Baby positioning-when is it abnormal?

The positioning of the child is determined by the relationship of the various parts of the body to each other. It is correct to bring the head to the chest, so that it can be born with its smallest circumference. Position, on the other hand, is the ratio of the baby’s long axis to the long axis of the uterus. Distinctions include. longitudinal and transverse position. The correct position is the longitudinal head position. The longitudinal pelvic position, on the other hand, can lead to serious complications during labor. For this reason, it is extremely important for the gynecologist to determine both the positioning and location of the baby.

Baby positioning-how is it determined?

For a natural childbirth to be possible, a number of different requirements must be met. The child should perform a head squatting so that the smallest plane (suboccipital-parietal) manages to insert the head into the vacuum cavity. It is also extremely important that the dimensions of the mother-to-be’s pelvis are sufficient for the safe course of natural childbirth. To determine them, a pelvic gauge is most often used before delivery, although it should be reckoned with the fact that its measurements may be inaccurate. To accurately determine them, an MRI is necessary, but it is used very rarely.

The positioning of the baby is determined by an internal examination of the woman in labor. This allows the midwife or doctor to locate the sagittal suture on the baby’s head, as well as its posterior fontanel. When the baby is in the frontal position, medical personnel can feel the arches of the eyebrows and the nasal root in a transvaginal examination. If, on the other hand, it senses the baby’s chin it is a facial positioning. If the baby is not properly positioned, prolonged II is also common. birth period.

Incorrect positioning of the baby

If the baby’s head is not squeezed properly, we are dealing with a deviated position. A distinction is made in this group: facial, parietal and frontal positioning . The prone positioning poses a risk of perinatal injury for both mother and baby. Abnormal baby positioning is also referred to as posterior occipital positioning, where the head is squatted, but there is no turning of the occiput towards the pubic conjunctiva.

Misplacement of the baby can occur for a variety of reasons, including. IN CASE:

• preterm labor,
• pelvic stenosis,
• uterine defects,
• numerous previous births,
• child development defects.

Abnormal positioning-treatment

The management of a misplaced child depends on the specific case and the type of deflection. In some situations, such as in the case of parietal positioning, conservative management begins by placing the woman in labor on her side. Staff can also manually try to squeeze and roll the baby’s head. Often a perineal incision proves necessary when the baby is not properly positioned. Some situations also require a cesarean section, as natural childbirth can be dangerous and cause serious injuries.