What to do if the fetus is in an incorrect position

What we call malposition of the fetus should be called abnormal fetal position in a strict medical sense. In fact, in the second trimester, many fetuses are not in the \”occipital anterior position\” that we often call the cephalic position when they were finally delivered. As the gestational age increases, most fetuses will turn to the cephalic position at 35-37 weeks of gestation. Have a natural birth. During pregnancy, the shape of the uterus slowly changes as the gestational age increases. Starting from the second trimester, the originally long and narrow oval uterus slowly begins to narrow and shrink around the uterine opening, taking on an inverted pear shape. At the same time, before the second trimester of pregnancy, the fetus\’ head and body are in proportion, but in the later stages of pregnancy, the body becomes larger than the head. Therefore, in order to adapt to the changes in the shape of the uterus, the fetus constantly adjusts its position to ensure that it enjoys the most comfortable posture. Fetuses that have not turned into a cephalic position by the third trimester are collectively referred to as abnormal fetal position, and other delivery methods, such as caesarean section, should be considered to reduce the risk of dystocia. Abnormal fetal position is usually related to factors such as uterine dysplasia, uterine malformation, narrow pelvis, pelvic tumors, fetal malformations, polyhydramnios, etc., and should attract the attention of expectant mothers. The most appropriate time to correct fetal malposition is between 30 and 32 weeks of pregnancy. Pregnant mothers can try the following common methods of correcting the fetal position (tip: this can only be done when there is no umbilical cord around the neck). Chest and knee position: This is the most commonly used self-correction method for expectant mothers. It is simple, easy and effective. First, the mother-to-be urinates completely, loosens her belt, and then kneels down on the hard bed with her face on the bed. Place your hands straight on both sides of your head, keep your chest as close to the bed as possible, raise your hips, and make your thighs and calves form a 90° angle. Insist on doing it once in the morning and once in the evening every day. At the beginning, the time each time is 3 to 5 minutes, and slowly increase to 10 to 15 minutes. A course of treatment lasts for 7 days, and then the fetal position is rechecked. The chest-knee position allows the fetal buttocks to withdraw from the pelvic cavity. With the change of the baby\’s center of gravity, the arc formed by the fetal head and the fetal back slides along the arc of the uterine fundus to complete the transition from breech position to cephalic position. What is the Life Guide for Pregnant Women and Expectant Mothers PDF? When correcting the fetal position, expectant mothers must remember the following points: Correction of the fetal position must be done under the guidance of a doctor and cannot be made on one\’s own initiative. After fetal correction for a period of time, you must go to the hospital for examination in time and observe changes in fetal position at any time. Expectant mothers who are more than 34 weeks pregnant should use the method of correcting the fetal position with caution. Family members must be present when correcting the fetal position.


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