Baby Positions Flashcards

1
Q

Vertex

A
  • Baby is head down in womb

- head is in pelvis and butt is by ribs

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2
Q

Breech

A
  • Baby is head up womb

- Head is by ribs and butt is in pelvis

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3
Q

Complete breech

A
  • Baby’s butt is down and legs are crossed over each other
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4
Q

Frank breech

A
  • Baby’s butt is down and legs are fully extended and feet are up beside baby’s face
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5
Q

Footling breech

A
  • Baby has one or both feet down

- During birth, feet would come through cervix and birth canal first

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6
Q

Incomplete breech

A
  • Baby may be in combination of other breech positions

- Likely that one foot or leg would come first down birth canal

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7
Q

Transverse position

A
  • Baby is lying side-to-side in womb, with head to either right or left and butt on opposite side
  • In some countries called lateral position
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8
Q

Transverse position ROL

A
  • Right occiput lateral

- Baby is lying sideways with head to mom’s right side

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9
Q

Anterior

A
  • Baby is facing spine with back angled more towards belly button
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10
Q

Posterior

A
  • Baby facing belly button with back angled more towards spine
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11
Q

Occiput

A
  • Back of baby’s head
  • Position of back of baby’s head is used to note position
  • Denominator
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12
Q

Sacrum

A
  • Bony plate at the back of pelvis
  • Used to determine position
  • Denominator
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13
Q

ROA

A
  • Right occiput anterior

- Baby’s back is angled facing to right of belly button

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14
Q

ROP

A
  • Right Occiput Posterior

- Baby’s back is angled facing to right of spine

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15
Q

LOP

A
  • Left Occiput Posterior

- Baby’s back is angled facing to left of spine

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16
Q

LOA

A
  • Left Occiput Anterior
  • Baby’s back is angled facing left of belly button
  • Optimal position
17
Q

ROT/LOT

A
  • Baby’s back is facing directly to right side or facing directly to left side, respectively
  • LOT is optimal position
18
Q

OP

A
  • Baby’s back is directly to mom’s back, in front of spine
19
Q

OA

A
  • Baby’s back is directly to the front, just behind belly button
  • Optimal position
20
Q

Station

A
  • Where baby’s head (or butt for breeched baby) is in pelvis
  • lower number means baby is higher in pelvis
  • Baby’s head drops lower into pelvis and through deep pelvis during birth
21
Q

Engaged

A
  • Baby’s head that’s moved deep down into pelvis
  • First time babies usually engage couple of weeks before labor
  • Subsequent babies often don’t engage until labor
  • Sometimes called lightening
22
Q

-3 Station

A
  • baby is still high and floating within pelvic brim (hip bones)
23
Q

-2 Station

A
  • baby has dropped down into narrower “true pelvis”
24
Q

-1 Station

A
  • baby is moving deeper into pelvis
25
Q

0 Station

A
  • baby’s head is at level of ischial spines, bony points deep inside mom’s pelvis
  • baby is fully engaged at 0 station
26
Q

+1 Station

A
  • baby is starting to move out of pelvis
27
Q

+2 Station

A
  • baby nearly through pelvis
28
Q

+3 Station

A
  • baby’s head is moving past “sit bones” and out of bony pelvis
29
Q

+4 or +5 Station

A
  • used to indicate baby’s head is moving through birth canal to perineum for birth
30
Q

Flexion

A
  • baby’s head is tucked into chest

- ideal for babies in any and all positions

31
Q

Extension

A
  • baby’s head is tilted up as if baby is sniffing at something or looking up at the sky (full extension)
32
Q

Military attitude

A
  • Baby is looking straight ahead; no tucked chin or extended neck
33
Q

Birth ball

A
  • Helps align pelvis well
  • Keeps belly tilted slightly forward, which makes it into “hammock” for baby
  • Can rotate hips in circles to encourage baby down pelvis
34
Q

Miles circuit

A
  • One knee chest position
  • Exaggerated SIMS
  • Get up and get moving