|
|
Presentations of the child
Within the first pregnancy months the child still can move freely in the womb. The last term it gets increasingly narrower for the unborn one. Approximately as of the 32nd week 90 per cent of the children have taken their definite birth position. They change their lie at the remaining 10 per cent from themselves until the 37th pregnancy week or even still shortly before the birth.
Cephalic presentation
94 per cent of all children were born first with the head. The head has moved to the mamma, the back of the head goes the birth canal first, shows the mother the face to the sacrum. The birth goes most lightly at this anterior vertex presentation.
Breech presentation (breech presentation)
The most frequent abnormal lie is the breech presentation. (Breech presentation) is noted down in the gravidogramm BEL in the mother passport. It is distinguished in:
- a pure breech presentation (the child sits in the womb and beats the legs up),
- the footling presentation (the unborn squats in the tailor seat in the womb),
- the perfect footling presentation (the legs are stretched to below).
Causes
A breech presentation can have the following causes:
- The musculature of the womb is already worn and the child has too much motion room to move. This is primarily the case at increase giving birth.
- Sufficient place doesn't have the baby to turn because too narrow and the uterus are too tight the pelvis.
- Freedom of movement doesn't make an offshore placenta, the so-called placenta praevia or myomas in the uterus wall possible for the unborn one sufficiently.
- If too little fetus water is available, the child cannot turn round, too much is available, it isn't restricted in its freedom of movement.
- It is a premature delivery. The unborn still has room for rotations or it simply had no more time to turn into the usual presentation.
- Due to the cramped conditions at twins both or none at all cannot take the normal presentation.
- Cord complications are the reason that the child prefers to be left.
Problems
A vaginal delivery of the breech presentation isn't problematic for very experienced obstetricians. The birth usually lasts longer and the labors are often weaker, too. The previous part of the body is softer and smaller and therefore doesn't extend the birth ways so strongly. Follows the head is its birth now aggravates. The main risk is, however, a hypoxia care of the child under the birth. After the buttocks are born and the head almost has passed the womb exit, the volume of the womb and with that the custody plane of the placenta is reduced. The supply about the placenta is restricted. If the head of the baby then slips into the pelvis, it squeezes the cord. In this case the obstetricians only have little time to release the child left.
Risk avoidance
Children are released into breech presentation primarily at first giving birth by cesarean section in many clinical complexes. A vaginal birth isn't tried first at all. However, the decision for the respective delivery method meets the nascent mother itself. In exceptions the child, however, cannot be released vaginally, a planned cesarean section is inevitable.
Trick experiments
Sometimes midwifes and physicians manage to turn the child. However, you yourself don't make any high-handed experiments to !!!!!! There are different methods to take the child to cephalic presentation.
1. "Indian bridge"
The abdomen and the pelvis are stored as highly as possible at the so-called "Indian bridge". The arms and the head which angledly hang lower legs to below shall eased if possible. A distinctive hollow-back arises. The child finally shall get so uncomfortable that it turns. The pregnant woman herself shall decide how long she bears it in this uncomfortable position. It can happen that she blacks out. These symptoms can be symptoms of a Vena cavum syndrome. It is triggered if the womb which is up to six kilograms heavy now presses the lower vena cava. The reflow of the blood to the heart is aggravated. The pregnant woman must immediately go into the side position. Let yourself be taught the "Indian bridge" by a midwife.
2. Moxabustion
This is a method from the traditional Chinese medicine. It is used for the turn of the child into the cephalic presentation between the 32nd and 37th weeks. This therapy is very similar to the acupuncture, however, no needles but mugwort cigars are used. To cause a turn of the child, a certain point is warmed very strongly with the pregnant woman with a glowing moxi cigar from a sure resection at the little toe. Midwives who use this method report that the pregnant women relax very well and the fetal movements considerably increase. Decisive prerequisites are both so that the baby turns round. The moxibustion is often applied to the "Indian bridge" for the preparation. However, a guarantee that the child turns round doesn't represent this method either.
3. External turn
This procedure for the turn of the child only should be carried out by experienced obstetricians in a clinic under ultrasound observation and general anesthesia readiness. At the external turn the obstetrician tries to turn the baby of the outside with the two hands. The child makes a backward somersault at this in the womb. The success prospects are approximately 50 per cent, the complication rate is indicated with under one per cent. At this form of the turn it can come to a premature placenta detachment or to cord complications. The external rotation should therefore only be carried out when medical staff is ready for a cesarean section.
Transverse lie
Only 0.5 per cent of all children are at the birth appointment in transverse lie. A birth is carried out with cesarean section. As in the case of the breech presentation experienced obstetricians can try to turn the child into the cephalic presentation
These informations may be considered a substitute for a piece of medical advice in no case. The content of health-illness.com doesn't can and may be put into any case to make diagnoses or carry out self medical treatment independently.
|
|
|
