How to correct fetal misposition

Fetal malposition has different rates at different gestational weeks, such as 5 months of pregnancy, there is a 33% chance of fetal malposition, about 8 months of pregnancy about the chance of fetal malposition, 9 months of pregnancy about 5% of the chance of fetal malposition, indicating that about ninety percent of fetal malposition will automatically turn positive. Fetal malposition does not need to be corrected before 7 months of pregnancy, but should be corrected if it occurs after 30 to 32 weeks' gestation.

Before correction, B-ultrasound examination should be done to rule out whether there is umbilical cord winding, if there is no umbilical cord winding, three correction methods can be selected. The first is the knee-chest position, which can be practiced at home by pregnant women. The second is laser irradiation to the yin points or moxibustion to the yin points, and the third is external cephalic version, both of which must be done in the hospital.

These three methods will have certain risks, such as placental abruption, premature rupture of membranes, and umbilical cord entanglement. Correction of fetal position should be carried out under the guidance of a doctor, and it is not possible to make a self-assertion, and it is necessary to go to the hospital for examination in time for correction for a period of time, and observe the change of fetal position at any time. Of course, if the fetal position cannot be corrected, it should be evaluated by an obstetrician to determine the mode of delivery.

Hello! Less than 7 months pregnant, it doesn't matter if the fetal position is not correct, at this time, because the fetus is relatively small, the amniotic fluid is relatively large, the fetus can move naturally in the uterus, and after 7 months of pregnancy, the fetal position must be determined.

As for the mode of delivery, it depends on whether the diameter of your pelvis is large enough, whether the fetal position is normal, and then you must have enough physical strength to have a smooth delivery, and vice versa.

You can try TCM acupuncture.

I think the doctor will give you guidance. Correction is usually ideal with a knee-thoracic position, but it can also be combined with acupuncture for better results.

What is fetal malposition.

Fetal position, in layman's terms, refers to the position of the fetus in the womb. The normal fetal position should be that the fetal head is bent up, the occipital bone is in front, and the head is the first to protrude into the pelvis during childbirth, which is medically called "head presentation". This position is usually smooth during delivery.

For those where the rest of the body (such as the hips, feet, legs, and even arms) are facing downward, this condition is considered a malposition. The highest proportion of abnormal fetal positions is breech presentation (i.e., buttocks facing down). Although some fetuses are also facing downward, the fetal head changes from provolution to supine extension or occipital bone behind it, which is also considered fetal malposition in a broad sense.

Causes of fetal malposition.

1) Polyhydramnios, laxity of the abdominal wall of multiparous women, etc., so that the range of motion of the fetus in the uterine cavity is too large.

2) Uterine malformations, fetal malformations, multiple births, oligohydramnios, etc., make the range of motion of the fetus in the uterine cavity too small.

3) Pelvic stenosis, placenta previa, fetal macrosomia, etc., which obstruct the fetal head connection.

These abnormal fetal positions are equivalent to setting up obstacles in the delivery passage of pregnant women, so it is easy to lead to dystocia.

Fetal position is quite common before 8 months of pregnancy, and expectant mothers do not need to worry too much. As the gestational age increases, most fetuses with malposition will automatically shift to a normal position with the fetal head down. In obstetric management, the diagnosis is usually confirmed only when the fetal position is still in place at nine months (36 weeks).

When expectant mothers are diagnosed with fetal malposition at the ninth month of pregnancy, it is important to discuss with the doctor which mode of delivery is the best option.

How to correct the fetal position.

Fetal misposition has a different incidence at different weeks of pregnancy. At five months of pregnancy, about 33% of fetuses are malposition; At eight months, the incidence of fetal malposition decreased to; By the time they reach nine months of pregnancy, only about 5% of pregnant women are diagnosed with fetal malposition. This means that most fetuses found to have an abnormal fetal position in the second trimester of pregnancy will transition to a normal fetal position at term.

Usually, fetal malposition detected before 7 months of pregnancy is sufficient for enhanced observation. Because before 30 weeks of pregnancy, the fetus is still small compared to the uterus, and the mother's intrauterine amniotic fluid is more, the fetus has room to move, and will correct the fetal position by itself, and most of them can naturally turn to the "head position" after 30 weeks of pregnancy. However, in general, correction is required if the fetal position is still malaligned at 30-34 weeks of gestation.