The Position-Change Protocol

"Failure to progress" is one of the most common reasons a labor ends in a C-section — and a lot of the time, it isn't your body stalling. It's your baby's position.

This is the one-page protocol I give my clients: the four position changes that give a posterior or tilted baby room to turn, the exact words to use with your care team, and what your options are with an epidural.

What's inside:

OA vs OP vs asynclitic — what's actually stalling labor, in plain language
4 position changes: forward-leaning, hip circles, Spinning Babies, off your back
The "say this in the room" script — including how to ask for intermittent monitoring
Your position options with an epidural
A clear safety note on when to check with your provider

Instant download. Print it, save it to your phone, bring it to your birth team.

Jayni Angeli, BSN, RN, RNC-OB, C-EFM, CD/DONA · @imadoulathis
Birth education, not medical advice — it doesn't replace individualized care from your own team.

The Position-Change Protocol

"Failure to progress" is one of the most common reasons a labor ends in a C-section — and a lot of the time, it isn't your body stalling. It's your baby's position.

What's inside:

OA vs OP vs asynclitic — what's actually stalling labor, in plain language
4 position changes: forward-leaning, hip circles, Spinning Babies, off your back
The "say this in the room" script — including how to ask for intermittent monitoring
Your position options with an epidural
A clear safety note on when to check with your provider

Instant download. Print it, save it to your phone, bring it to your birth team.

Jayni Angeli, BSN, RN, RNC-OB, C-EFM, CD/DONA · @imadoulathis
Birth education, not medical advice — it doesn't replace individualized care from your own team.