What is dangerous is the pelvic presentation of the fetus?

Pelvic presentation of the fetus is observed in about 5% of pregnant women. As a rule, a child in the mother's abdomen can turn over many times during the day. If the pregnancy is normal, at around the 24th and 25th week the baby assumes the "head down" position, however, it may change to about 35-36 weeks.

If at the same time a pelvic presentation is observed, then, as a rule, the birth will also take place under these conditions. Such a state of the child is determined not only with the help of ultrasound, but during the vaginal examination and external examination of the gynecologist.

There are several reasons that can lead to this presentation of the fetus:

1. Obstacles that interfere with the head of the baby (for example, the wrong shape of the pelvis, low attachment of the placenta, swelling of the ovaries or other organs).
2. Excessive mobility of the fetus (if there is a delay in development), polyhydramnios or premature pregnancy.
3. Restriction of mobility of the fetus due to a short umbilical cord, entwining it, lack of water, or an abnormal structure of the uterus.
4. Reducing the tone of the lower segment and increasing it in the upper part of the uterus, which is caused by the presence of scars on the uterus or inflammatory processes.

Pelvic presentation is divided into gluteal and foot. This classification arose because each such species requires specific management of labor. The fact is that if the fetus is small in size, the presentation is breech, and the pelvis of the woman in childbirth has normal dimensions, then births can occur naturally without complications. In all other cases, the risk to the health and life of the child is very high. The most dangerous is leg presentation, because asphyxia often occurs, the prolapse of the umbilical cord loops.

For the prevention of pelvic presentation to pregnant women, who are at risk, spasmalotic drugs are prescribed from about 23 weeks. Also, a strict diet is recommended so that the fetus does not become very large, and this does not complicate the birth.

If doctors determine pelvic presentation, starting from the 36th week of pregnancy, a special gymnastics is prescribed to the woman, which promotes the transition of the fetus to the desired position "head down".

Women with such a diagnosis in the women's consultation are on special account. They need to visit the doctor on a regular basis and undergo all the diagnostic diagnostic methods prescribed by him.

Births with pelvic presentation have a specific nature of the conduct. So, on 38-39 a woman needs to go to the hospital, so that the doctors correctly prepared her for childbirth. When a survey is conducted, a possible variant of their conduct is chosen. In this case, the type of pelvic presentation, the weight and height of the fetus, its sex, and the size of the pelvis, the timing of pregnancy and concomitant diseases are taken into account.

The birth in pelvic presentation is performed with the help of caesarean section, if the fetus weighs more than 3.5 kg, there is a scar on the uterus, the mother has a narrow pelvis, and the baby's position is foot or mixed.

It is very important to remember that, according to practice, boys who are born naturally in such a situation get a testicle injury. Therefore, if the fetus is male, it is preferable to conduct cesarean section.

If nevertheless the delivery is natural, then the woman is prescribed the use of antispasmodics and restorative medications. Doctors at birth carefully monitor their course and, if any violations are detected, they can change the tactics of their conduct in order to save the child's life.

After childbirth it is necessary to conduct a thorough examination of the baby using clinical and laboratory techniques. This will help reduce the risk of future complications in the future and diagnose them in time.