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Breech pure breech presentation. Fetal presentation - pelvic: purely gluteal, foot and mixed

Breech presentation of the fetus refers to the pathological course of childbirth, and often pregnancy. To prevent possible complications in childbirth and perinatal problems in the fetus, the doctor must be highly qualified and have certain skills. To date, the frequency of breech presentation is 3 - 5% of all births.

What is a breech presentation of the fetus?

Normally, the fetus is in the uterus head down, that is, during childbirth, it is pressed against the entrance to the small pelvis with the largest part, which ensures adequate opening of the cervix and expansion of the birth canal for the birth of the trunk, arms and legs of the fetus. If the fetus is pelvic end down, and the head rests against the bottom of the uterus, then they talk about breech presentation. The fetus should turn its head down to 32, and according to some authors up to 34 weeks.

Classification (types) of breech presentation

There are the following types of breech presentation:

  • breech presentation:
    - purely breech presentation (the buttocks of the child are pressed to the entrance to the small pelvis, and the legs are extended along the body);
    - mixed breech presentation (buttocks and legs are pressed to the entrance to the small pelvis, bent at the knee and hip joints, the child seems to be squatting).
  • foot presentation:
    - full foot (only both legs are presented);
    - incomplete leg (one leg is provided, and the other is extended along the body);
    - knee (the child is on his knees).

The most unfavorable and rare type of breech presentation is knee (occurs in 0.3% of cases).

Causes of breech presentation

The causes of breech presentation of the fetus are not well established. All factors that contribute to breech presentation can be divided into 3 groups:

maternal

  • anomalies in the development of the uterus (saddle-shaped, bicornuate and others);
  • tumors of the uterus that change its shape;
  • narrow pelvis and pelvic anomalies (rachitic, with bone exostoses, etc.);
  • reduced and increased tone of the uterus, in particular the lower segment (threat of interruption, many births, abortions and curettage of the uterus);
  • scar on the uterus after caesarean section;

fruit

  • congenital malformations of the fetus (anencephaly, hydrocephalus);
  • incorrect articulation of the fetus (extension of the head and / or spine);
  • prematurity;
  • insufficient muscle tone of the fetus;
  • multiple pregnancy;
  • a large fetus (with a breech presentation, a fetus of 3.5 kg or more is considered large);
  • intrauterine growth retardation.

Placental

  • or low placentation;
  • polyhydramnios or oligohydramnios;
  • absolutely short (less than 40 cm) umbilical cord;
  • entanglement of the umbilical cord;
  • true nodes of the umbilical cord;
  • the placenta is located in the area of ​​the tubal angles.

Diagnosis of breech presentation

Diagnosis of breech presentation, as a rule, is not difficult, except when the muscle tone of the uterus is increased with the threat of abortion, with multiple pregnancy, anencephaly, or with a pronounced subcutaneous fat layer of the anterior abdominal wall with obesity.

During an external obstetric examination, it is established that the fundus of the uterus is higher than it should be for the duration of pregnancy, and the fetal heartbeat is heard at the level of the navel or slightly higher. The presenting part (buttocks) is defined as not balloting (fixed), soft consistency and not palpable cervical sulcus. In the bottom of the uterus, a rounded, dense, balloting formation (the baby's head) is palpable.

With an internal vaginal examination, the soft presenting part is well palpated through the vaults, and in childbirth, when the cervix is ​​opened, the inguinal fold, sacrum and coccyx can be palpated. With foot presentation, the feet of the fetus with a pronounced calcaneus and short fingers are determined.

Also, in breech presentation, amnioscopy (examination of amniotic fluid) is used, during which the color and volume of amniotic fluid, the presence or absence of presentation with a loop of the umbilical cord are ascertained.

The most revealing method in the diagnosis of breech presentation is ultrasound. With the help of ultrasound, it is possible to determine not only the size and presentation of the fetus, but also obvious malformations, the sex of the fetus (it is of great importance in breech presentation), and the location of the placenta. It is very important to determine the degree of extension of the head, which plays a role in the choice of method of delivery. There are 4 degrees of position of the fetal head:

  • the head is bent (the angle is more than 110 degrees);
  • the head is slightly extended (angle 100 - 110 degrees or "military posture");
  • the head is moderately extended (angle 90 - 100 degrees);
  • excessive extension of the head (angle less than 90 degrees or "looking at the stars").

Management of pregnancy and childbirth

In the antenatal clinic in the period of 32 - 37 weeks of pregnancy, special gymnastic exercises are prescribed to "flip" the fetus onto the head. It is possible (at present it is practically not used due to the high risk of complications) external rotation of the fetus on the head in the period of 34-36 weeks in a hospital.

Hospitalization of women with breech presentation is carried out at 37 - 38 weeks. In the hospital, the anamnesis is carefully collected, ultrasound is repeated, amnioscopy is performed, the condition of the fetus is assessed (non-stress test and CTG) and the readiness of the cervix for childbirth.

  • burdened obstetric history;
  • estimated fetal weight of 3.5 kg or more;
  • 3 degree of extension of the head;
  • anatomically narrow pelvis;
  • chronic intrauterine fetal hypoxia;
  • And so on.

With a mature cervix and the normal state of the fetus, childbirth is carried out through the natural birth canal after their spontaneous onset.

Childbirth is indicated for:

  • immunoconflict pregnancy;
  • anomalies in the development of the fetus;
  • prenatal outpouring of water.

The period of contractions is carried out with monitoring of the condition of the fetus, timely anesthesia and the introduction of antispasmodics, with a constant assessment of the obstetric situation for a possible emergency caesarean section. The period of attempts is carried out under the protection of antispasmodics and reducing agents, with an episiotomy at the time of the birth of the fetal head and possible extraction of the fetus by the pelvic end according to Mauriceau-Levre-Lachapelle with difficult removal of the head.

Maria Sokolova

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During the entire period of pregnancy, children turn over in the uterus several times. At 23 weeks of gestation, the fetus assumes a head-down position and is in this position until delivery. This is the correct position. But there are situations when the baby is head up - this position of the baby in the uterus is called breech presentation of the fetus.

What does breech presentation mean?

Breech presentation of the fetus can be diagnosed only by an experienced obstetrician-gynecologist with a full examination . It can be detected by vaginal examination, after which it is confirmed or refuted using ultrasound .

Such an arrangement of the fetus is not abnormal, but, however, does not pose a big threat to the medical supervision of the expectant mother and the right tactics of childbirth.

Why is breech presentation dangerous for a child and mother?

With breech presentation, you can distinguish the following consequences that can affect not only the child, but also the mother:

  • Cesarean section in breech presentation may leave scar on uterus ;
  • If you have given birth naturally, the condition of the baby will most likely not be entirely satisfactory. In the future, there may be nervous disorders in children ;
  • During natural childbirth, the baby may dislocate the hip joint ;
  • After childbirth, the mother may have health problems .

In breech presentation, it is recommended to do the necessary exercises which will help the child to take the correct position. In addition to exercise, doctors recommend that pregnant women wear special bandage, sleep on the left side and even have sex. It has been observed that regular sex life can induce the baby to roll over.

If you have been diagnosed with a breech presentation of the fetus, be sure to see a doctor . With observation and medical control, the risks of improper placement of the fetus are reduced to almost zero. The doctor will give the necessary recommendations on time gymnastics and select the optimal tactics of childbirth.

Timely hospitalization and competent assistance from gynecologists will help prevent the consequences of improper location of the fetus in the uterus. Never refuse hospitalization when it is offered by the attending physicians, and everything will be fine with you!

Site site warns: self-medication can harm you and your child! Only a doctor can make an accurate diagnosis and prescribe the right treatment!

It is considered normal if, at the time of birth, the baby is head down in the uterus. But there are situations when the legs or buttocks are below. This condition is called breech presentation of the fetus and it is always diagnosed no earlier than the 28th week of pregnancy.

This may be the result of uterine pathology, a low placenta, or excess amniotic fluid. Often this position of the baby becomes the cause of childbirth by caesarean section. But there are ways to correct the situation and turn the fetus over. When and how can this be done?

Types of breech presentations

There are several different types of pelvic location of the baby in the womb:

  1. Foot. This presentation occurs in 10-30% of expectant mothers, mainly in the second or subsequent pregnancy. In this case, the hips (1 or immediately 2) are unbent, and the lower limb is located near the exit from the uterus;
  2. Gluteal. It usually occurs in primiparous women. In this case, the fetus is in a position with knees pressed to the stomach and hip joints bent, and its buttocks are located near the exit from the uterus;
  3. Mixed. In this case, the hips and knees of the fetus are bent.

Causes

Breech presentation of the fetus at week 20 is considered normal. At this time, there is still enough space in the uterus and the baby can actively move in it, constantly turning over and changing its position.

Over time, physical activity decreases and by about 32-36 weeks, the fetus takes the final position in which it will be until the moment of birth - usually, head down.

But there are situations that prevent him from doing this. These include:

  • Too much or, conversely, insufficient amount of amniotic fluid in the uterus;
  • The presence of fibroids in the uterus, impaired uterine tone and other pathologies of the organ;
  • Low location of the placenta or its other pathologies;
  • Violations in the development of the fetus (hydrocephalus, anencephaly, etc.) For information on how a baby should develop normally, read the article Development of a child in the womb >>>;
  • Development of multiple pregnancy;
  • Performing a caesarean section during a previous pregnancy (read the article on the topic: Natural birth after caesarean section >>>).

Signs of breech presentation

Only a doctor is able to identify the incorrect location of the fetus in the uterus.

Know! Doctors note that if the baby's head is at the top, then you can notice a higher location of the uterine fundus, which does not correspond to the deadline. In this case, the fetal heartbeat is better heard near the navel.

During a vaginal, manual examination, the gynecologist may feel the feet, coccyx, sacrum, buttocks, or inguinal fold. But, the final diagnosis of breech presentation of the fetus at 32 weeks or later is made only during the ultrasound.

delivery

Only a doctor can decide how the birth will take place with a breech presentation of the fetus. It will be based on the following factors:

  1. gestational age;
  2. age of the expectant mother;
  3. the presence of diseases;
  4. the nature of the course of pregnancy;
  5. the size of the pelvis of the pregnant woman;
  6. the estimated weight of the fetus, its sex and the degree of extension of the head;
  7. type of presentation.

A woman can give birth on her own if she has a normal pelvic structure, a gestational age of at least 37 weeks, an estimated baby weight of no more than 3500 g, breech or mixed presentation.

It happens that they are allowed to give birth on their own only if it is known that a girl will be born. Boys in breech presentation are reluctant to accept. BUT! This is not a reason to immediately agree to the operation. Tune in to independent childbirth, do exercises for a coup, work on your emotional state.

In my practice of working with pregnant women, there are cases when a child turned over into a head presentation even at 38 weeks. Mom worked on the Internet course Five Steps to a Successful Childbirth >>>.

I did an exercise for psychological relaxation, relieved anxiety and fear of the upcoming birth. She stopped rushing from side to side, began to plunge into the correct state of the woman in labor. You can order and start studying the course by clicking on the link. You will find a detailed description of the course program and information on how to purchase the material.

The operation is carried out without fail if the birth began prematurely, the estimated weight of the baby is less than 2.5 kg or more than 3.5 kg, a foot presentation and overextension of the head are detected.

There are situations that during childbirth, when a woman gives birth on her own, the doctor can urgently decide on delivery by performing an operation. The indications for this are as follows:

  • weak labor activity or its complete absence;
  • the absence (slow or insufficient) of cervical dilatation with progressive contractions;
  • identifying signs of fetal hypoxia, read more about fetal hypoxia during pregnancy >>>;
  • prolapse of the umbilical cord or limbs of the child;
  • placental abruption.

Possible Complications

The presence of breech presentation absolutely does not affect the course of pregnancy. Complications you may encounter only in the process of childbirth. The most common violations are:

  1. Weak labor activity. This is due to the fact that the baby's pelvis is smaller than his head. Therefore, it exerts insufficient pressure on the uterus, which leads to weak contractions and poor opening of the cervix;
  2. During childbirth, the baby's head is able to tilt back, so it will not be easy for her to get out. In this case, the likelihood of injury to the child increases;
  3. With this position of the fetus, it is possible to clamp the umbilical cord, which disrupts blood circulation in it and, accordingly, less oxygen enters the child, which is fraught with the development of hypoxia;
  4. Passing through the birth canal, the baby can throw back the arms, which can lead to injury.

I would like to say separately that if you are well prepared for childbirth, you have a positive attitude, you clearly understand what will happen and when, then the risk of some kind of trouble tends to zero.

The simplest and most affordable solution for every mother is to start using the Easy Childbirth >>> online course.

We will analyze in detail the beginning of labor, what happens at each stage of the birth of the baby, how you can ease the contractions and how to help yourself naturally if the contractions are suddenly weak. Follow the link, read the program and I will be glad to help you prepare for natural childbirth.

How to turn a baby

What to do with a breech presentation of the fetus? Usually, if by 34 weeks the baby is still head up? You can begin to perform special exercises recommended for breech presentation of the fetus. You need to perform them regularly, alternating with each other:

  • The simplest of them is mommy's coup from side to side. To do this, lie down on a hard, flat surface. You can perform gymnastics on the floor. Within 1 minute, you need to do 3-4 coups through the back. Turnaround time is about 10 minutes. This and other complexes must be performed daily several times a day. Usually a week is enough for the fetus to take the correct position in the uterus;
  • Starting position: standing on all fours. Next, you need to bend your elbows and lower your head into your hands. In this case, the pelvis should be raised as much as possible. In this position, you need to try to fix the body;

The optimal time to stay in this position is at least 5 minutes, but if you can’t stand for that long yet, then you need to do it until you feel a burning sensation in your muscles or just fatigue. But over time, try to increase the duration.

  • The starting position is similar to the second exercise. Standing on all fours, you need to tilt your head as low as possible. As you inhale, round your back as much as possible. On exhalation, the back should be bent in the lower back, and the head should be raised up;
  • Lie on the floor with your knees bent. Place pillows under the pelvis so that it rises by about 30-40 cm. It is important that the shoulders, knees and pelvis are in line. Stay for 5-10 minutes. Repeat this exercise several times a day;
  • Lie comfortably on your back, bend your legs and spread them slightly, resting your feet well on the floor. Stretch your arms along the body and relax as much as possible. While inhaling, you need to raise your pelvis and back as high as possible, leaning at this time on your shoulders and feet. Exhaling deeply, return to the original position;

It is important that the muscles of the buttocks and perineum are as tense as possible all the time. You need to repeat this exercise 5-7 times.

  • Starting position: standing with a straight back, while legs should be shoulder-width apart. Rising on toes, hands should be spread apart. As you exhale, try to bend your back strongly. Next: take the starting position on the exhale. Repeat this exercise 5 times.

Please note that exercising after meals is not recommended.

But, gymnastics with a breech presentation of the fetus is not the only way to turn the baby over. It is equally important to eat right and walk regularly.

As you can see, there is absolutely nothing terrible in breech presentation. The baby still has enough time to take the correct position in the uterus. If this has not happened by week 32, you can try to do it yourself using the exercises described above.

It is very important to talk to the baby and ask him to help you. It seems incredible, but it works and the baby turns over correctly even before the very birth.

During intrauterine development, the child can change its position in the uterine cavity and only by the 30th week it occupies the one in which it is to be born.

Based on what part of his body is located directly near the uterine pharynx, the head and gluteal presentation of the fetus is isolated.

It is the latter that is considered the most difficult and occurs in about 3-4% of cases. However, there are ways to make the baby roll over on its own, taking the optimal position for childbirth.

Features of breech presentation

Before you figure out how to help yourself, you need to understand what the breech presentation of the fetus means? This is the name given to the condition when the baby is in the uterus with the booty down. There are 3 types of such presentation:

  • clean - the buttocks are below, and the legs are extended along the body up;
  • complete - the baby is sitting cross-legged;
  • foot - if one or both legs are pointing down.

Basically, such a pathology is observed in women with multiple pregnancies or in the case of premature onset of labor. In such situations, there is a risk of prolapse of the umbilical cord.

Childbirth with breech presentation of the fetus is considered difficult. In such a situation, the buttocks or legs of the child appear first, and the head at this time is able to squeeze the umbilical cord, thereby disrupting the blood supply to the baby. In addition, the risk of a child getting a birth injury increases.

Causes

Why the child takes the wrong position in the uterus, it is impossible to say for sure. Doctors only highlight the factors predisposing to this:

  1. Incorrect structure of the genital organs in a pregnant woman;
  2. The presence of any neoplasms in the uterine cavity (fibroma, etc.);
  3. polyhydramnios;
  4. Violation of the uterine tone;
  5. Mismatch between the size of the fetal head and the width of the mother's pelvis;
  6. Prematurity of the fetus;
  7. Some congenital pathologies (chromosomal disorders, hydrocephalus, a violation in the formation and development of the heart, kidneys and other organs of the fetus);
  8. Shortened umbilical cord;
  9. Misplacement or placenta previa.

Approximately every second woman diagnosed with breech presentation of the fetus does not reveal any visible causes of the pathology. However, if a woman was also born in a breech presentation, there is a high probability that she will have to give birth with such a presentation.

If during the first pregnancy a breech presentation was detected in a woman, then the probability that the situation will repeat in a subsequent pregnancy is 20%.

signs

There are no symptoms of breech presentation of the fetus. Only a doctor can detect such a condition during an ultrasound or external examination.

Important! And the breech presentation of the fetus at 32 weeks is already a reason to take measures that can help the baby turn upside down, taking the correct position in the uterus. At the same time, you should regularly visit a doctor who can check whether your attempts have been successful or if you still need to work on this.

delivery

As already mentioned, childbirth with a breech presentation of the fetus is considered the most difficult. And how to give birth in this case depends on many factors.

Most often, doctors tend to conduct a planned caesarean section. But many of them are also sure that complications during natural childbirth are associated not so much with presentation, but with insufficient experience of the doctor or diseases in a woman or child.

To determine how the birth will take place, doctors use a special scale. A woman can give birth naturally if:

  • the pregnancy is single or multiple, but only one of the fetuses is in the breech presentation;
  • fetal weight does not exceed 3.5 kg;
  • a woman has no direct indications for a caesarean section;
  • the size of the pelvis of the woman in labor is defined as normal;
  • mature cervix;
  • the condition of the fetus is satisfactory.

Childbirth in such cases takes place in stages:

  1. the lower part is born approximately to the level of the navel;
  2. the obstetrician frees the body to the level of the shoulder blades;
  3. hangers come out;
  4. the head comes out last.

According to statistics, during natural childbirth, in every third case there is an indication for emergency surgical intervention.

Direct indications for a planned operation are:

  • fetal weight over 3.5 kg;
  • bent head;
  • narrow pelvis of a woman;
  • foot presentation;
  • weak generic activity;
  • overwearing;
  • violation of the growth or development of the fetus;
  • more than 12 hours have passed since the outpouring of water;
  • the presence of scars or neoplasms in the uterus;
  • multiple pregnancy with the wrong position of both fetuses;
  • abruption or placenta previa;
  • trauma or death of a baby in a previous birth in a woman.

If during an examination by a gynecologist or after an ultrasound scan, a breech presentation was detected and the doctor considered natural childbirth possible, you should not be afraid of this.

Next to you there will always be a team of qualified specialists who, if necessary, will always be able to help your baby be born completely healthy. Read the article

Shortly before birth, the baby occupies a certain position in the uterus. In most cases, it is placed head down - towards the exit from the uterus, and turns back to the left. This is the correct, so-called head presentation, the most convenient for childbirth. This is how 90% of babies are born.

Varieties of breech presentations

However, today we will talk about those cases when the presenting part is the legs or buttocks. Frequency pelvic adhesions, according to various estimates, is in the range of 3-5% of the total number of newborns. In 67% of these pregnancies, the baby sits with his buttocks in the mother's pelvic ring, his legs are bent at the hip joints, and his knees are straightened. Less common is a mixed breech (20.0%) presentation, when the child enters the mother's pelvic ring not only with the buttocks, but also with the legs, more precisely, with the feet. Breech presentation includes complete foot presentation when the baby's legs are slightly extended at the hip and knee joints; and mixed foot presentation, when one leg is almost straight and the other is bent at the hip joint; and knee presentation, when the baby is presented with bent knees.

Factors affecting breech presentation

There are certain conditions due to which the baby takes the wrong position. There are the following factors:

  • maternal (anomalies in the development of the uterus, limiting the mobility of the fetus and the possibility of turning the head down at the end of pregnancy; tumors of the uterus, a scar on the uterus, a narrow pelvis that prevent the head from being established at the entrance to the small pelvis; the uterus and fetus are not sufficiently fixed, which also leaves the baby with the opportunity to maneuver ; multiple pregnancies and, as a result, weakness of the abdominal muscles; previous births in the breech presentation);
  • fruit (congenital malformations of the fetus; prematurity; neuromuscular and vestibular disorders of the fetus; multiple pregnancies, abnormal fetal articulation);
  • placental (placenta previa, polyhydramnios and oligohydramnios, due to which the child moves freely, his head cannot be fixed in the mother's pelvic floor or, conversely, does not have the possibility of active movement, entanglement and shortness of the umbilical cord, which also limit mobility).

At the same time, the child, possessing the instinct of self-preservation, occupies the most convenient position for himself. Doctors do not disregard the hereditary factor: if a mother was born in a breech presentation, then there is a risk that her baby will take the same position.

Diagnosis of breech presentation

Breech presentation of the fetus is diagnosed primarily according to external obstetric and vaginal examination. At outdoor study a large, irregularly shaped, softish consistency, sedentary part, which is presented to the entrance to the pelvis, is determined, while in the bottom of the uterus a large, round, hard, mobile, balloting part (fetal head) is determined. A higher standing of the uterine fundus above the pubis is characteristic, which does not correspond to the gestational age. The heartbeat is clearly heard at or above the navel. During vaginal examination with a purely breech presentation, a softish volumetric part is felt, on which the inguinal fold, sacrum and coccyx are determined. With a mixed breech and foot presentation, the feet of the fetus are determined.

Via ultrasound it is possible to determine not only the breech presentation itself, but also its appearance. The position of the fetal head and the degree of its extension are assessed. Excessive extension is fraught with serious complications in childbirth: trauma to the cervical spinal cord, cerebellum and other injuries.

coup attempt

Breech presentation, diagnosed before, should not be a cause for concern, enough dynamic observation. With tactics aimed at correcting the breech presentation on the head. There are conservative methods. For this purpose, it is appointed corrective gymnastics, the efficiency of which is 75-85%. However, it cannot be used for fetal abnormalities, threatened miscarriage, uterine scar, infertility and miscarriage in history, preeclampsia, placenta previa, low or polyhydramnios, abnormalities in the development of the uterus, multiple pregnancy, narrow pelvis, severe extragenital diseases. In addition to gymnastics, unconventional methods: acupuncture / acupressure, aromatherapy, homeopathy, as well as the power of suggestion, light and sound effects on the fetus from the outside, swimming.

If breech presentation persists, external prophylactic prophylaxis can be performed at term. fetal head rotation proposed by B.L. Arkhangelsk, the efficiency of which ranges from 35 to 87%.

External prophylactic rotation should be performed by a highly qualified doctor in stationary conditions where, if necessary, a caesarean section can be performed and the necessary assistance to the newborn can be provided. After turning, it is necessary to consolidate the achieved result. For this, they are used bandage and certain an exercise, which helps to fix the baby's head in the desired position. However, if the baby, despite all the efforts made, has not turned over, do not despair: even in this case, the possibility remains spontaneous childbirth.

Choice of method of delivery

A woman with a breech presentation of the fetus must go to the hospital for examination and the choice of a rational tactics for the management of childbirth. Method of delivery is determined based on the number of births, the age of the mother, obstetric history, gestational age, the readiness of the female body for childbirth, the size of the pelvis and other factors. Breech presentation of the fetus is not an absolute indication for caesarean section, however, in cases where it is combined with various complicating factors, the issue is resolved in favor of operative delivery.

Indications for caesarean section in a planned manner with a full-term pregnancy, the age of the primiparous is more than 30 years; severe form of nephropathy; extragenital diseases requiring the exclusion of attempts; pronounced violation of fat metabolism; narrowing of the pelvis; estimated fetal weight over 3600 g in primiparous and over 4000 g in multiparous; fetal hypotrophy; signs of fetal hypoxia according to cardiotocography; violation of blood flow during doplerometry; Rhesus conflict; extension of the head of the 3rd degree according to ultrasound; unpreparedness of the birth canal during gestation; overwearing; foot presentation of the fetus; breech presentation of the first fetus in multiple pregnancy and other factors.

Childbirth is through natural birth canal with a good condition of the expectant mother and fetus, full-term pregnancy, normal pelvic size, average fetal size, with a bent or slightly unbent head, the presence of readiness of the birth canal, with a purely breech or mixed breech presentation.

It is best when breech presentation fetal labor has begun spontaneously. In the first stage of labor, a woman in labor must observe bed rest and lie on the side towards which the back of the fetus is facing in order to avoid complications (premature discharge of water, prolapse of the fetal leg or umbilical cord loops). Childbirth is under monitor control fetal heart rate and uterine contractions. In the second stage of labor, it turns out obstetric care in the form of a benefit, the purpose of which is to preserve the articulation of the fetus (the legs are extended along the body and pressed to the chest by the arms of the fetus). First, the child is born to the navel, then to the lower edge of the angle of the shoulder blades, then to the arms and shoulder girdle, and then to the head. When a child is born to the navel, his head presses the umbilical cord, and a lack of oxygen develops, therefore, no more than 5-10 minutes should pass until the child is born completely, otherwise the consequences of oxygen starvation will be very negative. Also produced perineal incision to speed up the birth of the head and make it less traumatic.

Childbirth at foot presentation through the natural birth canal are carried out only in multiparous with good labor activity, readiness of the birth canal, full-term pregnancy, medium size (weight up to 3500 g) and good condition of the fetus, a bent head, a woman's refusal of a caesarean section. At the same time, the obstetric benefit is as follows: the external genital organs are covered with a sterile napkin and the palm facing the vulva prevents the legs from falling out of the vagina prematurely. Leg hold contributes to the full disclosure of the uterine pharynx. The fetus during an attempt, as it were, squats down, and a mixed breech presentation is formed. Opposition to the born legs is exerted until the uterine os is fully opened. After that, the fetus is usually born without difficulty.

The condition of children born in a breech presentation through the natural birth canal requires special attention. Hypoxia suffered during childbirth can adversely affect the nervous system of the child, such a pathology as a dislocation of the hip joint is possible. A neonatologist and resuscitator must be present at the birth. With these precautions, babies born this way do not differ in development from other babies.

Svetlana Leshchankinaobstetrician-gynecologist of the highest category,
Candidate of Medical Sciences

Discussion

My personal experience: second pregnancy, fetus in breech presentation, about 4 kg in size as planned. The first girl was born naturally (birth parameters 60 cm and 4540 g). I had a caesarean section. Parameters 56 cm and 4090 gr, according to the doctors - the CS was done correctly, the natural birth of a large fetus in breech presentation would not have gone smoothly

Comment on the article "Pregnancy, childbirth and breech presentation of the fetus. How to fix it?"

Breech presentation.. Medical issues. Pregnancy and childbirth. Pelvic presentation. I’m 36 weeks old, the baby is in breech presentation. I read horror stories on the Internet, I don’t want to give birth myself, I want a cop. I’m afraid for the baby. How to insist or they won’t listen to me during childbirth ...

Discussion

Go to an osteopath, maybe the baby will roll over again

I had a pelvic, but to the pelvic also some problems in gynecology. Until the last, they waited for the EP, when all the deadlines had passed, and the birth had not begun, it was the COP. If childbirth began on her own, she would give birth herself. I would look for a doctor you trust and discuss all the nuances with him.

Osteopath for the coup of a child. ... I find it difficult to choose a section. Pregnancy and childbirth. And so I do not want a caesarean (first pregnancy). I have been doing all sorts of exercises for more than 2 weeks, now Breech presentation at 32 weeks ?. Fetal development. Pregnancy and childbirth.

symphysitis + breech presentation. Pregnancy and childbirth: conception, tests, ultrasound, toxicosis, childbirth, caesarean section, giving. Breech presentation of the fetus is not an unconditional indication for CS, but during childbirth, the risk of injuries and pathologies for the child is very high. symphysite...

Discussion

Search the internet for exercises and tips for those with pelvic floor problems.
I had a pelvic floor placed a week ago. I was very upset. Rummaged on the Internet. I did exercises for a week, persuaded, swam in the pool. I didn't really expect much, though. BUT! A week later, the doctor after the examination said that he turned over.
Try it! One girl wrote that 4 days before the birth, with the help of massage, she made the baby roll over ...
Good luck!

For my friend, all the doctors she consulted advised CS, agreed with the doctor for CS, got to another maternity hospital by ambulance, so she had CS there. An orthopedist treated a dislocation of one leg and a subluxation of the other.

Childbirth with a breech presentation of the fetus. Many expectant mothers believe that if the fetus is in a breech presentation, a caesarean section is inevitable. Pregnancy, childbirth and breech presentation of the fetus. How to fix? Varieties of pelvic presentations.

Discussion

I just wanted to raise this thread. Until last week, my hryundel was a soldering bunny, and then he suddenly decided to sit down on his ass! (This is at 33 weeks:(:() Has been sitting for a week now:(:(
Can anyone tell me, helped someone in the coup from the priests to the head enti exercises: knee-elbow, torsion from side to side every ten minutes, "birch" (if what I depict can be called that). Maybe someone else knows what methods? And in general, is there any chance that he will lie down normally for such a long time?

I flipped at 35 weeks. if it hadn’t rolled over, I would definitely have cesarean :)

And the breech presentation everywhere, except for the post-Soviet space, is considered a NORMAL presentation of the fetus. Childbirth with a breech presentation of the fetus. Many expectant mothers believe that if the fetus is in a breech presentation, a caesarean section ...

Discussion

My neighbor in the ward gave birth, such a young, thin girl. She also did not have much water, including the child could feel almost everything ... She gave birth herself, quickly and, it seems, without breaks. Since the priest is born like the head, the main thing is that there would be no prolapse of the limbs, but the midwife must follow this ...

A week ago I watched a movie about the birth of a boy in a breech presentation, and in the water. Nothing, they gave birth :) True, with asphyxia, but they didn’t drag him anywhere to any intensive care unit (it was in Denmark), and he just swam next to his mother, his legs were directed towards her, finally (after 20 seconds) the “walking” reflex started and the baby came to his senses. A perfectly normal baby was born.
What is your deadline? The baby can still roll over, especially if you are doing gymnastics. You try to discuss this issue with him again, tell him that the head down is more natural and softer, that in this way he will help himself and you. Communicate with him more often, perhaps and agree :))) Good luck!

:(Hope disappears every week. The doctor also immediately said that there was not enough water, it would be difficult for the child to roll over :(

05/30/2001 03:21:54 PM, Katya

My girlfriend turned over at 39. I'm about 35 so don't worry. There's still enough time for this. Only I read that with a breech position, I do not recommend wearing a bandage as it secures the position of the kid. So GOOD LUCK!

Pregnancy and childbirth: conception, tests, ultrasound, toxicosis, childbirth, caesarean section, giving. breech presentation + entanglement of the umbilical cord. Girls .. tell me who had such a situation ... Rhoda with a breech presentation of the fetus. Pregnancy, childbirth and breech presentation of the fetus.

Discussion

I was diagnosed with breech presentation at 28 weeks. All my efforts to turn over were in vain - my daughter stubbornly sat upside down. Despite this, my doctor, who led the pregnancy and had to take delivery, insisted on natural childbirth. He persuaded, gave examples of how he normally gives birth with a pelvic. I hesitated. A week before the birth, they did an ultrasound - a loop of the umbilical cord in the neck. After that, the doctor said - yes, now I myself am leaning towards a caesarean section. After I woke up after anesthesia, my second question was - was there an entanglement? He answered me that there was a tight loop and we did everything right, otherwise we could lose the baby ... So think carefully, consult a good doctor. Still, in itself, the pelvic is an unpleasant thing, and even entanglement ...

Another case happened to my friend. There was no pelvic, only entanglement. And the maternity hospital is excellent, and they wrapped the sensors around the stomach, and they seemed to be watching. But they didn't follow :(((.

So think well, well. And remember, a scar on the stomach is such garbage compared to a little beloved baby :).

I know that they do caesarean with entanglement of the umbilical cord (some mothers are even happy about this). But you need regular monitoring of the condition of the child. If not, then make sure that she continues to move well. In general, it is difficult to suffocate in the aquatic environment. But giving birth naturally is not recommended.

09/14/2000 17:58:27, LenaO

Breech presentation is not an indication for a caesarean section. Surely there are other reasons for this. Doctors simply do not have Breech presentation, caesarean at the discretion of the doctor on duty, it was Saturday, in the maternity hospital - natural births are welcome, I have ...

Discussion

And no one knows by chance how you can feel or determine by some signs what the child is sitting down with? And another question: upstairs, approximately opposite the solar plexus, sometimes a little lower, almost constantly something sticks out, sometimes like a ball, then something oblong, you can directly see and feel it very much when he starts moving it there with something -here. Does anyone have something similar?

08/03/2000 10:27:46, Xenia

Breech presentation is not an indication for a caesarean section.
Surely, there are other reasons for this. Doctors simply do not have the right to perform a Caesarean section without appropriate indications.