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Birth Presentations and Delivery

A Guide for Baby's Arrival

By Carma Haley Shoemaker

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"I wasn't aware of my daughter's malpresentation until right at delivery," says Kyle Looby, a homemaker and writer from Springfield, Ill. It was as she was crowning that the doctor slowed everything down and told me she was face-up – a face presentation. The doctor then told me to pant while he tried to turn her manually. Her malpresentation slowed down delivery considerably. My daughter came out with only a couple of bruises around her nose. The doctor told me that would go away within a few days. Other than that, she was perfect."

During pregnancy, babies will move, flip, kick and rotate quite often. It is not unusual for a baby to change position an average of four times during a normal pregnancy. Mothers who fear a malpresentation should discuss with their doctors what options are available. "Most babies will maintain whatever position they are in for the birthing process by 34 weeks," Dr. Michael says. "Expectant mothers can simply ask their doctor about any concerns they may have to ease their mind and have information as to what to expect. As malpresentations are still quite rare, it's safe to say that babies seem to know how to make their own grand entrance all on their own."

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