How to identify abnormal fetal position, treatment and prevention
What is abnormal fetal position?
Abnormal fetal position, that is, abnormal fetal position. Generally refers to abnormal fetal position 30 weeks pregnant after vibration, the position of the body in the womb is not correct, long seen through the abdominal wall relaxation of pregnant women and mothers. Fetal abnormalities, including breech, transverse, posterior position, facial position and so on. More common in breech, and transverse position against maternal and child the most drama. Abnormal fetal position will bring the different levels of labor difficulties and dangers, it is early to correct fetal position on the prevention of childbirth has an important significance.
What are the symptoms of abnormal fetal position?
1. After 28 weeks of pregnancy by abdominal, vaginal, B-ultrasound confirmed an abnormal fetal position.
2. Breech diagnosis: abdominal examination the uterus was vertical oval, can touch the bottom of the uterus round and hard, pressing a sense of the fetal head float. Only touched on the pubic symphysis soft, wide tires instead of the rules of hip. Fetal heart tones in the top left or right side of the umbilical heard most clearly. B-ultrasound fetal head in the rib margin. Above the pubic symphysis to arm or foot.
3. Transverse Diagnosis: a horizontal oval-shaped uterus, the fetal head hit the side of the maternal abdomen, above the pubic symphysis relatively empty. Cullen both sides of the fetal heart sound in the most clear. B-ultrasound fetal head in the mother’s side of the abdomen.
Types of abnormal fetal position:
Normal pregnancy in the near term production, most of the location of the fetus is upside down, kind of so-called “first production-type” accounted for 96%; and 3% is the butt down, known as the “hip production style” ; 0.2% to 0.5% of the transverse position, called “cross-production type”; another little part is called “re-production type” is the fetus’s hands, head or buttocks, and lower in the uterus also There are two parts that crowded in the uterus while the next section, this situation is rare.
Whether cross-production type, production type or the resumption of production hip style, as both the abnormal fetal position, the most common type is the hip production. However, in 96% of the fetal head inside the production style, there are some cases, said abnormal fetal position, that although the head in the following, but not a good position, we also called malposition. For example, when normal fetal head should be down, while the fetal face should be directed to the mother’s back, but some time in the production of the fetus, but the face towards the mother’s abdomen, which is the fetus’s head back towards the mother, such case also belongs to malposition. In addition, some of the lowest in the forehead towards the – towards the first exposed position; a small number of fetal parts of the face toward the mouth of the uterus, although these are the first in the following, but also cause production difficulties, we are called malposition.
Principles:
All the principles of dealing with abnormal fetal position, is to maintain the maternal and fetal life and health of the primary conditions.
7 months ago in pregnant fetal position is not correct, as long as the observation can be strengthened. Because intrauterine amniotic fluid more leeway fetus, fetal position will correct itself. If pregnant 7 months after the baby’s pandora armbandposition is still positive, we have to correct the.
Pregnant women can be horizontal chest knee. Essentials is the solution to make urine, relaxed belt, kneeling on the hard boards covered with cotton bed, his hands straight forearms, chest, closely aligns with the bed as far as possible, bend the hips, thighs and legs at right angles. So twice a day, starting every 3-5 minutes to every 10-15 minutes later. Supine knee chest child can withdraw from the pelvic hip, increasing fetal head into the first digital opportunities.
Prevention:
Make prenatal care, pre-diagnosis of abnormal fetal position, prompt treatment, if not into the first position, the first mode of delivery options well in advance to be produced hospitalization. Abnormal fetal position during labor can prevent and avoid the serious consequences of abnormal fetal position.