While in the womb, the fetus will rotate and change position. However, this situation will not continue because eventually the fetus will remain in the head position below 36 weeks of gestation. This is the normal and safest fetal position to be born.
Even so, it does not rule out the possibility that the fetus is in an abnormal position near the time of delivery, for example lying across. In addition, babies can also be positioned vertically with the feet below or called breeches.
Here are some things you need to know about the position of the fetus that is not normal to help make the best handling decisions.
What Are the Signs of Abnormal Fetal Position?
Mother may only be able to feel that the baby is in breech position when the pregnancy has reached the age above 36 weeks. If you feel the baby's head pressing on the upper abdomen or you feel your baby kicking in the lower abdomen, try to check with your obstetrician to get certainty of the position of the fetus.
When checking the condition of your pregnancy, your doctor will usually do an ultrasound examination (USG) to see the condition in the uterus. That's where it will appear clearly if it turns out the baby is in breech position. The doctor will also determine whether the position of the breech fetus on examination in the vagina (vaginal touche).
What Causes Abnormal Fetal Position?
In most cases that have occurred, the cause of the breech baby's position is not yet clearly known. However, one condition that can trigger breech births is abnormal amniotic fluid levels throughout pregnancy. In addition, babies born prematurely and twins are more prone to experience breech positions.
Are There Medical Procedures for Changing Fetal Position?
If after examination with ultrasound it is known that the position of the breech fetus, the doctor can recommend Mother to undergo special exercises at home to help change the baby to the normal position, namely the position of the baby's head under the mother's abdomen.
In addition to gymnastics, doctors try to change the position of the fetus through an external version of the procedure (External Cephalic Version / EVC). It should be noted that this procedure should only be undertaken by Mother at 37 weeks of gestation and above. The doctor will use both hands on your stomach to change the position of the baby. If this procedure is successful and the baby's head can be under and the baby's feet above, then vaginal delivery is the main choice.
However, this procedure does not guarantee that the baby can change to a normal position, where the probability of success is 50-58 percent. In addition, note also that although the baby can change to a normal position through this procedure, it still does not rule out the possibility that the Little can return to breech position. In addition, this EVC procedure has several risks, including:
- Ruptured premature membranes.
- Triggering birth.
- Loss of small amounts of blood, both in mother and baby.
- Fetal distress that triggers caesarean delivery.
Although the risk is small, some doctors choose not to try the EVC procedure for reasons of risk to the safety of the mother and fetus. Plus, not all mothers can undergo the EVC procedure. What is the condition of the mother who does not allow to undergo the EVC procedure?
- Containing twins.
- Abnormal baby heartbeat.
- Ruptured premature membranes.
- Vaginal bleeding.
- The amount of amniotic fluid in the uterus is small.
- The placenta is near or covers the cervix (placenta previa).
Are There Complications from Sungsang Pregnancy and Childbirth?
In general, breech pregnancy itself is not a dangerous condition, until finally it is time for delivery. When a breech fetus is still born normally through the vagina, the baby is more likely to be injured during labor or after birth when compared to the normal fetal position. Breech babies born through the vagina are also more likely to suffer birth injuries, such as separation of the hip joint and femur.
Other complications related to the umbilical cord. Similar to the previous condition, this complication is more likely to afflict breech babies who continue to be born normally through the vagina. Complications, the umbilical cord will be pinched during childbirth so that the risk of causing damage to nerves and the baby's brain due to lack of oxygen.
Born Caesar
In most cases, the safest way to deliver a breech baby is by cesarean section. If the baby is still in the breech position until approaching the day of delivery, then the doctor will likely plan a cesarean section on the Mother.
But in some cases, cesarean section is not the best choice. For example, if labor goes too fast, vaginal delivery is the only option. In addition, in the case of twins where the baby is first born normal and the second is breech, the best option is to give birth to both babies normally through the vagina.
Although cesarean section is a safer way for most cases of breech babies, there are still risks that you will face, such as bleeding, infections, including the possibility that the mother and baby will need to be hospitalized longer.
Regardless of the position of the mother's fetus, rest assured that each delivery is unique. You don't need to compare your condition with other mothers. In addition, even though Mother and doctor have made birth plans, these plans can still change on the day of implementation. If something unexpected happens, the doctor will make quick decisions in order to maintain the safety of the mother and the baby.
Komentar
Posting Komentar