How the baby's body adapts during descent Flashcards
Diameters, Attitude, and Moulding
What are the two oval regions of baby’s body?
1st the head
2nd the chest and shoulders (considered together)
How do the regions work together?
Move in relationship to each other at the neck, which acts as a hinge, and throughout the length of the spine (which can twist from side to side and flex forward, backward and laterally)
Fetal Pole
prefers to either end of the longitudinal axis of the baby’s body
Why when the baby is cephalic can be positioned in a wide variety of ways
because the head is freely mobile from back to front and side to side on the neck
How does the flexible cervical spine of the term infant allow the head to move
turn to either side at least 80 degrees easily
How will the baby position their head to go through the birth canal
through the path of least resistant
Why does the attitude of the head matter
presents the head in a more or less favorable set of diameters for birthing
Diameter
A straight line connecting two opposite points across a plane of a spherical or cylindrical body
Plane
imaginary flat surface that spans the object at the level of the diameter
The diameter of the skull must be what to fit through the available space in the pelvis at all levels
small enough
Why does the diameter usually change (for better or for worse) as descent advances
A diameter that fits through the pelvic brim may be too large to fit through a lower plane in the same pelvis as descent proceeds
Flexion describes
how near the baby’s chin is to their chest
When the head is ideally flexed
the chin is on or nearly on thee chest making the crown of the vertex the part of the head that leads the way through the pelvis
How do the shoulders change as they pass through the curved portion of the pelvis beneath the pubic bone?
Tends to become compacted by either being depressed downward, flexing forward or hugging upwards.
How does the shoulders move as descend through the pelvic floor
they may descent on an angle, may alter their position several times as they adapt to the shape of the birth canal.