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Everything about childbirth >> Complications during childbirth >> What is the fetal presentation? Incorrect position of the fetus during pregnancy.

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What is the fetal presentation? Incorrect position of the fetus during pregnancy.

One day, when you go on the planned testing your gynecologist, namely for 28-29 weeks of pregnancy, the gynecologist must try to determine what is the presentation of the fetus (ie, its position in the womb). Fetal presenting part is the part that will be the first out of the vagina. The most favorable is the option with cephalic presentation. This is when the head appears on the first white light, and as it usually is the largest part of the baby's body, the rest of the face without any problems.

But cephalic presentation is not always, and very often a wrong position of the fetus during pregnancy. So often determine the brachial or breech presentation. If a child in the womb is in a transverse position, this is called the brachial previa. If the buttocks or legs palpated at the bottom of the uterus, it is called a breech presentation.

It is necessary to bear in mind that a child can change position during pregnancy and breech presentation delivered at 29 weeks of pregnancy can either change independently of you on the head. Or you can try to use a set of exercises help to change the position of the fetus.

Now consider the basic options at a time of their presentations are particular dangers and options to remedy the situation.

Breech presentation.

It is believed that a breech causes decreased tone and excitability of the uterus. This leads to the fact that it reduces the ability to adjust the position of the fetus by reducing the internal muscle contractions. As the fruit will not be able to turn right in the case of a small amount of amniotic fluid. Ideally, the head of the fetus should get into a small basin, but this might interfere with the following factors.

  • Narrow mother's pelvis
  • Placenta previa
  • Tumors in the lower uterine segment
  • Fetal abnormalities
  • More than half of the breech presentation are complications. And in most cases require surgery.

    Helping to change the position of the fetus can be a fairly simple set of exercises. Perform the exercises are not recommended before 32-33 weeks of pregnancy. In 70% of cases, exercise is enough.

    Note!!! The intensity and a set of exercises is appointed only after consultation with the attending vrachёm. Do the exercises there are contraindications! (example: a uterine scar from the surgeries, placenta previa, a tumor in the uterus,   late toxicosis of pregnancy,   serious illness not related to reproductive system, etc.)

    If gymnastic exercises do not give the desired result in the obstetric hospital can spend a prophylactic external cephalic version. It is conducted at 34-37 weeks of gestation. First introduced means of relaxing the uterus, and then turn the fetus under ultrasound. This is a rather complicated procedure, and it is not shown for each expectant mother.

    External rotation - the procedure is quite dangerous for both mother and child, is fraught with a number of complications, including placental abruption, preterm labor, the deterioration and death of the fetus, the development of immunological conflict between mother and fetus. External rotation is effective in only about 65% of cases, after a successful external rotation almost all births occur through vaginal delivery. But in general, because of the large number of contraindications and possible complications of the outer rotation is quite rare. If a term of 37-38 weeks of pregnancy every effort to transfer breech in the head does not come to fruition, it is necessary to consult with your doctor about the advisability of hospitalization in the maternity hospital. Where, after assessment of the pregnant woman and the fetus, as well as the course and outcome of previous pregnancies chosen method of delivery and is made up of the upcoming birth. Actually, only two methods - either recommend to resort to caesarean section, or to conduct births vaginally under constant medical supervision.

    Breech presentation.

    Breech presentation is much rarer than the thing. In this situation, 95% of births are severe. Usually breech in the mother before the birth pains begin at the base of the uterus. With this type of presentation of the fetus enters the pelvis buttocks or lower extremities. In this case, the first born that part of the child's body, which has the smallest diameter, and probably for many generations. Only the help of the doctor or midwife will help the normal course of childbirth with the presentation of the fetus. Either the attending physician decides on the product cesarean section. It all depends on the size and condition of the fetus and the mother's condition.

    Cephalic presentation.

    Cephalic presentation it is the correct position of the fetus during pregnancy. This position is below the fetal head. Genera with such previa is most often carried out without complications. The head of the fetus is usually the biggest part of the body and after its passage probability of "being stuck" the rest of the body is minimal.

    There are several varieties of "not normal" cephalic presentation. Front a cephalic presentation, frontal presentation, facial previa. For more information about these types of cephalic presentation, read the relevant articles. Keep in mind that these types of previa is not normal and dangerous especially for a child.


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