Is there a pelvic prediction during childbirth
Causes of the pelvic prevention of the fetus. Diagnostics. Exercises for correction. Question about the delivery
Many women believe that it is impossible to give birth to yourself when a child in the womb is in a pelvic preview, but it is far from.
What is the pelvic and head prediction of the fetus
The norm is the situation when the child’s head is directed to the Mother’s Tazu. In this case, in the process of childbirth for the generic paths, the kid’s head passes, but 4% of women stated pelvic preview.
In such a situation, buttocks or legs of the fetus are drawn to the Mother Taza. Foot provisions are already formed in the process of childbirth, and the buttocks are about a third of the total pelvic. In very rare situations there are knee prerequisites.
Diagnostic methods
Detect the pelvic presence of the fetus just enough. Obster reveals him during palpation. At the same time, a large preempting part is soldered, which has an incorrect shape and mild consistency. Another feature is a highly located bottom of the uterus (the uppermost part of it), if compared with the same term and standard preview.
Normally, the bottom should be located between the Movie-shaped process and the Pup. At the same time, at the bottom of the gynecologist determines the head of the child. Also a clear sign is the heartbeat. With incorrect placement, the beats are heard above the female navel.
Confirm the diagnosis is possible with a vaginal research. Doctor will be able to forgive soft cloth legs and buttocks. In addition, repeated ultrasound studies that are made absolutely to all pregnant women will be able to diagnose this phenomenon.
Causes of the pelvic prevention of the fetus
This phenomenon can be provoked by the following reasons:
- Too active mobility of a child accompanied by a multi-way basis;
- Premature pregnancy (much more of ammunition waters than at dusted);
- Multipleness;
- Narrow pelvis;
- The prelationship of the placenta (it is located on the way of promoting the baby by the generic paths);
- Child development anomalies, such as too big head;
- Major, violations of the development of the uterus, under which the mobility of the baby is limited;
- Reducing the tone of the uterus. In this case, it cannot correct the position of the fetus, since it does not react to irritation.
How pregnancy proceeds in this case
There is nothing abnormal for such pregnancy. However, all women in the current situation are encouraged to perform certain exercises. You can get to them from the 32nd week. If there are no gagging circumstances (low or multi-way, an abnormal form of the uterus), then during the week the child must turn over and take the standard position.
Exercises in the pelvic preservation of the fetus
The performance of physical exercises is aimed at irritation of nervous receptors and increasing the excitability of the uterus. But if by 38 week nothing has changed, then labor will be held with pelvic preview. In this case, the woman is sent to the hospital where it will be before the birth.
Also, doctors will decide the question of the delivery. Such measures are needed to all women in the current situation, because there is a need to pre-develop a planning plan. They can be conservative or operational.
Among special exercises it is worth highlighting turns. This is the easiest complex. Woman should turn around in a lying position from one side. True such maneuvers 3 -4 times, changing position every 10 minutes. Perform this event up to 3 seaside day.
Also use slopes. They are performed on an empty stomach, in the position lying on the back. Under the pillow, put the pillows to rise above the head for 20-30 cm. In such a pose, delay no more than 15 minutes.
The child’s birth process
If the state of pregnant and the fetus is good, there are no pathologies, the neck mature, it can well success give a natural way. Doctors in such a situation give preference to them, but the process is carried out serious observation.
For example, when the fights and the neck opens, the woman should stick to the bed mode to avoid complications (loss of cord, child legs, premature expulsion of water).
Biomechanism of childbirth differs from standard with a pelvic preview:
- The first time is the omission of the pelvic end. When the buttocks of the fetus are descended into the small pelvis, their transverse size coincides with one of the oblique sizes of the pelvis. In the first position, the line of the buttocks takes place in the left braid, and on the second – in the right;
- The second time there is an inner twist of the buttocks as a result of movements. At this time, the leading buttock is suitable for symphysu, and the second to the sacrum;
- The third moment is to cut and tecking the buttocks. When the leading buttock is broken, the iliac bone of the baby rests on the symphiz. At this time, his torso is very flexed. If the pelvic presence was combined with a berry, then legs appear with the buttons and legs. With a partial preservation, the buttocks are born simultaneously with the body. When a pelvic end appeared, the torso will straighten. At this time, only the area is visible to the navel, but when the fruit turns a little back forward, the lower angle of the blades will appear;
- The fourth stage lies in the exit of the shoulder belt. When leaving the shoulder pellets are moving out of oblique size in a straight line. Following the shoulders, arms should appear, but if they do not come out themselves, they are exempting them with the use of obstetric benefits – a number of manual techniques aimed at relieving the birth of the kid;
- Fifth stage – final. At this time, the baby head is born. She goes back to symphysu. When the floor gap appears, the head will strive in the lower edge of the pubic arc. As a result, the chin will appear, and after him and the back.
Choosing a delivery
In some cases, natural childbirth is allowed, but sometimes cesarean cross-section is carried out, because, with a pelvic preview, the risk of complications in the process of childbirth increases.
Choosing a method, doctors are guided by the following factors:
- Age pregnant. If a woman is more than 30 years old, and she gives birth for the first time, then this fact belongs to gagging moments;
- Given past pregnancy and childbirth. If in the past there were already independent childbirth, then the cesarean section is usually not fulfilled and the doctors are inclined to the natural process of birth of a child;
- Power weight. If, in the assumption of doctors, the kid weighs more than 3.5 kg, then inclined to section;
- The state of the baby in the womb, for example, is there signs of lack of oxygen (complications are possible during childbirth);
- Size ratio: Woman and baby pelvis. To find out this parameter, doctors can apply X-ray meteriviometry – assessing the size of the pelvis using X-ray radiation;
- View of pelvic prediction. In practice, it is proved that the fodder is the most unfavorable, since the feet or loops of the umbilical pappy often occurs;
- Head position. For example, if the head is trapped back, then an operational delivery is recommended, because its position can lead to injuries of the cervical spine or brain. This parameter allows you to determine the ultrasound.
If pregnancy proceeds with complications, the woman’s pelvis is too narrow, the child’s mass exceeds the permissible norm, the age of primary more than 30 years, then the operation is carried out, that is, a cesarean cross section.
Births in a pelvic preview sometimes leak perfectly normally, but often there are disorders when an unfavorable situation arises both for the child and for the mother. For example, too long opening of the neck or oxygen starvation, difficulties in the extraction of the kid.
It is worth noting that children born in such a position require increased attention of doctors. Very often transferred during childbirth hypoxia adversely affects the baby’s nervous system. Therefore, such children are observed for a neuropathologist for some time. In addition, the probability of hip dysplasia (underdevelopment) is high.
Such pathology requires diagnosis and treatment immediately after delivery. If you follow the precautions, then children born in this way will not differ from their peers. Successful to you Rhodework, Health to you and your baby!