Monday, December 17, 2012

Fetal Position Delivery Process Determine

Position determining achievement. So think about a slogan often heard in a classroom. Want to sit in the front, back, middle or sideways. According to one teacher, the seating position is closely related to the success of the teaching and learning process in the classroom. Similarly, the position of the fetus in the mother's womb to be born.
The position or location of the fetus is closely related to the technique of determining the success of the process of labor and delivery. There were three fetal position or location that we know in obstetrics, namely: A. Position Head B. Breech position. C. Transverse position.


Among the three position, fetal position to the position of the head is the best position for the successful achievement of spontaneous labor, the natural process through the birth canal. This position allows the fetus to the maternal pelvis easily through the door and most of the hopes for a natural birth spontaneously fulfilled.
In the third trimester of pregnancy, Antenatal Care inspection is very important. Because at this time, the obstetrician or midwife will check the location of the fetus within the pelvic cavity.
This examination is related to the attitude of midwives in determining the technical delivery will be done in the mother, whether natural or spontaneous may require referral to hospital actions.
View presentations or location fetus in the mother's womb, as mentioned above (according to the picture), then the location of the head or vertex position is a position which is expected to be found in the position of the three trimesters of pregnancy. Therefore, pregnant women should not miss prenatal care in the third trimester of this.
When the third trimester fetal examination before experiencing the changing positions, pregnant women should not worry. That's because at that gestational age of the fetus is still small, space wide enough babies.
Along with increasing gestational age and fetal pertubuhan, then the head of the fetus is the hardest part will slowly descend toward the pelvis according to the gravity of the earth mother.
So, if the first and second trimesters of pregnancy doctors deliver breech position fetal position or latitude mothers need not worry excessively.
Actions that can be done in the breech position mothers before age 36 and 37 weeks' gestation are diligent prostrate position such as prayer time. Or lie down with your knees under the mother's chest and abdomen and head sticking to the floor, arms at your sides (menungging).
If there is a chance the time and no contraindications to follow pregnancy exercise, preferably before the third trimester maternal pregnancy exercise class to join in order to guidance from a midwife who became pregnant instructor.
Are infants with breech position and location of the position may be rotated latitude?
At the location of the disorder or a fetal position in the womb, pregnant women are not recommended to attempt to rotate the location of the fetus massage (from breech to head or from location to location latitude longitudinal).
This action is very risky to the safety of the fetus, such as occurs talipusat twisted, bleeding can occur in the placenta previa, and dangerous occurs when a tear in the uterus prior caesarean ever experienced.
Anything that can affect the fetal position to breech or transverse lie? There are several causes, especially in women who are pregnant more than once reduced elasticity of the abdominal wall and the uterus is no longer able to maintain the fetal position with maximum deformity uterus, placenta previa (placenta covering the birth canal), there is a tumor / uterine myoma sufficient large pelvic bone deformities or are experiencing a narrow pelvis CPD, and the baby's head deformity either hydrosefalus and microsefalus, fetuses with excess amniotic fluid (polyhidramnion) and so on.
When experiencing breech position at first pregnancy women should give birth in a hospital with a skilled birth attendant and a complete tool. In circumstances where the mother's pelvis and the fetus is not wide enough then still be able to undergo the breech birth naturally.
If there is suspected in childbirth complications such membranes have ruptured, there is a fetal parts eg hands around the baby's buttocks, the mother had a caesarean, Mother with a narrow pelvis, the baby is expected, and there is a tight coil cord.
In such cases the technique for the determination of the next delivery will be evaluated by a gynecologist, a fetus born mempertimbangakan good for his future and the security of the mother, the Caesarea dipertimbangakn surgery be an option.
The position of the fetus in the womb of the last is the transverse position of the fetus, cause more or less similar to the breech position. It's just very different penangananya. In the third trimester of pregnancy, then the choice of labor performed the operation, namely sectio Caesarea.
It should be an understanding that the case does not allow the latitude location of the fetus can pass through the door of the pelvis. Can be seen in Figure C above illustration. If left too long risk to the safety of the mother and fetus.

 
"The baby was born alive not only entitled, but are entitled to a glorious future begins from pregnancy and childbirth are safe"
We hope to broaden the horizon of mothers and benefit.

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