(b) LOP and ROP positions usually indicate labor may be longer and
harder, and the mother will experience severe backache.
Figure 10-5. Examples of fetal vertex presentations
in relation to quadrant of maternal pelvis.
Knowing positions will help you to identify where to look for FHT's.
1 Breech. This will be upper R or L quad, above the umbilicus.
2 Vertex. This will be lower R or L quad, below the umbilicus.
(d) An occiput in the posterior quadrant means that you will feel lumpy
fetal parts, arms and legs (see figure 10-5 A). If delivered in that position, the infant will
come out looking up.
(e) An occiput in the anterior quadrant means that you will feel a more
smooth back (see figure 10-5 B). If delivered in that position, the infant will come out
looking down at the floor.