Posterior?!? WHAT?!?

I just received a copy of the hospital records for my induction, labor, and birth of Constantine. Turns out that the little brat did come out posterior. How come nobody told me this? Do they not realize that birthing a 9 lb 5 oz posterior baby vaginally makes for some serious bragging rights, and that this is the female equivalent of bragging about penis size?

I’ve modified all past posts to reflect this.

Anyways, here’s some interesting notes from my records:

  • They had thought he was in occiput anterior position with a “compound presentation” (hand, arm, or foot by his head). It wasn’t until after he was out that they realized he was “direct occiput posterior.”
  • The vacuum was applied when he was at a +5 station. I almost had that little troll out on my own. I’m betting I would have delivered with an intact perineum if he hadn’t been posterior or if I’d had more time to push, but they wanted to vacuum him out due to decelerations into the 70s.
  • It took three pulls and one pop-off to get him out with the vacuum.
  • My bishop’s score on the morning of induction was 3-4. The initial examination by my hot doctor found that I was dilated to 1.5, posterior (cervical position), firm, 50% effaced, and -3 station. His attending’s exam a few hours later bumped me up to a 2 and 60% effaced, but still a -3 station. A bishop’s score of less than 5 means that the induction is likely to fail, so I think I was right to fear going through with the induction.
  • One note says “will offer pudendal block.” Not sure why they decided against trying to talk me into that, but they never mentioned it. I would have declined.
  • The plan was definitely to start me on magnesium sulfate during the active phase of labor. Not sure why they decided against it (maybe because I blitzed from a 3 to a 7 in two hours and they realized things were moving fast enough that I wouldn’t need it?).
  • These records say “oligohydramnios” all over them. That just annoys me. I was a 6.3! That was normal. Low end of normal is still normal. Grrr.

I’m glad that I pulled a copy of these for my records. I’ll have to ask Sark some questions about my delivery next time I see him.

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Categories: Interventions, Labor & Delivery | 2 Comments

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2 thoughts on “Posterior?!? WHAT?!?

  1. pregorealdeal

    I agree with the bragging right of delivering a posterior child. You have way more bragging rights since you had a 9 pounder and mine was just shy of 8. My sister kept telling me I was being a wuss and that all labor is hard… Then she had a posterior with her 2nd child. She took back every last word. It sucks and it is exhausting.

  2. pregorealdeal ~ So sorry I didn’t notice your comment in moderation for two weeks. Welcome to the blog!

    And yeah, I playfully scolded my doctor for not telling me he was posterior from the get-go. That’s a big thing! πŸ™‚

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