OMP Guide to Labor Progress: Outlet Pelvis

OMP guide to labor progress: outlet pelvis

1. Where is this baby & what is this baby trying to do?

   Outlet Pelvis & Extension; External Rotation; Expulsion

2. Is there a road block?

   If you suspect that labor is not progressing normally or you suspect malpositioning and/or malpresentation, please proceed to OMP Reversing Protocols. If not, please proceed to the next step of the OMP Guide to Labor Progress.

3. Has the labouring mother used any OMP Pelvic Alignment Protocols to align her pelvis to increase pelvic mobility?

   If no, proceed to 'OMP Pelvic Alignment Protocols'

   If yes, proceed to step (4)

   She can use the entire sequence of OMP Pelvic Alignment Protocols from 1.1 to 1.6 and it is important to use the protocols in-between and during contractions for at least 3 contractions with each protocol.

   If the mother is not able to do the full sequence of the OMP Pelvic Alignment Protocols from 1.1 to 1.6 and/or if the birth partner or professional is intentional in utilizing a specific OMP Pelvic Alignment Protocol for a specific issue, they can go ‘straight into action’ instead of going through the entire sequence.

4. Has the labouring mother used any OMP Active Birth Positions and/or OMP Pelvic Mobility Protocols to CHANGE THE ORIENTATION of the pelvic openings?

   If no, proceed to:

   • OMP Active Birth Positions

   • OMP Pelvic Mobility Protocol: 2.0 Pelvic Transitions

   • Kabyle Position

   If yes, proceed to step (5)

5. Has the labouring mother used any OMP Active Birth Positions and/or OMP Pelvic Mobility Protocols and/orOMP Comfort Measures to MODIFY the pelvic openings?

   1. If no, proceed to:

      • OMP Active Birth Positions

      • OMP Pelvic Mobility Protocol: 2.1 Pelvic Tilts

      • OMP Pelvic Mobility Protocol: 2.2 Hip Flexion of the Femur

      • OMP Pelvic Mobility Protocol: 2.3 Asymmetry of the Femur

      • OMP Pelvic Mobility Protocol: 2.4 Internal Rotation of the Femur

      • Arch Back Squat Lunge

      • Duck Walk

      • OMP Comfort Measures: 3.2 Top of Sacrum

      • OMP Comfort Measures: 3.3 Front of Tubercles

      • OMP Comfort Measures: 3.4 Top of Tubercles

      • OMP Comfort Measures: 3.5 Bottom of Sitz Bones

      If yes and labour is still not progressing, repeat steps (2) to (5).

By the time the mother is at (3) onwards, you will find that whilst all these exercises are very comfortable and manageable during pregnancy, its relatively uncomfortable when utilised during labor and birth, so often steps (3), (4) and (5) are not done in a linear fashion, and are inter-exchangeable instead, depending on what the mother is able to do.

It is important to note that when using (3), (4) and (5) during labor and birth, that these have to be done during contractions in order for it to be effective and used for 5-10 consecutive contractions to ensure they are enabling labor to progress.