Pelvic labor

Usually, by the time of birth, the baby turns his head down - this position is considered correct. But this is not always the case. In some cases, the baby is placed down with the booty or legs, this position is called the pelvic position. Childbirth in this case is associated with great risk.

Breech delivery

The location, called the pelvic, causes considerable concern on the part of the pregnant woman. Childbirth in this case can be difficult and requires a lot of skill from the medical staff. In some cases, an emergency operation may even be required.

Until the 35th week of pregnancy, there is still a small chance that the baby will turn over and take a normal position. To determine this precisely, a special study is carried out. The expectant mother is examined by an obstetrician and determines how the baby is located. An ultrasound scan shows a more accurate result. An examination of the baby's condition is also carried out.

Previously, in the case of such an incorrect presentation, the baby was born in a natural way. Now doctors are more and more inclined towards a cesarean section. Approximately 80% of women with such an arrangement of the fetus are sent for surgery. This is due to the fact that now more and more women are giving birth at an older age, which in itself complicates childbirth and causes certain risks. In addition, medicine is improving every year. The operation itself is becoming more and more safe, new diagnostic techniques are being developed that allow to assess the risks and possible complications in advance.

To cases when, in the presence of a breech presentation, they choose cesarean section, include:

• Male child.
• Premature birth.
• The child lies with his legs, not the booty.
• The woman's pelvis is not wide enough.
• During childbirth, a strong extension of the head is possible.
• The child weighs too little or too much.
• There is an umbilical cord entanglement of the baby's neck.
• Chronic form of hypoxia.

If the doctors decide that childbirth will take place naturally, then the woman needs to follow the instructions of the staff exactly so that difficult childbirth passed safely. In general, everything is waiting for her as in ordinary childbirth, but with some peculiarities.

At the stage of cervical opening, the woman lies on her side in the direction where the child's back is. This is necessary to avoid serious complications.

At the stage of the expulsion of the fetus, the order of birth of the baby is as follows: first, the baby has an ass and body up to the waist, then it comes out to the shoulder blades, then shoulders and arms are born, the head appears last. As a rule, at this time a woman is made incisions on the perineum to reduce the risk of birth injuries when the baby's head comes out. After the baby was born to the navel, childbirth should be completed in 10 minutes. Such a short time is allotted so that he does not die from hypoxia, because at this moment the umbilical cord is pinched by the head. To stimulate attempts, a woman can be injected with oxytocin, and to prevent cervical spasm, papaverine and no-shpu are injected.

In the postpartum stage, the placenta is separated. This period is no different from normal childbirth. Here, doctors monitor the woman's condition, check the pulse and the amount of blood discharge from the uterus. Since the risk of bleeding is high, drugs are used to accelerate the contraction of the uterus.

Pelvic labor: reviews

In all women, childbirth, even in breech presentation, proceeds differently. Many, despite this diagnosis, give birth easily, even easier than during normal childbirth. But there are many such stories when a child is born with injuries that take a long time to heal and which could have been avoided with a cesarean section. It all depends on the qualifications of the medical staff, on the correctness of the decisions made.