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https://medlineplus.gov/ency/patientinstructions/000621.htm
Delivery presentations. Delivery presentation describes the way the baby is positioned to come down the birth canal for delivery. Your baby must pass through your pelvic bones to reach the vaginal opening. The ease at which this passage will take place depends on how your baby is positioned during delivery.
https://www.babycenter.com/0_posterior-position_1454005.bc
Those who do give birth vaginally to a baby who is posterior are more likely to have an episiotomy and severe perineal tears than moms whose babies are in the more favorable face-down position, even after taking into account the higher rate of forceps and vacuum-assisted delivery. The posterior position at birth also is associated with a higher risk of short-term complications for the baby, such as lower five …
https://www.merckmanuals.com/home/women-s-health-issues/complications-of-labor-and-delivery/abnormal-position-and-presentation-of-the-fetus
In occiput posterior presentation (also called sunny-side up), the fetus is head first but is facing up (toward the mother's abdomen). It is the most common abnormal position or presentation. When a fetus faces up, the neck is often straightened rather than bent, and the head requires more space to pass through the birth canal.
https://www.uptodate.com/contents/occiput-posterior-position#!
Feb 14, 2019 · Before labor, 15 to 20 percent of term fetuses in cephalic presentation are OP, but only 5 percent are OP at vaginal delivery because most OP fetuses spontaneously rotate to an anterior position during labor . Some persistent OP positions may be due to an android maternal pelvis, as the mechanical forces on the fetus during the cardinal movements of labor in this setting can inhibit …
http://www.pregnancystatistics.org/content/breech-and-posterior-births.html
Delivery of a posterior baby can be difficult for the mother. In many cases, having a posterior baby means a longer delivery, and sometimes difficulty in pushing. In some cases Pitocin is needed to keep contractions going.
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