Is it necessary to have surgery for breech. Continued

Category: Advice on all occasions | 10 ноября 2015, 12:56


What should be done for safe vaginal delivery in breech presentation

We would like to inform you the fact that experienced obstetricians in breech presentation. These measures are very often very successful. Purists may argue against such a technological approach, but is associated with gluteal previa the risk justifies the steps taken.


Before the onset of labor. First try an external obstetric rotation. If this does not work, is a survey of mother and child. Whether the size of mother's pelvis the size of a child? The condition of the placenta and whether there is no structural pathology of the uterus (determined by ultrasound)? Does pregnancy proceeds normally (i.e., whether diabetes or high tone)? What type of breech presentation is part of your case? What is the weight of the child (more or less 4.5 kg)? If the child weighs more than 4.5 kg or breech-foot presentation, we usually do a caesarean section. Not deformed if the baby's head? If all safety parameters are met, some obstetricians may decide to conduct a vaginal birth.

When labor has started.. You can spend the EMF, but it should not restrict the freedom of movement of the mother. If labor is progressing normally (the cervix dilates 1 cm an hour, but when you breech the speed may be less), the EMF readings are not a concern, then intervention is required. If labor flow sluggishly, the possibility of stimulating the pitocin. At birth with breech presentation with the help of a professional assistant is required.

During the second stage of labor. If the birth goes OK and the state of health of mother and child is not in danger, intervention is required. However, it is necessary to take precautions so that the cord is passed through the cervix. In addition to help the uterus to open up, the bag of water artificially will not be opened until after birth. If you are doing an epidural, the second stage needs to stop, so you can give birth vertically and to push naturally. Usually, when birth is attended by a pediatrician to provide newborn care after birth.

It is important to find a doctor or midwife, who took delivery in breech presentation and confident in their abilities. Then this confidence will be passed to you. Fear often has a very strong influence upon such delivery. The cervix dilates enough to skip the shoulders of the child, but may impinge and clamp the head. Often the reason for this may be fear.

To be responsible for childbirth, you must know what your chances and how much risk is associated with them. Childbirth is not without risk, just some are less risky than others. Some midwives believe that a healthy mother and a healthy baby with breech presentation is much safer to conduct a vaginal birth than caesarean section. It all depends on the experience of the host genera.


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