Fetal Dystocia

Under a fetal birth disorder refers to an abnormal child’s size or location, that results in a difficult birth. The diagnosis is made by examination, ultrasound or the explanation for increased labor. The therapy consists of steps and measures for changing the position of the fetus in operative vaginal delivery or caesarean section.

Fetal birth disturbance may occur when the fetus is too large for the pelvic inlet (relative mismatch) or a setting abnormality (z. B. breech). The normal attitude is a front posterior position.

Under a fetal birth disorder refers to an abnormal child’s size or location, that results in a difficult birth. The diagnosis is made by examination, ultrasound or the explanation for increased labor. The therapy consists of steps and measures for changing the position of the fetus in operative vaginal delivery or caesarean section. Fetal birth disturbance may occur when the fetus is too large for the pelvic inlet (relative mismatch) or a setting abnormality (z. B. breech). The normal attitude is a front posterior position. Relative disproportion by prenatal clinical assessment of pelvic dimensions and sonography and protracted course of labor is to think of this diagnosis. If the increased labor causes a normal birth and progress of the child <5000 g in women without diabetes or <4500 g in women with diabetes weighs, the birth can be safely continued. If the birth progress runs more slowly than expected in the second stage of labor, it must be assessed whether an operative vaginal delivery (by forceps or ventouse) is safe and appropriate. Occipitoposterior The most common attitude anomaly is the occipitoposterior. The child's neck is usually slightly deflected; Therefore, a larger diameter of the head has the pelvis happen. Many occipitoposterior documents require surgical vaginal delivery or a cesarean section. Face or end position in the face position of the head is much overstretched, and the position is defined by the position of the chin. If the child is located posteriorly, it is unlikely that the head rotates and takes place the birth vaginally, making requiring caesarean operations. The end position normally rotates spontaneously inSchädel- or face situation. Breech The second most common malposition is the breech (buttocks leads front of the head). Are distinguished several types: Pure breech: The fetal hips flexed and the knee extended (top position). Complete breech presentation: The fetus appears to sit with hips flexed and knees. Single or double drawbars: One or both legs are fully extended and are the rump. The breech is primarily why a problem because the presenting part acts only as a small dilating wedge, making it often can come up with compression of the umbilical cord in the further course of labor to an entrapment of the head. How can a baby in breech release process by Will Stone, MD and Kate Leonard, MD, Walter Reed National Naval Medical Center Residency of Obstetrics and Gynecology; and Shad Deering, COL, MD, Head of the Department of Obstetrics and Gynecology, Uniformed Services University. With the help of Elizabeth N. white bread, MA, CMI, Eric Wilson, 2LT and Jamie Bradshaw in Val G. Hemming Simulation Center at the Uniformed Services University. var model = {videoId: '5504385295001', playerId 'H1xmEWTatg_default', imageUrl 'http://f1.media.brightcove.com/8/3850378299001/3850378299001_5504400637001_5504385295001-vs.jpg?pubId=3850378299001&videoId=5504385295001', title: 'How can a baby in breech release' description: '' credits' method by Will stone, MD and Kate Leonard, MD, Walter Reed National Naval Medical Center Residency of obstetrics and Gynecology; and Shad Deering, COL, MD, Head of the Department of Obstetrics and Gynecology, Uniformed Services University. With the help of Elizabeth N. white bread, MA, CMI, Eric Wilson, 2LT and Jamie Bradshaw in Val G. Hemming Simulation Center at the Uniformed Services University 'hideCredits. True hideTitle: false, hideDescription: true loadImageUrlWithAjax: true} ; var panel = $ (MManual.utils.getCurrentScript ()) Closest ( 'video element panel..'); ko.applyBindings (model, panel.get (0)); An umbilical cord compression may cause fetal hypoxemia. The baby's head can compress the umbilical vein, when the navel of the child is visible in the Introit, especially among first-time mothers whose pelvic tissue was pre-stretched yet by previous births. Among the predisposing factors for breech presentation include Preterm labor uterine abnormalities Fetal Anomalies In vaginal delivery, a breech presentation may increase the risk of How an outer turn upside occurs process by Will Stone, MD and Kate Leonard, MD, Walter Reed National Naval Medical Center Residency of Obstetrics and gynecology; and Shad Deering, COL, MD, Head of the Department of Obstetrics and Gynecology, Uniformed Services University. With the help of Elizabeth N. white bread, MA, CMI, Eric Wilson, 2LT and Jamie Bradshaw in Val G. Hemming Simulation Center at the Uniformed Services University. var model = {videoId: '5504385301001', playerId 'H1xmEWTatg_default', imageUrl 'http://f1.media.brightcove.com/8/3850378299001/3850378299001_5504402311001_5504385301001-vs.jpg?pubId=3850378299001&videoId=5504385301001', title: method by Will stone, MD and Kate Leonard, MD, Walter Reed National Naval Medical Center Residency of obstetrics and Gynecology; 'As an outer turn is carried on the head', description: '' credits' and Shad Deering, COL, MD, Head of the Department of Obstetrics and Gynecology, Uniformed Services University. With the help of Elizabeth N. white bread, MA, CMI, Eric Wilson, 2LT and Jamie Bradshaw in Val G. Hemming Simulation Center at the Uniformed Services University 'hideCredits. True hideTitle: false, hideDescription: true loadImageUrlWithAjax: true} ; var panel = $ (MManual.utils.getCurrentScript ()) Closest ( 'video element panel..'); ko.applyBindings (model, panel.get (0)); Dystocia birth trauma Perinatal death to prevent complications, is more effective and easier than to treat it, so a location abnormality before birth must be detected. Usually a Caesarean section is performed in the 39th SSW or if the woman is in labor, although an external turn of the head before birth, mostly in the 37th or 38th week of pregnancy, the child may bring in some cases in cephalic presentation. This technique involves slight pressure on the maternal abdomen to position the fetus. Here, a single dose of a short-acting tocolytic (terbutaline 0.25 mg s.c.) in some women be helpful (n. D. Talk .: In Germany terbutaline is not approved as tocolytic). The success rate is 50-75%. The location of the fetus cross transversely, with its longitudinal axis physical rather than obliquely or perpendicularly parallel to the longitudinal axis of maternal. In case of a kidnapped bank with a leading shoulder a Caesarean section must be carried out unless the fetus is a second twin. Shoulder dystocia This rare condition is a cephalic presentation, in which the child's shoulder and stuck behind the pubic symphysis after the birth of the head, preventing a vaginal birth. A shoulder dystocia is recognized by the fact that the head, after passing through the perineum, is apparently firmly retracted against the perineum (Turtles characters). Risk factors include a large fetus, maternal obesity, diabetes mellitus, previous shoulder dystocia, operative vaginal delivery, fast delivery and prolonged labor. The risk of neonatal morbidity (eg. As brachial plexus injury, broken bones) and mortality are increased. As released during a shoulder dystocia method by Will Stone, MD and Kate Leonard, MD, Walter Reed National Naval Medical Center Residency of Obstetrics and Gynecology; and Shad Deering, COL, MD, Head of the Department of Obstetrics and Gynecology, Uniformed Services University. With the help of Elizabeth N. white bread, MA, CMI, Eric Wilson, 2LT and Jamie Bradshaw in Val G. Hemming Simulation Center at the Uniformed Services University. var model = {videoId: '5504359598001', playerId 'H1xmEWTatg_default', imageUrl 'http://f1.media.brightcove.com/8/3850378299001/3850378299001_5504404524001_5504359598001-vs.jpg?pubId=3850378299001&videoId=5504359598001', title: 'As delivered during a shoulder dystocia', description: '' credits' method by will stone, MD and Kate Leonard, MD, Walter Reed National Naval Medical Center Residency of obstetrics and Gynecology; and Shad Deering, COL, MD, Head of the Department of Obstetrics and Gynecology, Uniformed Services University. With the help of Elizabeth N. white bread, MA, CMI, Eric Wilson, 2LT and Jamie Bradshaw in Val G. Hemming Simulation Center at the Uniformed Services University 'hideCredits. True hideTitle: false, hideDescription: true loadImageUrlWithAjax: true} ; var panel = $ (MManual.utils.getCurrentScript ()) Closest ( 'video element panel..'); ko.applyBindings (model, panel.get (0)); If the shoulder dystocia has been detected, additional staff has to be brought in to help in order to repeatedly try different handles with which the front shoulder can be solved: the thigh of pregnant women are strongly leans to the pelvic outlet to wide (McRobert handle). In this case, the front shoulder pressure above the symphysis is applied to rotate and release. Pressure on the uterine fundus must be avoided, as this may lead to a deterioration of the conditions or even to uterine rupture. The obstetrician introduce a hand into the vagina and pushes the rear rear shoulder in the direction in which the child can be more easily rotated (screws handle according to Wood). The obstetrician performs a hand, prevents the rear elbow and grabs the arm and the hand over of the fetal chest, so as to develop the entire rear arm of the child. These handles increase the risk of a fracture of the upper arm or collarbone. Occasionally collarbone is broken intentionally in a direction away from the fetal lungs to loosen the shoulder. An episiotomy may be performed at any time to facilitate the handles. When all handles are ineffective, the child's head is flexed and the essential movements of the birth reversed, the head back pushed back into the vagina or uterus; the child is then delivered by Caesarean section (Zavanelli handle)

Health Life Media Team

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