Can buttocks be corrected if exposed first
Release time : 03/06/2025 09:30:02
After pregnancy, the arrival of the baby fills expectant mothers with joy and expectation.
The most important thing during pregnancy is regular prenatal check-ups, which can detect abnormalities in the fetus, including abnormal fetal positions.
Breech presentation is a very common abnormal fetal position. Before 30 weeks of pregnancy, the fetal position of the breech presentation may automatically turn to normal fetal position, but what about after 30 weeks? Can hip presentation be corrected? Can hip presentation be corrected? Pregnancy and giving birth to a healthy baby is the most desirable thing for all women planning to get pregnant.
But after pregnancy, many problems can also trouble expectant mothers, such as improper fetal position. expectant mothers are always worried about whether fetal position problems will affect the smooth birth of their baby.
In cases of breech presentation, the most common type is the breech presenting at the buttocks. Can this condition be corrected? In the first 30 weeks of pregnancy, a smart baby can adjust its position on its own, and breech presentations are often correctable.
If the baby is still in occipitobrechial presentation after 30 weeks, some methods can be used for correction.
1. The prone position with arms and legs drawn up.
Before the posture correction for breech presentation, the expectant mother should urinate and unbuckle her belt, keep her legs parallel to the bed and her thighs vertical to the bed surface, lie on the bed in a kneeling position with her hands under her head. This is called the knee-chest position.
Do twice a day, each time for 15 minutes. If there is no improvement after one week, then perform an external decompression operation.
2. Inversion technique.
This method needs to be performed in a hospital. The method is that the expectant mother lies on her back with her abdomen exposed, and the doctor turns the fetus with his hand on the abdomen.
If the fetus moves frequently and violently during the process, and the fetal heart rate is abnormal, it needs to be stopped immediately. After returning to the original position, the condition of the fetus should be closely observed within half an hour.
The reason for breech presentation is that the fetus is not in correct position, which will directly affect childbirth. If the fetal position has not yet turned positive by the time of delivery, it is likely that a cesarean section will be necessary.
So what are the causes of hip presentation? 1. Intrauterine growth retardation.
If the fetus grows too slowly in the mother's body, the body is small, and the space for movement will be relatively large. The fetus can move freely, which will lead to hip presentation.
2. Fetal malformation.
Problems such as hydrocephalus, anencephaly and other abnormalities account for about 6% of cases with breech presentation.
3. Polyhydramnios.
Multiple births in the uterus will limit the baby's movement in it and make it difficult to turn the body around after 28 weeks.
4. Umbilical cord factors.
Whether the umbilical cord is too short or the umbilical cord is entangled, it will restrain the fetus, limit its movement in the uterus and make it difficult to turn over.
5. Abnormal placental attachment site.
When the placenta is attached to the lower part of the uterus, the space in the uterus becomes smaller, preventing the fetus from being exposed into the basin first and causing the buttocks to be exposed.
6. Influence of amniotic fluid.
The amount of amniotic fluid will also affect the fetal activity, causing breech presentation.
7. Other.
Other conditions include malformation of the mother's uterus, or pelvic stenosis, pelvic tumors, disproportion of the head and pelvis, etc., which can affect the baby's natural inversion and cause hip presentation.
The expression of fetal position is the position and posture of the fetus in the abdomen. Whether the fetal position is correct or not will directly affect the method of production.
Under normal circumstances, because the fetus's head is heavier than the body, it is usually placed head-down and buttocks up in the amniotic fluid.
However, the baby is in the abdomen, and it will be difficult for Bao Ma to detect the fetal position without the help of medical instruments.
If it is a fetal position where the buttocks are exposed, will the expectant mother feel anything special? If the fetus is in the buttocks presenting position, the expectant mother will often feel the position below the ribs being held against by a round and hard object, which is the baby's head.
Before labor, the fetal position of the hip presentation will cause the baby's buttocks to not stick close to the lower uterus and the cervix, so the mother will have weak uterine contraction, and the cervical expansion will become very slow, affecting the labor process.
Examining the expectant mother's abdomen, you can see that the uterus is vertically oval, and the longitudinal axis of the fetus and the mother's body is consistent.
Touch the top of the base of the mother's legs and you can touch the baby's irregular, soft and wide buttocks.
Through B-ultrasound examination, the fetal buttocks presentation can also be discovered. B-ultrasound examination can also determine the type of fetal hip presentation. Of course, it can also monitor the child's size and fetal head posture.
The harm of breech presentation is that the fetus is immersed in amniotic fluid and can change posture and position at will.
At the end of pregnancy, if the fetus is in a pelvic presentation, it will bring about various degrees of harm to both the fetus and the mother.
1. Influence on the fetus: Due to the fact that many fetal pelvises are not even, breech presentation can lead to the anterior amniotic sac not being uniformly supported, which may predispose to premature rupture of membranes and subsequent compression of the umbilical cord.
Premature rupture of membranes is more likely to occur in infants who are underweight or premature.
When the umbilical cord is compressed, it can cause fetal distress, and in severe cases, lead to stillbirth.
In the process of childbirth, when the fetus is in breech presentation, the fetal head will be born later than the buttocks. If the fetal head cannot be delivered easily, it may cause spinal cord damage to the fetus and lead to serious situations such as cerebral hematoma.
Additionally, breech presentation can lead to neonatal asphyxia and result in a range of serious injuries such as damage to the brachial plexus.
2. Impact on Pregnant Mothers: Due to the irregular fetal position, it is easy to cause premature rupture of membranes (PROM), leading to secondary contractions of the uterus and prolonged labor for the pregnant mother.
These issues can lead to postpartum hemorrhage, a significant increase in the rate of puerperal infection, as well as an elevation in the rate of obstetric injuries and surgical deliveries.
If the mother's cervix is not fully dilated during childbirth, forcibly pulling the baby's head can cause the mother's cervix to tear. The extent of the tear may extend to the lower part of the uterus.
Can a breech presentation be delivered naturally? For many expectant mothers with strong desires for natural childbirth, the question of whether a baby with a breech presentation can still be delivered vaginally is of utmost concern.
Is it possible for this condition to be delivered via natural childbirth? The position and posture of the fetus in the uterus directly affect whether the mother delivers through vaginal birth or by cesarean section.
Babies with a breech presentation are more common in mothers who have loose abdominal muscles.
The types of abnormal fetal position include breech position, transverse position, occipitoposterior position, etc., of which breech position is the most common condition.
Generally speaking, a cephalic presentation at birth poses significant risks to both the mother and the fetus.
The situation of breech presentation does not necessarily fit for natural childbirth. It is a complex decision that must be made in conjunction with several factors, including the age and parity of the woman, the type and size of the fetus, the condition of the birth canal, and whether the mother has any pregnancy complications.
Therefore, cephalic presentation is generally not recommended for vaginal delivery. To prevent fetal hypoxia or injury and to avoid the difficulty of labor for the mother, doctors often advise choosing a cesarean section.
Therefore, expectant mothers should not be reckless when it comes to childbirth and must follow the doctor's advice on the final method of delivery.
The medical information provided in this text is for reference only.
If you experience discomfort, it is recommended to seek medical attention immediately. The diagnosis and treatment should be based on the professional assessments conducted in person.