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Childbirth

Share experiences and get support around labour, birth and recovery.

Anyone else had an Occipito Transverse birth?

6 replies

Lovethesea · 24/04/2010 14:24

Just curious really as I am still working through my last birth.

DD was OT - so head engaged side on and totally unable to turn. Mw erred and thought she was in a good position so ignored my distress until DD got very distressed after 11 hours (4+ second stage the last while with no pain relief as mw thought it would 'help me focus'. I was too exhausted to scream.)

Emergency forceps in theatre while prepped for c-section. Forceps got her out with a lot of damage to me. DD thankfully fine despite major decelerations and low oxygen and fresh meconium.

I don't think it is that common a position? I know a lot are OP but anyone else had OT?

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moaningminniewhingesagain · 25/04/2010 09:43

DS was found to be OT when he was born by CS after 2.5 day latent labour and 8 hrs active labour.

I failed to progress and refused an epidural (and ARM) and asked for CS as it was a VBAC, and while I didn't know he was OT, I did know he was badly positioned with a big gap down one side of his head when they did a VE.(I only knew this because I asked specifically though, they didn't offer that info)

My first was a crash CS under GA for brow/fetal compromise/meconium so when I knew he was malpositioned I refused intervention and went for CS because I knew it was Not Good and wanted to avoid a repeat crash section.

He was mildly distressed at birth on cord blood but fine.

I got the notes from both my births and found it really useful/interesting. First time I had an IM go through them with me because it had been so traumatic and found that really helpful- I really wanted to know what could have been avoided/if it could have turned out differently.

Lovethesea · 25/04/2010 11:51

It's interesting that you had OT/malpresentation both times. I wonder if there is something about my shape internally, or how I naturally carry babies, that would make it happen again for me - hence the elcs removing that unknown for one thing.

I've been told no reason why a vb wouldn't be fine but my gut feeling is it wouldn't be straightforward and I just can't face another huge recovery and more longterm damage I might avoid with the elcs.

DD's distress also scares me - she was lucky to have no longterm issues and I'd hate to presume this bean will be as lucky if I tried for a vb.

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moaningminniewhingesagain · 25/04/2010 13:02

Yes, interesting it was ! I concluded that I possibly have what is technically known as a duff pelvis

The first time was awful, I was so shocked by how it all turned out. Second time, I was very prepared so that I would make sure it didn't happen again. Incidentally I asked for ELCS for 2nd baby but they were very reluctant.

I would have ELCS if there is a third, as I just seem to be crap at birth. Annoying really, as I am quite good at being pregnant!

Highlander · 25/04/2010 13:22

ds1 was oblique, ds2 was t/s and breech

Lovethesea · 25/04/2010 15:33

I'm quite good at being pregnant too! No morning sickness, very tired but otherwise usually no big dramas and low blood pressure which always calms the medics down too.

I think they would have been reluctant for an elcs except for my ongoing bladder issues. Hard for them to argue that squeezing another baby through the pelvic floor with the risk of tears and/or forceps wouldn't worsen the prognosis.

I think there is a pelvic condition that makes OT more likely, but since pelvises change so much when pregnant its apparantly hard to see until, I suppose, a run of OT babies makes it look probable!

It's so relaxing to go for checkups and to feel Bean moving about and not care a hoot about what position he is wriggling into. My big ggggrrrrrrrrrrr is that I told them a week before I went into labour with DD that I felt her move into a new and weird position. Everyone just kept saying she's move with contractions and was head down so there was no problem.

I think it was being a first timer - no one thinks your gut instinct is worth anything until you've had about 6 kids.

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Poppet45 · 09/05/2010 15:22

Sorry to barge in on the conversation but I've just got my notes back, and after racking my brains out for months trying to work out how DS apparently turned transverse/oblique in the second stage, I've now discovered that they recorded it wrong and in my original notes from the c/s surgeon DS was described as occipito transverse. It makes so much more sense for me now, although I worry about whether I too have a duff pelvis as LOT is a sign of big babies getting stuck, but it is also a sign of poor pushing.... so am feeling like it might have been my fault after all, however I've looked at my notes and although I remember being told constantly I was crap at pushing - apparently I improved after the first 15 or so minutes. Am starting to think he had deep transverse arrest. I've also finally found out how long he was at birth - also incorrectly recorded on my discharge sheet (where they put his head circumference down twice!) he was 55cm so in the 98th centile for boys for length. Maybe that has something to do with him getting stuck too. Anyone know of any LOT births that had a normal second labour hopeful emoticon Am nervous as most second bubbas are bigger but one day I would so like to not cock it up next time.

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