During the first months of pregnancy, the fetus in the womb moves freely, and at a later date the child grows, and by the 30th week of pregnancy takes a stable position. Basically, this is the head presentation, that is, the baby lies with the head down. However, 3-5% of women diagnosed with pelvic presentation of the fetus, which is divided into several types:
- Gluteal - the child is located with the buttocks towards the entrance to the small pelvis;
- adjacent (glutes-leg) - the legs and buttocks of the fetus are directed to the entrance to the small pelvis;
- foot - in the entrance to the small pelvis the legs or knees of the fetus are directed.
Causes of pelvic fetal presentation
The reasons for this presentation can be classified according to the following characteristics.
- Obstacles to the correct establishment of the fetal head :
- tumors of the uterus or pelvic organs;
- low location of the placenta;
- placenta previa;
- hydrocephalus;
- anatomical features associated with abnormal forms of the pelvis.
- microcephaly or anencephaly;
- prematurity of the fetus;
- polyhydramnios ;
- delay in the development of the child.
- pathological forms of development of the uterus (saddle, bicorn, etc.);
- absolute shortness of the umbilical cord;
- fetal cord embryos;
- of water.
In addition, there is a hereditary factor.
Symptoms of pelvic fetal presentation
Without special examination, the pelvic presentation of the fetus can not be determined, since the future mother does not bother with this condition and does not bring discomfort. During the vaginal examination, the gynecologist can pre-diagnose the breech presentation, feeling for the soft part, coccyx and inguinal fold. When the leg and breech presentation (adjacent) palpable feet and short fingers. If you suspect a pelvic presentation of the fetus, the doctor will tell you what to do and what it is necessary to undergo tests to make an accurate diagnosis. In this case, ultrasound is performed, the position of the uterine fundus is determined, heartbeat is heard in the navel and slightly above it.
Consequences of pelvic fetal presentation
In most cases, a caesarean section is prescribed for pelvic presentation. Depending on the indications and type of presentation (gluteal, adjacent or foot), the doctor can give good and natural way of delivery. What is dangerous is the pelvic presentation of the fetus:
- premature termination of pregnancy;
- fetoplacental insufficiency;
- gestosis;
- delay or abnormality of fetal development;
- fetal hypoxia ;
- Fetal cord embryos.
Gymnastics with pelvic presentation of the fetus
From the 30th week of pregnancy with pelvic presentation of the fetus, it is recommended to perform a set of exercises. However, do not forget that gymnastics can be done only with the permission of the attending physician, since for some exercises there are contraindications: placenta previa, scars on the uterus, etc. Do not do gymnastics for a full stomach.
- Turns from one side to the other in a prone position. 4 turns 2-3 times a day.
- In the supine position on the back put under the pelvis cushions in such quantity that the pelvis was at a height of 30-40 cm from the level of the shoulders. Shoulders, knees and pelvis should form a straight line. Perform the exercise 2-3 times a day.
In addition to independent exercises, in the absence of contraindications, the doctor can offer you a procedure of turning the fetus from the outside with the help of ultrasound monitoring and with the introduction of medications to relax the muscles of the uterus. The procedure is carried out at a time not earlier than 34 weeks of pregnancy.