The Ramzi Theory: Is It For Real?
Ramzi was born in a small village called Zalimah in the province of Nablus. She had a very difficult childhood due to her parents’ divorce. Her father was never able to remarry and she grew up without any male figure in her life.
At age 10, she began menstruating. When she reached puberty, she experienced severe pain during her period and could not attend school. She would hide in the bathroom when it happened so that no one else saw her bleeding. After several years of hiding from society, Ramzi became pregnant with twins at 15 years old. They were delivered prematurely and died shortly after birth. The tragedy devastated her and she attempted suicide three times.
After the death of her children, Ramzi felt like she was condemned to live a lonely existence. She went into depression and started drinking heavily. One day while walking home from school, Ramzi met a man named Jamal who offered to give her money if she agreed to have sexual relations with him.
She accepted his offer because she thought that it would be better than living alone forever. After meeting with him several times, she became pregnant with her fourth child, a boy. She was 18 years old at the time and he was much more of a gentleman that the other men in her life. He would bring her gifts and buy her whatever she wanted. The relationship lasted for only one year but she never experienced morning sickness during the entire time she was pregnant.
After the demise of this short-lived relationship, Ramzi was left on her own again. She was abandoned by her boyfriend without a father to her son. She could not find a job and rent an apartment due to having a bad reputation.
For this reason, she turned to prostitution out of desperation. She hated the idea at first but felt that she had no other choice in order to survive. During one of her “sessions”, Ramzi began to feel extreme pain and noticed that her stomach had grown significantly. She immediately went to the hospital where they told her that she was about to give birth. Unfortunately, the baby was stillborn. It was a girl.
Ramzi was devastated by yet another loss but decided to try again. She returned to her “profession” and one day while working as a waitress at a local coffee shop, she met a kind man named Ahmed. He was very friendly and seemed to genuinely care about her well-being.
For this reason, she fell in love with him and they got married. After a long and happy marriage, she gave birth to a son.
The Ramzi Theory
Unlike most people who experience the Ramzi theory, Ramzi’s life turned out very well. When she reversed from anterior to posterior at the age of 23, her life started going in the right direction. It is possible that a change in position could have a very positive effect on a person’s life.
The role of placenta in birth
There have been many studies over the years that have tried to link the position of the placenta to various conditions at birth. While some research has shown a potential link, most of it is inconclusive. A better indicator of what could potentially happen to a baby during labor is the age of the mother.
Older mothers are more likely to give birth to breech babies.
Older mothers are also more likely to have a placenta positioned low in the uterus.
Older mothers are more likely to have a placenta that covers part or all of the cervical opening. This is known as an “en caul” birth and is often confused with the Umbilical Cord Entanglement.
In most cases, the baby has more than enough room to move around and turn from a breech position to a cephalic position (head first). However, in some instances the baby may get stuck in one position. If this happens, it may be necessary to perform a cesarean section in order to safely deliver the baby.
Recent studies have also shown a possible link between breech babies and Twin to Twin Transfusion Syndrome (TTTS). It is believed that abnormal blood vessels may grow inside the placenta and provide an unequal distribution of nutrients and oxygen between the two babies. This may cause one baby to be larger and stronger than the other.
More recent studies have confirmed these findings and also suggest that there may be a link between breech babies with low lying placentas and an increased rate of miscarriage. This may explain why some women who have a miscarriage may suddenly go into labor when they would not have otherwise.
The placenta moves…
Just because a baby is in a certain position at one point in time does not guarantee that it will stay that way. Many times the placenta will move away from the cervix and this can allow the baby to reposition itself head first ( vertex ). Sometimes a woman may have a single footling breech at her first prenatal visit and go into labor only to find that she has a complete breech presentation.
This is normal and is nothing to worry about as long as the baby is moving down into the birth canal on a regular basis.
What does this mean?
Many times, a breech baby will get stuck in the birth canal because it is trying to turn but can’t due to wherever it is positioned. This may sound alarming but there is no reason to panic. In most every instance the baby will suddenly rotate on its own and then continue descending into the birth canal.
Most health care providers have a breech protocol that includes regular checks to confirm whether or not the baby is still breech. If there is any sign that the baby has changed position, cervical checks will be done much more frequently until it is determined that the baby is no longer in a breech position. It is during these checks that an attempt to perform an external version may be done.
What is an external version?
The version, or rotation of the baby, may be done in the doctor’s office (office version) or during a vaginal exam in the hospital (external version). The health care provider will place one hand on your abdomen and the other on the top of your uterus. Gentle pressure will be applied to slowly rotate the baby. This should be painless and is not dangerous for you or your baby.
Will it work right away?
It is impossible to predict whether or not the version will be successful. Usually, the baby can be successfully rotated 90 degrees or more but occasionally it may only rotate a few degrees.
If you suddenly begin having contractions or go into labor the moment the external version is attempted, this is called “transituting” labor and it means that the baby has turned on its own without the version.
If the external version doesn’t work, you will most likely be scheduled for an internal version.
What is an internal version?
A cervical examination will be done to determine the size of your cervix and whether or not it is favorable for labor and delivery. A favorable cervix is usually soft, less than 4 centimeters long, thin and low lying. If all of these conditions are met, you may be scheduled for an internal version to be done in the hospital. The procedure may take place in the doctor’s office but if your cervix is not favorable it would be too dangerous to try the version.
This is a more complex and involved procedure than the external version and will only be attempted if there is a good chance of success. You will be given an IV (intravenous) line and possibly some medication to help facilitate the version.
Your health care provider will most likely begin the procedure with an examination to determine how your cervix is presenting and its’ condition. The top portion of your uterus may be felt on the side where the feet are located and pressure will be applied in an attempt to flex the bones of the baby’s shoulders, causing it to rotate.
Ultimately, a version can last anywhere from 5 minutes to 2 hours but most last only 20-30 minutes.
Will a version work right away?
Just like an external version, an internal version may or may not result in the baby changing position. The baby may turn during the procedure or it may take a week or two for the rotation to take place. Do not be discouraged if this does not occur immediately. Rest assured that every attempt will be made to get your baby in the head down position.
You may experience cramping and mild bleeding during the procedure.
If your baby has not turned by the time the procedure is completed, you will be sent home and told to return for another internal version or an ultrasound in a week. If this is unsuccessful and your baby is still in a breech position at 37 weeks, a c-section will be necessary.
Miller, Peggy. (2001). The Unborn Patient: Prenatal Diagnosis & Treatment.
Baltimore: Williams and Wilkins.
Nmelick, Joy. (2000). Prenatal & Perinatal Massage: A Guide to Healing for Mothers-to-Be and Their Unborn Babies.
Berkeley: Crossing Press.
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