At what time does the child turn upside down and take the right pelvic presentation
The location of the fetus in the womb is an important indicator, on which the method of delivery depends in many ways. The most secure and physiological is the flexural head presentation, in which the delivery takes place naturally. Consider what week the child turns overhead and what to do if the change of position does not happen on time.
After conception, a gradually developing embryo can move unimpeded and make reversals in any direction. As the fetus grows, free space in the uterine cavity becomes less and the baby tends to accept the final position, preparing for the birth. In the absence of complications, this occurs at a period of about 32-34 weeks. If pregnancy is not the first, the baby can turn over 2-3 weeks later. Sometimes his position remains unstable until the day of birth.
There are several types of presentation depending on what part of the body the baby is pressed to the birth canal:
The most dangerous is an oblique or transverse location, in which a cesarean section is performed, regardless of other indications. With pelvic presentation (legs or buttocks down), it is possible for both natural and surgical delivery, depending on the state of health of the future mother and baby. Childbirths are less traumatic when the fetus is head down, pressing the occiput to the entrance to the small pelvis.
If the crumb is upside down or across the abdomen, the risk of complications both for the newborn (hypoxia, asphyxia, trauma) and for his mother (ruptures and hematomas of the genital organs) increases very naturally during childbirth. If the presentation is incorrect, weakness or absence of labor is noted, infants are often killed or disabled.
What if the child is not in a hurry to take the correct position before the 32nd week? If the pelvic or transverse previa is not caused by causes that can not be eliminated, the woman may try to help him turn around. During this period it is recommended to do exercises that stimulate the crumb to perform certain movements that promote the entry of its head into the mother's small pelvis:
- Walking on all fours, hanging in the waist and shaking his hips. It is advisable to perform this effective exercise as many times as your well-being and free time allows.
- Pose of the cat. Stand on your knees, leaning on your bent arms and strongly bent in the back, keeping calm even breathing. Lock the position for 5-10 minutes.
- Wiggle on the fitball. It is convenient to sit on a well-inflated gymnastic ball, widely spreading the legs bent in the hips, and making the pelvis springy movements up and down. During the exercise, keep your hands on the back of the chair or other fixed support.
- Half-bridge from the prone position. Lay on the floor or any hard surface, slightly pushing the legs apart in the knees. Slowly lift the pelvis, holding the lower back with your hands, fix the pose for 15-20 seconds.
- Turns from side to side. Lie down on one side, straightening his legs and placing one hand under his head. After 5-10 minutes, inhale quickly roll over to the other side, repeat 4-8 times.
- Bending of the legs. Lay down on the left side, bending the left leg in the knee. The right straightened leg to lift and, sharply bending at the knee, bring to the stomach, helping the hand. Hold this posture for a few minutes.