Cephalic Position Getting Baby within the Right Position for Birth

 

How To Turn a Sunny Side Up Baby Birth Secrets from a Midwife!

Video taken from the channel: Cajun Stork Midwife Kira at Natural Birthhouse


 

Tips To Help Keep Your Baby In Optimal Position For Birth

Video taken from the channel: Fit Mums Channel


 

Exercise For Positioning Baby in Womb

Video taken from the channel: Homeveda Parenting


 

Pregnancy Yoga For Optimal Fetal Positioning/How to turn a posterior baby, transverse or breech baby

Video taken from the channel: Pregnancy and Postpartum TV


 

Gynecology: Childbirth Occiput Posterior Position

Video taken from the channel: AMBOSS: Medical Knowledge Distilled


 

The Baby’s Position During Labor & Delivery

Video taken from the channel: Jesse Reiter


 

How to Engage Baby’s Head in the Pelvis | Positions to Help with Labor and Birth | LABOR POSITIONS

Video taken from the channel: Bridget Teyler


About 95 percent of babies drop down into the head-first position a few weeks or days before their due date. This is called the cephalic position, and it’s safest for mom and baby. Fetal Positions for Birth. Ideally for labor, the baby is positioned head-down, facing your back, with the chin tucked to its chest and the back of the head ready to enter the pelvis. This is called cephalic presentation.

Most babies settle into this position with the 32nd and 36th week of pregnancy. External cephalic version (ECV) is a procedure during which your doctor tries to move your baby into a head-down position to increase the chance you’ll have a vaginal birth. This is done in a. The ideal position for your baby to be in for labour and birth is head down, their back towards the front of your stomach. The best position for your baby to be in for labour and birth is head down, facing your back so that their back is towards the front of your tummy.

This is called the occipito-anterior position. The best position for your baby to be in is head-down (cephalic presentation), with the back of his head towards the front of your tummy (anterior position). If your baby is in a bottom-down position, this is called breech position.

The most common delivery position is the occiput anterior position, in which the baby’s face is facing the mother’s back. This position is the most preferable because the smallest part of the baby’s head makes its way through the birth canal first. If the baby’s face is facing toward the mother’s abdomen, it is in the occiput posterior position. They get into a headfirst or cephalic position toward the opening of your birth canal.

But some babies have other plans. About 4% are breech, which. The baby is head down, with their face facing your back.

The baby’s chin is tucked into their chest and their head is ready to enter the pelvis. The baby is able to flex their head and neck, and. Optimal position — the baby’s head is down and the baby is facing the mother’s back.

This is the optimal and most common birthing position Occiput or cephalic — the baby’s head is down, and the baby is facing the mother’s abdomen. This position results in back pain and a prolonged labor. Right Occiput Transverse (ROT) is when the occiput is towards the mother’s right and baby faces and kicks towards her left side.

This position is called Right Occiput Lateral in.

List of related literature:

The ideal position for both mother and baby at the onset of labour is for the baby to lie with its back facing to the front of the mother’s abdomen in an ‘anterior’ position, with the baby well flexed and the head placed over the pelvic brim ready to engage.

“Well Balanced Child” by Sally
from Well Balanced Child
by Sally
Hawthorn Press Limited, 2014

If the midwife determines that the baby is in a breech or transverse position, she will do an inversion, locating the baby’s head and hip and applying strong, even pressure to rotate the baby’s body into the more favorable head-down position.

“Pregnancy Journal, 3rd Edition (ebook) *OP*: A Day-to-Day Guide to a Healthy and Happy Pregnancy” by A. Christine Harris, Greg Stadler
from Pregnancy Journal, 3rd Edition (ebook) *OP*: A Day-to-Day Guide to a Healthy and Happy Pregnancy
by A. Christine Harris, Greg Stadler
Chronicle Books LLC, 2010

This so-called occiput anterior position is ideal for birth because your baby’s head is lined up to fit through your pelvis as easily and comfortably as possible, smallest head part first.

“What to Expect When You're Expecting 4th Edition” by Heidi Murkoff, Sharon Mazel
from What to Expect When You’re Expecting 4th Edition
by Heidi Murkoff, Sharon Mazel
Simon & Schuster UK, 2010

This stimulates the woman to lower her body from an upright kneeling position to an all-fours or a knee–chest position, moving her pelvis round the baby’s flexing head.

“Myles' Textbook for Midwives E-Book” by Jayne E. Marshall, Maureen D. Raynor
from Myles’ Textbook for Midwives E-Book
by Jayne E. Marshall, Maureen D. Raynor
Elsevier Health Sciences, 2020

edly across her abdomen in the direction the baby should rotate—from the side of her body where the baby’s back is to the other side.

“The Birth Partner: Everything You Need to Know to Help a Woman Through Childbirth” by Penny Simkin
from The Birth Partner: Everything You Need to Know to Help a Woman Through Childbirth
by Penny Simkin
Harvard Common Press, 2001

The baby should then be rotated to the sacrum anterior position, then another 45 degrees in the same direction to facilitate delivery of the other leg using the technique described for the first.

“Field Guide to Wilderness Medicine E-Book” by Paul S. Auerbach
from Field Guide to Wilderness Medicine E-Book
by Paul S. Auerbach
Elsevier Health Sciences, 2013

For doubled-up infants can also assume three positions: since either the legs and the head are at the orifice of the uterus, or the abdomen, or the hips.

“Soranus' Gynecology” by Soranus (Ephesius.), Owsei Temkin, Nicholson J. Eastman
from Soranus’ Gynecology
by Soranus (Ephesius.), Owsei Temkin, Nicholson J. Eastman
Johns Hopkins University Press, 1991

Sometimes the baby completes only a partial rotation, leaving a shoulder, an arm, or one or both feet positioned at the lower part of the cervix.

“HypnoBirthing, Fourth Edition: The breakthrough natural approach to safer, easier, more comfortable birthing The Mongan Method, 4th Edition” by Marie Mongan
from HypnoBirthing, Fourth Edition: The breakthrough natural approach to safer, easier, more comfortable birthing The Mongan Method, 4th Edition
by Marie Mongan
Health Communications Incorporated, 2015

If the baby’s head has not descended far into the birth canal, it may be possible to reach inside and tip the baby’s head into a flexed position.

“Spiritual Midwifery” by Ina May Gaskin
from Spiritual Midwifery
by Ina May Gaskin
Book Publishing Company, 2010

As explained above, the easiest position for delivery is when the foetus’ head is downwards with the face turned towards the mother’s spine.

“AYURVEDIC GARBHA SANSKAR: The Art and Science of Pregnancy” by Dr. Shri Balaji Tambe
from AYURVEDIC GARBHA SANSKAR: The Art and Science of Pregnancy
by Dr. Shri Balaji Tambe
Sakal Media Pvt. Ltd., 2020

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

View all posts

66 comments

Your email address will not be published. Required fields are marked *

  • Thank you so much for the video, I’m 39 weeks pregnant with baby 4 and I was told my baby is sunny side up, and I have false labor a lot since she been in this position, I’m on bedrest so I do spend a lot of time in recliner chair or in my bed prop on a lot of pillows, I also find it very uncomfortable now to sleep laying down or sleep on sides due to pelvic and hip pain, but now I deal with a lot of tail bone/lower back pain so I really don’t get much sleep.. it’s very uncomfortable for me to get on hands and knees because of the tail bone pain, but I will practice and keep trying

  • These are all awesome. I’m 33 weeks and dealing with a babe who likes doing somersaults… Every time I try to find baby’s head it’s in a different spot. LOL I turned my last one while in labor using the pelvic tilt.. Spinning babies is such a huge help. The ‘through the hole’ position has been helping my hip pain-I’m too short to sit in any of our chairs with my feet flat on the floor so I sit for awhile, use the birth ball as a chair for awhile… Probably every hour or so I’m changing positions because I’m hurting… Unless my 2 year old needs cuddled. Pro tip, don’t do forward leaning aversion with a toddler awake lol. Thanks for the video, somebody else explaining how to do some of these positions is always helpful.

  • Dear Bridget,

    I am not able to do the third one. My head is going full of blood, and it really hurts, it makes me dizzy and got a headache. Is there any chance to do something instead of this tip? I mean I will do the rest of it, but maybe there is any change I can make.
    thanks!:)

  • Hi Bridget. Thanks a ton for sharing these engagement techniques. Can you also pls share some techniques to help baby be in the optimal anterial position and prevent/change posterior position?

  • Hi Jessica, I just completed my 36 weeks? I know baby is in head down position but I dont know if it is in perfect posterior position though. Can i do this exercise now?

  • As always, loving the information.
    Buttttt I gotta know where you got this sweater! It’s adorable, do you have a link to where you bought it ��?

  • How Is that the postures with the head down helps? I don’t get It since the baby has to be engaged in the pelvis and in those positions they are actually going in the other direction.

  • I’m so glad I came across your channel…I’m 29 weeks pregnant and most recently I’ve been having pain on my left side from where the baby is laying and I did the forward leaning aversion and now the pain has went away! such a huge relief ����

  • I’m 33, and baby is OP. I sit at a desk, drive, and lay back so no wonder! I do have good posture but can see why bubs would be back on back. Starting these today:) I loved the pelvic tilt because I naturally have a curve and it was nice. Through the hole is hardest for me even pre bub, but I just try, and love an inversion, haven’t done any all pregnancy and so will do once a day. See how we go!

  • Hello! I’m pregnant with my 6th baby. Just 2 days ago baby was head down and my MW came over to check her and she moves into transverse. I’m 38 weeks pregnant. I’m doing forward leaning inversion 3x a day, pelvic rocks, ball exercise rotations, laying backwards on high pillows. But my question is how should I sleep? I feel baby moving a ton while I’m lying on my sides. I feel like this is when she moves. Thank you for your video!

  • More info on baby that flipped late only after labor started. Has otherwise been in correct position. Having this issue now! Baby decided to go back to back once labor started!

  • I am 35 going on 36 weeks and honestly the only comfortable position for me is lying out on my side, when I’m sitting my back hurts, my baby is all pressed in my ribs/lungs. I have pelvic pressure. I’m just getting really uncomfortable, the heat doesn’t help and neither does Covid keeping us bored at home having nothing to do. Need to pull my ball out and just sit or lie on that

  • I do have a question about the forward leaning inversion, how does it get the baby to descend into the pelvis more? Wouldn’t the baby end up going back in towards the ribs? That’s the problem I’m having with my son he’s not fully descended into my pelvis yet, and being past his due date by a day now but 70 if not 80% effaced now just found that out td at my drs appt been 1cm for the last 2 weeks and 2 days now, and 50% -3 effaced for a week.

  • thank you! can’t wait to give these a try as my baby is currently head up��. how do you know once they’ve flipped? can you feel it??

  • Sitting straight gives me really bad shoulder pain:( if i don’t sit on incline my back starts hurting a lot and then it doesn’t stop hurting for hours. Is it ok if I sit leaned back? I’m doing the rest of these though and don’t find them difficult

  • I loove the pelvic tilt, I was actually doing it intuitively before I knew that one was a great position and now my baby is engaged.:)

  • Jessica, first I found relief with your sciatica video, then I find you were a fellow ICP sufferer and now you have posted a breech baby video, I am currently in the hospital being monitored for my ICP so we can push our delivery date to 36 weeks and my baby is breech! It’s like you are my pregnancy saint! I have snuck in a chrome cast into the hospital and will be doing this video in my hospital room. Thank you!!! ❤️❤️❤️

  • Great info but a pregnant woman will need to move MUCH slower than how it’s depicted in this video and also I think it’s important to demonstrate the need of a support person or a sturdy table/chair nearby to assist. Also it’s important to note that women with high blood pressure, glaucoma, or injuries to their shoulders, neck, and back should not do a forward leaning inversion.

  • This might be a silly question, but are any large chested mamas having a hard time leaning on the birth ball? It’s really hurting my boobs! Any better way to do this?

  • Thank you so much for this… I’d like to say I’m not too upset over how my sons labor and delivery turned out (because it gave me him healthy and happy and I recovered just fine) but the more I learn the more I am.. I labored for almost 40 hours (all at the hospital) I had back labor the whole time and they had a hard time finding baby’s heartbeat and keeping it probably due to his positioning, and I ended up with internal monitoring. I sat at 8 cm for 6 hours and ultimately resulted in a csection because my water had been broken for 17 hours.. this was done without my consent (kinda hard to explain the scenario but the nurse that was in the room was not happy either with how the OB did it and mentioned it to one of their bosses) woke me up from sleep and broke my water when I was 2 cm, I felt I didn’t have a choice and after I cried because I didn’t want it done yet and my boyfriend had just left to run home to grab some stuff so I was alone and things got very intense (we went to the hospital and didn’t expect we would stay..). Come to find out he was sunny side up and he was just a big baby. I wish that one of the many OB’s and nurses that were constantly checking me would have noticed and suggesting we take measures to try to get him to flip. I believe without the back labor I would have been able to birth him unmediated (like I wanted) and if he was flipped I feel my labor would have been shortened and I would have been able to have him vaginally. In my second pregnancy I plan to completely change my birth team (even though I love my OB, she’s just not guaranteed at the birth unless she’s on call or I do a scheduled cesarean) and really take control of my birthing experience. I will be under a midwifes care, I’ll have a doula, and I’m aiming for a water hbac. ���� doing all the research I can prior to us TTC.

  • Omg my first baby came out sunny side up and I had a horrible labor, ended up with the epidural I have been searching for why it was so difficult but it makes so much sense. I don’t have the best posture so I will definitely be working on that this time around!!

  • Hello Bridget thank you for you videos all are really helpful. I want to ask you from which week can i start these positions? Iam 21 weeks now

  • Seriously though….does this work?
    Im 39 weeks pregnant with an OP baby and have been doing this exercise multiple times a day. You stated it takes 5 minutes to turn the baby when you’re not yet in labor. Im seriously tired. My due date is in a few days.

  • Im nearly 29 weeks, i know my baby is not the right way round because of where she kicks me so I’m going to try these and see what halpens at my 32 week scan, I have high hope that it will work! In Sha Allah

  • This is totally off topic but I m 31 weeks pregnant and my heart is racing like crazy while resting. Is it normal? does anyone else has the same experience? My doctor said it’s normal without checking me up or anything. also my blood pressure keeps dropping when I stand awhile:( also my baby is still in the wrong position…. it’s being really tough.

  • Hi Bridget, thanks for the tips and resources. I am 25 weeks today but will start doing some of these exercises soon. What specific size do you recommend for the birth ball?

  • I definitely cannot lie down flat on my back for Through the hole, without terrible pain in my low back and lower. Darn it. I could hardly put one leg over the other. 32 wks here.

  • My baby was sunny side up. I was in labor for 12 hours and it was my first pregnancy. The doctor was extremely impatient. I wanted to continue pushing and he wanted to use the vacuum. I said I’d rather push and he said, “ugh, you’ll be in labor longer” I pushed another 5 minutes and he was out. His face was really bruised up, so much so that we thought his nose was broken. No one ever told me he was in that position until he was already out.

  • Hi. I had c section before 5 years ago on the purpose of narrow area of my lower bone.. In my country normal delivery is discourage than c section. I want normal delivery. If my bones are really narrow then is there any way to prepare myself for normal delivery? Please if there is way.. Help me, i am pregnant, 4 months

  • Does this really work?? I’m 38w 2d
    And I’m supposed to be induced at 39 weeks for my TOLAC but I’m not dilated AT ALL, still! the nurse practitioner said baby’s head is behind the cervix although I’ve been doing birthing ball exercises, walking up and down stairs etc. I even use one of your birthing ball inducing exercise videos! I’m trying to avoid c section/ medical induction! Will this be effective so she gets engaged in order to dilate my cervix?

  • Awesome videos! I love these positions but I would not recommend a pregnant mama lie on her back after 20 weeks. You can do the “through the hole” stretch sitting on a chair as well. This will prevent the weight of the baby from pressing into the spine and arteries.

  • I want to try for a vbac so I’m trying to avoid another c-section first one was an emergency. I don’t want the second one to be because baby is breech ����

  • i am 37 weeks and scheduled to be induced at 39 weeks, baby is still posterior. could this video help rotate baby in time or am i too close to my due date?

  • I’m 31 weeks 5 days I sit on birthing ball most of the times as I feel that keeps my spine erect
    Hoping she goes head down soon ����

  • My first two boys were posterior. My second turned during labour. This is my third boy and he seems to be in the same position. I have made sure that I am leaning forward and on my knees and hands but these boys seem to like being in that position.

  • I read on spinning babies that bridge or any forward leaning inversions can cause a perfectly positioned baby to mal position. Is that true? Or mostly carry caution toward end of third trimester?

    I have no Idea what position my baby is in. I think he’s been head down since 28 weeks, but he rolls a bunch.

  • I’ve been doing through the hole, pelvic tilt, forward leaning and another one from spinning babies called side-laying release consistently for about a month now. I was waiting to reach 30w to start leaning forward inversion. Nothing has worked so far and baby’s still breech ��. I know there’s still time but I want to make sure I’m helping it as much as possible.

  • Hey! I’m mama to be, and your video is really very helpful! Can i do the 4th position on my bed or couch instead of floor? I’m asking because I’ve severe hip joint pain due to belly weight although it’s a single baby in my belly! Do tell me

  • No one brings up the fact that head down isn’t the only position that matters! My son has been pushing his spine against mine and it is so painful at times… this has been immensely helpful in helping cope and hopefully if I keep them up he will spin backnaround for birth ��

  • 39 weeks and have been practicing these techniques for a while. Baby has been head down at last 3 appointments! Hoping she engages soon.

  • I gave birth to my second son sunny side up and it wasn’t that painful in comparison to my first who came out facing my bottom looking like predator due to the collapsed head

  • Thank you! My baby is posterior at 40 weeks and I’ve already entered early labor, but my contractions aren’t moving her. Just one time of doing this and I already feel different. Going to keep doing these exercises until she makes her big debut (hopefully without assistance). Thank you again! ����

  • 38weeks and 6days here, was doing the forward leaning exercise to flip my sunny side up baby and I felt this gush of water coming out of me, I don’t know if it’s my water that broke or I peed on myself, will see if I go into labour, fingers crossed!!

  • Thank you for posting a video for babies that are not in ideal positions! My baby is still in an awkward “V” position after several weeks of trying to get him in the proper position.

  • I think that was awesome! Wish you would teach that at koocam. I would definitely pay to learn that from u to get more suitable tips

  • i am italian, i did the exercises without no problem.:) thanks i will tell you if they works i am at 32 ewwks now. sorry for my english:)

  • I didn’t even know my baby was op position until after I was in labor. I labor for hours at home and then another 24 hours in the hospital. Back pain was what made me get the epidural. Second baby perfect position labored at home not even painful in comparison, baby was born 10min after arriving at the hospital. No epidural! OP position is no joke! Wish I had known sooner and tried those tricks! Thanks for the info!

  • This might be a silly question but if baby is already head down should I still do the forward leaning inversion? I would hate for him to flip to head up.

  • I’m 31 weeks in a couple days and have been torn my baby boy is transverse lieing (laying across my body) and have been told to look into exercises to help bring his head down. Hoping your video will help as I am only having this baby and really want to experience natural labour ��

  • Can you talk about pregnant dental workers? Their posture while doing dentistry is awful and the job is so exhausting… I do not know how do pregnant dentist even work during pregnancy ☹

  • just found out today that baby’s position is LOP, 39 weeker and a first time mom. this can help too right? Im stuck with 1-2cm since November 9.

  • I’m 40 weeks today and baby is sunny side up. My doctor wants to induce me but I’m worried because of the position he is right now. I’m definitely going to doing a lot more hands and knees and hopefully get him to turn

  • Thanks a lot. I’m 33 weeks and trying for a vbac. My last one was a posterior because of which he did not rotate and engage.. ending up in a csection. Any other positions or exercises you could suggest for left occiput anterior baby? Thanks

  • I was already partially doing “through the hole” because my hips have felt so stiff and i was trying to crack them lol I didn’t know it was actually helping anything else

  • I am 36 week 4 days and scheduled to induce on 38 weeks exactly. Baby is in posterior. Will this exercise help to move baby within this timeperiod?

  • I’m 38 weeks pregnant and my baby just turned sunny side up. Thank you for this and I hope I can get him to turn before he’s born.

  • Currently 36 weeks and baby isn’t in head down position for birth. Really hoping she Gets down there on here own. I am hoping to avoid a c-section

  • I’m 30 weeks pregnant and nearly positive my baby is OP. I’ve been doing hands & knees at least 20 minutes everyday for over a week. Is there anything else I can do to encourage baby to rotate? My last pregnancy ended in a c-section, likely due to baby being OP and I would love to avoid a repeat!

  • I want to thank you from the bottom of my heart. I love how explanatory you are. All the information is so precious. You took my fears away. First pregnancy 29 weeks and counting…
    P. s. Sorry for my English it s not my first language.

  • Hi there, your videos are very informative especially this one. I had my 2nd ultrasound last week and found out baby is still positioned in posterior. I’m wondering if I could do this as early as 27 weeks pregnant? If yes, how long each day? Thanks a lot. ����

  • Jessica thank you for the amazing video, hopefully this could help me. My baby now is in breech position. Now I am 31 weeks, honestly frustrating and panic.

  • ^Silly Question: Can the forward leaning on birth ball cause stretch marks? (Due to weight of baby being all belly down? I began doing some of the stretches with the birth ball in your channel, I’m 35 weeks and didn’t have any stretch marks until I began doing those stretches/workouts, or maybe they were just coming? I developed them right underneath the belly button.

  • Hai man
    A small doubt
    Am 39 weeks and 1 day…yesterday I went for my check up…Doctor told it’s posterior occiput..can I do the exercise from today for 2times until my EDD…it is safe to do at 39 weeks

  • Hi Bridget, quick? What size did you get for the birthing ball? I’m 5’1 and was wondering since I have many sizes to choose from.

  • I hope you stupid mothers all worried about optics.

    Let me tell you as a survivor of a stupid mother who did not care how my posture would be.

    ALL YOU MOTHERS THINKING OH I USE AN EXERCISE BALL
    YOU STUPID MOTHERS I SUFFERED ALL MY LIFE BECAUSE MY MOTHER DID NOT CARE WHAT MY POSTURE MUSCLES WERE TONED

  • I’m 37+4, they told me my baby is sunny side up. If I do this a few times a day for 10-20 minutes she should flip before I go into labor right?