Turning an OP Baby: Spinning Babies Techniques for Optimal Fetal Positioning

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Turning an OP Baby: Spinning Babies Techniques for Optimal Fetal Positioning

When your baby is in the occiput posterior (OP) position, labor may take longer and feel more intense due to back labor or inefficient contractions. The OP position, where the baby's back is aligned with the mother's back, can make it harder for the baby to navigate the pelvis. Fortunately, Spinning Babies offers evidence-based techniques to encourage your baby to rotate into the optimal position for birth—occiput anterior (OA).

Here are some key techniques recommended by Spinning Babies to help turn an OP baby:

1. The Forward-Leaning Inversion

This technique helps to create room in the lower uterine segment, encouraging the baby to move into a more favorable position. To perform:

  • Kneel on the edge of a sturdy surface (like a couch).
  • Slowly lower your hands to the floor, keeping your knees on the surface and your hips higher than your head.
  • Hold the position for 30 seconds to a minute, then carefully return to an upright position.

Doing this 1-3 times daily during pregnancy can help reposition the baby, particularly if repeated over several days.



2. Pelvic Tilts and Rocking

Gentle pelvic tilts and rocking movements help create mobility in the pelvis, encouraging the baby to adjust their position naturally. Try doing these while on hands and knees:

  • Arch your back upwards like a cat, then relax into a neutral position.
  • Gently sway your hips side to side or make circular motions.

This movement not only helps with positioning but also alleviates discomfort in late pregnancy.


3. Sidelying Release

This technique relaxes the ligaments and muscles around the pelvis, allowing more space for the baby to rotate. For this method:

  • Lie on your side with the upper leg hanging forward off a bed or couch.
  • Your partner or support person can gently support your torso as you let your body relax.
  • Spend 3-5 minutes on each side.


4. Dip the Hip

“Dip the Hip” is a creative and effective way to help the baby navigate the pelvis. It involves tilting your hips side to side in a semi-upright or hands-and-knees position. This technique encourages gentle rotation and movement.

This video link is about 10 minutes long but it gives my favorite explanation and visual of the Dip the Hip exercise which is often not done deep enough. 


https://www.youtube.com/watch?v=INY5i7kAK2A

5. Daily Movement and Upright Positions

Keeping active with walking, yoga, and upright sitting postures during late pregnancy can promote optimal fetal positioning. Use a birth ball to sit upright and lean forward, avoiding reclined positions for extended periods.

6. Abdominal Lifting and Tucking

Using a scarf or rebozo to lift and gently "tuck" your belly during contractions can encourage engagement of the baby’s head and rotation into an anterior position. Ensure that your movements are comfortable and not causing strain.

Why Baby’s Position Matters

Having a baby in the OA position before labor begins can reduce the likelihood of interventions, including epidurals, forceps, or cesarean deliveries. These techniques, especially when practiced early and consistently, are proactive steps to encourage the baby’s rotation and alignment.

Always consult with your healthcare provider before trying new techniques to ensure they are safe for your specific situation. For more detailed instructions and visual demonstrations, visit Spinning Babies’ website.

Partnering with Dogwood Doula Birth Services

At Dogwood Doula, we’re here to support your pregnancy journey with personalized guidance and hands-on techniques, including Spinning Babies methods. Let’s work together to make your labor and delivery experience empowering and positive. Learn more about our services on our Linktree or connect with us on Facebook for updates and tips!

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