breech presentation of the fetus often uneventful.However, breech presentation is considered to be more dangerous in terms of injury to the mother and fetus.That is why the management of labor breech fetus developed special techniques.
breech - is intrauterine fetal position in which his pelvic area predlezhit the entrance to the mother's pelvis.The frequency of breech presentation ranged from 2.7 to 5.4%.
breech include gluteal (flexion) and leg (extensor) previa.Breech presentation is divided into:
- purely gluteal (partial) previa, where the entrance to the pelvis facing the buttocks and legs bent at the hips, pressed against the body and stretched along it;
- mixed (full) previa, where the entrance to the pelvis predlezhat buttocks with feet legs, bent at the hip and knee joints.
Foot previa divided into complete, at which predlezhat both legs incomplete (predlezhit one leg) and knee with previa fetal knees.
How are breech presentation fetus
It depends on how many years the woman as a real pregnancy proceeded,how ready the woman's body for childbirth, not too narrow pelvis, and whether he size of the fetal head, fetal bladder condition, the type of breech and other moments.
With good indicator of readiness of women for childbirth and its condition generations usually occur naturally.The first stage of labor in breech presentation differs from the similar period in the cephalic presentation so that the head comes last.As a result of the birth canal expanded enough and are poorly prepared for the birth, which can cause a number of complications: tilting handles, delayed head pressed against the umbilical cord.All this leads to delays in delivery and hypoxia (oxygen starvation) of the fetus, which is dangerous for its brain.
Often while noting the premature discharge of water.To prevent this complication, a woman in labor should comply with bed rest.During labor you need to continuously monitor the heartbeat of the fetus.For the prevention of fetal hypoxia fetal hypoxia - the consequences of lack of oxygen in the body woman introduced special drugs.In case of violation of labor indicated caesarean section.
In the second stage of labor (the period of the expulsion of the fetus), sometimes it is necessary to carry out the dissection of tissues of the birth canal for the passage of the fetal head (perineotomy or episiotomy).
There are special hand aids that are used during labor and delivery breech fetus.The most famous of them - manual and manual on Tsovyanovu classical manual grant.
Manual benefit Tsovyanovu
When pure essence of breech presentation aids is to maintain the normal position of the legs of the fetus (hip flexion and extension in the knee joint).To do this, after the birth of buttocks, facing front, an obstetrician covers thumbs and hip fetus as the birth of the fetus gently presses his legs to the tummy, which prevents loss of the legs of the fetus and for the drawing back of the head handles.
After the birth of the fetus to the blades during the rotary motion of the fetus done carefully removing the anterior shoulder first, then the rest of the series output of the shoulder girdle.Then he shows the chin and head, they are born they are taken on their own or with the help of special hand techniques.
classical manual grant
classical manual guide - a complex of measures aimed at the birth of the shoulders and head.The fruit is born to own umbilical ring.After the birth the navel cord is inspected, checked her pulse and the tension.If the tension is strong, it weakened, if that fails, then cross the cord, and try to spend delivery as soon as possible.
There are three phases in the provision of benefits by classical manual:
- first stage - the passage of the child from the navel to the lower corner of the scapula;the fruit of her hands at the same time cover the hips and lower torso rotated until the birth canal of the lower corner of the scapula;
- second phase - the release handle - according to the following rules: each handle obstetrician releases of the same name by hand, at the same time turning the body of the child;
- third phase - the release of the head, which must pass through the birth canal in a state of flexion, which is achieved through a variety of techniques.
breech fetus - is not a tragedy, in the vast majority of births take place without complications, as there are time-tested methods of their proper management.