Breech delivery
Introduction
Introduction Normal pregnancy is close to full-term production, most of the fetus's position is head-down, this so-called "head-type" accounted for 96%; and 3% is ass down, called "hip-type ". Causes of temperate production are divided into maternal factors such as multiple births, intrauterine fibroids or uterine congenital abnormalities (uterine mediastinum) and placenta previa; and fetal factors such as: premature delivery, multiple births, polyhydramnios, Giant infant disease, developmental congenital abnormal fetus (chromosomal abnormalities, fetal water brain) can cause hip production.
Cause
Cause
Reasons for hip production:
1, maternal factors such as: multiple births, intrauterine fibroids or uterine congenital abnormalities (uterine mediastinum) and placenta previa.
2, fetal factors such as: premature delivery, multiple births, polyhydramnios, giant infant disease, developmental congenital abnormal fetus (chromosomal abnormalities, fetal water brain).
Examine
an examination
Related inspection
Fetal development check fetal weight prediction gynecological ultrasound examination
Hip production diagnosis:
If the fetal position is still not correct after 7 months (28 weeks) of pregnancy, a diagnosis should be made. As a high-risk pregnancy treatment, pregnant mommy should reduce activities, especially more vigorous activities, to prevent early water breakage and need to be corrected. Because at this time, the fetus is larger, the fetal activity space is relatively small, and after correcting into the head position, the fetus is not easy to rotate into the breech position, which can achieve a desired effect.
Diagnosis
Differential diagnosis
Differential diagnosis of hip production:
The fetal position is not correct: the correct order of normal output should be first from the head. If the lower body is produced first, even the shoulders, arms and other parts are first produced, which is called "the fetal position is not correct". The most common is the so-called breech position, that is, the direction of the buttocks toward the cervix and the birth canal. Others such as oblique or transverse position (shoulders or trunks facing the birth canal) are less, but the risk is not small. This is only the most rough classification. In fact, only the first child in the back of the head is the easiest way to produce, and other methods are likely to cause more or less danger or prolonged labor during the production process.
Abnormal fetal position: abnormal fetal position generally refers to the position of the fetus in the uterus after 30 weeks of pregnancy, and longer in pregnant women and women who have loose abdominal wall. Abnormal fetal position includes breech position, transverse position, posterior occipital position, and facial position. More common in the breech position, and the horizontal position harms the mother and baby. Because abnormal fetal position will bring different degrees of difficulty and danger to childbirth, early correction of fetal position is of great significance for the prevention of dystocia.
If the fetal position is still not correct after 7 months (28 weeks) of pregnancy, a diagnosis should be made. As a high-risk pregnancy treatment, pregnant mommy should reduce activities, especially more vigorous activities, to prevent early water breakage and need to be corrected. Because at this time, the fetus is larger, the fetal activity space is relatively small, and after correcting into the head position, the fetus is not easy to rotate into the breech position, which can achieve a desired effect.
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