OB manually, and one was turned because the nurses had me change positions from hands/knees, upright, left, back, right, back to hands and knees. That baby turned and then came out in the caul. Because I’ve had so many OP (one baby I birthed came out on the table and no nurse was paying attention even, but my hubby says she was face up when she came out so maybe she was OP too), that my pelvis might just be shaped in a way that the babies like to sit OP there. So it may not be anything but how the key has to fit the lock. I’ve always been an upright laboring woman, so I have successfully birthed these babies…your point about in the bed could apply….
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Mine stayed anscylitic but I have huge “birthin hips” and pushed him out 6 pushes with an epidural. (I asked for one after 24 hours in active labor, 48 hours w out sleep. I was toast and yes we did try different positions before I threw in the “drug free” towel). My midwife’s comment “that’s why you had so much trouble his head was all twisty!! Don’t you worry, the next kid will be a much quicker labor! In fact you will be lucky to make it here next time!!!”
I think, knowing my son now for almost a year and 1/2 that it had everything to do with him. He’s a stubborn willfull booger.
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My 1st babe’s head presented off kilter too. My midwives did something they called ‘shimmying’. From a stand I leaned over a bit and put my hands on a countertop, they wrapped a long piece of fabric under my belly, pulled up, and vigorously shook it back and forth (but short movements, only a couple inches) baby’s head slid right into position. (Then his shoulders got stuck on the way out *sigh*)
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Who was your midwife? Same thing happened to me
6 days of pre labour, long painful nights, no sleep and no reasons or ideas from my home birthing midwife apart from telling it was my journey… Maybe more factual information would have prevented me feeling unsupported and so I went to hospital and had a c section. not what I ever wanted, far from it!
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We sure tried, but my baby’s didn’t move. However, I did allow the water to be broken, and I think that was a mistake. Maybe. But I did push her out successfully and didn’t have stitches (though I did tear). So, though the baby didn’t move despite position changes and midwife trying to manually move her…vaginal birth did happen.
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Dawn Reply:
August 24th, 2011 at 6:43 pm Dawn(Quote)
This was my 7th by the way, and this is not my post…
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