It may be possible to avoid or ease an induction by increasing balance of the maternal structures before engaging or early in the induction process (or the days before), by helping baby Some women are recommended to have an induction, even if their baby is not engaged. Strong contractions can occur though the baby remains high in the pelvis.īefore we try to get the cervix to open well, we should use these contractions to help baby turn and down into the pelvis well.Ĭheck baby’s position and assist chin flexion and rotation to the LOT or LOA position if possible. Contractions can be the uterus way to engage baby. Labor may start before or after baby engages. What happens if the baby doesn’t engage before labor? If you feel the narrow forehead here at the time you are due, it is a clue that baby isn’t actually engaged. An overlapping head means the head is not engaged, even though this head, too, is not ballotable (bounces in the water when wiggled by the midwife).This drawing shows a mother feeling whether her baby’s forehead rests up on her pubic bone or settles behind it. The posterior baby may seem to be engaged in the pelvis when the dome of the head is low but the baby may not be engaged if the forehead remains up above the pubic bone. Why wouldn’t a posterior baby be as likely to engage? But posterior position may make engagement less likely. Of course, some posterior babies do engage. The posterior and lack of fetal engagement The pelvic joints are turned making the inlet a narrower shape, not round.
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