health

Tuesday, December 21, 2010

Some noun malposition

Fetal position:
The so-called fetal position, that is, the position of the fetus in the womb and posture. Bulletin boards are directly related to its natural labor or dystocia, Bulletin boards and handled properly will affect the baby's health, and even mother and baby can cause life-threatening.
Anterior position:
We know the fetus within the uterus is immersed in amniotic fluid, fetal body weight compared with the fetal head, so the overwhelming majority of fetal head position under the butt cheek. The normal fetal position is not only upside down, and fetal head flexion, occiput in front, was lying prone position, the first to enter the pelvis during childbirth occipital, medicine called "anterior position", also known as "lying the students ", which is the normal fetal position fetal position, labor is generally more smoothly. Delivery to minimize the perimeter of the fetal head through the birth canal, the mother of the hazards children are least likely to fetal position for normal childbirth, accounting for 94% of births to 95%.
Breech:
Abnormal fetal position means that in addition to the above the normal position and posture, shall be regarded as abnormal fetal position. But we usually refer to it not refer to the location of fetal abnormalities, that is, the position of non-cephalic fetal position, including the breech, transverse to breech the most common, accounting for 3% of total number of deliveries to 4%. The fetal head position was under the buttocks, is not conducive to giving birth, often the need for cesarean section.
Head difficult:
Abnormal fetal position aligned Mummy is often unfamiliar, but much higher than the incidence of abnormal position of the high, accounting for 20% to 30%, but the abnormal posture is variable, with the progress of labor in productivity or midwifery staff under the effect of the treatment, can be transformed into the normal fetal position and smooth delivery, only one of the 2% to 3% of the normal fetal position can not be changed or need midwifery section, we call the Head difficult.
Beginning of pregnancy occurs when abnormal fetal position?
◆ 7 months ago, the observations do not diagnose
The formation of abnormal fetal position from the start, when the fetus there, but the fetal position without being 7 months pregnant (28 weeks) before the diagnosis is not made, only to remind the Bulletin boards, long before this observation can be strengthened without any treatment, because it when the fetus is relatively small, intrauterine amniotic fluid more leeway to the fetus, fetal position can be self-correcting. If this time will be correct, sometimes the fetus into the breech can be their sub.
◆ 7 months after diagnosis, risk treatment
If 7 months pregnant (28 weeks) after the fetal position still positive, it is necessary to make the diagnosis, treatment as a high-risk pregnancy, Bulletin boards to reduce activity, especially the more violent activities to prevent premature rupture of the water, and needs to be corrected. Because this time, the larger the fetus, the fetus is relatively small space, into the head position to correct after the rotation of the fetus into the breech is not easy then, can achieve more satisfactory results.
What are the common abnormal fetal position?
Breech presentation: delivery before the fetus exposed in the hip, knee or foot, or breech first exposed, divided into single hip, hip and foot-bit mixed.
Transverse: delivery arm, shoulder first exposed the transverse position.
Head position is not correct: the above two is a common abnormal fetal position fetal position, but some fetal head is down though, there are abnormal fetal position, called the head position is not correct. Such as:
● to poor fetal head into the flexion extension of the anterior fontanel before Yang Lu, the amount of the first gel, first exposed surface;
● Due to poor fetal head rotation posterior position, pillow transverse position;
● both rotation and flexion bad bad high straight bit;
● uneven fetal head tilt before and after, side dump so uneven.
These are all abnormal fetal position. These abnormal fetal position, the delivery of an obstacle Bulletin boards, which can easily lead to difficult labor.
Composite first exposed: the fetus's head or buttocks with upper limb prolapse into the pelvis while the composite first exposed. Mostly general clinical head and hand simultaneously into the pelvis were more common, if not corrected the same can not be natural childbirth.

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