Practice Quiz

Doula

Category - Labor & Birth

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All of the following make "back labor" take longer EXCEPT:
  1. A baby needs additional time to rotate into an occiput anterior position.
  2. Contractions are not as effective if the baby is malpositioned.
  3. Pushing takes longer if the baby is still malpositioned at the beginning of second stage.
  4. A baby cannot be born in an occiput posterior position.
Explanation
Answer: D - Sometimes caused by baby being in an occiput posterior position, "back labor" is typically longer and more painful. Because a baby needs to make a full circle rotation, and contractions are somewhat irregular because of baby's positioning, the process tends to take longer than if the baby is in an occiput anterior position at the onset of labor. If the baby does not rotate, he or she can still safely be born in the posterior position, but pushing may take longer and will likely be more painful.
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