During fetal growth and development of the fetus, it occupies a certain position in the uterus. In the early stages of the child has a large motor activity and constantly changes its position. But closer to the time of birth, he takes a certain position, which affects the outcome of childbirth. The most favorable is the head previa, when the child passes the birth canal head forward. But there are cases when in the lower part of the uterus are the little glutes or legs of the baby. This indicates a pelvic presentation of the fetus and is considered a pathology.
There are several types of pelvic presentation: purely gluteal, mixed gluteal, foot. In most cases, with pelvic presentation, fertility occurs by caesarean section. This helps to prevent injury to the child and mother.
In some cases, with pelvic presentation, a decision is made to conduct natural childbirth. To determine how to give birth in case of pelvic presentation, take into account a number of indicators:
- the readiness of the mother's organism for childbirth, including the maturity of the cervix;
- the age of the pregnant woman;
- if this is not the first birth, then take into account how the previous ones flowed, whether there were complications;
- pelvic data;
- the fetus weighing 2500-3500 g is considered optimal for natural delivery, if the weight of the fetus is 3600 g and higher, delivery by caesarean section is recommended;
- a kind of pelvic presentation: with pure and mixed presentation, it is possible to conduct births naturally, and leg presentation is considered the most unfavorable;
- position of the fetal head.
The malignancy and pelvic presentation of the fetus are also an indicator for cesarean section. Since in the absence of water, labor activity weakens.
Causes of pelvic presentation
It is considered that closer to 21-24 weeks the fetus is set in the head presentation, but up to 33 weeks it can change its position. The final position of the child takes 36 weeks. The formation of pelvic presentation can provoke such factors:
- repeated delivery;
- polyhydramnios ;
- abnormalities of the uterus;
- malformations of the fetus;
- low location or placenta previa.
There is also the assumption that the presentation of the fetus affects the maturity of the vestibular apparatus of the fetus. Therefore, pelvic presentation is often detected early.
Exercises with breech presentation
The simplest exercise that is done to change the position of the fetus is turning. It is necessary to lay down on a couch and in this position to turn from one side to the other for three or four times in ten minutes. Repeat this exercise three times a day. Usually the turn of the fetus with pelvic presentation takes place during the first week.
How to determine pelvic presentation on your own?
Independently to determine, in what position is the baby, the future mother is quite difficult. A pregnant woman can lie on her back and do the following. After the abdomen appeared two tubercles: the head and buttocks of the child, you need to gently press one of them.
Consequences of pelvic presentation to the child
Children who were born in the pelvic presentation are examined by a neonatologist. They are at risk of neurological complications. At the first examination, the specialist draws attention to the presence of signs of intracranial injury, vertebral injury, hip dysplasia and cerebral blood flow disorders. During childbirth, such children may suffer from asphyxia or aspiration with amniotic fluid.