What is dangerous is the pelvic presentation of the fetus?
Pelvic presentation of the fetus is observed approximately at5% of pregnant women. As a rule, a child in the mother's abdomen can turn over many times during the day. If the pregnancy is normal, at about the 24th and 25th week the baby assumes a "head down" position, however, it may change to about 35-36 weeks.
If at the same time there is a pelvicprevia, then, as a rule, the birth will also take place under these conditions. Such a state of the child is determined not only with the help of ultrasound, but also during the vaginal examination and external examination of the gynecologist.
There are several reasons that can lead to this presentation of the fetus:
- Obstructions that interfere with the head of the baby (for example, irregular pelvic shape, low attachment of the placenta, swelling of the ovaries or other organs).
- Excessive mobility of the fetus (with developmental delay), polyhydramnios or premature pregnancy.
- Limitation of mobility of the fetus due to a short umbilical cord, crocheting it, lack of hydration or an abnormal structure of the uterus.
- Decrease in the tone of the lower segment and increase it in the upper part of the uterus, which is caused by the presence of scars on the uterus or inflammatory processes.
Pelvic presentation is divided into gluteal andfoot. Such a classification arose because each such species requires specific management of labor. The fact is that if the fetus is small in size, the presentation is breech, and the pelvis of the woman in childbirth has normal dimensions, then births can be natural without complications. In all other cases, the risk to the health and life of the child is very high. The most dangerous is leg presentation, because often there is asphyxia, prolapse of the umbilical cord loops.
For the prevention of pelvic presentation to pregnant women,which are considered to be at risk, spasmalotic drugs are prescribed from about 23 weeks. Also, a strict diet is recommended so that the fetus does not become very large, and this does not complicate the birth.
If doctors determine pelvic presentation, starting from the 36th week of pregnancy, a special gymnastics is prescribed to the woman, which promotes the transition of the fetus to the desired position "head down".
Women with such a diagnosis in the women's consultation are on special account. They need to visit the doctor on a regular basis and undergo all the diagnostic methods they are prescribed.
Births with pelvic presentation have a definitespecificity of the conduct. So, on 38-39 a woman needs to go to the hospital, so that the doctors correctly prepared her for childbirth. When a survey is conducted, a possible variant of their conduct is chosen. In this case, the type of pelvic presentation, the weight and height of the fetus, its sex, and the size of the pelvis, the timing of pregnancy and concomitant diseases are taken into account.
The birth in pelvic presentation is performed with the help of caesarean section, if the fetus weighs more than 3.5 kg, the uterus has a scar, the mother has a narrow pelvis, and the baby's leg is leg or mixed.
It is very important to remember that, according to practice,boys who are born naturally in such a situation get a testicle injury. Therefore, if the fetus is male, it is preferable to conduct a cesarean section.
If nevertheless the genera are natural, thena woman is prescribed taking antispasmodic medications and restorative medications. Doctors at birth carefully monitor their course and, if any violations are found, can change the tactics of their conduct in order to save the child's life.
After delivery, a thoroughExamination of the baby using clinical and laboratory techniques. This will help reduce the risk of developing possible complications in the future and diagnose them in time.