The presentation of the fetus is pelvic: purely gluteal, foot and mixed

Tactics of conducting birth with a pelvic presentation. Ways to turn the child in the mother’s stomach.

Many women are looking forward to the third ultrasound at 32 weeks. At this time, you can already determine with 100% probability, the gender of the child, look at his pens, legs.

Many pregnant women manage to capture how the baby sucks a finger and swallows an amniotic fluid. But on the third ultrasound there may be reasons for disorder. The woman will find out in what position her baby is regarding the birth canal. Not always a child presses his head on his mother’s pelvis.

What does the pelvic presentation of the fetus mean?

This is the wrong position of the child inside the uterus. At the same time, the baby does not rest on the bosom of a woman, but a booty or knees. This position significantly complicates the course of childbirth, since the child cannot go forward. With pelvic presentation, forceps and cesarean section are often used.

Why is the pelvic presentation of the fetus dangerous?

Many dangers are associated with pelvic presentation. First of all, not always a pregnant woman can take out the baby and give birth to him on time. During pregnancy, the following complications are possible:

• Fruit hypoxia
• Placental deficiency
• Gestosis
• Varicosis in a pregnant woman
• Freight defects in the fetus

During childbirth, even greater difficulties may arise. Most often, a woman is recommended a planned cesarean section. But the doctor carefully studies the birth card and can recommend natural birth. At the same time, it should be understood that the probability of birth injuries increases significantly.

Complications during childbirth:

• Insufficient opening of the cervix, pushing the head. The fetus can suffocate, as the legs are in the pelvis, and the head is still in the stomach of the mother. The birth canal strangle the baby. In this case, the episiotomy is shown - the dissection of the perineum
• Long and heavy birth due to the fall of the umbilical cord. The stream of nutrients does not come due to contraining. The child develops hypoxia
• Damage to the spine in the baby as a result of the fact that doctors pull it out by the legs
• A collar fracture is possible

Types of pelvic presentation of the fetus

There are several types of pelvic presentation:

• Bureau. In this case, the baby’s legs are directed along the body, and the heels are at the level of the head. He seemed to be bent in half
• The foot. At the same time, the heels of the child rest on the wax of the mother. During natural delivery, the legs appear the first
• Mixed. At the same time, one leg of the baby is bent and presses on the birth canal, and the second leg is directed to the head or the priest and the legs are directed to the uterine pharynx

The doctor takes into account all this when choosing a childbirth tactics. The simplest is the gluteal presentation. In this case, there is a chance, with the right course of childbirth, get a healthy child.

Pelvic gluteal presentation of the fetus

With the gluteal presentation, the baby Popa presses on the bosom of his mother. During the first birth, the baby’s ass is born. The child comes out bent. At the same time, after the birth of the body to the neck, the children's legs straighten. And in the literal sense of the word he hangs, stuck in the uterus ring. The most crucial moment is the birth of the head.

Typically, women are prescribed cesarean, especially if there are concomitant ailments. During the gluteal presentation, a high risk of overeating the umbilical cord. The child may choke or suffocate inside.

Pelvic foot presentation

In the respect of the present presentation in almost 100% of cases, a cesarean section is required. The difficulty lies in the fact that soft and small legs quickly go out through the cervix. At the same time, the opening is insufficient to remove the head. A child can hang and suffocate between the insides of the mother and her vagina for a long time. Doctors recommend a scheduled cesarean section.

Pelvic mixed presentation of the fetus

With mixed presentation, cesarean is also recommended. It occurs in 20% of cases of pelvic presentation. In this case, the child, as it were, squats inside the mother. Often, in the process of childbirth, it goes into true gluteal presentation when the legs straighten.

Pelvic presentation of the fetus: how to turn over?

There are several methods of turning the baby:

• In the hospital "external turn". It is carried out by a doctor. A specialist by pressure and rotation turns the child
• With the help of gymnastics. There is a whole range of exercises, when performing which the baby can independently roll over.

An external turn is carried out in a hospital with a prepared operating room. A woman is made by an ultrasound. After that, the doctor determines which way the fetus is deployed. The woman’s stomach sprinkles with talc and the capture of the child’s buttocks through the mother’s stomach unfold it, gradually promoting her head and ass. A very experienced doctor should perform manipulation. Otherwise, a rupture of a fetal bag and premature birth is possible. The procedure is carried out at 37 weeks of pregnancy.

Video: external rotation of the fetus

Gymnastics with the pelvic presentation of the fetus

If the term is short, up to 36 weeks, then the baby can turn over in the stomach. You must help him in this. To do this, perform special exercises that enhance the vibration of the abdomen. Exercises are performed from 29 weeks of pregnancy.

Exercises with the pelvic presentation of the fetus:

• Bridge. You must lie on the floor, tightly pressing your back to it. Pillows are laid under the buttocks. Your hips should become 40 cm higher than shoulders. You can put your husband's knees on your shoulders
• Birch. This is an ordinary and simple exercise, however, in a position with a large belly, it is not easy to make it. Lie on the floor and raise your legs. Catch your pelvis with your hands and straighten your legs in your knees. Strive in this position a little
• Triangle. Become near the bed, while put your legs on the bed. It is necessary that the knees touch the bed or sofa. The head and hands on the floor. Thus, you make a body slope

All these exercises need to be repeated 2-3 times a day. They are aimed at displacing the baby's buttocks from the uterine pharynx. Thus, a space forms between the bosom and booty of the child, the baby will be able to unhindestly roll over.

Birth with pelvic presentation

Now about 80% of the birth with pelvic presentation ends with a cesarean section. At the same time, the doctor’s tactics are chosen exclusively by the doctor. The health of the mother and the type of pelvic presentation are taken into account.

The most profitable can be considered true gluteal presentation. Since the circumference of the priests and legs together is approximately equal to the circumference of the head. If the buttocks pass at a sufficient opening, the head should also freely leave the woman’s bosom. In case of leg and mixed presentation in almost all cases, cesarean is used.

What to do with the pelvic presentation of the fetus: tips and reviews

• It is necessary to try to ensure that the baby turns over in the stomach himself. To do this, perform exercises and lead a healthy lifestyle
• If in 37 weeks your child is still in the pelvic presentation, ask the gynecologist in which hospital you can expand the child when pressed on the stomach
• Do not despair, agree on a cesarean if an experienced specialist insists on this. Child health is above all

Be healthy and less nervous. Everything will be fine with your child.

Video: childbirth with a pelvic presentation of the fetus