![]() Expulsion: After external rotation (restitution), the top shoulder is delivered under the mother’s pubic bone followed by the bottom shoulder, and then the rest of the baby’s body can be delivered with an upward movement by the healthcare professional.This movement is also known as restitution. The birth canal is a curved cylinder the head must. The positions are usually designated as engagement, flexion, descent, internal rotation, extension, external rotation or restitution, and expulsion. External Rotation/Restitution: Once the baby’s head is born, the baby must rotate from facing head down to either right or left to fit the shoulders around and under the mother’s pubic arch. cardinal movements of labor: the typical sequence of positions assumed by the fetus as it descends through the pelvis during labor and delivery.The baby’s head, face, and chin appear outside the mother. The baby’s head must extend back to accommodate the upward curvature of the birth canal. The 5 Ps of laborPassenger, Passageway, Powers, Position, and Psycheare essential factors that contribute to a healthy and happy birthing process. ![]() The first thing that must happen for the baby to navigate the birth path is they have to get into it. Restitution (or external rotation) Expulsion. Rotation (sometimes called internal rotation) Extension.
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