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Full Moon Challenge

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Full Moon Challenge IWK Health

The Full Moon circuit is a powerful and workable nurse-driven initiative to engage birthing people and families in labour positioning best practices. 

Supporting upright positioning and frequent position changes in labour are associated with fewer unplanned cesarean births (CB), shorter labour, less pain and discomfort, and less abnormal fetal heart rates.

What is a Full Moon?

A Full Moon is a fusion of the “3-point position change” and Penny Simkin’s “Rollover”. Both are evidence-based strategies to promote progress in labour. This combination creates a 4-point position change to simplify and optimize the two strategies. When planning position changes, the intent is to put pressure on all parts of the cervix. It’s helpful to visualize the cervix as a circle when moving through the phases of the full moon sequence.