How to adjust the four-dimensional fetal transverse position

If there is a problem with the fetal position, it is generally adjusted by correcting the sleeping position of the pregnant woman. However, this is generally limited to situations where there is still time to adjust. If it is urgent, the hospital has the corresponding technical means. Therefore, pregnant women must maintain a good mental state and act according to the doctor's instructions. So, how to adjust the four-dimensional fetal transverse position? How to adjust the four-dimensional fetal transverse position

1. Exercise appropriately. The transverse position is generally only temporary and will be adjusted in the later stages. Pregnant women do not need to be nervous when breech position occurs. They can listen to more activities and do as much labor as they can. Through the activities of the mother in various postures, the fetus can passively move in the womb. Fetal position changes to cephalic position.

2. Change sleeping position. When the fetus is in the transverse position, the mother can change her sleeping position to correct it. Mothers who used to sleep on the left side can sleep on the right side. Those who are used to sleeping on the right side can switch to sleeping on the left side. At the same time, place a soft pillow under your abdomen when lying on your side.

3. Correction of knee-chest recumbent position. Generally, when abnormal fetal position is found before 32 weeks, pregnant women can correct the fetal position by lying on their knees and chest. The specific method is for the pregnant woman to urinate, empty her bladder, loosen her belt, and kneel on the bed. Your thighs are perpendicular to the bed surface, and your body is leaning toward the bed surface. 2 times a day, about 15 minutes each time, and review the fetal position after 1 week.

4. Apply moxibustion to Yin points. You can use mugwort fumigation and moxibustion from the outside of the little toe to the Yin point to achieve spontaneous reincarnation by dredging the meridians. The Zhiyin point is a point on the bladder meridian of the Foot Taiyang, located about two millimeters outside the nail of the little toe. It is recorded in "Yizong Jinjian" and "Acupuncture and Moxibustion" that this point can be used to treat dystocia caused by abnormal fetal position.

5. Inversion outside the technique. In the third trimester of pregnancy, when the fetus is in a transverse position and cannot automatically convert to a vertical delivery, external inversion surgery can be performed to make the fetus into a vertical delivery. Inversion surgery involves manually turning the fetus through the abdominal wall so that the fetal position that is not conducive to delivery is transformed into a position that is conducive to delivery. However, it needs to be performed by an experienced doctor under close attention with B-ultrasound to prevent the umbilical cord from wrapping around the neck and causing danger.

Generally speaking, if the fetus is found to be in transverse position, the fetal position can be corrected through the above methods, but it should be noted that if correction is difficult, do not force the correction, but pregnant women should Pay close attention to your own situation. If premature rupture of membranes occurs in the transverse position, you need to lie down immediately and be sent to the hospital for treatment. If the pregnancy is full term, elective cesarean section should be performed. What are the dangers and symptoms of fetal transverse position?

Causes

The discovery of transverse position is mostly related to the difficulty of the baby's head entering the pelvic cavity caused by cephalopelvic disproportion. Multiparous women with loose abdominal wall, polyhydramnios or twins may also have transverse delivery. A few cases may be caused by placenta previa or tumors that prevent the baby's head from entering the pelvic cavity.

Symptoms

(1) Fetal heartbeat is usually heard below the mother’s belly button, but it has no special diagnostic value.

(2) During abdominal examination, it can be found that the mother's abdomen is asymmetrical, and the height of the uterine fundus is smaller than the estimated gestation weeks. The fetal head cannot be felt above and below the uterus, but it can be The fetal head is felt on the mother's side.

(3) During internal examination, it can be felt that the presenting part is higher, neither the fetal head nor the buttocks.

(4) The fetal head can be seen on the side of the mother’s uterus using ultrasound.

(5) X-ray pelvic photography can also show that the fetus is lying horizontally.

Diagnosis

(1) The shape of the abdominal examination is transverse oval, the bottom of the uterus is low, the top of the pubic symphysis is empty, and a large and hard fetal head can be touched on one side of the abdomen. The opposite side is the buttock, and the fetal heart rate is clearest on both sides around the umbilicus.

(2) Anal or vaginal examination In the early stages of labor, the presenting part is higher and difficult to reach, when the cervix has been dilated. Because the presenting part cannot be close to the entrance of the pelvis, the amniotic fluid from the front and back communicates. During uterine contractions, the pressure on the fetal membranes at the cervix is ??very high, which may easily lead to rupture of the fetal membranes and prolapse of the umbilical cord or fetal arm.