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Some posterior labors progress only with the help of a highly-trained pregnancy bodyworker or deep spiritual, or otherwise non-conventional, model of care. Or, they seem only able to finish with medical intervention.

Some posterior labors are served by an epidural, meaning the pelvic floor relaxes enough for baby to rotate and come out.

Some epidurals, on the other hand, make it so that a woman can not finish the birth vaginally.

NOTE: Parents should know — some birth researchers, like Pediatrician John Kennell, are seriously asking whether a mother’s epidural turns off her body’s release of pain-relieving hormones which a baby relies on during childbirth.

Some babies can’t turn and can’t be born vaginally and must be born by cesarean .

This is a spectrum of possibilities. I’ve seen every one of the above possibilities several times and can add the wonderful experience of seeing a woman laughing pleasurably and squatting while her posterior baby slid out on to her bedroom floor.

These effects are in comparison to a baby in the left occiput anterior or Tory Burch Patent Leather SquareToe Pumps Cheap Sale Big Sale OVvXIEb
fetal position at the start of labor.

The forehead that overlaps the pubic bone after labor starts must turn and drop into the pelvis to allow the birth to happen naturally. A cesarean finish of the labor is possible. Look at Abdominal Lift and Tuck in Techniques to guide you to solutions for easier engagement and progress.

This family just had a fast posterior birth of their second child! Ease in labor includes other factors than just baby position.

Who is likely to have an easy time with a posterior baby?

Other women may also have an easier time than public opinion might indicate, too, just because she isn’t on this list. Equally, just because she is on the “hard” list, it doesn’t mean she will have a hard time for sure.

These are general observations. They are neither condemnations nor promises.

Overall, some posterior babies will need help getting born, while some posterior babies are born easily (easy being a relative term).

While most posterior babies do eventually rotate, that can still mean there is quite a long wait – and a lot of physical labor during that wait. Sometimes it means the doula, midwife, nurse, or doctor is asking the mother to do a variety of position changes, techniques, and even medical interventions to help finish the labor.

Patience works for many, but for some a cesarean is really the only way to be born.

Read What To Do When…inLabor .

There is a rising incidence of posterior babies at the time of birth.

We know now that epidural anesthesia increases the rate of posterior position at the time of birth from about 4% (for women who don’t choose an epidural in a university birth setting) up to about 13% when an epidural is used (Lieberman, 2005).

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Empirical analysis reveals that conventional wisdom about big, risky change initiatives is often wrong.

Corporate transformation sits atop the strategic agenda for many CEOs. While transformation is ideally undertaken preemptively, in practice it is much more commonly a reaction to changing — and challenging — circumstances. Such transformations represent a fundamental and risk-laden reboot of a company, with the goal of achieving a dramatic improvement in performance and altering its future trajectory.

Given the stakes, we were startled to find that the research underpinning the design and execution of corporate transformations is surprisingly thin. As a result, transformations are often guided by beliefs that, while seemingly plausible, are more anecdotal than empirical in nature. It’s time for a more evidence-based approach.

To study corporate transformation and its success factors, we analyzed financial and nonfinancial data of all U.S. public companies with $10 billion or more market cap between 2004 and 2016. 1 We identified companies with a demonstrated need for fundamental change, namely, those companies with an annualized deterioration, relative to their industry average, in total shareholder return (TSR) of 10 percentage points or more over two years. This definition provided us with a large data set for empirical analysis including more than 300 companies across different industries over more than a decade.

Further, we trained a proprietary algorithm to quantify the strategic orientation of companies, based on semantic patterns within the “Management’s Discussion and Analysis” section of 70,000 10-K filings . We built a prediction model to identify formalized transformation programs, based on restructuring costs and major corporate announcements (as reported by Standard Poor’s Financial Services LLC). And we conducted a multivariate regression analysis to determine the impact of a number of factors on change in TSR during transformations.

Our analysis reveals that leaders must be ready to transform their companies: At any given point in the 12-year period we studied, 32% of all large companies were experiencing a severe deterioration in TSR, and that share has stayed roughly constant in recent years. We also found that successful recovery from a severe episode of deterioration is the exception rather than the norm: Only one-quarter of the companies were able to outperform their industry in the short and long run after the point of deterioration.

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Animal Politico
Triunfo de AMLO favorecerá a los indígenas

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Multa a Morena por fideicomiso es una vil venganza, dice AMLO; es un fraude y…

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El candidato ganador afirmó que su administración dará preferencia a los pueblos indígenas, promete planes de desarrollo, financiamiento y un nuevo organismo público para la atención de esta población. Esto es un buen inicio, desarrollo en lugar de limosnas tipo Prospera.

Margarita Warnholtz Locht (la tlacuila) es etnóloga egresada de la ENAH. Trabajó muchos años con organizaciones indígenas en cuestiones de comunicación, entre otras, coordinó un proyecto de incorporación de organizaciones indígenas a internet a finales de los 90, proyecto con el cual se convirtió en fellow de Ashoka (red internacional de emprendedores sociales). En los últimos años se ha dedicado a difundir información de los pueblos indígenas en la prensa escrita, colaborando con diarios como Excélsior en 2006 y Milenio de 2007 a 2010.
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El triunfo de Andrés Manuel López Obrador es sin lugar a dudas un triunfo para los pueblos indígenas. Ganó quien más los conoce, quien trabajó directamente con ellos por varios años, recorrió las comunidades y habló directamente con la gente. Esta vez la compra de votos, a pesar de la pobreza, no funcionó.

Sin embargo, todavía faltan casi cinco meses para que tome posesión, tiempo en que el gobierno actual puede no solo continuar con, sino intensificar el despojo y las violaciones a los derechos indígenas que lo han caracterizado. Ahora aún es momento de exigir al régimen en el poder que respete sus derechos, que evite el asesinato de dirigentes como Calixto Pedro Guillermo, mixe de San Juan Guichicovi, Oaxaca, muerto a machetazos el 8 de julio, que detenga la construcción del nuevo aeropuerto, que realice consultas previas, libres e informadas, en donde están realizando megaproyectos, etcétera. No es momento todavía de pedir a López Obrador que resuelva los problemas, hay que evitar que aumenten ahora y que sean más difíciles de enfrentar.

En su discurso en el Zócalo, después de que fue declarado ganador, AMLO afirmó que daría preferencia a los pueblos indígenas. Pocos días después, Adelfo Regino Montes, quien será el encargado de la Coordinación de Asuntos Indígenas en el próximo gabinete, reafirmó el compromiso del futuro presidente con ellos.

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