About the only time you will see a healthy grand multip at risk is if she
has overstretched uterine muscles ("pendulous abdomen"). This will keep the
baby from engaging, resulting in danger of uterine prolapse, back pain and
lack of progress because the baby isn't engaged or aimed at the exit. Use a
"prenatal cradle" during pregnancy and have the mother labor lying down or
with a "belly wrap" to help the baby stay vertical.
-Rahima Baldwin Dancy, CPM in Midwifery Today Issue 40
Reprinted from Midwifery Today E-News (Vol 2 Issue 10 March 10, 2000)
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