How will the fetus have to have a cesarean section?

The article was consulted professionally by Specialist Doctor II Nguyen Thi Phuong Loan – Obstetrician and Gynecologist – Obstetrics and Gynecology Department – Share99 Hai Phong International Health Hub. Doctors have many years of experience in the field of obstetrics and gynecology.

The fetus is the lowest presentation of the fetus in front of the mother's pelvis, being the first part of the baby's body to go outside the mother's body during labor. The pregnancy is one of the decisive factors to the choice of the method of birth for the pregnant mother. So what is the pregnancy like to have a cesarean section?

The fetus is the lowest presentation of the fetus in front of the mother's pelvis, being the first part of the baby's body to go outside the mother's body during labor. Fetuses that are in the uterus under the age of 24 weeks often rotate continuously called the mobile crown. Towards the end of the last weeks of pregnancy, the better the correction, less pregnancy changes. By the 36th week 100 years on, the majority of pregnancies will be stable, with little change.

The fetus is divided into 2 types:

The vertical pregnancy consists of:

• The first fetal throne: also known as the throne, the head of the fetus towards the mother's pelvis, the fetal buttocks facing the mother's chest.
• Buttocks: also known as the inverted fetus, the buttocks of the fetus are located towards the mother's pelvis, the head of the baby will be above near the mother's chest.

Horizontal fetus :the fetal axis will be horizontal compared to the mother's axis.

The first pregnancy accounted for more than 95%, the reverse throne (butt throne) accounted for about 4%, the horizontal throne accounted for 1% of the total pregnancies. Of these, 40% of the reverse is due to premature birth.

The first crown (throne) is the most favorable form of pregnancy for the process of excess of the pregnant woman. The head is always the most convenient form of pregnancy for natural childbirth, without the intervention of cutlery.

The fetus in this position of the head is always facing the mother's, the fetal buttocks are facing the mother's chest, the baby's limbs are down at the back. When laboring the baby's head will strange the first part that comes out of the mother's body, this position will help the baby easily get out of the mother's body without having to worry too much about the difficult birth.

However, not all favorable pregnancies can give birth naturally. Normal cesarean section depends on other factors such as the weight of the fetus, the pelvis of the mother,… During pregnancy visits, especially in the last weeks of pregnancy, the doctor will have the most accurate assessment and give advice on which option to give birth.

The two forms of pregnancy that are advised to have a cesarean section are the inverted throne and the horizontal one. These are two forms of fetuses that are not uncommon but are abnormal pregnancies that are more dangerous for both mother and baby.

3.1. Inverted throne

With the reverse star (buttocks) the location is more difficult to give birth because the baby's buttocks are near the mother's, the baby's head is near the chest. During labor, the baby's buttocks or legs will go out first.

The buttocks that can be born are usually natural if the pelvis of the pregnant woman is wide, the open cervical is large, does not rupture the amniotic fluid early, the head of the fetus bends well and the baby's weight is less than 3.2 Kg. In cases where the fetus is large, the pelvis of the baby's fetus and some other factors, a cesarean section is required to keep both the mother and the baby safe. Because the buttocks will be more likely to rupture the amniotic fluid without labor, pregnancy impaired by umbilical cord prolapse, hand prolapse … Causing prolonged labor, the fetus is deprived of oxygen that can cause the baby to die.

Many pregnant mothers wonder how many weeks the reverse pregnancy can operate? This problem will be based on the process of regular pregnancy examination of each pregnant woman. The most important thing for pregnant mothers is to check and monitor the fetus regularly in the last weeks of pregnancy to be diagnosed correctly by a doctor. From there, give the most appropriate birth plan.

3.2. Horizontal throne

With a horizontal throne,the fetus will not be located along the vertical axis but horizontally across the uterus. The head and buttocks of the fetus are not always equally symmetrical, but there will be cases where one pole will be in the pelvic pit and the other pole will be located on the lower flank (also known as the oblique star).

This is also the case of an abnormal pregnancy, which endangers both mother and child. There is no natural birth mechanism that is required for surgery to ensure safety. Therefore, in the last 3 months of pregnancy, the pregnant woman needs to be actively examined and diagnosed with the fetus. Pregnant mothers avoid strong activity, need to rest and relax. When the fetus is full months, it is necessary to actively cesarean section immediately in case of fatal rupture of the amniotic fluid to the fetus.

The identification of the pregnancy is accurate and there are accurate diagnoses for the birth plan that determines the safety of both mother and baby. Therefore, regular examination and monitoring of the fetus is extremely important. Families should choose a reputable medical address to bring their children to their mothers more gently.

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