Fetal heart position after breech presentation

After a woman is pregnant, the baby in her belly will be in different positions due to the different physical qualities of her mother, including head position, breech position and transverse position. Breech position refers to breech position, which can be found by examination. What about the position of fetal heart after breech connection? Let's get to know each other.

The position of fetal heart after breech position is connected. The position of the fetus in the expectant mother is mainly divided into head position, breech position and transverse position. Breech position refers to breech position, and six breech positions can be found through inspection. Expectant mothers must do a good job of fetal position examination before giving birth and decide whether to give birth naturally according to their own situation.

Six fetal positions in breech position

Fetuses often take three positions in the mother's womb, of which the head position is the most, followed by the breech position, and the horizontal position is rare. Diagnosis can generally be made by abdominal palpation, auscultation of fetal heart sounds, anal or vaginal examination and other methods. However, when pregnant women are overweight or have too much amniotic fluid, or when twins are pregnant or the fetus is abnormal, it is difficult to find out the fetal position for a while, and the diagnosis can be made by X-ray photography.

1. Head position: the longitudinal axis of the fetus is parallel to the longitudinal axis of the mother, and the fetal head enters the pelvic entrance first, which is called head position, also known as "head position". Most of the exposed heads are well flexed, with occipital bone as the indication point and connected with all directions of pelvic entrance, which are generally divided into six directions, namely left anterior pillow (LOT), right anterior pillow (ROA), left lateral pillow (LOT), right lateral pillow (L0P) and right posterior pillow (R0P).

2. breech position: the longitudinal axis of the fetus is parallel to the longitudinal axis of the mother, and the position where the buttocks first enter the pelvic entrance is called breech position, also known as breech position. The breech position is based on the sacrum, which is connected with the pelvic entrance in all directions. Generally, it is also divided into six directions, namely, left anterior sacrum (LSA), left lateral sacrum (LST), left posterior sacrum (LSP), right anterior sacrum (RSA), right lateral sacrum (RST) and right posterior sacrum (RSP).

3. Transverse position: the longitudinal axis of the fetus is perpendicular to the longitudinal axis of the mother, and the position where the pelvic entrance first reveals the shoulder is called transverse position, also known as "showing the shoulder first". The presentation of the shoulder takes the scapula as the indication point and lives in all aspects of the pelvic entrance. Generally, it can be divided into four directions, namely, left shoulder front (LScA), left shoulder back (LScP), right shoulder front (RScA) and right shoulder back (RScP).

Where is the best auscultation of fetal heart sound? Fetal heart sounds are heard most clearly in the abdominal wall of pregnant women near the upper part of fetal back. Fetal heart sounds are below the left (right) umbilical cord when sleeping, above the left (right) umbilical cord when buttock, and most clearly below the umbilical cord when shoulder. Fetal heart sound is the heartbeat sound of the fetus. At the 0/8-20 weeks of pregnancy, fetal heart sounds can be heard through the abdomen of pregnant women, which are double tones, like the ticking of clocks.

Listening to fetal heart sounds should be distinguished from mother's heartbeat and bowel sounds. The fetal heart rate is fast and the mother's heart rate is slow.

Twins can also be distinguished by fetal heart sounds, and the heartbeats of the two fetuses are not exactly the same. Two fetal heart sounds are heard in different parts, with a difference of more than 10 times per minute, or there is no sound zone between the two fetal heart sounds.

What should I pay attention to when auscultating fetal heart sounds?

The auscultation of fetal heart rate is different from that of adult heart rate. Listening to fetal heart sounds, amniotic fluid is separated from the abdominal wall and uterine wall, and the wrong fetal position will affect the strength of fetal heart sounds. Generally, the fetal heart sounds we hear on the back of the fetus are the strongest, and if the fetus's abdomen is facing up and the back is attached to the mother's back, the fetal heart sounds we hear will be weaker.

Therefore, there is no difference between strong and weak fetal heart sounds, only fast and slow. If the fetal heart rate is normal, it just sounds weak and is not abnormal.

1, before checking fetal heart sounds, avoid bad rest, improper diet and excessive fatigue.

2. Before listening to fetal heart sounds, it is best for expectant mothers to urinate first, then lie in bed and actively cooperate with doctors.

3. After 28 weeks of pregnancy, you can hear fetal heart sounds with general headphones. You should listen to it once a day for one minute, so as to monitor the health of the fetus.

After reading the above introduction, we will know where the best position for auscultating fetal heart sounds is. If you want to auscultate fetal heart sounds at home, you must pay attention to the correct method, especially to find the right part, otherwise the results you may hear will be inaccurate, and maybe your pregnant friends will scare themselves.