Be pregnant how does malposition run nine month

The accurate mother that has 3% about may is pregnant be diagnosed to be malposition when nine month. Malposition, how should do?

Mrs Zhang is pregnant 30 weeks. After doing B to exceed recently, the doctor informs her malposition, fetal show buttock, what say normally namely " sit embryo " , mrs Zhang that this makes plan to labor naturally originally is unavoidable and nervous rise, many doubt were full of in the heart: Does buttock potential energy become a head? Do I need analyse palace to produce certainly?

　　　 What is malposition

Position of a foetus, common ground says even if point to fetal in intrauterine position. Normal position of a foetus should be fetal head stoop, the occipital is advanced, the head when childbirth most extend basin of to the marrow first, say on medicine for " the head is shown first " . This kind of position of a foetus is compared commonly when childbirth successful.

And as to those body other place (be like ministry of buttock, foot, leg even arm) gadarene, this kind of state belongs to malposition. In unusual position of a foetus, buttock is shown first (namely coxal and gadarene) scale is top. Some are fetal although also be the head gadarene, but fetal head turns into by stoop Yang Shen or occipital are in rear, say to also belong to malposition on broad sense.

These abnormal position of a foetus, the barrier was set in be equal to the childbirth passageway in pregnant woman, bring about puerpera be difficult to do easily consequently.

Be pregnant before 8 months, malposition is very common phenomenon, accurate mother need not worry too. As the addition of pregnant week, it is normal that the fetal can automatic dislocation of most malposition is become, the yield that fetal head is issueing. In obstetrics processing side, it is commonly with nine month (36 weeks) be pregnant to still be malposition, just diagnose certainly. Be pregnant when accurate mom the diagnose when nine month is malposition, must use with doctor discussion why to plant childbirth means chooses as first-rate.

　　 Cause the cause of malposition

(1) amniotic fluid crosses wall of abdomen of puerpera of much, classics to wait flabbily, make fetal the territory inside palace antrum is too old.

(2) uterus deformation, fetal deformation, much embryo, amniotic fluid passes to wait less, make fetal the territory inside palace antrum is too small.

(3) pelvis stricture, before tremendous and buy placenta, fetal wait, make fetal honor accepts block.

　　 How correctional position of a foetus

Malposition is pregnant in what differ Zhou Shu has different occurence rate. Be pregnant when 5 months, what have 33% about is fetal belong to malposition; And when 8 months, the occurence rate of malposition drops to 8.8% ; Arrived to be pregnant when nine month, only 5% right-and-left pregnant woman are diagnosed to be malposition. This expresses, be pregnant what metaphase discovers malposition is fetal, can become normal position of a foetus in the change when mature mostly.

Normally, in pregnant the malposition that discovers before 7 months, should strengthen observation only can. Because be in gravid 30 Zhou Qian, fetal photograph is small still to the uterus, and the amniotic fluid inside maternal a surname is more, fetal the room that has an activity, meeting proper motion corrects position of a foetus, in pregnant 30 week hind can turn naturally mostly for " first " . However generally speaking, if be when gravid 30-34 week or malposition, need correctional.

In pregnancy, malposition won't be right mother bring bad influence, but it is one of common elements that cause difficult labor. Modern nevertheless medicine has method completely to undertake handling. Later development with the commonnest buttock for exemple will introduce a few obstetric and correctional methods.

Genu bosom lies hold correct

Pregnant woman discharges empty bladder, the pine solves chatelaine, be in hard on board bed, fu is maintained, genu is worn bed, hip holds high, ham and bed are perpendicular, bosom should near bed surface as far as possible. Everyday morning and evening each 1, do L5 every time minute, do 1 week continuously. Go to a hospital checking next.

The doctor applies for pregnant woman " change direction "

If be in pregnant 32 weeks - 34 Zhou Shi, fetal still did not change direction, outside be born to should consider to be executed for pregnant woman, cure turns art of position of a foetus, let fetal retroflexion, make pregnant woman can labor smoothly.

Moderate of amniotic fluid quantity, fetal back is in moderate of weight of two side, puerpera, and fetal hip did not enter pelvic deep to wait for a condition to fall, art turns outside just applying aptly. When position of a foetus turning outside be versed in into the pedestrian, the doctor can offer pregnant woman the remedy that loosens with the uterus normally, exceed in B by the doctor next art of position of a foetus turns outside the be issued to lower levels that monitor.

Notable is, art of position of a foetus turns to have certain risk sex outside. When the operation, can bring about umbilical cord to twine or placenta pares early. Accordingly, develop in science and technology, the area that the conditional palace that do analyse produces, this method is not popular.

　　 The acupuncture cure of malposition

Be aimed at malposition, our country has the successful precedent that acupuncture treats. Use pinprick to shade acupuncture point, remedial malposition, daily 1, every time L5 ～ 20 minutes, it is one period of treatment 5 times, apply to examination of department of gynaecology to diagnose for buttock, horizontal, inclined pregnant woman.

　　 The childbirth below malposition circumstance

The pregnant woman of malposition, may natural childbirth?

The pregnant woman of malposition, be not 100% cannot labor via the vagina.

Odd buttock (namely fetal hip is gadarene, double hip joint is inflectional, unbend of double knee joint) pregnant woman, if pelvic antrum is wide, and fetal weight is under 3500 grams, still can consider to labor via the vagina. Must special attention: Want than the head normally as a result of fetal hip small, drop so the likelihood is faster, but it is difficult to still be put in the head to labor, cause fetal loss (damage of nerve of clump of the internal haemorrhage that be like skull, arm, new student asphyxial etc) dangerous, accordingly, the doctor often gives umbilical department in childbirth of fetal buttock nature when, execute buttock midwifery. If have any yield,Cheng is lengthened, criterion must production of palace of analyse of as soon as possible.

Fetal tailor-fashion sits, the buttock with thin leg or double erect leg unsuited vagina labors, otherwise easy bring about umbilical in producing Cheng prolapse, cause fetal and anoxic, bring about stillborn foetus even. To such position of a foetus, produce with analyse palace commonly stop gravid. Pregnant woman need waits for birth in be in hospital of fetal mature around.

Some rotate because of fetal head or stoop is undesirable and the position of a foetus that cause is unusual, if durative pillow is horizontal (hind) , the face is shown first, Gao Zhi, before not all bend etc, just all can be discovered in childbirth. The clinician can wait for the means that the case will come consider integratedly to continue to labor according to puerpera pelvis, position of a foetus, fetal size, must carry out urgent analyse palace to produce when necessary.

Place of fetal body other shows the malposition that causes first, if the shoulder is shown first, compound show first etc, common at the classics puerpera with celiac flabby wall or pelvic stricture person, the dangerous sex that labors via the vagina is bigger, can cause stillborn foetus or rupture of pregnant woman uterus even. To such pregnant woman, modern medicine is produced with analyse palace commonly stop gravid.

　　 Before childbirth, position of a foetus still has become a full member opportunity

Although obstetrics side is to be pregnant commonly,nine diagnoses affirmatory malposition when month, but still few number puerpera is in parturient before the opportunity that still has change of position of a foetus. The mom horse Nan of the childbirth in the first water of domestic, she just becomes a full member position of a foetus by the doctor momently before childbirth.

　　 Most buttock palace of mom choice analyse is produced

Generally speaking, in the pregnant woman of gravid 32-34 week or malposition, should decide (one) law of position of a foetus turns outside solid pedestrian labour; (2) natural buttock production; (3) direct analyse palace is produced. Be in 10 years of in the past, our country each buttock of large hospital aid be produced an operation gradually by analyse palace be replaced, the baby that most mom also is willing to compare safe means to receive his with this kind more is born.

Mrs Zhang is a brave mom that plan classics vagina labors. Face this special situation, might as well below the guidance of preexistence doctor, hold to position of a foetus correctional, if fetal potential energy turns,be a head, that is again good did not pass. If arrive pregnant 34 weeks, position of a foetus still is buttock, need not undertake again correctional, but also need not anxious. When pregnant checks 36 weeks again B exceeds understanding buttock type. If be odd buttock, mrs Zhang can try classics buttock aid produce childbirth; If be the buttock of other type, mrs Zhang cannot again obstinate, she had better be in the be in hospital when pregnant is controlled 37 weeks, make the preparation that good analyse palace produces.

Article / Wang Zhewei (advocate order a physician)