Medically reviewed by Valinda Riggins Nwadike, MD, MPH — written by Kimberly Knisley on February 28, 2020

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Sunny next up sounds strongly cheerful, conjuring photos of bright morning breakfasts and summer days. But hearing the the baby you are carrying is positioned because that a clear side up shipment is much less cheerful.

Looking for info brings up story of induction, intense back labor, and perineal tearing. Unexpectedly sunny next up no seem quite so happy.

But no to fear, just 5 to 8 percent of all births room sunny next up. While her baby may not be ideally positioned for birth there is lot of you can do to prepare because that — and also possibly also avoid — any kind of issues.


What does it average if infant is ‘sunny side up’?

Also known as the occiput posterior position (OP), or posterior position, a sunny side up baby is a infant positioned head down but facing mom’s abdomen, therefore the baby’s occipital bone (the skull) is against the back of your pelvis.

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Because a infant birthed vaginally in this place enters the world facing up, the term “sunny next up” is often applied to these deliveries.

After 34 mainly of pregnancy, your prenatal care will incorporate your health care practitioner, doctor, or midwife check the position of her baby. They’ll frequently estimate the position by merely feeling the external of her belly, but the many accurate and also reliable method to determine the baby’s place is v an ultrasound.

At some point, they might tell you the your baby is in this position.

What around this place makes it less desirable?

In the sunny side increase position, the baby’s earlier is expanded along mom’s spine and also baby’s chin is lifted, make the head seem bigger as that enters the pelvis versus if the infant is in the anterior position. (The head one measures larger from the ago than it does native the front).

If you find out that her baby is in this position, take it a deep breath. It will certainly be okay! You deserve to still have an entirely successful vaginal delivery, despite the extr strain a face-up position might bring.

Also, keep in mind, while numerous women space told your near-term babies space in this position, many babies naturally move into the preferred anterior position before delivery.


There are numerous positions that your baby may be in end the course of your pregnancy.

Anterior

The finest position for shipment is occiput anterior (OA), or “face-down.” This is likewise referred to as cephalic presentation. This is once baby is in a head-down position and also the body is facing mom’s back. In this position, the is much easier for the baby’s earlier to curl and chin come tuck as it travels with the pelvis.

Breech

If the infant is situated head-up in the mom uterus, feet aimed to enter the pelvis first, this is referred to as the breech position. Most babies turn to head down normally by 34 weeks.

But if the infant hasn’t rotate by 36 main (when there is tiny to no room left to wiggle around), your healthcare provider will want to comment on the options for turning the baby and also for delivery.

Transverse lie

Extremely rarely and additionally known together the sideways or shoulder position, as soon as the baby is transverse lie, he or she is laying horizontally (crosswise) in the uterus.

This method the baby’s shoulder may go into the pelvis first, leading to the baby to potentially sustain much more birth trauma. If an examination finds that your infant is tho in this place by 38 weeks, your physician or midwife will discuss the delivery options accessible for you.


As with every little thing in life, job comes through some risks. The sunny side up, or posterior position, puts baby’s head where it is an ext likely to gain wedged versus the pubic bone.

When this happens, pressure is put on your spine and also sacrum and can cause a much longer and more painful delivery.

The potential complications of a sunny side up shipment include:

prolonged labor and also deliverysevere perineal tearingincreased danger for helped vaginal distribution (forceps or vacuum)less engagement from baby throughout pushing stagelonger neonatal continue to be (admission come NICU) in the hospital

If too lot strain is placed on friend or her baby during labor, your health care practitioner, doctor, or midwife will decide if an aided vaginal shipment or cesarean distribution is necessary.

If she nearing complete term and your infant is in the occiput posterior position, try not come stress. The human body is capable of numerous things. Perform spend part time stating the potential risks for both you and also your infant in detail with your health care provider prior to agreeing to any procedure.


Pay fist to her body. Your anatomical structure, your posture, and also your level of task all play vital role in how you progress through labor and delivery.

First-time mothers and women with an android pelvis (a small pelvic canal) are more likely to have actually a clear side up baby. While you can’t adjust your pelvic shape, you can be aware of possible challenges and also discuss options with her doctor.

Likely come be present in higher women, an android shame pelvis has a heart-shaped or triangle inlet, which have the right to make childbirth an ext difficult. Unlike women v a gynaecoid pelvis (optimal pelvic form for having actually babies), women v an android pelvis frequently have to push harder, move around more, and may encounter an ext labor and delivery difficulties.

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Good posture additionally plays is a an essential role in how the baby’s position presents at the time of labor and delivery.

Staying in appropriate alignment while moving your hip and pelvic joints will help the infant move right into a more optimal position. To aid facilitate a natural rotation the position, wake up straight and keep active. Use an practice ball instead of a chair (it forces proper alignment). Take a walk about the block.

If friend sit for hours throughout the day, store both feet steady on the ground, lengthen her spine like a giraffe’s neck, and also keep your shoulders ago

Once energetic labor has begun, nothing feel favor you have to stay in one laboring position. One 2014 study found that rotation to anterior place is much less likely to occur in females who spend at least 50 percent the laboring time in a recumbent place (lying on your earlier or side).

Women that favor various other positions, such as on all fours, squatting, and sitting ~ above a ball, may have actually a far better chance of rotating the infant to an anterior position before delivery. Together an added bonus, hands-and-knees positioning, wherein you’re relieving press of the infant pushing against your spine, have the right to help administer pain relief, too.

It’s possible during labor the your physician may imply using forceps or a vacuum when a clear side up baby gets stuck versus the pelvic bone. Part doctors and also midwives will also perform manual rotation indigenous a posterior come an anterior position at complete dilation.