Oblique lie images

Oblique Lie - Spinning Babies

A baby is oblique when the baby’s head is in the mother’s hip. The baby’s body and head are diagonal, not vertical and not horizontal (transverse lie).

Oblique is considered a malposition. I’ve heard from a number of women with oblique babies that these are helpful:

Forward-leaning Inversion
Side-lying (Pelvic Floor) Release
Dip the Hip

All women (who are not at risk for stroke) may begin doing a daily Forward-leaning Inversion for 30 seconds from about 15-20 weeks gestation. However, if an oblique issue lasts beyond 30 weeks gestation, be more diligent. After 35 weeks gestation, the Forward-leaning Inversion may be done 5 times within 36 hours, but only for 30 seconds each time. These activities give room in the lower portion of the uterus for baby to drop into a head-down – and vertical! – position. If that isn’t enough, it’s worth seeing a chiropractor or another provider who is trained in a way of soft tissue body balancing, such as Webster or Dynamic Body Balancing^TM. Other things that may help, and better to do these following the above body balancing techniques:

Wearing a pregnancy belt may help give tone to the lower uterine segment and help baby to center over the pelvic opening.
To help move baby over, stick a rolled washcloth on your right side under the belt.
Sleep on the side that the baby’s head is on after you’ve done the exercises for one week.

How many do you do?

Forward-leaning Inversion: Do this every day for 30 seconds each time. After 36 weeks, do 2-3 a day for only 30 seconds each time.

Side-lying Release: Once a day while baby is oblique, and in early labor to help straighten baby vertically over your pelvis. It can be repeated in labor if necessary.

Dip the Hip with loose hip joints for 15 minutes a few times a day. See directions.

In labor with an oblique lie?

If you find yourself with a baby in an oblique lie while you are in labor, you may have a chance to slip your baby head down. If you do, you can avoid a cesarean. Do the Side-lying Release first, through 1-3 contractions on each side. You must do the release on the left and on the right! See the article for more. Then, when standing if possible, do the lunge 3-6 times on each leg. See the article describing the lunge. It works with the contractions.

Other useful information

You may find some helpful information on what to do in labor for the asynclitic baby (a tipped head during birth). If the reason for an oblique lie continuing after 30 weeks isn’t completely resolved by labor, there may be a higher chance of asynclitism. I don’t “know” that by data, but it makes sense.

Twins? Oblique is not uncommon for a second twin. If the first is born vaginally, and you find the second twin remains oblique, simply lift that leg as in a lunge, whether standing or on your side through a contraction or two. The baby will slip head down during the contraction. Repeating the Side-lying Release in labor may also help any oblique lie whether 1 or 2 or more babies. Begin SLR before 3 cm as a preventative measure.

A similar article, here on Spinning Babies^®, to serve your baby’s position is the one about the Transverse Lie, and while the fetal position is not exactly the same, the solutions are often the same.

Videos

Daily Essentials

Daily Essentials can be practiced daily throughout pregnancy to help bring balance and comfort — and an easier, shorter birth.

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Spinning Babies® Parent Class

Spinning Babies® Parent Class provides clear instructions on how to use Spinning Babies® for a more comfortable and confident pregnancy and labor.

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Causes, Risks, Avoiding a Cesarean, and More

Your baby is growing and moving every day. As you advance through pregnancy, your little one will shift positions in an effort to get ready for their grand debut.

And while most babies will settle into the head-down position before birth, others get turned around and end up in some unusual lies.

If your doctor mentions an oblique lie, you might be wondering what that means and how it may change your plans for childbirth.

Like other fetal positions, an oblique lie presents some challenges. That’s why it’s important to work closely with your doctor as you near your due date.

Here’s what you need to know if your baby is in an oblique lie, what you can do to help your baby change directions, and what may happen if they decide to stay put.

Before we dive into the specifics of an oblique lie, it’s important to describe, in general, what we’re talking about when we say “fetal lie.”

When a doctor or midwife describes the lie of your baby, they’re technically describing the relationship between your long axis and the baby’s long axis. In other words, the baby’s position in your belly.

Fetal positions change throughout pregnancy, and it’s normal for your baby to present in a lot of different “lies.” But, as you get closer to your due date, the goal is to have the baby in a head-down position in preparation for birth. This often happens between weeks 32 and 36.

If your little one is presenting in an oblique lie, which often results in a shoulder or arm presentation, their head and feet will rest on your pelvis.

More specifically, Thomas Ruiz, MD, an OB-GYN at MemorialCare Orange Coast Medical Center, says an oblique lie is when the baby’s head is just to the side of the pelvic inlet.

To understand how close this position is to a traditional vertex presentation, Ruiz says if the baby’s head changes position slightly, centers itself over the inlet, and then drops into the pelvis, you get a head-down position.

However, oblique lies can just as easily become transverse if the head moves away from the pelvis.

Some of the more common causes of an oblique lie, according to Jamie Lipeles, DO, founder of Marina OB-GYN, include:

an abnormally shaped uterus
baby is too large for the pelvis
presence of fibroids in the uterus
excessive amniotic fluid

When a pregnancy isn’t textbook (and when is it ever?), we all want to know and understand the potential risks for baby. If your little one has decided to hang out in an oblique lie, there are some risks if they don’t get turned around before you go into labor.

The most threatening risk of an oblique lie, says Lipeles, is that this presentation doesn’t allow the head to obstruct the outlet where the baby is supposed to be delivered through.

“If you go into labor and the amniotic sac ruptures, there is nothing at the outlet to prevent the umbilical cord exiting the uterus through the cervix,” he explains. This is called cord prolapse, which is a surgical emergency and can be life threatening or result in permanent neurological damage to the baby’s brain.

Additionally, if the baby can’t fit through the pelvis and remains in an oblique lie, Lipeles says the doctor must perform an immediate caesarean delivery.

Now that you understand the predicament your little bean is in, it’s time to tackle the mechanics of how to get them headed in the right direction.

The solutions for an oblique lie are often similar to the ones used for a transverse lie. And the best part? There are several exercises that work.

Here are a few that Lipeles recommends:

doing yoga poses such as downward dog
sitting on a birthing ball and rolling your hips with an open leg stance (aka pelvic rocking)
floating in a swimming pool to attempt to get the baby to move into a better position
remaining in a squatting position to “open the pelvis” to give way to the baby changing their position

One 2019 study found that pelvic rocking on a stability or birthing ball while pregnant contributed to correcting the fetal lie and, more specifically, the oblique lie, in women at or more than 29 weeks pregnant. More than 49 percent of women in the intervention group indicated a longitudinal lie compared to 29.8 percent of those in the control group.

While all of those interventions can work, Lipeles says in his 14 years of practice, there’s one activity he finds the most effective with both an oblique lie and breech position that you can do at home.

He instructs his patients to take whatever frozen fruits or vegetables (or any other item) they have in the freezer and place them in a thin cloth and leave them on their belly in the area that the baby’s head is positioned.

“The unborn baby is sensitive to changes in temperature, and thus these frozen items near their head are uncomfortable, and will encourage them to move their head away from the cold item, which often leads to the baby moving into a more desirable position,” he explains.

Doctor-involved interventions are also a possibility. Because the head is so close to the pelvic inlet, Ruiz says these lies often respond to manual manipulation or external cephalic version.

To do this procedure, your doctor, with the help of an ultrasound, will manually guide the head into the pelvis. “If there’s adequate space within the pelvis, the head will usually drop down into a normal position,” he says.

Since uterine contractions can also force the baby’s head into the pelvis, Ruiz says at 39 weeks, a doctor can use external version cephalic techniques to push the baby’s head down into the pelvis and then start an induction.

“This usually works and can lead to a vaginal delivery, if you’ve had more than one pregnancy,” he says. But if this is your first pregnancy, Ruiz says the maneuver is more difficult, and not as successful, because the uterus and abdomen are more firm.

And finally, Kecia Gaither, MD, an OB-GYN and director of perinatal services at NYC Health + Hospitals, says there are some alternative methods like acupuncture and Spinning Babies classes. “Acupuncture, which has been utilized for fetal movement for years, relaxes the mother’s musculature, allowing the baby to turn head-first into the pelvis,” she says.

The classes Gaither is referring to are called “Spinning Babies,” which she says employ certain yoga positions to relax mom and encourage fetal movement into a head-first position.

If you’re nearing your due date, regular labor can also push the baby’s head down into the pelvis. “If this happens, you will get a chance at a vaginal delivery,” says Ruiz. Of course, if the head moves laterally, Ruiz says the baby will move into a transverse lie, and you’ll end up with a cesarean section.

In a normal shaped uterus, the forces of uterine contractions will force the baby’s head in the pelvis. Fortunately, the forces of uterine contractions can force the baby’s head into the pelvis.

But if the contractions don’t push the baby’s head into the pelvis, and you’re going into labor while still in an oblique lie, your doctor will most likely need to perform an expedited C-section.

Your baby will move into various positions before your due date. As you near the end of your pregnancy, your doctor will keep a close eye on the fetal position and recommend interventions if the baby is in an oblique lie.

Like other fetal positions, an oblique lie may require a cesarean delivery if the baby doesn’t move into a head-down position before you go into labor.

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I see right through you

Actors lie from the stage, portraying false emotions. Sometimes managers lie to their subordinates that everything is fine in the company so as not to create panic. I lie to my friends that I'm too busy at work, while I stay at home and read a book. nine0061

In ten minutes of talking, a person manages to lie three times. It's not scary. Until the lie becomes destructive, based on malicious intent and harms other people.

In 2014, William Bauer, CEO of Royce Laza, a New York travel company, was preparing to launch a new product. Two weeks before the start of sales, Bauer checked with the deputy whether he sent the goods to the department store. The deputy reassured Bauer that he had done everything a long time ago. nine0061

Two weeks later, Bauer received a call from the department store asking when the goods would arrive. The deputy lied and undermined the reputation of the company in the eyes of partners. But what surprised Bauer the most was why an employee with 30 years of experience lied.

We wrote about why people lie. Now let's figure out how to recognize a liar.

Words, voice, body and facial expressions betray a liar. We cope with verbal signs of a lie based on the experience of communicating with people. You listen to what the interlocutor says, what words he uses, and how his voice sounds. More difficult with non-verbal vocabulary. We will try to figure out the non-verbal signs of a lie. nine0061

This newsletter is for those who want to understand the true motives of people's actions and learn how to bring liars to clean water.

The invention of lies

The eyes are the mirror of the soul and the first source of non-verbal signals of a person. It is believed that if a person looks away during a conversation, he hides his true intentions or lies. This is not entirely true.

At the end of the 19th century, the American psychologist William James noticed that different people process information differently. nine0061

Imagine a group of people. You ask them to mentally remember a person they haven't seen for a long time. Some will hear the voice first. Others will see the image. Still others will remember the emotions and sensations that they experienced when this person was around.

James divided human mental images into auditory, visual and kinesthetic ones. He established a connection between mental images and eye movements.

Audials, those who have heard the voice, will look to the right or to the left. Visuals who have seen the image go up. Kinesthetics who have experienced emotions - down. nine0061

A hundred years later, the theory was finalized by practical psychologists. They added to James's theory the knowledge that the right hemisphere of the brain is responsible for memories, the left for construction. And they made a scheme - the keys of eye access (KGD). It looks like this:

The scheme shows what a person thinks about at the time of information processing. In which direction the person looked during the conversation, he turned to that zone of thinking.

Up and left up - visual memory zone. nine0205 Previous visual experience, visual memory. Everything that a person can remember visually: the color of the car, the appearance of a colleague, the design of the office.

Top right - visual design area. Creation of new experience, planning, mathematical calculations. Everything visually designed by a person at the moment: what the office will look like after renovation, a person after a haircut, how much money will be needed for a vacation.

To the left — auditory recall zone. nine0205 Sound memory: intonations, voices, sounds, music. All the memories of the sound experience: the sounds of water dripping from the faucet, the flute, the voice of the boss.

To the right is the auditory construction zone. Creating a new sound experience, composing music. Everything that a person has not heard before, but can think of: new intonations, sounds, voices.

Left down - internal dialogue. Speech control, pronunciation, self-talk. Ask yourself a question and answer it: “What does it all mean?” At this point, your internal dialogue will begin. The voice we hear in our head when we read a book or write a text. The internal dialogue is responsible for the control of speech: analysis of the correct construction of phrases. nine0061
Down and right down - kinesthetic. Body memory, sensations, taste, smell, touch. Everything that is connected with sensations and experiences. Remember what a cat feels like, the joy of meeting a friend or winning negotiations.

Directly in front of you is a light trance. At this moment, at least two thought processes are involved in information processing: the person presented the image and heard the voice at the same time.

When a person invents, he constructs images and sounds. And then he decides in what expressions to present the fiction - he analyzes the construction of phrases. nine0061
You have been asked to come up with a story. Depending on whether you are auditory or visual, you will look to the right or right up, respectively. When the story is visually and auditory constructed, the gaze will fall to the left down into the zone of internal dialogue. There you will consider in what phrases to present the story you just invented.

Fiction is a lie. When you invent a lie, the eyes follow the same path. To simplify: when a person lies, their eyes will definitely twitch towards your left eye. nine0061
Articles and trainings on CGD end here. The person looked to the right or to the right up - he is lying. But everything is not so simple. There are nuances.

I used the word "twitch" for a reason. Liars often look their interlocutors straight in the eye. They know that if they look away, they might not be believed. The liar will try to control the gaze. But it is impossible to deceive thought processes. The pupil will still twitch, barely move, in the direction of the construction zone. It is difficult to notice this during a conversation: you are too concentrated on your own words and the interlocutor. nine0061
During interrogation by the security services, the conversation with a suspect or a witness is recorded on camera. This is not a movie fantasy. They make sure that after the conversation, the psychologist watches the video and evaluates the facial expressions, gestures and movements of the pupils in slow motion.

We don't carry a camera with us, let alone poke it in the face of our interlocutor. You need to learn to catch the movements of the pupil during a conversation. Regular exercise will help.

Advice: ask a friend to tell a real story, but add false details. Record the conversation on camera and carefully study the video. Tell a friend when you think they lied. Review the record and draw your own conclusions. Do the same again and again with other interlocutors. There is no guarantee that the method will work and you will become Dr. Lightman from Lie to Me. But you will definitely become more attentive to the facial expressions of the interlocutor. nine0061
In nine out of ten cases, the method works. The exception is left-handers and retrained left-handers. They have the right hemisphere of the brain responsible for design, and the left - for memory. Therefore, the CGD zones in left-handers are mirrored or mixed up in places. It takes a long time to study the basic set of eye movements before you understand where these people are looking when they lie.

The method does not work if the person has thought through the lie in advance. Then it automatically enters the zone of visual or auditory memory, access keys change. But there is a trick. nine0061
Tip: ask more clarifying questions. The liar didn't think through all the answers. You will definitely ask the answer to which the liar will have to come up with on the go. At this moment, the access keys will approach the lock.

Considering only the position of the eyes is wrong. Pay attention to other non-verbal cues as well. For example, body movements.

Body reservations

There are countless books about gestures-markers of lies. The authors claim that there are gestures that indicate a lie. Here are six of the most common ones: nine0061

We know that when a person lies, the nerve endings in the face and neck contract. Hence - scratching the ear, nose, neck, pulling the collar. The problem is that the presence of these gestures in the interlocutor is not the most reliable indicator of a lie.

Paul Ekman, American psychologist, professor at the University of California and author of books on the psychology of lying, divides bodily movements into three types: manipulations, illustrations, and emblems.

Manipulations - small motor actions, unconscious and uncontrolled. They help a person to concentrate on the main occupation. These are scratching, biting, pulling clothes, fidgeting, straightening hair. Everything shown in the picture above. Everything that is considered a sign of a lie. nine0061
Ekman is sure that manipulation appears in a person in one case: if a person does not feel threatened.

When I write a text, I gnaw on the cap of a pen. Even at work. I feel comfortable and forget that it is indecent to manipulate in society. I gnaw on the cap until I realize that the interlocutor paid attention to the manipulation. I feel uncomfortable and I stop, but not for long. As soon as I forget again, the manipulation resumes.

A man manipulates when he ceases to be alert. The liar knows that he can be exposed. He is tense and concentrated, following every movement and cannot relax. Ekman believes that in such a tense situation, there is no place for manipulation. nine0061
If they do occur, then the person is either really lying and satisfies the demands of itching nerve endings. Or a person is so relaxed that he calmly manipulates. Therefore, to call the presence or absence of manipulation a sure sign of a lie is wrong.

Illustrations - gestures that help color words.

I once had to explain how a pilot lands a plane at an airport in Bhutan. The airport is surrounded by mountains and is considered the most inaccessible in the world. The pilot descends not in an oblique direction - there is no room for this, but in a spiral. To make it clearer, I depicted the trajectory of the plane's descent with a gesture in the air. nine0061
Everyone gesticulates. Imagine that you are describing a traffic accident. You must show with your hands where your car was and the one who cut you off. Books on oratory are advised to gesticulate. Gestures help create a vivid picture of what is being described.

First of all, a person notices words, the verbal component of speech. Therefore, when a person lies, he thinks about words, he has no time to think over gestures. The number of illustrations of speech in a liar decreases. The less a person gestures, the more likely it is that you are a liar. nine0061
Emblems — are the brightest of body markers of lies. Unlike illustrations, gestures-emblems are clear without words.

shrug - doubt;

the exposed middle finger is an insult;

head nod - agreement;

horizontal head turn - negation;

thumb and little finger apart - handset, "call me."

There are many emblems and they differ depending on which cultural group you belong to. Each country has a different set of emblems. nine0061
In Russia, a nod of the head means agreement, horizontal turns in different directions - denial. And in Bulgaria it’s the other way around: a nod is “no”, turns are “yes”.

The person shows emblems intentionally. He is consciously conveying a wordless message. But just as there are reservations in speech, so the body can “slip a slip”. This will reveal the liar.

Ekman conducted an experiment. Two groups of nurses were shown two different films. The first is a good movie about flowers. The second is a nasty murder movie. Both groups had to convince the judges that they had seen a good movie. nine0061
Nine out of ten nurses in the second group made bodily reservations. Some awkwardly shrugged their shoulders, showing uncertainty. Others, answering in the affirmative to the question “Have you seen a good movie?”, Subtly shook their heads to the sides.

If the emblem is a slip and not an intentional gesture, it is not fully executed. One shoulder, eyebrows or palms lying on the knees can rise. The meaning of incomplete emblems is the same - the speaker's uncertainty about what was said.

If the emblem were carried out completely, the liar would notice and correct the situation. The liar is focused on keeping calm, does not notice incomplete emblems and gets caught. nine0061
Advice: Before detecting lies by gestures, study the interlocutor. What cultural group does it belong to, what special emblems exist in this group. Sit so that you can see not only the torso and face of the interlocutor, but the arms and legs. A raised shoe toe is also an incomplete form of a shrug.

Although emblems help to recognize lies, Ekman advises paying attention to human emotions as well.

Emotions of a liar

When a person lies, he experiences shame, anger or excessive joy of a successful deception. These emotions are reflected on the face. The main task of a liar is to hide true emotions. The correct way is to wear a mask. Another emotion becomes a mask. nine0061
More often a liar uses positive emotions. They are easier to fake.

">The boss sent you on a business trip, but you don't want to go. He pats you on the shoulder: "You see how much I appreciate good employees. You will go and unwind." You experience anger, resentment, irritation, mentally curse the boss. But you smile and joke about how long you wanted to go to God knows where.

Sometimes a successful lie requires a mask of negative emotion.

Before the outbreak of World War II, Hitler deceived British Prime Minister Neville Chamberlain many times. Hitler promised that he would not attack Poland. Chamberlain believed Hitler. A few days before the attack on Poland, the British ambassador once again visited Hitler. At this time, Hitler had already given the order to mobilize German troops to capture Poland. But he had to convince the ambassador that he was keeping a promise not to attack Poland. nine0061
Hitler chose irritation as a false emotion. He showed the ambassador that he didn't want to discuss anything else. Imitated discontent and even anger. As soon as the door slammed behind the British ambassador, Hitler slapped his thighs and laughed: “Chamberlain will not stand. Tomorrow his office will collapse.”

It is more difficult to imitate negative emotions: we rarely do it. Therefore, it is easier to recognize a liar in a mask of negative emotion. He makes mistakes faster. But an attentive person will also notice false joy. nine0061
Unlike emblems, which are culturally dependent, human emotions are universal. All people outwardly sad, rejoice, empathize the same way. Ekman identifies seven basic emotions:

The marker of each emotion is facial expressions. When you feel fear, the eyebrows are raised, the lower eyelids are tense, the lips are slightly elongated. In anger, a person's eyebrows are drawn together, his eyes are gleaming, and his lips are tightly compressed. Sadness is reflected on the face in the form of slightly lowered eyelids and corners of the mouth. Contempt - the corner of the mouth rises on one side. Surprise - eyebrows raised, eyes wide open and mouth parted. Disgust - wrinkled expression and raised upper lip. nine0061
A person can fake surprise - raise his eyebrows, joy - smile, sadness - fold his eyebrows. But the smallest mimic markers of emotions cannot be faked.

Let's analyze the most widespread emotion — happiness. The indicator of happiness is a smile. You are smiling. The mouth is extended to the ears, but the muscles around the eyes are relaxed. Mimic wrinkles near the eyes appeared because you smiled, your cheeks lifted. But there are too few wrinkles. When you are truly happy and smile sincerely, your muscles contract automatically. Man cannot control these contractions. nine0061
Emotions are not always an indicator of lies. A truthful person experiences the same emotions as a liar during a conversation. The liar is afraid: he will be caught. He puts on a mask of calmness. A truthful person is also afraid: he is afraid that he will be accused of what he did not do. And he puts on a mask of calmness.

The masks are the same, both experience emotions, but only one lies. Therefore, compare the emotional signs of a lie with the situation and context.

Tip: keep an eye on the other person. If you see a person for the first time, do not start talking about business from the first minute. Make a joke, ask about something personal, talk about football. Pay close attention to how the face of the interlocutor changes. In a few minutes, you will see at least two emotions. When you start discussing business matters, it will be easier for you to read emotions: they are already familiar to you. nine0061
Basic knowledge

It is difficult to recognize a liar. But it is possible if you do not concentrate on one method. You can’t just follow the words - miss the non-verbal cues. You can not follow only non-verbal signals and forget about words. You make a mistake, and you can accuse the innocent. It is necessary to take into account all the signals that a person gives during a conversation.

I talked about principles that might help you get at least a couple of steps closer to revealing lies. If the topic interests you, I advise you to read Max Eiger and Allan Pease. They describe in detail the meanings of each human gesture. nine0061
And finally, two tricks that help me recognize lies. Perhaps they will be useful to you too.

The story is reversed. When a person thinks through a lie in advance, it falls into the zone of memories. But a liar makes a mistake. He thinks lies in only one direction. If you ask a person to tell a fictional story in reverse, in a different sequence, they will stutter. If the event is real, then the person will easily restore the sequence of events from the end. nine0061
Lie detector.
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