I am reading through older uni notes in a bid to revise things that I am not learning so well and prior to doing this at uni again soon.

Any tips for remembering these, like a pneumonic or some such useful thingie?

Hmmm..

Descent
flexion
internal rotation
extension
restitution

is that all, aren't there more?

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Do Frogs In Canada Ride In A Pink Limo..

Thats the way I learnt it!

Descent
Flexion
Internal rotation of the head
Crowning/extension
Restitution
Internal rotation of the shoulders
Anterior shoulder
Posterior shoulder
Lateral flexion (to deliver the shoulders!)

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Duel X
2nd year student midwife
SM.NET Stafford University Representative
Moderator

Is Posterior Shoulder first when birth mechanism is physiological though? (i.e. off the bed)

depends, you more often than not see anterior in practice, on all fours posterior.

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That's great
Oxford handbook only had those I mentioned...hmmm.

Thanks Duel (I will recite that in my head!)

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Yea but then the saying thing to remember it doesn't work

Change it too.. ''Do Frogs In Canada Ride In Pink Limo's'' then...

Descent
Flexion
Internal rotation
Crowning
Restitution
Internal rotation
Posterior shoulder
Lateral flexion to deliver anterior shoulder and body

There (I still prefer it the first way as a high % of my deliveries have been on the bed!)

__________________
Duel X
2nd year student midwife
SM.NET Stafford University Representative
Moderator

Lol slow reply.. that was in reply to wannabe

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Duel X
2nd year student midwife
SM.NET Stafford University Representative
Moderator

I haven't seen that many completely physiological births, but they have always been anterior shoulder first. The only exception being an all fours delivery.

Why, what are the statistics? Do you know Wannabe? am interested?

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I don't have statistics (suspect that they have never been collected). I guess I'm getting that notion from Jean Sutton (and also Denis Walsh, Anne Frye and others), that although the birth mechanism is conventionally described as anterior first, which Sutton suggests might simply be because anterior is *seen* first in conventional bed birth. See Sutton, let birth be born again (p. 27). In any case, I don't think dorsal/recumbent positions are physiologically optimal, and even Mayes suggests that in upright/forward leaning positions the posterior shoulder may be born first (other authors are more forceful in saying that in these positions posterior shoulder WILL be born first - see Anne Frye's illustrations on this).

Since I know of case where shoulders have been born without rotation (r-l laterally, rather than a-p and !yikes, and yes some trauma) I'm willing to guess that ANYTHING is possible.

You have seen a baby deliver this way??? I'm intrigued I've never seen a babe deliver in such a way, did they do Epis??

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