In general, dearth of engagement would be one of the most common problems for the women who labor but their kids are still high in the pelvic bones. Therefore, understanding some possible symptoms and methods of baby head engaging would be helpful when you are going to delivering. Some of them are difficult and several of them are simple to do. But when you have done, your labor would be highly likely to progress and even finish quickly without excruciating pain as before the engagement.

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What if you kid does not engage?

  • Early delivery would go without stopping
  • Labor does not start even from 41.5 to 42 weeks (an engaging kid usually begins labor in about 24 hours or less)
  • Infrequent contraction does not become strong enough to turn to active delivery although you could have a strong feeling and this happens for hours or even days
  • Contractions might be also highly grinding and strong at the pubis
  • Contraction is not a suitable factor to predict
  • The forehead of your kid might felt resting at top of the pubis as a minor ledge

How to help you kid engage in labor?

We will pay attention to the engagement if your kid was high or the delivery did not progress after a couple hours of frequent contractions. In addition, the following techniques would also be used if the early delivery felt strong:

  • One of the best method throughout contractions would be taking the lift of abdomen for 10 consecutive contractions.
  • Sit on a solid ball for birthing and then do quite quick rapid hip circle or hoola hoop, particularly when contractions do not happen. Another choice if you do not have a ball is to dip your hip.
  • Open your pelvic brim, which is just effective throughout the contraction.
  • Stretch with open knee in the birthing pool.

In addition, you need to help your kid rotate to the OA, LOA and LOT positions of fetus so that his or her head would fit more freely, thereby helping the kid to tuck the chin with circles on the ball for birthing and the abdominal lifts .

What are some common symptoms of baby head engaging in labor?

Once your kid starts engaging, which is probably because he or she rotates and drops to the pelvic bones, then the delivering usually seems to stop suddenly. In this situation, that is not a problem at all as the womb is having a break. And the mother could take a rest too on condition that the vital signs of your kid are good.

The labor would pick up when the womb is taking a rest and you are sleeping. In addition, the contractions would be easier to manage and it would not as painful as the initial period. Everything would be more manageable one the chin of your kid is tucked and his or her head would fit in the pelvic bones better.

Why would happen when your kid is engaged?

In general, once your kid gets engaged, the contraction would turn to rather quite long, strong and painful. This state of discomfort is simply because the womb is attempting to move your kid through a narrow or closed brim so that he or she truly need to look for the brim for getting to it.

Once the process of baby head engaging starts, which is possibly because your kid rotates and drops to the pelvic bones, then the delivering usually seems to end suddenly. In these cases, that is not a problem at all as the womb is taking a rest. And the mother could take a rest too on condition that the vital signs of your kid are good.

The labor would pick up when the womb is taking a rest and you are sleeping. In addition, the contractions would be easier to manage and it would not as painful as the initial period. Everything would be more manageable one the chin of your kid is tucked and his or her head would fit in the pelvic bones better.

Possible issues after engagement due to not optimal position of head

Sometimes, you kid could be get stalled at another area of the pelvic bones.

If your kid has dropped but his or chin still stays up, although when the kid is moving down, it would take a long time for the labor, depending on the shape of pelvis. Then we might need to open the outlet or middle pelvis.

Another great method to help you kid when the labor stalls is the lunge. For example, pressing your hip or rotating the femur internally would deflate a birthing ball.If your kid drops but his or her head is still tilted, as though the kid is paying attention to the outside, then the delivery would be long.

Conclusion

In general, you kid would engage with the pelvis naturally when the brim is open enough and broad ligaments are soft enough. Tucking the fetal chin and moving down from the left part of the mother would help your kid fit in the inlet better.

In fact, most of us often expect for rotation and flexion before baby head engaging. This is especially essential once your kid is in high position in 38 weeks.

Before working on descent and rotation, remember to dealt with balance first. This activity would make the following stage of labor easier.

Nancy D. Richardson

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