In reference to a question asked about deep squatting in late pregnancy and
its effect on baby's position:
This is not something I have heard but it seems to make good sense. I think
it could be something that I would think about with posterior babies who
have not engaged and talk to this baby's mother about. Don't encourage the
baby into the pelvis in a posterior position.
-Sally Westbury
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Deep squatting can cause fetal compromise in an OP baby. One way to show
this, if necessary, is to monitor the baby's heart rate before and during a
squat. When the baby is OP, the heart rate drops. Conversely, this is an
indication of OP.
-Beth Germano
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I have never known of a deep squat with an OP baby to cause fetal
compromise. However, an OP baby's heart rate will often decelerate
temporarily when it's rotating. This brief deceleration does not cause
fetal distress. Maybe the contributor heard decelerations with an OP baby
in a deep squat because the baby was rotating, or trying to. Of course
every labor must be treated individually. In a baby who is OP and also not
fitting well, it might have fhr decelerations when it tries to rotate in a
deep squat. Keeping up with the position without progress could of course
lead to fetal distress; any deceleration will if it is persistent, not
temporary.
-Marion Toepke McLean
Reprinted from Midwifery Today E-News (Vol 2 Issue 6 February 11, 2000)
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