What does the fetal position in the right occipital position mean

What does the fetal position in the right occipital position mean

The fetal position refers to the position of the baby in the mother's body. If the fetal position is incorrect, it may lead to difficult delivery or stillbirth. Therefore, expectant mothers should generally have regular physical examinations and pay attention to their posture and position. If they find that the fetus is in an abnormal position, they should take remedial measures in time. Abnormal fetal position can be corrected. Malposition of the fetus is generally divided into two types: right occipital posterior fetal position and left occipital posterior fetal position. Today I will introduce to you the right occipital posterior fetal position. So, what does right occipital posterior fetal position mean?

① Right occipital posterior fetal position means: during delivery, the fetal head is in occipital posterior position or occipital transverse position. During the descent process, due to strong uterine contractions, the occipital part of the fetal head can rotate forward 135 degrees or 90 degrees in most cases, turning into the occipital anterior position for natural delivery. Only 5% to 10% of the fetal head's occipital bone cannot be turned forward and remains behind or to the side of the maternal pelvis until the late stage of delivery, causing difficulties in delivery. This is called persistent occipital posterior position.

② Causes of right occipital fetal position: uterine hypoplasia, uterine malformation, narrow pelvis, excessive amniotic fluid, etc.

③ Remedial measures for right occipital fetal position: ① Surgical treatment: 1. Selective cesarean section should be performed for transverse position. For breech delivery, cesarean section is usually performed for primiparas; for multiparas with a small fetus and a large enough pelvis, vaginal delivery can be considered.

2. Carry out prenatal examinations, diagnose malposition of the fetus in advance, and treat it in time. If the fetus has not turned into a head position, choose the delivery method first and be hospitalized in advance to prevent malposition of the fetus during delivery and avoid serious consequences caused by malposition of the fetus.

②Other treatments: 1. Chest-knee position, that is, the pregnant woman keeps her head low and hips high. You should urinate and loosen your belt before doing the chest-knee position. Pregnant women can kneel on a hard bed, put a pillow under their chest, bend their forearms, place their head on the bed and turn to one side, with their hips and thighs at right angles. 2 to 3 times a day, 10 to 15 minutes each time, 5 to 7 days as a course of treatment, check again after one week. This is a method of increasing the chance of the fetus turning into a head position by changing the fetus's center of gravity.

2. External version If the above methods are ineffective in correcting the fetal position, you can generally go to the hospital after 30 weeks of pregnancy and have the doctor reverse the fetus through manual pushing and other actions. This method requires professional skills and pregnant women should not perform it at home.

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