During the womb, the fetus will rotate and change position. However, this situation will not continue because, in the end, the fetus will stay in the position of the head below after 36 weeks of gestation. This is the normal and safest fetal position to be born.
However, it is also possible that the fetus is in an abnormal position near the time of delivery, for example, lying transversely. In addition, the baby can also position vertically with the foot below or called a breech.
Here are some things you need to know about abnormal fetal positions to help make the best handling decisions.
What Are the Signs of Fetal Position Not Normal?
A mother may just feel that the baby is in a breech position when the pregnancy has reached the age of 36 weeks. If Mother feels the baby's head presses on the upper abdomen or Mother feels the Little Kicks in the lower abdomen, try to check it to the obstetrician to get certainty of the fetal position.
When examining the condition of pregnancy Mother, usually the doctor will perform the examination with ultrasound (USG) to see the condition in the womb. That's where it will be obvious if the baby is in the breech position. The doctor will also confirm whether the breech fetal position on vaginal examination (vaginal touche).
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What Causes Fetal Position Not Normal?
In most cases, the cause of the breech position is not clearly known. But one condition that can trigger a breech birth is an abnormal level of amniotic fluid throughout the pregnancy. In addition, premature infants and twins are more susceptible to having a breech position.
Is There a Medical Procedure for Changing Fetal Position?
If after an ultrasound examination is known that the breech fetal position, the doctor may recommend the Mother to undergo special gymnastic at home to help change the baby to the normal position, ie the position of baby's head under the belly of Mother.
In addition to gymnastics, doctors attempt to change the position of the fetus through an external version procedure (External Cephalic Version / EVC). Please note that this procedure should only be Mother live at 37 weeks of pregnancy and above. The doctor will use both hands on the mother's stomach to change the baby's position. If the procedure is successful and the baby's head can be below and the baby's legs above, then normal vaginal delivery becomes the primary choice.
However, this procedure does not guarantee that the baby can change to a normal position, where the likelihood of success is 50-58 percent. In addition, note also that although the baby can change to a normal position through this procedure, still does not rule out the possibility that Little Can return to the breech position. In addition, this EVC procedure has several risks, among others:
- premature rupture of membranes.
- It triggers birth.
- Loss of a small amount of blood, both in the mother and baby.
- Fetal distress conditions that trigger cesarean delivery.
Although the risk is small, some doctors prefer not to try the EVC procedure for reasons at risk for maternal and fetal safety. Plus, not all mothers can undergo EVC procedures. What is the condition of the mother that is not possible to undergo EVC procedure?
- Contains twins.
- Abnormal baby's heartbeat.
- premature rupture of membranes.
- The presence of vaginal bleeding.
- Amount of amniotic fluid in the uterus slightly.
- The placenta is near or covering the cervix (placenta previa).
Are There Complications of Pregnancy and Breast Childbirth?
In general, the breech pregnancy itself is not a dangerous condition, until it is finally time for labor. When the breech fetus is stillborn normally through the vagina, the baby is more likely to be injured during labor or after birth when compared to the normal fetal position. Breast infants born through the vagina are also more likely to have birth injuries, such as separation of the hip joint and femur.
Other complications are related to the umbilical cord. Similar to previous conditions, these complications are more likely to affect breech babies who are stillborn normally through the vagina. Complications, the umbilical cord will be pinched during labor so that the risk of causing damage to the baby's nerves and brain due to lack of oxygen.
Born By Caesar
In most cases, the safest way to give birth to a breech baby is by cesarean section. If the baby is still in the breech position until close to the birthday, then the doctor will likely plan a cesarean section on the Mother.
However, in some cases, a cesarean section is not the best choice. For example, if labor goes too fast, normal vaginal delivery becomes the only option. In addition, in the case of twins where the first-born infants are normal and the latter in breech position, the best option is to deliver both babies normally through the vagina.
Although cesarean section is a safer way for most breech cases, there is still a risk that Mother may encounter, such as bleeding, infection, including the possibility that the mother and baby need to be hospitalized for longer.
Regardless of the position of the fetus of the Mother, rest assured that each birth is unique. Mother does not need to compare the condition of Mother with other mothers. In addition, although the Mother and the doctor have made a delivery plan, the plan can still change on the day of implementation. If something unexpected happens, the doctor will make a quick decision to keep Mother and baby safe.
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