Can I have a vaginal delivery with a single exposed buttocks first
Release time : 03/10/2025 09:30:02
For mothers, pregnant for ten months is expecting the arrival of their child, but sometimes it often backfires. At this time, expectant mothers need to understand the issues about the fetus when pregnant.
Let's take a look at whether a single hip presentation can be a natural delivery? What is a single hip presentation? What is the reason for a single hip presentation? What is the effect of a one-hip presentation? What should I do if I show my butt first? Can a single hip presentation be a natural labor? Many mothers may want to choose natural childbirth when giving birth. After all, this can also avoid the negative effects of caesarean section on themselves in the future. First, we need to understand what a one-hip presentation is. A single hip presentation means that the buttocks of the fetus pass through the pelvic entrance before the head, which may cause certain difficulties to the mother during childbirth. Secondly, let's discuss the reasons for one-hip presentation. Common reasons include large fetus, improper fetal position, oligohydramnios, etc. These factors may all affect the smooth passage of the fetus, leading to a single-hip presentation. Next, let's take a look at the impact of single hip presentation on pregnant women. Since the buttocks of the fetus pass through the pelvic entrance before the head, this may cause problems such as increased pain and uncoordinated uterine contractions during childbirth. In addition, if the fetus's head does not pass through the pelvic entrance in time, the mother may experience dystocia. Finally, we want to discuss how to deal with the problem of one-hip presentation. For cases of one-hip presentation, doctors usually take some measures to help the mother deliver smoothly. For example, the doctor may adjust the mother's position to reduce pressure on the fetus; the doctor may also use midwifery equipment to help the fetus's head pass through the pelvic entrance; and in some cases, the doctor may choose a caesarean section to ensure the safety of the mother and infant. In short, a single hip presentation is a condition that may affect natural childbirth. However, advances in modern medical technology have allowed many single-hip presentations to be successfully resolved with correct management and surgical intervention. Therefore, if you encounter a one-hip presentation, don't worry too much. Seeking help from a professional doctor in time is the key to solving the problem.
So can a single hip presentation be a natural delivery? In general, the risk of spontaneous labor with one hip exposure is still relatively high.
Whether breech presentation is positive depends on the age of the expectant mother, pelvic condition, type of breech presentation, size of the fetus, condition of the soft birth canal, and whether there are pregnancy complications.
Natural childbirth is still relatively rare, and many doctors generally recommend cesarean section to prevent fetal hypoxia and dystocia.
What happened to the one-hip first exposure? Single-hip presentation may not be so familiar to many expectant mothers, but once they encounter it, they must be treated with caution.
So what is a single hip presentation? The position of the fetus in the uterus is called the fetal position, and the fetal position is basically fixed at 28 weeks.
The normal fetal position should be the fetal head at the entrance to the mother's pelvis, with the limbs bent across the chest.
Before 28 weeks of pregnancy, fetal buttocks phenomenon is relatively common. Until 34 weeks of pregnancy, the fetus will naturally turn its head when the breech position is at its peak. About 4% of fetuses will turn to the breech position, that is, a single hip presentation occurs.
Since the head of a fetus is usually larger than the buttocks, it may be difficult to give birth when the buttocks are exposed.
The emergence of breech position also increases the risk of umbilical cord prolapse, which increases prenatal fetal mortality.
Clinical statistics show that the mortality rate is about 3 to 8 times higher than that of the normal fetal position.
The reason for unilateral breech presentation: The occurrence of unilateral breech presentation is also due to certain reasons. If parents do not pay enough attention during the mother's life, it will not only have a great impact on the child and severely endanger the physical health of the pregnant woman.
So, what causes a breech presentation? 1. Fetal intrauterine growth retardation.
Fetal growth is slow and the individual is small. According to some scholars, the incidence of fetal weight between 500-900 grams is 41%.
2. Fetal malformation.
Primarily due to hydrocephalus, without other abnormalities.
The incidence of congenital malformations in the buttocks is about 6% and is 2-3 times higher than normal fetuses.
3. Multiple pregnancies.
Due to the larger total volume of the fetus and limited intrauterine activity, polyhydramnios in pregnancies beyond 28 weeks can affect the fetus.
4. Fetal cord factors.
The umbilical cord is too short, and the entanglement of the umbilical cord can also affect the fetus's movement in the uterus, causing obstacles when the fetus turns over.
5. Abnormal placental attachment.
This is mainly because the placenta is attached to the lower part of the uterus, which reduces the volume of the uterus and prevents the first exposure of the basin and simultaneous hip presentation.
6. Effect of amniotic fluid.
Too much or too little hydramnios can affect the fetal activity and lead to breech presentation.
7. Others.
Maternal conditions such as uterine anomalies, pelvic constriction and pelvic tumors, and unfavorable transverse lie may also affect fetal normal development.
What are the effects of a breech presentation? The effects of a breech presentation on expectant mothers should be known. When necessary,...
Pay attention to some measures to prevent this from happening during your pregnancy.
So what is the impact of a one-hip presentation? 1. Impact of single hip presentation on the fetus In the case of breech exposure, many fetuses have uneven buttocks, which affects the uniform force on the anterior amniotic sac and easily causes premature rupture of membranes, followed by umbilical cord prolapse and umbilical cord compression.
Premature rupture of membranes can lead to preterm labor or fetal growth restriction, and cord compression can cause fetal distress or even death.
Clinically, the occurrence of umbilical cord prolapse in the gluteus maximus muscle is about ten times that of normal fetuses.
With the emergence of the fetal head, it becomes difficult to remove the fetal head during childbirth, which may lead to adverse conditions such as spinal cord damage and brain lacerations in the fetus.
Furthermore, a breech presentation can also lead to newborns being suffocated, brachial plexus injuries, and serious cases of strabismus and intracranial hemorrhage due to injuries to the sternocleidomastoid muscle.
2. The impact of breech presentation on the mother is due to the irregular shape of the fetus, which is prone to premature rupture of membranes, secondary dystocia and prolonged labor.
The occurrence of these diseases can lead to significant postpartum hemorrhage and increase the risk of puerperal infection.
If the cervix is not fully dilated, it forces the fetus's head to pull, which can lead to a tear in the cervix or even extend to the lower segment of the uterus.
Single Presentation of the Umbilical Cord: What to Do for the Pregnant Woman If you encounter single presentation of the umbilical cord, it's important not to panic. At this time, it's crucial to stay calm and relax, as there are many excellent doctors available who will do their best to provide you with the best care.
What to do if it's a breech presentation? If the fetus can be corrected before 30 weeks of gestation, breech presentation can be corrected by some methods.
(1) The supine position with knees drawn up.
Mother empties the bladder, loosens the belt and kneels on the bed.
The thighs are perpendicular to the bed, with the body resting on the bed and the head fixed to the elbow.
This method also becomes the knee and chest position.
After completing a week in a row, the mother can repeat it twice a day for 15 minutes each time.
If breech presentation shows no improvement, external reversal surgery will be performed.
(2) External reversal surgery.
By using prone knees to adjust position without using the chest, expectant mothers can undergo external reversal surgery at 32 to 34 weeks of pregnancy, which is performed in hospitals.
The expectant mother lies flat with the abdominal wall exposed. The doctor turns the fetus through the abdominal wall with his hand.
2. During the delivery period (1) Caesarean section was selected.
If the mother has pelvic stenosis, abnormal soft birth canal, fetal weight exceeds 3,500 grams, fetal distress, age, history of dystocia, incomplete breech presentation, etc., the doctor will recommend cesarean section.
(2) Treatment through vaginal delivery.
Pregnant women should have less anal examinations and do not enema to avoid rupture of the membrane and emptying the bladder.
After delivery, the child should be carefully examined and the newborn should be closely observed for any damage.
The medical aspects discussed in this text are for reference only.
If you feel unwell, it is recommended to seek medical attention immediately, and the medical diagnosis and treatment will be subject to offline diagnosis.