This is an automatically translated article.
Transverse pregnancy, also known as shoulder or oblique position, is a condition in which the fetus is not lying along the longitudinal axis but is horizontal in the mother's womb. This position is not favorable for the mother to give birth and is considered an abnormal and dangerous position for both mother and child. So at what week should the cesarean section be performed?
1. What is a horizontal position?
Transverse fetal position is a condition where the fetus lies horizontally in the womb without following the longitudinal axis, in some cases lying obliquely and with the head on the pelvic side and the buttocks on the lower ribs. The fetal position is horizontal when the baby's head can be on the left side of the mother's belly and the legs can be on the right or vice versa. The back, abdomen, and flanks of the fetus may be facing the birth canal, blocking the cervix, or one shoulder may be facing the birth canal.
Left shoulder: when the left shoulder of the fetus faces the birth canal, this position can lead to prolapse of the umbilical cord, making the fetus not fully supplied with blood calcium and at risk of death. Right shoulder: right shoulder of the fetus facing the birth canal, this position needs to be changed or a cesarean section is indicated. Transverse position: the fetus lies horizontally in the abdomen, with no shoulder facing the birth canal, this position makes it impossible for the mother to give birth naturally because there is no way for the fetus to enter the birth canal. The horizontal position of the fetus is considered an abnormal position, which can be dangerous for both mother and fetus. The cause of this condition can be due to many reasons such as:
Abnormalities of the mother's pelvic structure. Pregnant women have problems with the uterus, cysts, fibroids Polyhydramnios accounts for about 1-2% of cases. In case of pregnancy Mother is pregnant with twins or multiples Placenta praevia
Ngôi thai nằm ngang có thể gây nguy hiểm cho cả mẹ và bé
2. Is horizontal pregnancy dangerous?
Horizontal pregnancy is very rare and especially in the time when the due date is approaching. In fact, out of 500 babies, only 1 is horizontal in the last weeks of pregnancy. In addition, of the cases where the fetus is lying in the wrong position, only about 20% are horizontal. However, if you consider at the time of 32 weeks of pregnancy, 1 in 50 babies will have a transverse position. Therefore, if you are diagnosed with a horizontal fetus at a time when the due date is not near, you should not be too worried because the fetus is still in the process of turning to be ready for its birth journey.
Because the fetus lies horizontally in the mother's womb, it will immediately block the uterus, so the baby cannot pass through the birth canal. This makes it difficult for women to give birth, sometimes not being able to give birth naturally. If a woman gives birth naturally in a horizontal position, the shoulders of the fetus can enter the pelvis before the head, which can cause fetal injury or even death before birth due to pregnancy. suffocated. In addition, due to irregular uterine pressure, the transverse position of the fetus is easy to cause premature tearing of the membrane or prolapse of the umbilical cord, leading to fetal distress, stillbirth or uterine rupture. Therefore, if the fetus is diagnosed with a transverse position in the last 3 months of pregnancy, the pregnant woman should be carefully monitored and may be assigned a cesarean section when the pregnancy is full term to prevent dangerous complications that may occur. out.
3. At what week should the cesarean section be performed?
The horizontal position of the fetus is quite dangerous for both mother and baby. Therefore, depending on the location and the health status of the mother and the fetus, the doctor may specify the time for cesarean section. If the situation is still progressing well, it is likely that the transverse pregnancy will be operated at 38 weeks. At this time, the fetus has developed relatively stable and can be born. However, if the horizontal position of the fetus affects the development of the fetus, causing the baby to be at risk, the doctor will appoint an earlier caesarean section.
Ngôi thai nằm ngang nên mổ ở tuần bao nhiêu tùy thuộc vào nhiều yếu tố
The image of the transverse fetal position diagnosed by ultrasound will make mothers worry because of the potential risks for both mother and baby. However, there are some tips that pregnant women can apply such as:
Kneel on all fours in the position of a baby learning to crawl, then lean up and down for a few minutes. You can do this movement a few times a day to make it easier for your baby to turn his head down. Do inversion yoga poses such as extended puppy pose to assist the fetus in turning its head into the correct position. With this pose, you will start in a crawling position and then move your arms forward until your head is on the floor. At this time, the buttock body will face up, combined with regular breathing movements during the performance and hold the position for a few seconds. Walk for at least 20 minutes every day. Gentle physical activity will create movements in the mother's pelvis, stimulating the fetus to turn its head downward. Back massage is also an effective way to help support the baby to turn his head down that mothers can apply. In summary, horizontal fetal position is an abnormal fetal position and requires cesarean section, this depends on the health status of both mother and baby, usually a cesarean section is indicated at 38 weeks. However, the time of cesarean section may be earlier if the fetus is underdeveloped in the womb or in danger. Therefore, in the last stages of pregnancy, pregnant women need to be closely monitored and have a special care regimen. If there are abnormal signs, pregnant women should be taken immediately to a medical facility for examination and timely treatment.
Vinmec International General Hospital now offers a full package of maternity services to help pregnant women feel secure during pregnancy thanks to the companionship of a team of qualified and experienced medical professionals.
When choosing Maternity package at Vinmec, pregnant women will receive:
Regular check-ups, early detection of abnormalities during pregnancy The pregnancy process will be monitored by a team of good doctors Professional, experienced Maternity package will help facilitate the birthing process Newborns will be taken care of. For more information, please contact the Hospitals and clinics. belongs to Vinmec health system nationwide.
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