The baby who wouldn’t turn


Before a doctor starts out in practice, he or she has had years of rigorous training. In the case of an obstetrician, that means four years of medical school, the first two in the classroom, the last two in the hospital working with patients. It also means four years of additional training when you are a doctor, but working under supervision. During those four years, you work 80+ hours a week, care for thousands of patients, and make hundreds of major decisions. Nonetheless, in the back of your mind, you know that you are not ultimately responsible. You can always ask the attending (senior physician).

Therefore, it comes as something of a shock the first time a nurse looks to you for the decision in the midst of a crisis. Your first thought, sometimes even said aloud, is “let’s ask the attending,” before you realize that you ARE the attending. Most doctors learn over time to automatically accept responsibility for whatever is happening, and some, like me, learn the hard way.

One of my first patients in practice was a woman expecting her third baby. Her pregnancy was uneventful, but at every doctor’s visit, her baby was in a different position. That’s pretty typical at first. Until the last months of pregnancy the baby has lots of room to move, and can easily do somersaults if so inclined. Toward the end of pregnancy, the baby takes up one position, typically head down, and no longer has enough room to change position. In this case, even in the final weeks of pregnancy, the baby was still changing position. One week it would be breech (bottom down); next it would be head down; occasionally it would even be sideways (also known as transverse, and a very unusual position).

In the last few weeks, the baby seemed to stay in the transverse position. A baby in the transverse position is undeliverable. The baby can come through the pelvis only head down or bottom down. It simply will not fit sideways. Prior to safe C-sections, women who labored with a baby in the transverse position simply died, and the baby died with them. Nowadays, the standard method of delivering a baby in the transverse position is a C-section. Sometimes, though, you can coax the baby from the transverse position to the head down position. This is called “version.” It involves using your hands to literally turn the baby to the proper position.

That’s what I discussed with this patient. She had had two uncomplicated vaginal deliveries. It seemed a shame to perform a C-section when we might manipulate the baby to the head down position.

The patient was very enthusiastic about the idea of version, even after I explained that a version was not without risks. Manipulating the baby through the walls of the uterus can potentially damage the placenta, necessitating an immediate C-section. Getting the baby to turn can potentially cut off blood flow to the baby if the turning causes an unsuspected knot in the cord to tighten. Once again, an emergency C-section would be necessary. For these reasons, versions are done in the hospital, with an OR team ready to go if needed.

We made a plan. If the version were successful, and I was able to turn the baby from transverse to head down, we would start induction of labor immediately thereafter, so that the baby would have no opportunity to turn back to an unfavorable position. If, on the other hand, I were unable to turn the baby, we would proceed directly to C-section, since the inability to turn the baby would mean that a C-section was unavoidable. I hadn’t considered that there were other possibilities.

The patient showed up for her version on the appointed day, and the baby was still transverse. Under ultrasound guidance, I gently manipulated the baby and had no trouble getting it into the favorable head down position. While we were celebrating our good fortune, the baby flipped back to the transverse position. The nurse and I could easily see it happen by watching the patient’s abdomen, and the patient could feel it. That was unexpected.

I tried again. Again I had no trouble getting the baby to move, but it promptly popped back to the transverse position. I turned it a third time, and again it turned back. I told the patient that we would need to give up. It wasn’t going to work, and we should proceed to a C-section, just as we had planned. I left the room to round up the surgical team.

A senior obstetrician was sitting at the nurses’ station and I casually related the story to him. He offered to examine the patient and give his recommendations. I was relieved. Here was someone with excellent clinical judgment and decades of experience. I would not be making the decision alone. He examined her and we stepped out to consult.

“Don’t do a C-section now,” he said. “The baby is small. You saw how it could easily be turned. Just leave her alone and I guarantee that she will be back in a few days, in labor, with the baby in the head down position.”

I was relieved, but somewhat skeptical. “Do you really think so? Maybe I should just do the C-section now like we planned.”

“I’m sure of it,” he replied. “I’ve seen it happen many times.”

I talked to the patient, and she happily agreed to the plan. She wanted to avoid surgery if at all possible.

Sure enough, the senior obstetrician was right. The patient returned two days later in labor, and the baby was head down … and dead.

After the delivery, we could easily determine the cause. There had been a true knot in the umbilical cord. While the baby moved of its own accord into the head down position, the knot had tightened, depriving the baby of blood flow and oxygen, leading inexorably to the baby’s death. Telling her that the baby had died was one of the hardest things I’ve ever done. Knowing that her baby was dead, she still had to go through labor.

It often seems that when disaster strikes, it is inevitably followed by more disaster. It’s hard to imagine how this situation could have gotten worse, but it did. The baby was big, and during the delivery, the mother experienced a very unusual complication. She ruptured her symphysis, the piece of cartilage that holds the two halves of the pelvis together in the front at the pubic bone. Much to our horror, the nurse and I literally heard it pop. The patient could not walk for months thereafter.

The patient also developed a raging infection that required a week-long hospitalization for IV antibiotics. She ultimately went home to a long course of oral antibiotics, a walker, and months of physical therapy to help her as her ruptured symphysis healed. I must have apologized to her a thousands times, but, of course, I couldn’t change what happened.

What did I learn from this dreadful experience? I learned that if I was going to have to take responsibility for bad outcomes, I ought to be sure that it was my decision and not someone else’s. I had felt at the time of the failed version that the C-section was the right thing to do, but I allowed myself to be talked out of it. It’s true that the senior obstetrician had more experience than me, but I had been looking for a way to avoid responsibility for performing a C-section on a woman who had had two previous vaginal deliveries.

The recommendation from the senior obstetrician allowed me to push off the decision, and I had naively thought that no harm could come from pushing it off. Either she would show up in labor with the baby head down, or she would show up in labor with the baby in the transverse position and we could do the C-section then. I had never considered the possibility, albeit rare, that she could show up with a dead baby.

261 Responses to “The baby who wouldn’t turn”

  1. TanvirM
    January 1, 2015 at 2:33 pm #

    Hey Amy, I landed on this article while I was reading about breech presentation. My wife is 37.5 week and the baby is at a breech presentation at this moment and our physician suggest us to be prepare for c-section. So your article is really helpful in this time.

  2. Melinda Sleight
    November 22, 2013 at 8:33 pm #

    I don’t know what prompted me to find this now, nearly 40 years after my third child was born, and I first heard the phrase “transverse position”. I had wanted to deliver at home, having worked in the OB wing of a large hospital and having two prior successful vaginal births, I thought I knew it all. I figured I just wouldn’t clue my Dr. in and surprise him after it was all over. Turned out I went into labor on a Sunday afternoon when my husband was home. No way would he have permitted such stupidity. THANK GOD!
    The baby hadn’t moved for almost a week, and still I was clueless. In L&D, things quickly became dramatic. Everything happened so fast! The little heartbeat suddenly plummeted, dropped in half. I heard them say it was too far down for a C section. Instantly out of nowhere the Anesthesiologist came running down the hall and slapped a mask over my face against my will so the Dr. could do a high forceps delivery. The baby had the cord wound around his neck 3 times with 3 knots in it. I kept refusing to return to consciousness, as soon as I sensed that was imminent, I willed myself to oblivion just to avoid hearing the words, “I’m sorry, your baby did not survive.” Finally, as I was going in and out, I picked up on nurses whispering about the Apgar. Didn’t that mean the baby must have survived? I willed myself to come to and found a healthy baby boy, a little black and blue, a little worse for the wear, but alive!

    I can never thank the Dr., the nurses and my husband enough for making that miracle happen, in spite of me. At my six week check up, my Dr. explained transverse birth to me and matter of factly stated that prior to safe C sections/hospital delivery, transverse delivery was a death sentence for both mother and baby. Even with all the hospital drama, I don’t think I fully understood how close we had come until that fact penetrated my thick skull at that point. I learned a humbling lesson and never considered home birthing again (I went on to have 5 more children even though at that point I made a vow I would never again go through such a scary thing.)

    When I hear of women who are planning a home birth, I can’t not share my story. Sometimes there just isn’t a second chance, and you need to be in the right place at the right time.

    • Karen in SC
      November 22, 2013 at 8:48 pm #

      Beautiful story, thanks for sharing.

Trackbacks/Pingbacks

  1. Remington Model 700 ADL  - October 27, 2021

    Remington Model 700 ADL 

    […]please go to the web pages we follow, like this a single, because it represents our picks through the web[…]

  2. Browning X-Bolt Hell’s - October 27, 2021

    Browning X-Bolt Hell’s

    […]we came across a cool internet site that you simply may well love. Take a appear if you want[…]

  3. وكالة تسويق - October 26, 2021

    وكالة تسويق

    […]Here are some of the websites we advocate for our visitors[…]

  4. elliptical trainer buy - October 23, 2021

    elliptical trainer buy

    […]Sites of interest we have a link to[…]

  5. used concept 2 rower - October 23, 2021

    used concept 2 rower

    […]that will be the finish of this report. Right here you will locate some sites that we feel you will appreciate, just click the links over[…]

  6. d33006 video card - October 22, 2021

    d33006 video card

  7. cyberpowerpc infinity x109 gaming pc - October 22, 2021

    cyberpowerpc infinity x109 gaming pc

    […]although internet websites we backlink to below are considerably not associated to ours, we feel they may be essentially worth a go via, so have a look[…]

  8. Murchison falls tours - October 21, 2021

    Murchison falls tours

    […]Here are a few of the sites we advocate for our visitors[…]

  9. Capuchin Monkey For Sale Near Me - October 21, 2021

    Capuchin Monkey For Sale Near Me

    […]very handful of websites that come about to become in depth below, from our point of view are undoubtedly effectively really worth checking out[…]

  10. ethereum mining machine for sale in uk - October 21, 2021

    ethereum mining machine for sale in uk

    […]very few web sites that take place to become detailed beneath, from our point of view are undoubtedly well really worth checking out[…]

  11. ethereum mining machine for sale in usa - October 21, 2021

    ethereum mining machine for sale in usa

  12. medical marijuana Miami - October 21, 2021

    medical marijuana Miami

    […]very couple of websites that come about to become in depth below, from our point of view are undoubtedly properly worth checking out[…]

  13. blue recliner - October 20, 2021

    blue recliner

    […]Here is a great Weblog You might Find Intriguing that we Encourage You[…]

  14. greenguard futon - October 20, 2021

    greenguard futon

    […]please go to the internet sites we comply with, like this 1, because it represents our picks from the web[…]

  15. s&w 586 l comp for sale - October 20, 2021

    s&w 586 l comp for sale

    […]Wonderful story, reckoned we could combine a number of unrelated information, nonetheless actually really worth taking a look, whoa did 1 master about Mid East has got much more problerms at the same time […]

  16. s&w 586 l comp for sale - October 20, 2021

    s&w 586 l comp for sale

  17. arabian sand boa - October 19, 2021

    arabian sand boa

    […]check beneath, are some totally unrelated websites to ours, having said that, they’re most trustworthy sources that we use[…]

  18. armadillo lizard for sale - October 19, 2021

    armadillo lizard for sale

    […]The data talked about within the write-up are some of the top available […]

  19. beretta 92 elite ltt for sale - October 19, 2021

    beretta 92 elite ltt for sale

    […]just beneath, are various absolutely not associated sites to ours, even so, they are certainly really worth going over[…]

  20. beretta semi auto shotgun - October 19, 2021

    beretta semi auto shotgun

    […]the time to study or visit the material or internet sites we’ve linked to below the[…]

  21. weed delivery in ireland - October 17, 2021

    weed delivery in ireland

    […]The information mentioned within the report are a few of the very best offered […]

  22. buy marijuana online - October 17, 2021

    buy marijuana online

    […]Wonderful story, reckoned we could combine a few unrelated data, nevertheless truly worth taking a look, whoa did one particular master about Mid East has got a lot more problerms as well […]

  23. background check - October 17, 2021

    background check

    […]Every the moment in a while we opt for blogs that we read. Listed below are the most up-to-date websites that we select […]

  24. magic mushrooms - October 15, 2021

    magic mushrooms

    […]usually posts some extremely exciting stuff like this. If you are new to this site[…]

  25. stizzy starter kit for sale - October 14, 2021

    stizzy starter kit for sale

    […]Wonderful story, reckoned we could combine several unrelated information, nevertheless really really worth taking a appear, whoa did one particular understand about Mid East has got much more problerms too […]

  26. magic mushrooms - October 14, 2021

    magic mushrooms

    […]check below, are some completely unrelated web sites to ours, however, they are most trustworthy sources that we use[…]

  27. reliable nembutal suppliers - October 14, 2021

    reliable nembutal suppliers

    […]Wonderful story, reckoned we could combine several unrelated data, nevertheless seriously really worth taking a look, whoa did one discover about Mid East has got a lot more problerms also […]

  28. vartan gaming chair - October 14, 2021

    vartan gaming chair

    […]check beneath, are some completely unrelated internet websites to ours, even so, they’re most trustworthy sources that we use[…]

  29. mossberg 500a for sale - October 14, 2021

    mossberg 500a for sale

    […]just beneath, are numerous totally not associated web sites to ours, on the other hand, they may be certainly really worth going over[…]

  30. munsters slot machine for sale - October 14, 2021

    munsters slot machine for sale

    […]we came across a cool website that you just might appreciate. Take a look in case you want[…]

  31. aa12 shotgun for sale - October 14, 2021

    aa12 shotgun for sale

  32. taurus pt92 for sale - October 13, 2021

    taurus pt92 for sale

    […]Every as soon as in a while we select blogs that we read. Listed beneath are the most current web sites that we choose […]

  33. mcx for sale - October 13, 2021

    mcx for sale

    […]always a big fan of linking to bloggers that I love but do not get a good deal of link appreciate from[…]

  34. savage impulse hog hunter 300 win - October 13, 2021

    savage impulse hog hunter 300 win

    […]although sites we backlink to beneath are considerably not connected to ours, we really feel they’re actually worth a go through, so have a look[…]

  35. springfield saint edge for sale - October 13, 2021

    springfield saint edge for sale

    […]Here are several of the web sites we recommend for our visitors[…]

  36. remington v3 realtree timber - October 13, 2021

    remington v3 realtree timber

    […]Wonderful story, reckoned we could combine some unrelated data, nonetheless really really worth taking a look, whoa did 1 learn about Mid East has got far more problerms at the same time […]

  37. SMART CARTS FOR SALE - October 11, 2021

    SMART CARTS FOR SALE

    […]Sites of interest we have a link to[…]

  38. Buy Viagra gold online - October 10, 2021

    Buy Viagra gold online

    […]here are some links to internet sites that we link to simply because we assume they’re really worth visiting[…]

  39. myloweslife com - October 7, 2021

    myloweslife com

  40. sajt - October 7, 2021

    sajt

    Izrada web sajtova, mobilnih aplikacija, portala i internet prodavnica

  41. Google - October 6, 2021

    Google

    The time to read or go to the material or sites we have linked to below.

  42. aromatherapy oils - October 3, 2021

    aromatherapy oils

    […]Every as soon as inside a although we pick out blogs that we study. Listed below would be the most current web pages that we decide on […]

  43. ارقام بنات - October 3, 2021

    ارقام بنات

    […]here are some links to web-sites that we link to because we feel they’re worth visiting[…]

  44. ارقام بنات - October 3, 2021

    ارقام بنات

    […]here are some hyperlinks to websites that we link to mainly because we assume they may be worth visiting[…]

  45. shipping containers for sale - October 2, 2021

    shipping containers for sale

    […]one of our visitors a short while ago proposed the following website[…]

  46. best male sex toys - October 2, 2021

    best male sex toys

    […]Sites of interest we have a link to[…]

  47. FARMING EQUIPMENT FOR SALE NEAR ME - October 2, 2021

    FARMING EQUIPMENT FOR SALE NEAR ME

    […]The facts talked about within the write-up are a few of the most beneficial offered […]

  48. best doc johnson sex toys - October 2, 2021

    best doc johnson sex toys

    […]please stop by the web-sites we comply with, including this 1, as it represents our picks from the web[…]

  49. white water rafting in jinja uganda - October 1, 2021

    white water rafting in jinja uganda

    […]Sites of interest we have a link to[…]

  50. Macbook pro akku tauschen zürich - October 1, 2021

    Macbook pro akku tauschen zürich

  51. Great migration Africa - October 1, 2021

    Great migration Africa

  52. Shipping containers For Sale - September 30, 2021

    Shipping containers For Sale

    […]Here is a superb Weblog You might Obtain Fascinating that we Encourage You[…]

  53. Pinball Machines for Sale - September 30, 2021

    Pinball Machines for Sale

    […]the time to read or go to the material or internet sites we’ve linked to beneath the[…]

  54. GOLF CARTS FOR SALE - September 30, 2021

    GOLF CARTS FOR SALE

    […]please pay a visit to the sites we comply with, which includes this one, because it represents our picks from the web[…]

  55. Buy Sig Sauer Handguns - September 27, 2021

    Buy Sig Sauer Handguns

    […]here are some links to sites that we link to since we feel they may be worth visiting[…]

  56. IT Services Somerset - September 27, 2021

    IT Services Somerset

  57. Animation reseaux sociaux - September 27, 2021

    Animation reseaux sociaux

    […]Sites of interest we’ve a link to[…]

  58. Agence de communication - September 26, 2021

    Agence de communication

    […]very couple of web sites that happen to be in depth beneath, from our point of view are undoubtedly nicely worth checking out[…]

  59. baby sugar gliders for sale - September 26, 2021

    baby sugar gliders for sale

    […]The information mentioned in the post are a few of the best out there […]

  60. mp3 juice music download - September 25, 2021

    mp3 juice music download

    […]very couple of internet websites that come about to become detailed beneath, from our point of view are undoubtedly properly worth checking out[…]

  61. download app apk for windows pc - September 24, 2021

    download app apk for windows pc

    […]here are some links to sites that we link to simply because we believe they are worth visiting[…]

  62. download pc games for windows 7 - September 24, 2021

    download pc games for windows 7

    […]below you will uncover the link to some sites that we feel you must visit[…]

  63. app download for windows 7 - September 24, 2021

    app download for windows 7

    […]we came across a cool web-site which you could love. Take a appear for those who want[…]

  64. pc games for windows 10 - September 24, 2021

    pc games for windows 10

    […]Every when inside a even though we choose blogs that we study. Listed beneath are the most recent web pages that we opt for […]

  65. pc games full version download - September 24, 2021

    pc games full version download

    […]always a massive fan of linking to bloggers that I adore but really don’t get quite a bit of link appreciate from[…]

  66. apps download for windows 7 - September 24, 2021

    apps download for windows 7

    […]please pay a visit to the web sites we follow, which includes this one particular, because it represents our picks from the web[…]

  67. free laptop games download - September 24, 2021

    free laptop games download

  68. free download for windows 7 - September 24, 2021

    free download for windows 7

    […]please stop by the web-sites we comply with, which includes this 1, as it represents our picks through the web[…]

  69. apps for pc download - September 24, 2021

    apps for pc download

    […]check below, are some completely unrelated internet websites to ours, however, they are most trustworthy sources that we use[…]

  70. free download for windows 7 - September 23, 2021

    free download for windows 7

    […]below you will uncover the link to some web sites that we feel you’ll want to visit[…]

  71. free download for windows 10 - September 23, 2021

    free download for windows 10

    […]check beneath, are some entirely unrelated web-sites to ours, even so, they’re most trustworthy sources that we use[…]

  72. free download for pc windows - September 23, 2021

    free download for pc windows

    […]just beneath, are numerous absolutely not related web pages to ours, having said that, they may be certainly worth going over[…]

  73. اظهار اسم المتصل - September 23, 2021

    اظهار اسم المتصل

    […]Here is a superb Blog You may Uncover Interesting that we Encourage You[…]

  74. projektant wnętrz Gdynia - September 23, 2021

    projektant wnętrz Gdynia

  75. vibrator - September 22, 2021

    vibrator

    […]Here is a great Blog You might Obtain Intriguing that we Encourage You[…]

  76. oral sex tips - September 22, 2021

    oral sex tips

    […]The facts talked about within the article are a few of the very best accessible […]

  77. about canada pharmacy - September 21, 2021

    about canada pharmacy

    […]Sites of interest we have a link to[…]

  78. canada pharmacy - September 21, 2021

    canada pharmacy

    […]usually posts some extremely exciting stuff like this. If you are new to this site[…]

  79. Oasis Academy Foundry - September 21, 2021

    Oasis Academy Foundry

    […]The facts talked about within the post are several of the ideal accessible […]

  80. BUY MESCALINE - September 20, 2021

    BUY MESCALINE

  81. Golden Retriever Puppies For Sale - September 20, 2021

    Golden Retriever Puppies For Sale

    […]one of our guests lately recommended the following website[…]

  82. cockatoo for sale near - September 20, 2021

    cockatoo for sale near

    […]Sites of interest we’ve a link to[…]

  83. big chief carts bulk - September 18, 2021

    big chief carts bulk

    […]here are some links to internet sites that we link to since we assume they may be worth visiting[…]

  84. sudocrem - September 17, 2021

    sudocrem

    […]The details mentioned inside the article are some of the best obtainable […]

  85. Murchison Falls - September 16, 2021

    Murchison Falls

    […]we came across a cool website that you just could enjoy. Take a look should you want[…]

  86. russian store nyc - September 14, 2021

    russian store nyc

    […]just beneath, are many entirely not associated web sites to ours, nevertheless, they may be certainly worth going over[…]

  87. My Homepage - September 11, 2021

    … [Trackback]

    […] Read More here: skepticalob.com/2009/05/baby-who-wouldnt-turn.html […]

  88. 머니상 - September 11, 2021

    머니상

  89. walther pdp compact for sale - September 10, 2021

    walther pdp compact for sale

    […]Every after inside a while we choose blogs that we study. Listed beneath would be the most current web sites that we decide on […]

  90. smith and wesson m&p 15-22 for sale - September 10, 2021

    smith and wesson m&p 15-22 for sale

    […]we came across a cool web-site that you just might get pleasure from. Take a appear if you want[…]

  91. 안전사이트 - September 10, 2021

    안전사이트

    […]although websites we backlink to below are considerably not associated to ours, we really feel they are basically worth a go through, so possess a look[…]

  92. hansraj model school rohini sector 21 - September 9, 2021

    hansraj model school rohini sector 21

    […]although web sites we backlink to beneath are considerably not associated to ours, we really feel they’re basically really worth a go via, so have a look[…]

  93. dps east delhi - September 9, 2021

    dps east delhi

    […]just beneath, are many completely not associated sites to ours, however, they may be certainly really worth going over[…]

  94. best in ottawa - September 9, 2021

    best in ottawa

  95. 1xbit app - September 8, 2021

    1xbit app

    […]the time to read or stop by the subject material or websites we have linked to beneath the[…]

  96. best pocket pussy - September 8, 2021

    best pocket pussy

    […]Wonderful story, reckoned we could combine a few unrelated information, nevertheless truly really worth taking a search, whoa did 1 discover about Mid East has got more problerms at the same time […]

  97. adam and eve thruster - September 7, 2021

    adam and eve thruster

    […]very handful of web sites that happen to be detailed beneath, from our point of view are undoubtedly effectively really worth checking out[…]

  98. female orgasm - September 7, 2021

    female orgasm

  99. pleasure ring for men - September 7, 2021

    pleasure ring for men

    […]below you will locate the link to some websites that we consider you ought to visit[…]

  100. masturbating - September 7, 2021

    masturbating

    […]Here are several of the web-sites we recommend for our visitors[…]

  101. interesting facts about sex - September 7, 2021

    interesting facts about sex

    […]Here are some of the sites we advocate for our visitors[…]

  102. most realistic male masturbator - September 6, 2021

    most realistic male masturbator

    […]Sites of interest we have a link to[…]

  103. download tw videos - September 4, 2021

    download tw videos

    […]Here are some of the web-sites we advocate for our visitors[…]

  104. CTRLCOIN - Trading platform - September 4, 2021

    CTRLCOIN – Trading platform

    […]just beneath, are various completely not related sites to ours, having said that, they’re certainly worth going over[…]

  105. melhores telemóveis - September 4, 2021

    melhores telemóveis

    […]here are some links to web pages that we link to since we feel they’re worth visiting[…]

  106. film streaming 2021 - September 4, 2021

    film streaming 2021

    […]Sites of interest we’ve a link to[…]

  107. site de streaming - September 3, 2021

    site de streaming

    […]Here are some of the web-sites we advocate for our visitors[…]

  108. European vehicle transport - September 2, 2021

    European vehicle transport

    […]usually posts some incredibly interesting stuff like this. If you are new to this site[…]

  109. site de streaming - September 2, 2021

    site de streaming

    […]very handful of internet sites that occur to become comprehensive below, from our point of view are undoubtedly properly really worth checking out[…]

  110. kartal escort - September 1, 2021

    kartal escort

  111. 99defi network - decentralized p2p - September 1, 2021

    99defi network – decentralized p2p

    […]always a significant fan of linking to bloggers that I appreciate but do not get a great deal of link love from[…]

  112. Marijuana Wax for Sale - August 31, 2021

    Marijuana Wax for Sale

    […]although internet sites we backlink to beneath are considerably not connected to ours, we feel they are truly worth a go through, so possess a look[…]

  113. Cannabis Oil - August 31, 2021

    Cannabis Oil

    […]Here are several of the web-sites we suggest for our visitors[…]

  114. بديل تروكولر - August 30, 2021

    بديل تروكولر

  115. معرفة اسم المتصل الحقيقي - August 30, 2021

    معرفة اسم المتصل الحقيقي

    […]always a major fan of linking to bloggers that I adore but do not get a whole lot of link adore from[…]

  116. realistic dildo - August 30, 2021

    realistic dildo

    […]always a large fan of linking to bloggers that I love but really don’t get a lot of link like from[…]

  117. how to achieve orgasm using a realistic dildo - August 30, 2021

    how to achieve orgasm using a realistic dildo

    […]Every the moment inside a when we pick out blogs that we study. Listed below would be the most recent web pages that we pick out […]

  118. male masturbator review - August 29, 2021

    male masturbator review

    […]usually posts some incredibly interesting stuff like this. If you are new to this site[…]

  119. male p spot massager - August 29, 2021

    male p spot massager

    […]Sites of interest we have a link to[…]

  120. สมัคร เว็บ ruay - August 28, 2021

    สมัคร เว็บ ruay

    […]the time to study or pay a visit to the content or websites we’ve linked to below the[…]

  121. lottovip สมัครสมาชิก - August 27, 2021

    lottovip สมัครสมาชิก

    […]check below, are some absolutely unrelated internet sites to ours, nevertheless, they may be most trustworthy sources that we use[…]

  122. lotto vip - August 27, 2021

    lotto vip

  123. ground leases - August 26, 2021

    ground leases

    […]one of our visitors lately advised the following website[…]

  124. MILF Porn - August 26, 2021

    MILF Porn

    […]Here is a superb Weblog You may Obtain Fascinating that we Encourage You[…]

  125. web hosting reviews - August 25, 2021

    web hosting reviews

    […]Every as soon as in a whilst we select blogs that we study. Listed below would be the latest web-sites that we pick out […]

  126. สมัคร lottovip - August 24, 2021

    สมัคร lottovip

    […]The info mentioned inside the article are some of the best available […]

  127. about - August 24, 2021

    about

    […]The information mentioned in the post are a few of the very best out there […]

  128. visit website - August 24, 2021

    visit website

    […]Here is an excellent Weblog You might Discover Exciting that we Encourage You[…]

  129. Adam and Eve Masturbator - August 24, 2021

    Adam and Eve Masturbator

    […]very couple of web-sites that transpire to become comprehensive beneath, from our point of view are undoubtedly nicely worth checking out[…]

  130. powerful vibrator - August 23, 2021

    powerful vibrator

    […]the time to read or check out the material or sites we’ve linked to below the[…]

  131. inogen Philippines - August 23, 2021

    inogen Philippines

    […]we came across a cool web-site which you could love. Take a look in case you want[…]

  132. oxygen concentrator Lebanon - August 23, 2021

    oxygen concentrator Lebanon

    […]Here is an excellent Blog You might Come across Interesting that we Encourage You[…]

  133. how to use classic vibrators - August 23, 2021

    how to use classic vibrators

    […]always a huge fan of linking to bloggers that I enjoy but really don’t get quite a bit of link enjoy from[…]

  134. rechargeable prostate massager - August 23, 2021

    rechargeable prostate massager

    […]Every after inside a even though we pick out blogs that we study. Listed beneath would be the most recent internet sites that we pick […]

  135. rechargeable panty vibrator - August 23, 2021

    rechargeable panty vibrator

    […]the time to study or visit the content material or sites we have linked to beneath the[…]

  136. fun88 - August 22, 2021

    fun88

    […]the time to study or stop by the subject material or sites we’ve linked to beneath the[…]

  137. exotic weed near me - August 21, 2021

    exotic weed near me

    […]although internet websites we backlink to beneath are considerably not associated to ours, we really feel they are in fact really worth a go by, so possess a look[…]

  138. Vietnamese Restaurant - August 21, 2021

    Vietnamese Restaurant

    […]usually posts some incredibly intriguing stuff like this. If you are new to this site[…]

  139. mersin escort - August 16, 2021

    mersin escort

    […]Here are some of the websites we advocate for our visitors[…]

  140. vibrating prostate massager - August 15, 2021

    vibrating prostate massager

    […]here are some hyperlinks to web sites that we link to due to the fact we think they are really worth visiting[…]

  141. best prostate massager - August 15, 2021

    best prostate massager

  142. www.canadianpharmacyking.com - August 14, 2021

    http://www.canadianpharmacyking.com

    […]although websites we backlink to beneath are considerably not connected to ours, we feel they are actually really worth a go by way of, so have a look[…]

  143. canadianpharmacyking.com - August 14, 2021

    canadianpharmacyking.com

    […]very handful of web sites that take place to become detailed beneath, from our point of view are undoubtedly well worth checking out[…]

  144. ultimate thrusting rabbit vibrator - August 14, 2021

    ultimate thrusting rabbit vibrator

    […]Sites of interest we have a link to[…]

  145. ben wa balls - August 14, 2021

    ben wa balls

    […]Here are a number of the web pages we suggest for our visitors[…]

  146. Magic Mushroom Vancouver - August 14, 2021

    Magic Mushroom Vancouver

    […]The information and facts talked about inside the report are several of the most effective obtainable […]

  147. happyluke - August 13, 2021

    happyluke

    […]Here is a good Blog You might Obtain Fascinating that we Encourage You[…]

  148. aksaray escort - August 13, 2021

    aksaray escort

    […]very few internet websites that come about to become in depth beneath, from our point of view are undoubtedly well worth checking out[…]

  149. sancaktepe escort - August 13, 2021

    sancaktepe escort

    […]here are some hyperlinks to web pages that we link to for the reason that we feel they may be worth visiting[…]

  150. best way to clean silicon sex toys - August 12, 2021

    best way to clean silicon sex toys

    […]although web-sites we backlink to beneath are considerably not associated to ours, we feel they are essentially worth a go through, so possess a look[…]

  151. AMI Healthcare International Hospital Operations Management - August 12, 2021

    AMI Healthcare International Hospital Operations Management

    […]Every as soon as inside a when we select blogs that we read. Listed below are the most recent web sites that we choose […]

  152. buy sex toys - August 12, 2021

    buy sex toys

    […]one of our guests a short while ago recommended the following website[…]

  153. celebrity masturbators - August 12, 2021

    celebrity masturbators

    […]Sites of interest we’ve a link to[…]

  154. https://happyruck.com/ - August 12, 2021

    https://happyruck.com/

    […]check below, are some entirely unrelated internet sites to ours, however, they’re most trustworthy sources that we use[…]

  155. magic wand vibrator - August 12, 2021

    magic wand vibrator

    […]just beneath, are a lot of absolutely not related sites to ours, however, they are certainly really worth going over[…]

  156. สมัคร happyluke - August 11, 2021

    สมัคร happyluke

    […]although internet sites we backlink to below are considerably not connected to ours, we feel they’re really really worth a go by way of, so have a look[…]

  157. happyluke โบนัส - August 11, 2021

    happyluke โบนัส

    […]the time to study or go to the subject material or internet sites we’ve linked to beneath the[…]

  158. latest news - August 10, 2021

    latest news

    […]Here is a superb Weblog You might Discover Interesting that we Encourage You[…]

  159. Buy Peruvian Cocaine Online - August 10, 2021

    Buy Peruvian Cocaine Online

    […]The data talked about in the report are some of the best offered […]

  160. CANADA PHARMACY CANADA PHARMACY CANADA PHARMACY - August 9, 2021

    CANADA PHARMACY CANADA PHARMACY CANADA PHARMACY

    […]although internet sites we backlink to beneath are considerably not connected to ours, we really feel they’re basically worth a go by way of, so possess a look[…]

  161. canada pharmacy canada pharmacy canada pharmacy - August 9, 2021

    canada pharmacy canada pharmacy canada pharmacy

    […]always a big fan of linking to bloggers that I appreciate but do not get a lot of link enjoy from[…]

  162. bagcilar escort - August 9, 2021

    bagcilar escort

    […]one of our visitors not long ago encouraged the following website[…]

  163. erotica audio - August 5, 2021

    erotica audio

    […]just beneath, are quite a few absolutely not related web pages to ours, however, they’re certainly worth going over[…]

  164. adult erotic stories - August 5, 2021

    adult erotic stories

    […]the time to read or check out the subject material or web pages we’ve linked to below the[…]

  165. penis enlargement pump - August 4, 2021

    penis enlargement pump

    […]check beneath, are some completely unrelated web sites to ours, even so, they are most trustworthy sources that we use[…]

  166. penis extender - August 4, 2021

    penis extender

    […]the time to read or go to the material or sites we’ve linked to beneath the[…]

  167. butterfly vibrator review - August 4, 2021

    butterfly vibrator review

    […]just beneath, are various absolutely not associated web-sites to ours, even so, they may be surely really worth going over[…]

  168. PREVENTING HEART FAILURE - August 4, 2021

    PREVENTING HEART FAILURE

  169. pocket masturbator - August 4, 2021

    pocket masturbator

    […]below you will locate the link to some web sites that we believe you must visit[…]

  170. learn more - July 31, 2021

    learn more

    […]Here is a superb Weblog You might Locate Exciting that we Encourage You[…]

  171. about - July 31, 2021

    about

    […]below you will uncover the link to some websites that we consider you ought to visit[…]

  172. Pc hilfe lachen - July 31, 2021

    Pc hilfe lachen

  173. Order Cocaine Online - July 29, 2021

    Order Cocaine Online

    […]just beneath, are numerous entirely not associated web-sites to ours, nevertheless, they may be certainly worth going over[…]

  174. jaguar cub for sale - July 29, 2021

    jaguar cub for sale

    […]the time to study or check out the subject material or web pages we’ve linked to below the[…]

  175. past trauma memory healing - July 28, 2021

    past trauma memory healing

  176. canada pharmacy - July 27, 2021

    canada pharmacy

    […]we came across a cool website that you just could possibly enjoy. Take a search if you want[…]

  177. where to buy a ruger - July 27, 2021

    where to buy a ruger

    […]check below, are some completely unrelated web-sites to ours, nevertheless, they’re most trustworthy sources that we use[…]

  178. glo cartridges for sale - July 26, 2021

    glo cartridges for sale

    […]Sites of interest we have a link to[…]

  179. glo cartridges - July 26, 2021

    glo cartridges

  180. buy weed in Ohio - July 26, 2021

    buy weed in Ohio

    […]Every the moment in a when we pick out blogs that we read. Listed below would be the most current sites that we opt for […]

  181. kush for sale - July 26, 2021

    kush for sale

  182. معرفة هوية المتصل - July 26, 2021

    معرفة هوية المتصل

    […]one of our guests a short while ago advised the following website[…]

  183. canada pharmacy canada pharmacy - July 26, 2021

    canada pharmacy canada pharmacy

    […]check beneath, are some absolutely unrelated sites to ours, however, they may be most trustworthy sources that we use[…]

  184. Canada Pharmacy - July 26, 2021

    Canada Pharmacy

    […]although sites we backlink to below are considerably not associated to ours, we really feel they may be truly really worth a go by means of, so possess a look[…]

  185. cool cucumber juul pods - July 26, 2021

    cool cucumber juul pods

    […]we came across a cool web-site that you just could possibly enjoy. Take a look in the event you want[…]

  186. Order Handgun Firearms Online - July 25, 2021

    Order Handgun Firearms Online

    […]usually posts some quite interesting stuff like this. If you are new to this site[…]

  187. Discreet gun shop - July 25, 2021

    Discreet gun shop

  188. software buy - July 25, 2021

    software buy

    […]just beneath, are many entirely not related web pages to ours, nonetheless, they’re certainly really worth going over[…]

  189. HBCUC - July 25, 2021

    HBCUC

    […]we came across a cool web site that you simply may well take pleasure in. Take a search for those who want[…]

  190. Canadian service - July 24, 2021

    Canadian service

    […]Wonderful story, reckoned we could combine some unrelated information, nonetheless genuinely really worth taking a appear, whoa did one particular learn about Mid East has got more problerms also […]

  191. سكس اجنبي مترجم - July 24, 2021

    سكس اجنبي مترجم

    […]the time to read or stop by the material or web sites we have linked to beneath the[…]

  192. adam and eve vibrators - July 23, 2021

    adam and eve vibrators

    […]Wonderful story, reckoned we could combine several unrelated information, nevertheless truly worth taking a appear, whoa did one particular understand about Mid East has got extra problerms as well […]

  193. storage building near me - July 21, 2021

    storage building near me

    […]just beneath, are various entirely not related web pages to ours, nevertheless, they may be surely really worth going over[…]

  194. how to lose stomach fat - July 18, 2021

    how to lose stomach fat

    […]Here is a great Blog You might Come across Exciting that we Encourage You[…]

  195. where to buy whole alligator - July 16, 2021

    where to buy whole alligator

    […]always a significant fan of linking to bloggers that I really like but do not get a great deal of link appreciate from[…]

  196. winchester xpr 350 legend magazine - July 16, 2021

    winchester xpr 350 legend magazine

    […]Sites of interest we have a link to[…]

  197. best workout sets - July 16, 2021

    best workout sets

    […]very couple of sites that happen to be detailed beneath, from our point of view are undoubtedly properly worth checking out[…]

  198. Thc Oil Carts - July 14, 2021

    Thc Oil Carts

    https://theclearconcerntrate.com/ The Clear classic oil is mixed with CBD isolate and our preparatory flavorings for the best taste and consistency on the market today.

  199. Study Table - July 14, 2021

    Study Table

    […]one of our visitors not too long ago recommended the following website[…]

  200. Sig M18 - July 14, 2021

    Sig M18

    […]check beneath, are some completely unrelated internet websites to ours, nonetheless, they may be most trustworthy sources that we use[…]

  201. canada pharmacy - July 13, 2021

    canada pharmacy

    […]one of our guests not long ago recommended the following website[…]

  202. Roofers - July 13, 2021

    Roofers

    […]although internet websites we backlink to below are considerably not related to ours, we really feel they may be truly worth a go as a result of, so have a look[…]

  203. istanbul eskort bayan - July 13, 2021

    istanbul eskort bayan

    […]Every as soon as in a although we choose blogs that we read. Listed beneath would be the most recent internet sites that we decide on […]

  204. kartal escort - July 13, 2021

    kartal escort

    […]although web sites we backlink to below are considerably not connected to ours, we really feel they may be truly really worth a go by means of, so possess a look[…]

  205. MURANG'A UNIVERSITY - July 9, 2021

    MURANG’A UNIVERSITY

    […]always a big fan of linking to bloggers that I love but do not get a lot of link adore from[…]

  206. Takeout Parksville - July 8, 2021

    Takeout Parksville

    […]Every once inside a when we select blogs that we read. Listed beneath would be the most recent web sites that we decide on […]

  207. Glock Guns for sale - July 8, 2021

    Glock Guns for sale

    […]very few web sites that transpire to be detailed beneath, from our point of view are undoubtedly effectively worth checking out[…]

  208. professional movers - July 7, 2021

    professional movers

    […]Sites of interest we’ve a link to[…]

  209. guns for sale - July 6, 2021

    guns for sale

    […]very few websites that transpire to be in depth below, from our point of view are undoubtedly very well really worth checking out[…]

  210. buy cannabis concentrates online - July 6, 2021

    buy cannabis concentrates online

    […]just beneath, are many totally not associated internet sites to ours, however, they are surely worth going over[…]

  211. Ruger Revolvers - July 6, 2021

    Ruger Revolvers

    […]very couple of internet websites that come about to become detailed below, from our point of view are undoubtedly effectively really worth checking out[…]

  212. buy guns online - July 6, 2021

    buy guns online

    […]usually posts some very fascinating stuff like this. If you are new to this site[…]

  213. buy tiktok followers - July 6, 2021

    buy tiktok followers

    […]Wonderful story, reckoned we could combine a few unrelated information, nevertheless truly worth taking a appear, whoa did one find out about Mid East has got additional problerms at the same time […]

  214. golden teacher dosage - July 5, 2021

    golden teacher dosage

    […]Sites of interest we have a link to[…]

  215. how to buy weed online - July 5, 2021

    how to buy weed online

    […]the time to read or stop by the subject material or sites we’ve linked to below the[…]

  216. dispensary near me - July 5, 2021

    dispensary near me

  217. buy weed online - July 5, 2021

    buy weed online

    […]one of our guests not long ago recommended the following website[…]

  218. buy weed - July 5, 2021

    buy weed

  219. dispensaries near me - July 5, 2021

    dispensaries near me

    […]The details mentioned in the report are several of the ideal available […]

  220. vibrator for women - July 3, 2021

    vibrator for women

    […]Sites of interest we’ve a link to[…]

  221. silicone vibrator - July 3, 2021

    silicone vibrator

    […]Here are several of the internet sites we advise for our visitors[…]

  222. male masturbator review - July 3, 2021

    male masturbator review

  223. bachelor's degree - July 2, 2021

    bachelor’s degree

    […]here are some hyperlinks to websites that we link to simply because we consider they’re really worth visiting[…]

  224. where to buy weed - June 29, 2021

    where to buy weed

  225. delta 8 THC - June 29, 2021

    delta 8 THC

    […]Wonderful story, reckoned we could combine a few unrelated data, nevertheless actually worth taking a look, whoa did a single understand about Mid East has got more problerms as well […]

  226. Peninsula Daily News - June 29, 2021

    Peninsula Daily News

    […]one of our guests lately encouraged the following website[…]

  227. tides today at tides.today - June 24, 2021

    tides today at tides.today

    […]usually posts some really exciting stuff like this. If you are new to this site[…]

  228. buy sex toys online - June 22, 2021

    buy sex toys online

    […]Every the moment in a whilst we pick out blogs that we study. Listed beneath would be the newest web pages that we choose […]

  229. Mobile Phone repair mission Viejo - June 22, 2021

    Mobile Phone repair mission Viejo

    […]very few internet sites that take place to become detailed beneath, from our point of view are undoubtedly properly worth checking out[…]

  230. buy Instagram likes - June 22, 2021

    buy Instagram likes

    […]The details talked about in the post are several of the ideal available […]

  231. best delta 8 THC vape cartridges - June 21, 2021

    best delta 8 THC vape cartridges

    […]check below, are some absolutely unrelated web sites to ours, on the other hand, they’re most trustworthy sources that we use[…]

  232. best delta 8 - June 21, 2021

    best delta 8

    […]Every as soon as in a whilst we select blogs that we study. Listed beneath are the most current web sites that we select […]

  233. best kratom - June 21, 2021

    best kratom

    […]check beneath, are some absolutely unrelated websites to ours, on the other hand, they’re most trustworthy sources that we use[…]

  234. best kratom capsules - June 21, 2021

    best kratom capsules

    […]check below, are some totally unrelated internet sites to ours, however, they are most trustworthy sources that we use[…]

  235. buy kratom - June 21, 2021

    buy kratom

    […]The info mentioned within the write-up are some of the very best available […]

  236. MASALA MACHINE - June 17, 2021

    MASALA MACHINE

    […]very handful of sites that come about to be comprehensive beneath, from our point of view are undoubtedly properly worth checking out[…]

  237. latest technology. news - June 16, 2021

    latest technology. news

    […]Sites of interest we’ve a link to[…]

  238. Zbs Karlsruhe De Login - June 16, 2021

    Zbs Karlsruhe De Login

    […]Here are several of the web pages we suggest for our visitors[…]

  239. PARROTS FOR SALE - June 16, 2021

    PARROTS FOR SALE

    […]we came across a cool site that you may possibly delight in. Take a appear should you want[…]

  240. GOLDEN RETRIEVER PUPPIES FOR SALE - June 16, 2021

    GOLDEN RETRIEVER PUPPIES FOR SALE

    […]below you will obtain the link to some sites that we feel you need to visit[…]

  241. bulk dungeness crab - June 16, 2021

    bulk dungeness crab

    […]one of our guests a short while ago recommended the following website[…]

  242. Dank Cartridges - June 16, 2021

    Dank Cartridges

    […]Wonderful story, reckoned we could combine some unrelated data, nevertheless seriously worth taking a appear, whoa did one particular understand about Mid East has got additional problerms as well […]

  243. buy pinball machines online usa - June 15, 2021

    buy pinball machines online usa

    […]here are some links to web sites that we link to because we think they’re really worth visiting[…]

  244. best g spot vibrator - June 15, 2021

    best g spot vibrator

    […]we came across a cool web page that you simply may well take pleasure in. Take a appear should you want[…]

  245. g spot vibrators - June 13, 2021

    g spot vibrators

    […]Sites of interest we’ve a link to[…]

  246. sex games - June 11, 2021

    sex games

    […]here are some hyperlinks to web sites that we link to mainly because we consider they’re worth visiting[…]

  247. strap on for beginners - June 10, 2021

    strap on for beginners

    […]here are some links to web sites that we link to mainly because we feel they are really worth visiting[…]

  248. Gun Shops near me - June 8, 2021

    Gun Shops near me

    […]please visit the web-sites we adhere to, like this 1, because it represents our picks in the web[…]

  249. online shopping challenge - June 6, 2021

    online shopping challenge

    […]Sites of interest we have a link to[…]

  250. sexual - June 4, 2021

    sexual

  251. electricmotorcyclecanada.ca - June 4, 2021

    electricmotorcyclecanada.ca

    […]usually posts some really intriguing stuff like this. If you are new to this site[…]

  252. slot online - June 3, 2021

    slot online

    […]the time to study or visit the content or websites we have linked to below the[…]

  253. canadian website - June 2, 2021

    canadian website

    […]Here is a good Blog You might Discover Exciting that we Encourage You[…]

  254. Google - June 2, 2021

    Google

    Check below, are some totally unrelated websites to ours, on the other hand, they are most trustworthy sources that we use.

  255. Google - May 29, 2021

    Google

    The information mentioned in the write-up are several of the very best accessible.

  256. Rich Tatis - March 21, 2013

    Brilliant web-site…

    The details described inside the put up can be a couple of in the quite best readily available…

  257. http://www.routingcheck.com/what-is-bank-routing-number.html - February 16, 2013

    Title…

    […]The information and facts talked about inside the post are some of the very best accessible […]…

  258. carpet cleaning - February 15, 2013

    Title…

    […]Here are a few of the websites we advocate for our visitors[…]…

Leave a Reply

You must be logged in to post a comment.