The cross position of the fetus in the uterus is rare. If you turn to statistics, only 0.5% of pregnant women face a similar phenomenon when the axis of the mother's and child's spine is not parallel to each other. In general, the transverse and oblique position of the fetus in obstetrics is considered to be problematic. Births natural are practically impossible, as it is very risky. Usually, the child is born by checking the cesarean section. However, there are cases when a woman's cross position of the fetal exercises and special gymnastics helped to fix, and she gave birth on their own. One of effective methods Correct the situation of the child is a set of exercises (how to fulfill everything to perform in the physical instrument female consultation) And rest on the side where the child is located.

What is meant under the transverse prevention of the fetus and what are its reasons

The cross position is that the pose of the baby when he is located in the uterus not by its axis, but at an angle. His head and buttocks are across the exit from the uterus and organs of a small pelvis. This is the position of the fetus during screening.

The condition of the pregnant woman whose kid lay down in a transverse position, does not affect health. Pregnancy can occur absolutely calm the first two trimesters. But the third trimester can prevent a lot of not very pleasant surprises. It is bleeding, and premature childbirth, and even the threat of life, both mother and the fetus. Among other troubles, there is an early exit spindle water, loss of the body's body parts, umbilical umbrellas, damage and rupture of the uterus organ.

It does not matter, transverse, oblique or unstable transverse position of the fetus, pregnant must constantly be under the supervision of doctors. Stationary treatment is unconditional in the case of the slightest suspicion of bleeding.

If it is noted incorrect during the second trimester, that is, the hope that the baby will still take the right position until the moment of his birth. The child in the mob of mom is constantly in motion. It floats in oily waters, often changing his pose. But after 33-35 weeks, the child is unlikely to be able to change his position in the tummy at Mom. He has already grown, and he is closely.

Doctors clearly define the causes of the transverse position of the fetus. First, it is also an absorption of the uterus as a result of previous pregnancies and a large number of accumulating water (at the same time, such a prediction can be entrusted and lowered). Secondly, early interruptions pregnancy, numerous abortions and spontaneous miscarriage Can trigger the transverse presence of the fetus. Thirdly, if a woman has an improper pathological shape of the uterus (saddot, rhodic, counya), that is, the risk that the child does not take proper position In the womb.

Diagnosis "" can be diagnosed by screening, palpation or vaginal examination. Speakingly see that the fruit is incorrectly located, it is also possible to be naked eye. Mom's belly has an oval angular shape, incorrectly stretch.

An experienced gynecologist or an obstetra can easily determine the position of the fetus. At first, the doctor seeks the location of the head with the help of hands, and after the extremities are crushed - the heels or todders of the baby.

It also states the improper position of the fetus after the deployment of the accumulate waters. Dropping out separate parts Body: Shoulder, handles leave no doubt that the child lies crosswise.

What threatens the transverse and oblique prediction

Although pregnancy proceeds normally, relax mom and doctor, under whose supervision it is not allowed. Premature birth and extinguishing water can occur at any time. When early birth It should be quickly made solutions. Most likely, will be appointed cesarean section. This is especially true when the placenta and overlapping the choice of the child from the uterus in the examination was noted during the survey. generic paths. Incorrect actions of doctors, unqualified assistance or incompetent actions may entail serious problems. The uterus may not withstand and break, uterine bleeding can begin, stop which is quite difficult. Besides fidelity decisions taken Life depends not only born baby, BUT MOM.

It should be noted that natural childbirth In the transverse or oblique also take place in medical practice. If the child is premature or has a very small weight, if a sufficient disclosure of the uterus, doctors can manually rotate the child. However, there is no guarantee that after changing the posture he will not accept the same position. In cases where the feet or the child's handle fell out, go back it is unacceptable.

I would like to warn everyone who from the fear of surgical delivery is solved for risk and agree to give birth natural way, allowing you to manually turn the fruit. It is unreasonable. He suffers, first of all, the child. The outer obstetric coup is prohibited in most countries due to the very high risk of complications.

Pregnancy is a dynamic process ending with childbirth. The course of pregnancy affects the course and tactics of the delivery. One of the important parameters is the position of the child in the uterus.

The position of the fetus is the ratio of the axis of its body in length to the long axis of the uterus. Prelationship - the ratio of a part of the fetus directed towards the outlet of the uterus. The position and presence can be correct and incorrect.

The possibility of childbirth naturally depends on the child's position in the mother's womb. If the baby is incorrectly, the caesarean section is shown.

Classification of provisions and previews:

  • The correct position is the longitudinal, oblique, unstable;
  • Incorrect position - transverse;
  • Proper preservation - the head;
  • Incorrect prediction is low, pelvic.

This classification is generalized, since there are several more pets of pelvic and improper presence. These subspecies do not significantly affect the tactics of childbirth. The unstable position is the option of the norm, because it is limited to the time interval in terms of gestation.

Cross presence of fruit

The relationship of the longitudinal axis of the child to the longitudinal axis of the uterus with the formation of a direct angle is called transverse position. In this case, the baby is located across the pelvis.



If such a position is observed before the childbirth themselves, the latter are only possible by the operational way. Pregnancy can be favorable, but there is a possibility of premature births that pose a threat to the life of a woman and a child.

Quite often, the transverse position of the baby in the womb is called cross-preview. This is not entirely true. Prelation is only head and pelvic.

Causes of the transverse presence (position) of the fetus

This phenomenon can be triggered by a large number of factors. First of all, it includes the conditions under which the baby can be overly actively moved: baby hypotrophy, too large water, weakness of the muscles of the abdominal wall (by re-pregnancy), etc.

On the other hand, such a state may be due to the disadvantage of intrauterine activity, for example, at a low-body, large child, increased tons Musculatures of the uterus, the threat of miscarriage, the anomalies of the structure of the uterus (twin or saddot), fibromy, etc.

In addition, the head or pelvic transverse presence (position) of the fetus may arise due to anatomical causes that prevent the formation of his head into a small pelvis of the mother. For example, with clinically narrow pelvis, the location of the placenta on the anterior abdominal wall, the tumors of the bone of the pelvis or the lower segment of the uterus.

In addition, the reasons can be hidden in the abnormalities of the baby's development (hydrocephalius, Angrocephaly).

Diagnosis of pathology

The pelvic or head cross presence of the fetus can be established by an obstetric examination, palpation of the abdomen and vaginal examination. In this case, the stomach becomes a cross-stretched (space-stretched) irregular shape.



The uterus has a spherical shape, which should not be. The abdominal circle rate, as a rule, exceeds the norm in accordance with the term, in addition, the height of the uterus is insufficient.

In the process of palpation, the doctor cannot determine the presets part of the crumbs: the head is tested away from the middle axis of the woman's body, and the taz of the baby is in the lateral departments of the uterus. In this case, the heartbeat's heartbeat is listened to the navel zone.

Difficulties with the definition of the baby's posture may occur with multipleness, multi-way, hypertonus of the uterus. Confirm or disprove the presence of a pathological condition using an obstetric ultrasound.

Standard gynecological study, which is carried out throughout the pregnancy, as well as in the initial period of genera with a preserved fruit bubble, is a little-informative. It allows you to establish only that, in a small pelvis, there is no predicted part. After the water goes away and the dairy zev will open on 4-5 fingers with the transverse position of the baby may seem its shoulder, edge, blade, armpit, oest vertebral processes, elbow or brush handles.

What is dangerous for a woman and baby cross-preview of the fetus

Usually pregnancy in this case is favorable. Often occurs premature expulsion Waters and, accordingly, premature labor. If the placenta is also available to all this, abundant bleeding develops.



In turn, the sudden extension of the waters sharply limits the mobility of the baby in the womb of the mother, which can lead to the shaking of the leaf of the crumbs into the small pelvis of the woman, the fallout of the handle or umbilical cord.

During the fallout of the parts of the child's body, chorioamnionitis, spilled peritonitis, sepsis can develop. If anhydrous gap lasts more than 12 hours, the likelihood of acute hypoxia is high and even asphyxia of the child. The launched cross position with increasing generic activity is dangerous to what the uterus can occur.

It rarely rarely, but it happens that in the process of the delivery, there is a spontaneous reversal of the baby in the head or pelvic position, or the birth of crumbs of the dual torso. A similar result is very rare and possible with strong fights, deep prematurity or dead fruit.

Birth with diagnosed cross-preview of the fetus

Until 34-35 weeks of pregnancy, oblique or transverse position is considered unstable, as it can change to the correct one. When identifying such pathology, it is necessary to carefully examine the pregnant and determine the cause of the anomalies, choose the tactics of the Woman's maintenance and the method of the delivery.

Usually, on a period of 30-34 weeks of pregnancy, special gymnastics is appointed, which will contribute to the toddler turn.

Contraindications to corrective gymnastics:

  • Threat of abortion;
  • Scar in the uterus;
  • Myoma;
  • Decompensated heart defects future mommy;
  • Blood selection, etc.



Approximately 4-5 weeks before the childbirth of Kroch is a stable position, therefore, while maintaining a pathological condition, a woman is hospitalized to determine the tactics of the delivery of the delivery.

Earlier resorted to the outer turn on the head, but now this rarity is, since this method is ineffective and can lead to a detachment of the placenta, the rupture of the uterus, the hypockey of the fetus.

The optimal method of appearance of crumbs into light under such circumstances is a cesarean section. The indication to the latter is: the presence of the placenta, premature expulsion of water, the scar in the uterus, oxygen deficiency in the infant, transferred pregnancy. When the parts of the bodies of the fetus are inadvertently unacceptable their right.

With the disclosure of the state of the uterine on 10 fingers, live and mobile child, it is possible to carry it out on the leg and further extraction. However, such manipulations and natural bodies can be carried out only with multipleness, prematurity.

If there was a long anhydrous gap, and in the future the infection was joined, then after an operational delivery, the woman makes extirpation of the uterus, and there is also a need for the drainage of the abdominal cavity.

Exercises if there is cross-preview of the fetus



  • Lie on the side on the sofa, couch, but not on a soft bed. On one side, it was a quarter of an hour, then turn over. Similarly roll over 3-4 times. This exercise must be done twice or three times a day. Usually, the benefits of them appear in the first week from the start of classes;
  • Take a lying position, put a pillow under the lower back. It follows, as in the previous case. Small pillows need to put under the feet so that they are slightly above the head, and under the lower back;
  • Tensile the muscles and bundles of the pelvis, to contribute to the formation of the head will help this exercise: in a position sitting on the floor to plant his knees on the sides, and the feet press to each other.
  • The knee-elbow pose. Such an exercise must be performed, as well as the previous, twice or three days a day for a quarter of an hour.

We will contribute to the coup of the baby and exercises in the water. It is worth noting that any exercises must be performed on an empty stomach. In addition, it is recommended to sleep on the side where the child is located.

Normally, the final position in the uterus of a pregnant woman is a child takes to 32-34 weeks. No wonder for this period falls the last ultrasound. But often the situation occurs when the baby at the time of birth never took the corresponding position, that is, the head down. Prelationship can be head (facial, frontal, occipient or optional) and pelvic (foot, beyond and mixed). At the same time, the position of the fetus in the uterus is longitudinal, oblique and transverse. By the time of birth, about 95% of not born children occupy the right position, that is, the head, and the rest are in Taz. It is worth noting that the longitudinal pelvic prediction does not mean that natural labor is impossible, but it is impossible to avoid in oblivion or cross.

What are the features of childbirth with cross-preview? Does it have a threat to the guinea and kid?

Cross preview: Causes

The main reasons for the transverse preservation of the fetus by the time of birth four. Most often it provokes insufficiency or excess of ammunition. If the volume of the fluid is too large, then the child has the ability to arbitrarily move in the uterine cavity, to keep any position. Similar consequences leads and lowland. However, in this case, the possibilities of the fetus are limited. Once in a close space, it cannot take the correct position. The second reason is the wrong position of the placenta. If the placentating is low or the organ fixed too high, then the fruit can be in a head or pelvic preview, but transverse, because the length of the umbilical cord is limited. The third reason is an abnormal structure of the uterus. If she, for example, couny, then the child can not set up correctly. The presence of uterine tumors, it also interferes with the fetus to occupy the corresponding position by the time the appearance of the light. The fetology of the fetus itself can be the fourth cause of the cross-preposition. If the child is too big, sick of congenital hydrocephalus or anensphalia, then it cannot be properly accommodated in the uterus.

Among probable reasons There may be multiple pregnancies, and a narrow pelvic pent.

Determine the location of the fetus can a doctor. External inspection allows you to find out what form the uterus itself has - oval or oval. But the prediction is visible only on the monitor when conducting an ultrasound. Palpation in this case is a danger, because there is a threat of breaking the fruit bubble and expulsion of water. If a cross-preview has been discovered during the examination, the exercises appointed by a gynecologist can help. But they are only allowed to 32 weeks of pregnancy. On more late time Their execution is dangerous.

Complications and features of the delivery

If a woman has diagnosed cross-preview of the fetus, some complications may arise. Thus, there is a threat that the oily water is premature, and the placenta will refuse, which will lead to bleeding. As a result, the uterus is tightly burned with fruit, and this is fraught with injuries and choking. In addition, the shoulder, hand or umbifuina can fall from the flow of spindle water from the uterine cavity. The worst version - uterine break, loss of fetal mobility and hypoxia. That is why when crossing the cesarean section is the optimal option. Waiting for the fortieth week of pregnancy is dangerous. Even in the absence of a hint of the fight, the doctors insist on carrying out an operation on a 37-38 week of pregnancy. Every day of delay during cross-preview is a real threat to life and feminine, and baby.

Worry about the outcome of the planned operation with proper pregnancy control is not worth it. Already on the second day, young mommy will be able to feed crumbling booster, and after another 5-7 days will be discharged from the hospital.

Waiting for a child - a happy period in a woman's life. New feelings and emotions, waking up maternity instinct, feeling bubbles of happiness in the stomach - all this is impossible to describe, you can only feel on yourself. But sometimes, these pleasant moments darken the verdicts of doctors after inspection, one of these "sad" records in the prenatal film pregnant woman is: "cross-preview of the fetus". It is not worth a panicing ahead of time, it means only that your childbirth will take place under the closer attention of the doctor. Usually cross-preview is diagnosed from the 20th week and means that your baby is in a horizontal position relative to the small pelvic organs, closing their backs. With natural childbirth, it will seem first of the tops of the crumbs.

Crossing the fetal can occur for several reasons:

  • narrow pelvis at the future mommy;
  • tumors of internal female genital organs or anomalies of the structure of the uterus;
  • re-pregnancy (withstand head prepay The soaps of the uterus are not capable);
  • multi-way;
  • premature waste of charchoploid waters;
  • heredity;
  • very active child.
Gymnastics for fixing cross-premium

Do not worry a future mother with such verdict doctors also because the position of the fetus can change up to 34 weeks of pregnancy. With the transverse preservation of the fetus, it is recommended to perform the following exercises:

  • starting from the 31st week, before eating 3-4 times a day, learn on a solid surface on each side alternately for 10 minutes;
  • 2-3 times a day for 15 minutes to lie, lifting the pelvis up (the legs should be above the head for 20 cm), for convenience under the lower back, you can put pillows;
  • sleep exactly on the side where your crumbs are located;
  • 2-3 times a day for 15-20 minutes stand, beyond the knees and elbows;
  • as often as possible float.

Such gymnastics should be performed only on an empty stomach. Remember that before proceeding with the exercises with the transverse preservation of the fetus, it is necessary to consult with the doctor, for these classes there are contraindications (tumors, prestings, placenta and other). The effectiveness of this complex is proved and is 75-95%. If everything happened, and the head preposition changed the transverse one, then to secure the result, we carry a bandage. It will provide support for the stomach and will help keep the correct position of your yet born crumbs.

In the case when the kid did not succumb to your plenty and intense exercises, spontaneous childbirth is sufficiently dangerous and lead to various complications. Therefore, modern doctors insist on a cesarean section with the cross-preposition of the fetus. The exception may be the case when one child from twins is across, Then after the birth of the first second, the second will have the opportunity to turn. Interesting the fact that in the old days the doctors tried to change the position of the fetus themselves by hand, but then it was a necessity, after all, any operations, including a cesarean section, was quite dangerous and risky. Now this is a secure planned event that allows you to preserve life and health, both mommies and baby. Usually future mom Put in advance in the prenatal office and prepare for operation, it is also necessary for monitoring pregnant women in order to avoid premature birth. Remember that the transverse prevention of the fetus is not a sentence, the main thing is your positive attitude and the health of the baby. Easy to give birth to you!

From this time, its position will not change significantly, so the diagnosis is carried out on the 8th month. The prelationship of the fetus is determined by the feeling of the abdomen, in case of doubt they resort to ultrasound or radiography.
For the normal flow of birth, it is very important that the fruit is located vertically.

Currently, several options for the prevention of the fetus are known: the head, transverse and pelvic. The location of the fetus in the uterus is determined by directly examined by an obstetrician-gynecologist (in large periods of pregnancy you can adversely, where the fetus head is located) and with the help of ultrasound surveys. Depending on the term of pregnancy, the position of the fetus in the uterus changes significantly. If, during the first 6 months, the fruit is still sufficiently small size and it has enough space for movements, then by the time of birth, it occupies a steady position and you can also accurately establish its prediction. If you compare the ultrasound data carried out during pregnancy, then it can be noted that about 25% of women, the fruit is located first in the pelvic preview, which in the future goes into the head.

Head presence of the fruit

The child fully occupies the space of the uterus and is best adapted to her form. In 95% of cases, the largest part of his body (torso) is located in the widest place of the uterus. This means that the child is located head down, the back is most often addressed to left.

This provision is considered the most convenient for mother and child during childbirth. It is characterized by the location of the fetus head forward (the front part is directed toward the back of the mother), which is the most voluminous and plastic part of the fetus, due to the unreasonable bones of the skull. The head of the child will be the first to pass by the generic paths of the woman (they include the neck of the uterus, the vagina, external genital organs), which determines the faster flow rate. After passing the head, the remaining torso and limbs are born without any difficulty. In this case, the child is born with a bent head, drawn into the shoulders and slightly turned on the left side. However, there are cases when a child who is in a head prepocation can be turned on the right side, which makes it difficult to give birth. There is also a frontal and facial position of the fetus with a head preview. The reasons for the occurrence of these head positions may be reduced muscular tone and weak cuts in the uterus during childbirth, the close location of the pelvic bones of the mother, the size of the fetus head does not correspond to the norm (large or small), congenital tumor thyroid gland Child, as well as difficult movements when turning the fruit head. The frontal position may be associated with anatomical changes in the structure of the uterus in the mother, with a wide pelvis, and also often occurs in repeated women, since the stretched muscles of the uterus can not provide a steady position of the fetus. In determining this position, the fever is transferred to the operating department. Childbirth with this position of the child is possible only with small fetal sizes. In most cases, the Caesarean operation is used to extract the child. The facial position of the fetus can be defined at first ultrasound studies. A characteristic feature of this situation is a specific posture that a child takes in the womb. With careful tacking, it is necessary to determine which direction the chin is directed. If he is aimed forward, then the birth will leak independently. During childbirth, passing through the pelvic bones of the mother, the child's head welcomes the resistance and deviates back, so the front of the head appears the first light, and not the occipital. With a facial position characteristic sign Born baby are elongated lips and chin fetal. If the chin is backward, during childbirth, the head of the pelvis bones can occur, which will lead to the impossibility of further delivery. This position of the fetus is very rare, but when it is discovered, a cesarean cross section is always carried out.

Pelvic prevention of fruit

Preparing for his birth, somewhere between the 32nd and 37th weeks, the baby turns over, occupying the vertical position of the head down - the so-called head, or occipital, prediction. As a result of this turn, the kid's head turns out to be directed down, accurately at the entrance to the labor paths. The head is the most severe body of the baby. When the child has almost completely formed, it turns down the head under the action of a natural law of gravity.

In most cases, this squirrel occurs completely unnoticed, especially if the kid turns over during mom's sleep. But the position change can be delayed if the mother is experiencing fear and tension, or some circumstances in her life cause her grief.

Some women in different reasons They cannot free themselves from stress, because of this, their uterus remains intense and the child cannot turn over. The baby simply lacks the place to make a turn, so it remains in the original position head up. Baby buttocks remain at the entrance to the cervix. Such a position is called "pelvic preview". Sometimes the baby makes only a partial coup: his shoulder, hand, one or both legs remain in the lower segment of the uterus.

If no changes occur, the pelvic preview requires the adoption of important decisions. Several options: to send every effort to help the baby turn over; give birth to a baby with a pelvic preview or make a caesarean section. Since far from many experts have sufficient knowledge and skills to take birth with pelvic preview, in most such cases women direct the cesarean section. But this is not the option to think at the very beginning. Many women give birth to kids in a butodic prediction of the usual vaginal way with homemade midwives.

The child is vertical, but the wrong position: the buttocks are located at the bottom, and the head is the head. Such a prevention of the fetus happens as a result of a very small uterus or its irregular shape.

Exile fruit during childbirth is difficult, and the need for general anesthesia may arise.

The pelvic presence is characterized by passing first legs and buttocks of the fetus by generic paths, and then the heads, and difficulties may arise due to the fact that the head is the most bulky part of the fetus body, and there is also a risk of an umbilical cord between the bones of the mother's pelvic and the child's head.

Risk factors for pelvic preview

This position of the fetus most often occurs during re-pregnancy, when the muscles of the uterus and the front of the abdomen are most stretched and poorly fix the child's position. However, this may be at first pregnancy, in the case of low location uterine in a small basin or at a low prelation of the placenta (kindergarten) in the uterine cavity at which it is located in its lower part; with large quantities calopal fluidin which the child is more moving and can often change its position; In a narrow tase, when closely located bones interfere with the correct establishment of the child's head. Also, the risk factors include the improper structure of the uterus in the mother and tumor processes located in its lower part, which do not leave enough space to enter the head into a small pelvis, and the malformations of the fetus. According to the latest data, it was possible to prove that heredity is a predisposing factor in pelvic preview. It was found that the mother who was born with such a prelationship, the likelihood of the birth of children in the pelvic position is about 95%. In the first place among the causes of the occurrence of pelvic premium, premature pregnancy stands (the birth of a child since the 28th week of pregnancy). At the same time, with premature birth, there is a large relationship between the size of the child and the urvetement of the uterus in which it can move freely. Than less than time The pregnancy on which the generation process arises, the greater the risk of pelvic prevention.

With a pelvic preview, there are several provisions characteristic of it: a berium, foot and knee. The buttock prediction can be true, in which the child is located on the entrance to the small pelvis, and its legs bent in the hip joints are parallel to the body, and mixed, in addition to the baby's buttocks to the generic paths are directed and legs bent in the knee joints. The foot position is complete, in the case of which both legs will be pretended, a little dispersed both in the hip and in the knee joints, and incomplete when only one leg comes out, and the other remains in the bent position and is much higher. The knee position is characterized by the fact that the child is moving forward to the bell-in the swords in the knee joints. In most cases, it is found breeding pretext fetal. Pelvic presence is approximately 5% of pregnancies.

If, after a second ultrasound study, a pregnant woman installed a pelvic prevention of the fetus, this does not mean that by the time of birth, the child will not take the right position. Provide the coup of the fetus by the head end to the generic paths can be a set of exercises. A woman should alternately lie on a tight surface on the left, and then - on the right side of 10-15 minutes several times a day. Also, the big effect has a knee-elbow position and position lying with a raised pelvis. To do this, under the buttock area it is necessary to put a roller or pillow and lift the legs by 20-30 cm above the head. All exercises are conducted on an empty stomach, for several weeks so that their effectiveness can be estimated before the last ultrasound examination. Also, after the first week from the start of the exercise, the doctor can evaluate them with the procurement of the location of the fetus head. Pregnant women are recommended to sleep on the side where the child is determined. With the right and constant execution of all of the above exercises, the pelvic part of the fetus moves from the bones of the mother's pelvic, increases physical activitywhich contributes to a spontaneous coup of the child. According to reliable research data, exercises, as well as swimming classes allow in 75-96% of cases to accept the child the correct position before childbirth, and the mother is to avoid operational intervention. However, it should be remembered that it is impossible to engage in self-medication, in this case it is necessary to urgently consult with a doctor who observes this pregnancy, since there are a number of categorical contraindications to the conduct of gymnastic exercises. These include postoperative scars in the uterus, tumor processes in it, severe systemic diseases (not combined with sexual system), the prelationship of the placenta (in the case when it is located at the bottom of the uterus), gestosis during pregnancy (the occurrence of edema, increase blood pressure, impairment of vision).

For getting positive result can be combined with exercise Use and unconventional methods for treating the pelvic prevention of the fetus. Before combining these methods, it is necessary to take advice from a specialist. In most cases, acupuncture is recommended - the impact on the activity of the child and the uterus by stimulating certain zones to the shallow introduction of special needles and aromatic means. Psychological impact of the child can contribute to the child's coup. A pregnant woman needs to imagine a properly located baby, you can persuade or ask him to turn over, view the pictures and photos of a child who is in the womb. Often apply the action of music and light. Many scientists argue that the child, being in the uterine cavity, moves to a sound or light source. According to this theory, you can put a flashlight or a small lamp closer to the bottom of the abdomen or put on this area of \u200b\u200bheadphones with calm music. When a positive result is reached with these methods, it is necessary to fix the correct position of the fetus. This can be done using a special prenatal bandage and exercises aimed at an increase in the elasticity of ligaments and muscles of a small pelvis, as well as the correct entry of the fetus head into the pelvic region. The most effective is the situation sitting with divorced bent legs in the knee joints and pressed to each other soles. At the same time, you must try to bring your knees to the floor as much as possible to the floor and fix this position for 10-15 minutes several times a day. The prenatal bandage ensures the maintenance of the abdomen, thereby removing the burden on the spine, which prevents or significantly reduces pain in the lumbar region, and also reduces the risk of stretching. Currently the most common bandages in the form of an elastic ribbon, which is put on underwear. Such a bandage can be put on any position of the body, it does not put pressure on the uterus, due to the possible change of its diameter (with an increase in the volume of the abdomen) with the help of special "lipochki" on the sides. Bandage is recommended to shoot every 3 hours for 30 minutes. It is also possible to use bandage underwear in the form of panties with a wide support belt. The disadvantage of this type of bandage is that it is necessary to maintain the body's hygiene, which makes it difficult for its constant wearing.

In the case when it is not possible to independently correct the position of the fetus, on the period of 36-38 weeks it is possible to conduct a doctor outdoor turning of the fetus. This procedure is carried out in hospital conditions under the control of ultrasound observation and constant listening to the fetal heartbeat. The purpose of this manipulation is in the phased movement of the child's head by the doctor, down to the generic paths. Absolute contraindications To carry out this event: postoperative scars in the uterus, excess body weight (weight increases for more than 60% of the initial state), threatening abortion abortion (increased excitability, increase the tone of muscle of the uterus), the age of a pregnant woman (over 30 years old at first pregnancy ), presence in the history of the disease of miscarriage or infertility, presence in the second half of pregnancy, the location of the placenta in the bottom of the uterus, the wrong structure and development of the uterus, a large or too small amount of accumulating waters, a curse of the baby cord, the close location of the pelvic bones, heavy domestic diseases of the woman , Pregnancy that has occurred with the help of artificial fertilization. Currently, the outdoor turning procedure is applied in isolated cases due to the large list of contraindications and possible serious complications. After this procedure, it is necessary to continuously monitor the condition of a pregnant woman and the fetus.

In the case when adopted mer. Not enough, the question arises about the way of childbirth. The Caesarean section is mainly carried out, but during pregnancy, which prohibited safely, and the occurrence of the child's weight is not more than 3,500 g, the lack of vices for the development of female genital organs and a sufficient width of the pelvis in a woman conducts natural labor in the pelvic prelation of the fetus (in buttock position). Such labor will be held in three stages. First of all, the buttocks are born, then the torso and the very last head, which is the most bulk part of the fetus. Combining the data of the conducted X-ray studies and the control prenatal ultrasound examination, the obstetrician-gynecologist can determine the method of childbirth in the pelvic prelation of the fetus. The passage of a child in the generic paths of the mother in a pelvic position can be favorable, however, more thorough controls are needed, which requires the presence of a children's resuscitation, as generic injuries, suffocation and fetal stilling are possible. Such kinds are in the borderline state between normal and pathological. The frequency of natural labor with the pelvic prelation of the fetus is approximately 5%. In the initial period of generic birth, it is necessary to observe a strict bed regime. It is advisable to be in a lying position, on the side of the body, where the back of the fetus is located. This is carried out to prevent the early rehabilitation of the oily water and fragments of the fetal parts. A pregnant woman is under the supervision of obstetricians and is prepared for childbirth. She is introduced stimulating generic activity Tools (oxytocin), carry out anesthesia. All stages of labor are under monitor observation (with constant control over the heartset). The final period of childbirth remains similar to those with ordinary childbirth with the head preview. However, for preventing postpartum bleeding, drugs enhance muscle contractions (methyl ergometrine, oxytocin) are introduced intravenously.

Precision with multiple pregnancy (twins)

Depending on the number of fertilized eggs (female genital cells) and fertilizing spermatozoa (male genital cells) in the uterus, both divesed and single-line twins can be located in the uterus. Promotile (developed from two or more egg cells) Twins occupy individual amniotic bags (limited cavity in the uterus, in which the child is surrounded by an atomic fluid) and have separate placenta. Single (developed when several spermatozoa in one egg) twins can also occupy separate amniotic bags (only in rare cases it is one for two), but they are connected by one common placenta.

Finding two or more fruits in the uterus leads to its significant stretching, in this regard, the prelationship of twins in most cases is incorrect. It also affects what each child must adapt not only to passing into a small pelvis, but also to the position of another child.

For multiple pregnancy A woman is placed in advance in the maternity hospital, where they are conducted by a control ultrasound study to assess the state of the placenta.

Gemini can be located in longitudinal position. At the same time, they both can be located both in the head prepay, which is the most optimal for childbirth, and the option is possible, in which one of the children will be in the head, and the other in the pelvic preview. With longitudinal location, the twins can lean each other. It is also possible a different position of fruits in the uterus: one of them occupies a vertical, and the other is a horizontal position in relation to the generic paths. In rare cases, there is a transverse location of both twins, as well as their pelvic prediction. The position of the child during childbirth may change. With the head prepayment of both twins after the birth of the first child, the second child can change its position on the transverse or oblique due to the increase in space in the uterine cavity. In this case, the outer or inner turn of the fetus to correct the position of the child is carried out. The most rare phenomenon at the birth of twins is their collusion (grip), which occurs when one child is located in pelvic, and the other is in the head position. In most cases, the birth of twins occurs with the help of surgical intervention (cesarean section or the use of obstetric forceps to extract the second fetus).

Cross presence of fruit

The child is located across the entrance to a small pelvis, closing his back. At childbirth, the shoulder is first shown. In this case, it is necessary to make a cesarean section.

Cross preview is determined when the child's horizontal arrangement in relation to the generic paths of a woman. There are several fetal positions. The first position - in which the head of the child is facing left, the second - at which the head is facing to the right. If the back of the child is turned forward - this is the front view, and if back is the rear view.

Most often, the transverse pretection of the fetus occurs at a very narrow pelvis in a woman, with a multi-axis (increased amount of accumulating fluid), premature expulsion of the octal water, excessive fetus activity, during re-pregnancy (the muscles of the uterus are not able to maintain the vertical position of the fetus), when too big head fetal. The transverse prevention of the fetus includes its oblique (shoulder) position. With ultrasound examination, it is revealed that the head and the pelvic part of the fetus are located in the lateral departments of the uterus, because of which it takes the position elongated in the transverse direction, the bottom of the uterus is below the desired level. In case of inspection, the heartset is listening only in the navel area. With the beginning of childbirth, the position of the fetus can be determined by a vaginal study after the movement of the oily fluid. With a shoulder position, you can take care of the shoulder, the clavicle and the edge area (at the rear), as well as the blade and spine (with the front). In the transverse position, the pens falls out.

When one of these provisions is detected, a cesarean section should be carried out, since spontaneous delivery is impossible and quite often occur such complications as the fallout of the umbilical cord or small parts of the body (upper limbs). In the event of an early detection of this type of prelation, an obstetrician-gynecologist can conduct an outdoor or internal turn of the fetus. The outer turn of the fetus is carried out in hospital conditions. If the shoulder position persists, the course of natural genera will be in most cases complicated by the loss of small parts of the fetus or part of the umbilical. However, despite possible complications, Rhodeworrence can occur without surgery. Bowl of everything comes the commemorative or the appearance of a child folded twice the body.

With a self-definition, the child may be born in several ways. If the fetal head is located above the small pelvis, then the first shoulder will be born, then the body and lower limbs will go, and last the head. If the head is in the area of \u200b\u200bthe small pelvis, most often its passage will make it difficult to make shoulders, in this case the body and lower limbs will appear, and then shoulders and head. With a folded position, the shoulder appears first, after the body appears with the head apart in the stomach, and then the buttocks and legs. With a shoulder or transverse position of the fetus, it is possible to wait for independent delivery, only repeated women or with a small weight of the child. The location of the umbilical bodies and small parts of the fetus (upper and lower extremities) are lower than the larger presets of the child after the dishevement of the oily waters is called their fraud. In the case of maintaining the integrity of the fruit bubble, but the location of small parts at the bottom of the uterus near the genital paths is set to preview. To determine in more detail the predatory part of the fetus can only manual vaginal examination. It can be judged on the loss of umbilical cords in characteristic changes in the state of the fetus and a violation of the rhythm of its heart abbreviations in its infringement. If it is impossible to correct a part of the umbilical cord and there are no necessary conditions for immediate natural genera, surgery performs operational intervention. With the fallout of a part of the umbilical, with a pelvic preservation of a child and if there are no complications, natural labor is carried out. When one of the upper limbs is falling, the transition of the head of the fetus into the lower area of \u200b\u200bthe small pelvis, to the generic paths is impossible. With this disposition of the child, it is necessary to move the handle for the baby's head into the uterine cavity. If this for some reason is impossible, the cesarean operation is carried out.

When the lower extremities of the fetus, the child's body flexion is observed with a dispened feet. Most often, this position of the fetus is observed with multiple pregnancies (twins) and with premature pregnancy. Also in this case, the fetus fell by the fallen part, and negative result Make a cesarean section.

Gorgeous prevention of fruit

This is the most common type of prelation - about 95%. The macushkin is located at the entrance to a small pelvis. During childbirth, the head will enter the birthplace with the chin pressed against his chest.

Groove pretext of the fetus: 95% of cases

Future prevention of fruit

In this case, the head is completely discarded back. Births often pass with complications, sometimes resort to Cesarean cross section.

Frontal preservation of fruit

In this case, the caesarean cross section is necessarily, since the heads- .. ka facing the genera large size, and childbirth through natural generic paths are impossible.

At the same time, the child is located in the uterus horizontally. This provision does not allow it to go down, so the cesarean section is the only way out if only the doctor does not try to change the position of the child before childbirth.

The child lies across the uterus; Head - downstairs, buttocks - at the top. The position is called "shoulder" or transverse. Sometimes a doctor manages to change the position of the child by external pressure on abdominal cavity. But this reception does not always succeed and in some cases is contraindicated.