Primip frank breech birth with mother in an upright kneeling position (USA)

This first-time mother was supported by an OB, a midwife, and a doula. Labor lasted 4 hours and the baby weighed 7 lb 12 oz (3515 g).

The birth is shown twice:
  1. Unedited with subtitles
  2. Edited & in slow motion with commentary on the mechanics and maneuvers

Questions for discussion & reflection:

1) The video begins with the mother in an asymmetrical lunging position. Why might such a position be encouraged?

2) The OB asks the mother to move to a kneeling position. Do you feel the position change was necessary or helpful in this case?

3) A birthing bar is in place. Does it seem helpful in this case?

4) The OB suggests a shoulder press to assist delivery of the head. Why was this choice made? Do you feel it was necessary in this case?