From the position of the fetus in the uterus it depends on how labor will proceed. If malposition increases the possibility of injury during childbirth. Therefore, pregnant women with malposition should be particularly attentive to the doctor's recommendations prenatal and possibly advance to go to the maternity hospital to a doctor who should take their birth, she developed the necessary tactics of their conduct.

The position of the fetus and its species

The position of the fetus is determined by the ratio of the longitudinal axis of the fruit with the longitudinal axis of the uterus. The correct position of the fetus in the uterus is considered in which the longitudinal axis of the placenta coincides with the longitudinal axis of the uterus. This situation occurs in the majority of cases.

The position of the fetus is called wrong if its longitudinal axis intersects at whatever angle the longitudinal axis of the uterus (the oblique or transverse position of the fetus). From the position of the fetus depends largely on the outcome of labor. If malposition births require medical intervention.

Transverse and oblique position

When oblique fetal position fetal longitudinal axis intersects the longitudinal axis of the uterus at an acute angle, and one of the major parts of the fruit is the entrance to the pelvis. Characterized by the intersection of the lateral position of the longitudinal axes of the fetus and the uterus at a right angle with the major part of the fruit located above the entrance to the pelvis.

Reason malposition - narrow pelvis, the location of the placenta at the entrance to the pelvis (placenta previa), tumors of internal female reproductive organs, or a flabby abdominal wall muscles of the uterus, polyhydramnios.

In addition to determining the lateral position of the fetus is determined by its position and type: if the head is to the left, this is the first position on the right - the second; if it turned back to front - front view, backwards - back.

Signs of incorrect position

If malposition belly has a shape stretched in the transverse or oblique direction. Presenting part (of the fetus, which is directly above the exit from the pelvis) in the transverse position is not defined, the oblique - head palpable left or right.

To clarify the diagnosis gynecologist gently (so as not to damage the bag of waters) is conducting a vaginal examination. This palpable small part of the fruit. After opening the membranes in the vaginal examination can be felt lowered to the entrance to the pelvis shoulder fetus. If the birth canal is detected handle or stem, and at the entrance to the basin is not determined by the head or buttocks of the fetus is reliably indicates transverse position.

The dangerous malposition

Malposition try to fix before delivery. For oblique fetal position with the start of labor is sometimes self becomes longitudinal. In addition, you can try to turn the fruit into the correct position (there is a special maternity reception) or put a woman in travail at the side, the side that rejected the lowest part of the largest fruit.

Births transverse or oblique position of the fetus is often accompanied by a number of complications: premature discharge of amniotic fluid, umbilical cord prolapse, or small parts. fruit, etc.

If a woman with malposition will not provide adequate medical care, you can develop a running transverse position of the fetus fetus becomes immobile due to complete discharge of amniotic fluid. The situation is further complicated if the fetus shoulder hammering at the entrance to the pelvis. When contractions during labor so the fetus is gradually moving down the wall of the uterus is strongly stretched and there is a risk of its rupture. In such protracted birth child often suffers from a lack of oxygen (fetal hypoxia) or dies. Due to the long period of anhydrous as possible infections of the uterus

Help in childbirth with transverse and oblique position of the fetus

A natural way of birth when malposition end rare. This can happen only when the small size of the fruit combined with polyhydramnios, when a child has room to move, and he will turn to the desired position.

Today transverse fetal position often held elective caesarean section. If any complications, preventing extraction of the fetus, caesarean section must be conducted. Of great importance in the wrong position of the fetus has individual development tactics of childbirth, a woman hospitalized in advance so that the doctor could understand her condition and make the right decision.

The belief that labor will proceed normally even if the wrong position of the fetus can only be for those women who are regularly seen a doctor of female consultation.

  Galina Romanenko

Obstetricians often encounter miscarriage. Miscarriage occurred, especially if the pregnancy was a long-awaited - it's a pain, bitterness and tragedy for the entire family. Often, the loss of parents failed unborn child ends with deep psychological trauma. Many women have a terrible fear of the next pregnancy, and some, on the contrary, are trying to get pregnant as soon as possible to restore life back on track, "even when everything was fine and rosy." And, nevertheless, pregnancy after a miscarriage is very real, it is only necessary to prepare for it seriously. The more the couple will pay patience and attention in preparation for the forthcoming pregnancy, the greater their chance of conceiving and having a healthy baby.

What is a miscarriage

Miscarriage - a spontaneous abortion up to 28 weeks. Miscarriages are divided into early, that happened up to 16 weeks, and late - after 16 weeks. According to official data the frequency of miscarriage is about 30% of all pregnancies, and it is only those who are registered in medical institutions.

Causes

How often miscarried Miscarriage - can you protect yourself from it?   the couple begin to blame yourself, or worse, each other (did not notice, did not take measures that are not surveyed - reproaches are endless). But most often in a failed pregnancy no one to blame. Most of all miscarriages occur because of a genetic disease, such a cruel way nature produces natural selection, making it impossible for the birth of the patient and / or non-viable child. In addition to genetic and chromosomal disorders, causes of miscarriage may include:

• hormonal disorder (e.g., hyperandrogenism);
• cervical incompetence (the failure of the cervix);
• infectious diseases (such as genital and general);
• malformations of the uterus, uterine tumors and ovarian cancer;
• chronic diseases of vital organs and systems (kidney, heart);
• bad habits (smoking, alcoholism, drug addiction);
• hazardous working conditions;
• excessive exercise and stress
• immune (Rhesus-conflict) and autoimmune disorders (antiphospholipid syndrome, systemic lupus erythematosus).

Examination

Before planning the next pregnancy, expectant parents should pass the necessary examination and treatment. During various diagnostic procedures, analyzes and expert advice to determine the cause that led to spontaneous abortion:

• Pelvic ultrasound (to avoid malformations and tumors);
• histological examination of the tissues of the embryo and the placenta;
• Cytogenetic analysis of the embryo (identification of gene and chromosome mutations);
• identification of infections, sexually transmitted infections (chlamydia, ureaplasmosis Ureaplasmosis - inflammation of the urogenital system Herpes virus, and others);
• Consultation genetics;
• genetic study (karyotype definition of spouse);
• definition hormonal (estradiol, progesterone Progesterone - norm and pathology FSH, LH, 17-keto steroids, testosterone, prolactin, thyroid hormones);
• Diagnosis of antiphospholipid syndrome:
• coagulation (blood clotting);
• semen;
• definition antirhesus antibodies.

Preparing for pregnancy after miscarriage

For the conception and birth of a healthy child the parents have to work hard. The first step is to change your lifestyle. Planning a pregnancy after miscarriage is not earlier than six months. During this period, you must absolutely give up bad habits, but from the diet to exclude such foods as canned foods, convenience foods, spicy and fatty foods, strong tea and coffee. Preference should be given to healthy nutrition Healthy eating - do not limit yourself to eating , With a predominance of fresh vegetables, fruits and dairy products. In the three months before pregnancy, a woman should start taking folic acid (prevention of neural tube defects). Expectant mother should get enough sleep (at least eight hours per day) and more rest. Useful moderate exercise (walking, gymnastics, swimming). The future father should be abandoned for a period of preparation for pregnancy from visiting saunas and baths (high temperature breaks spermatogenesis). If possible, the couple must abstain from drugs.

Subject to all conditions, passing examinations and necessary treatment, and the chances of having to bear a child after a miscarriage are approaching nearly 100%.

Anna Sozinova