How is malposition diagnosed? 20

B-ultrasound is the most accurate and intuitive method. There is no need to be overly anxious about temporary fetal misposition, and some will spontaneously turn positive when they are in labor. Even if the fetus is not in the right position, it is possible to have a smooth birth with effective assisted delivery. Of course, it doesn't matter what position the uterine delivery is.

Male? Pregnant? Fetal misposition?

Nursing test to judge the position of the fetus: one look at the indication point, two look at the left and right, three look at the front and back.

The method of judging the fetal position by the fontanelle, the fetal position is the position and direction of the fetus in the mother's body, that is, in the four positions of the pelvis, left front, left back, right front and right back. The doctor usually identifies the position of the fetus based on which direction the anterior and posterior fontanelles are located in the pelvis. The orientation of the fetus is an important factor in determining whether the pregnant mother can give birth smoothly, when it is found that the fetal position is not correct, the doctor will also help the fetus correct the fetal position according to the condition of the pelvis and uterine contractions, and help the fetus correct the fetal position so that the pregnant mother can give birth smoothly.

Fetal orientation is the relationship between the indicator point of the fetal presentation and the maternal pelvis, that is, in the four phases of the pelvis - left anterior, right anterior, left posterior, and right posterior. We can determine the fetal position by the sagittal suture and the fontanelle, and the point of indication of the parietal presentation is the occipital bone (abbreviated O); Breech presentation is sacrum (abbreviated as S); The face is presented first as the chin bone (abbreviated as m); The shoulder presentation is the scapula (abbreviated as SC).

How to write the fetal position:

The fetal position can be determined in three steps.

1. First judge that the indication point is on the left or right side of the pelvis, abbreviated as left (l) or right (r);

2. Determine the name of the representative bone, such as "occipital", that is, "O", the buttocks are "sacral", that is, "S", the face is "chin", that is, "m", and the shoulder is "shoulder", that is, "sc";

3. Determine the fetal position: represent the bone in the pelvis before, behind or horizontally. For example, if the parietal presents first, the occipital bone is on the left side of the pelvis and faces forward, and the fetal position is left anterior occipital (LOA), which is the most common fetal position.

**A is the left front of the occipital if you are blind, **B is the right front of the occipital, **C is the right back of the occipital, and **D is the most common left back of the occipital.

The mid-middle fetal position is not fixed.

Before 6 months of pregnancy, when the fetus is over 30 years old, the relative space for activity in the whole uterus is relatively large, and the doll rolls around in the amniotic fluid, and the fetal position is not very fixed; After July, the fetus grows quickly, the movement space naturally appears limited, and the fetal position is relatively fixed until it is close to the expected date of delivery, and there is still about 3 straight to maintain the breech position, and the fetal position is not large, and it is necessary to undergo caesarean section to avoid the birth canal compressing the umbilical cord and causing fetal hypoxia.

Fetal malposition examination and correction.