Pictorial presentation of the fetus: implications and recommendations doctors

From the moment of conception and until the birth, the expectant mother is constantly in fear for their small miracle that all these 9 months in her womb. After all, the kid will have to go a huge long way from a tiny cell to a little man and he is faced with multiple problems.

If the pregnancy is progressing well, the fetus is developing properly and no problems are detected, the woman may well give birth without any extraneous manipulation. But things don't always go as we would like. One of the most frequent pathologies, is a direct indication for caesarean section is the wrong location of the fetus before birth.

A Little information for parents

The Little pipsqueak from the very first weeks of its attachment to the uterus begins to actively move and even push off from the wall, since he is still too small and the space in the uterus for him abound. But this freedom lasts only until mid-second trimester. Then the child becomes more and more difficult to change position. He is forced to take the most convenient for him and for future delivery in General in this state to wait for the birth.

That is why the midwives from the antenatal clinic starting in 30 - 34 weeks carefully monitor the location of the fetus in the womb and try to find the optimal variant of delivery. Still, it is not necessary to panic ahead of time: there are cases when the child at the last moment somehow took the correct position and was born perfectly healthy in a natural way.

What are the different kinds of pathologies?

Typically, an experienced obstetrician-gynecologist can determine the position of the fetus, felt the pregnant belly, but the final verdict will be delivered after ULTRASOUND study, and only then the doctors will decide how to take delivery. Of course, hard to not get upset, but every expectant mother is simply obliged to know what pathology can be and what to expect in a particular case.

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So the fruit can be located in the pelvic or cephalic presentation, which, in turn, have separate versions. We will talk about them below. At the next appointment in the LCD expectant mother may hear, apart from the position of the fetus, the so-called position. This term is used in medicine to map the back of the child and the uterine wall. The child can be positioned longitudinally, that is head down or up, or across, respectively, head to the right or left.

At the longitudinal location of natural childbirth without complications is possible only if the baby's head is at the bottom, i.e. closer to the birth canal. However, even in this case there are small nuances, but in General the mother is quite able to give birth to itself.

In cases where the fetus is transverse, vaginal birth is completely eliminated. In this case there is only one way — a cesarean section.

Breech presentation

This is the case when the child is literally "sits" on the way out. While this breech may, in turn be of several types:

• The breech (the baby's head from the top, bottom, buttocks, legs are propped up closer to face);

• Foot (the child stands on his feet, or perhaps only on one leg);

• (mixed baby with this previa can sit on the buttocks, legs bending at the knees).

Breech Births are possible in principle, but very risky. During labor and delivery both the mother and the baby can get a serious injury. Therefore, it is recommended to listen to the doctors and agree to a cesarean section.

Head fetal presentation

This is the correct and safe position in which injury to the baby and pregnant woman are reduced to a minimum. In cephalic presentation the baby's head is in the birth canal during childbirth appears first.

A compound presentation can also be divided into several types:

• Occipital — the perfect and natural position of the baby in which to move through the birth canal the baby will be head forward.

• Prednisolone.

• Frontal — according to doctors, the most dangerous a compound presentation. In this case the only solution is a caesarean section.

• Pictorial presentation of the fetus — almost as dangerous as the frontal. When promoting through the birth canal there is a risk of injury of the spine. Precisely this form of pathology will discuss in detail below.

What is pictorial presentation of the fetus and how dangerous it is?

This extreme extension of the head of the baby. Initially, when lowering the observed frontal presentation, and then it goes into the front. Usually this presentation takes place directly at the moment of delivery, but there are times when this state occurs long before the onset of labour is diagnosed using ULTRASOUND study.

According to some clinical data, this presentation occurs in about 0.30% of all pregnant women. The women who already had children are prone to such pathologies more frequently than aged primiparas.

How to diagnose incorrect fetal presentation?

When the front previa the baby's head badlyhe leans back and presses herself to the back, while the chest of the child is closely adjacent to the walls of the uterus. All of these conditions combine to create a number of characteristic features with which experienced midwife can determine the presence of a face presentation of the fetus.

The correct diagnosis of it is useful and vaginal examination, which should be done very carefully, so as not to hurt the baby. The doctor can easily test on one side of the chin, and the other — the nose and eyebrows. In this case, the presence of a face presentation is not in doubt.

Why is this happening?

This is the incorrect fetal presentation in the uterus is very rare, about 1 in 400 genera. More susceptible to such pathology the women who already had children. Causes of face presentation of the fetus can be different: narrow pelvis mothers, too low tone of the uterus, irregular contraction of its sides.

Pictorial presentation of the fetus (child) can be both primary and secondary. The first option is very rare, and it is noted long before the onset of labour. The reasons may be different, for example, when there is a thyroid tumor in a child. Secondary previa occurs more often. It is formed from the so-called frontal. It happens most often with a narrow pelvis mothers.

The Mechanism of labor in face presentation

At the beginning of labor in face presentation the baby's head, instead of bend, bend backwards. Next is the internal rotation of the head, this occurs during the transition from the wide part of small pelvis narrow. Then there is the extension of the chin anteriorly, the head is in the pelvic bottom. And finally, an eruption of the face of the baby. In the end, is turning the shoulders and head exactly as it occurs in the occipital previa.

Consequences of natural childbirth when the front previa for baby and mom

The effects of pictorial presentation of the foetus (child) in General depend on the flow of labor and the professionalism of doctors. It should be understood that this pathology can not affect the state of the baby. Immediately after birth there is severe swelling and bleeding in the eyelids, lips newborn. Tongue and floor of the mouth is extremely swollen, which leads to problems with feeding in the first days of baby's life.

The Prognosis and the consequences of facial fetal presentation is relatively favorable. As a rule, 93% of women do not require surgery and only 20% had a rupture of the perineum.

Unfortunately, despite the positive prognosis of face presentation, the consequences for the child are not always favorable. Under these circumstances dramatically increases the number of stillborn. The main problem in this case is obvithe of the umbilical cord, which is observed much more frequently than in the occipital previa.

Feedback from experienced mom

If you go through the many women's forums on the Internet, it can be concluded that the effects of face presentation of the fetus, as reviews may differ depending on the specific situation. Often women say that the primary presentation - still not a sentence, and things can change, that is, the baby can still turn so, as expected, in the most unpredictable moment. Many moms suggest to perform a series of exercises to adjust the position of the fetus in the womb, but before you listen to their advice, it is useful professional advice of the doctor for this reason.

But still need to be realistic and not wait for a miracle until the last. If your gynecologist says that there is a pictorial presentation of the fetus, the consequences and reasons which are forced to resort to caesarean section, it is necessary not to risk their health and the baby, and relying on years of experience of the doctor.

As being the birth with this pathology

If set pictorial presentation and yet of labor, expectant management is used. In other words, doctors are likely to believe the expectant mother to the maternity hospital in advance, but did not take. In most cases, everything is decided by nature and birth takes place without any serious consequences for mother and baby. In the case of a face presentation vaginal birth, though complicated, but still possible. At the same frontal presentation, especially in combination with the normal size of the pelvis and full-term pregnancy, natural childbirth impossible. They will happen if the frontal presentation will go in front or prednisolone, with small fruit and a roomy pelvis.

If the beginning of the opening of the cervix, put the mother on the back and try not to damage the SAC. In the presence of a large fetus or a narrow pelvis mothers and face presentation of the fetus, doctors ' recommendations always agree immediate surgical intervention. Otherwise there is a risk of missing the most opportune time and cause serious harm to both mother and child.

Why does a fetus may adopt the wrong posture?

As we have already mentioned above, nature has it so that before birth the child takes the most favorable position for himself and his mother, that is, longitudinally, with the occipital previa. But, alas, there are cases when things don't go according to plan and the baby isnot as it should. The reasons may be several:

• After repeated scraping, dusting, abortions, multiple births and even surgeries, a caesarean section can be observed hypertonicity of the lower parts of the uterus, while in the upper sections will be a significant reduction in tone. As a result the fetus may start from the entrance to the pelvis and to take an unnatural situation for him.

• The Important role played by characteristics of the child, for example, a large or overly active fetus, prematurity.

• Expressed in uterine abnormalities (bicornuate, saddle-shaped uterus, fibroids), narrow pelvis.

• Suffocation by an umbilical cord, resulting in severely limited mobility of the fetus.

Methods of correction of incorrect presentation

There is a set of exercises with which you can adjust the position of fetus before birth. Complex recommend attending. In addition to the exercises in the course can go methods such as a dip in the pool, acupuncture, homeopathy, mental suggestion, aromatherapy, and even music therapy. You can try anything you want, only one condition: to be very careful not to hesitate for any questions (even the most minor) to consult a gynecologist.

The Effectiveness of such exercises, according to some, can reach 80%. But it is worth remembering that in any case should not do this stuff without prior consultation with the leading doctor. Because the situation in each case is individual and can be serious contraindications. So, to direct contraindication to such exercises include scars and tumors on the uterus, placenta previa, preeclampsia, severe inflammatory disease. Thus you can cause substantial harm instead of good.

And remember: in any case, the final verdict has to endure a doctor and he knows how serious this is. And if you decide to do a C-section, nothing wrong with that. The main thing that was born a healthy baby and mom was fine.