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    FAULTY FETAL DI-WPS Office

    Uploaded by

    Dr. Vinay Vijayakumar
    The document describes 11 different fetal positions, presentations, and postures that may occur during delivery and provides instructions for correcting each one. The positions include carpal flexion, incomplete elbow extension, shoulder flexion, lateral head deviation, downward head displacement, normal posterior presentation, hock flexion, bilateral hip flexion, dorso transverse presentation, ventro transverse presentation, and oblique ventro vertical presentation. The corrections typically involve manipulating and repositioning the fetus under epidural anesthesia through pressure, traction, and rotation movements to convert it to a longitudinal anterior or posterior presentation that allows for natural delivery. Caesarean section is recommended if the corrections cannot be performed.

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    © All Rights Reserved
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    FAULTY FETAL DI-WPS Office

    Uploaded by

    Dr. Vinay Vijayakumar
    93 views8 pages
    The document describes 11 different fetal positions, presentations, and postures that may occur during delivery and provides instructions for correcting each one. The positions include carpal flexion, incomplete elbow extension, shoulder flexion, lateral head deviation, downward head displacement, normal posterior presentation, hock flexion, bilateral hip flexion, dorso transverse presentation, ventro transverse presentation, and oblique ventro vertical presentation. The corrections typically involve manipulating and repositioning the fetus under epidural anesthesia through pressure, traction, and rotation movements to convert it to a longitudinal anterior or posterior presentation that allows for natural delivery. Caesarean section is recommended if the corrections cannot be performed.

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    dystocia

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    The document describes 11 different fetal positions, presentations, and postures that may occur during delivery and provides instructions for correcting each one. The positions include carpal flexion, incomplete elbow extension, shoulder flexion, lateral head deviation, downward head displacement, normal posterior presentation, hock flexion, bilateral hip flexion, dorso transverse presentation, ventro transverse presentation, and oblique ventro vertical presentation. The corrections typically involve manipulating and repositioning the fetus under epidural anesthesia through pressure, traction, and rotation movements to convert it to a longitudinal anterior or posterior presentation that allows for natural delivery. Caesarean section is recommended if the corrections cannot be performed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    93 views8 pages

    FAULTY FETAL DI-WPS Office

    Uploaded by

    Dr. Vinay Vijayakumar
    The document describes 11 different fetal positions, presentations, and postures that may occur during delivery and provides instructions for correcting each one. The positions include carpal flexion, incomplete elbow extension, shoulder flexion, lateral head deviation, downward head displacement, normal posterior presentation, hock flexion, bilateral hip flexion, dorso transverse presentation, ventro transverse presentation, and oblique ventro vertical presentation. The corrections typically involve manipulating and repositioning the fetus under epidural anesthesia through pressure, traction, and rotation movements to convert it to a longitudinal anterior or posterior presentation that allows for natural delivery. Caesarean section is recommended if the corrections cannot be performed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 8

    CORRECTION OF FAULTY FETAL PRESENTATION,

    POSITION AND POSTURE


    1.CARPAL FLEXION:

    Presentation: Longitudinal anterior

    Position: Dorso sacral

    Posture: Unilaterally or bilaterally flexed carpal joint.

    Correction: Repel the fetal head or shoulder, grasp the retained foot, push the carpus upwards
    and carry the foot outwards and finally brought forwards in an arc over the pelvic brim and
    extend alongside the other limb. If the condition is bilateral, repeat the procedure in the other
    limb also.

    2. INCOMPLETE EXTENSION OF THE ELBOWS:

    Presentation: Longitudinal anterior

    Position: Dorso sacral

    Posture: The elbow joint (s) is/are incompletely extended so that the digits are at the level of
    head.

    Correction: Repel the fetal head, pull the limb and turn in obliquely upward direction. If the
    condition is bilateral, repeat the procedure in the other limb also.
    3. SHOULDER FLEXION:

    Presentation: Longitudinal anterior

    Position: Dorso sacral

    Posture: Unilaterally or bilaterally flexed shoulder joint (s).

    Correction: Repel the fetus, so that the retained forelimbs come forwards, grasp the radius
    and ulna and convert it into carpal flexion posture. Then, grasp the retained foot, push the
    carpus upwards and carry the foot outwards and finally brought forwards in an arc over the
    pelvic brim and extend alongside the other limb. If the condition is bilateral, repeat the
    procedure in the other limb also.

    4. LATERAL DEVIATION OF THE HEAD:

    Presentation: Longitudinal anterior


    Position: Dorso sacral

    Posture: The head is laterally deviated towards right or left.

    Correction: Repel the fetus by pressing forwards at the base of the neck, firmly grasp the
    muzzle of the calf and brought round through an arc until the nose is in line with the birth
    canal.

    5. DOWNWARD DISPLACEMENT OF THE HEAD:

    A. Vertex posture

    Presentation: Longitudinal anterior

    Position: Dorso sacral

    Posture: The head is displaced downwards so that the calf's nose abuts on the pubic brim and
    the brow is directed into the pelvis.

    Correction: Repel the fetus by applying pressure to the forehead by means of a thumb while
    lifting the mandible over the pelvic brim with the fingers.
    B. Nape presentation

    Presentation: Longitudinal anterior

    Position: Dorso sacral

    Posture: The head is displaced downwards so that the poll region is directed into the pelvis.

    Correction: Repel the fetus by applying pressure to the poll while lifting the mandible over
    the pelvic brim with the fingers. If this procedure fails, replace one of the forelimbs into the
    uterus, rotate the head laterally and bring it upwards and forwards over the pelvic brim. Then
    extend the leg and apply traction. In difficult cases, go for caesarean (live fetus) or fetotomy
    (dead fetus)

    C. Breast head posture

    Presentation: Longitudinal anterior

    Position: Dorso sacral

    Posture: The head is displaced downwards so that the back of the neck is directed into the
    pelvis.

    Correction: Replace one of the forelimbs into the uterus, rotate the head laterally and bring it
    upwards and forwards over the pelvic brim. Then extend the leg and apply traction. In
    difficult cases, go for caesarean (live fetus) or fetotomy (dead fetus).
    6. NORMAL POSTERIOR PRESENTATION

    Presentation: Longitudinal posterior

    Position: Lumbo sacral

    Posture: Hind limbs are extended.

    Correction: If the tail is retroverted, correct it. Apply snares above the fetlock joints, repel
    one leg, pull on the other so as to bring its stifle over the pelvic brim. The repelled limb can
    also be presented to the pelvis similarly. Then apply gentle traction. If the fetal pelvis gets
    jammed in the birth canal, repel the fetus, rotate through an angle of 45° and pull on again.
    7. HOCK FLEXION:

    Presentation: Longitudinal posterior

    Position: Lumbo sacral

    Posture: Unilaterally or bilaterally flexed hock joint (s).

    Correction: Repel the fetus by pressing forward in its perineum, grasp the fetal foot. The foot
    can be drawn back through an arc so that hock is firmly flexed. Cup the digits and lift the foot
    over pelvic brim and thus the limbs can be extended in vagina.

    8. BILATERAL HIP FLEXION (BREECH PRESENTATION):

    Presentation: Longitudinal posterior

    Position: Lumbo sacral

    Posture: Bilaterally flexed hip joints

    Correction: Repel the fetus by pressing forward and upwards in its perineum to bring the
    retained limbs within reach. Grasp the limb near to the hock and apply traction to convert the
    posture into hock flexion. Then, grasp the fetal foot. The foot can be drawn back through an
    arc so that hock is firmly flexed. Cup the digits and lift the foot over pelvic brim and thus the
    limbs can be extended in vagina. If the attempt fails, go for caesarean (live fetus) or fetotomy
    (dead fetus).
    9. DORSO TRANSVERSE PRESENTATION

    Presentation: Dorsal transverse

    Position: Right or left cephalo ilial

    Posture: Dorsum of the fetus is directed towards the birth canal

    Correction: Under epidural anaesthesia, with proper lubrication, the proximal extremity of the
    fetus can be manipulated to turn the fetus into ventral position and anterior or posterior
    presentation. Then rotate the fetus into dorsal position and apply traction. If the procedure
    fails, immediately go for caesarean. Fetotomy is not indicated in such cases.

    10. VENTRO TRANSVERSE PRESENTATION

    Presentation: Ventral transverse


    Position: Right or left cephalo ilial

    Posture: Head and limbs of the fetus are directed towards the birth canal

    Correction: Under epidural anaesthesia, with proper lubrication, convert it into posterior
    presentation and ventral position. Then rotate the fetus into dorsal position and apply traction.
    If the procedure fails, immediately go for caesarean. Fetotomy is not indicated in such cases.

    11. OBLIQUE VENTRO VERTICAL PRESENTATION (DOG SITTING POSITION)

    Presentation: Oblique ventro vertical

    Position: Dorso sacral

    Posture: Head and all the four limbs of the fetus are directed towards the birth canal

    Correction: Under epidural anaesthesia, with proper lubrication, repel the fetus sufficiently to
    allow the hind feet to be pushed off the pelvic brim into the uterus so that the fetus can be
    converted to normal anterior presentation. Then, traction can be applied. If the procedure fails,
    go for caesarean.

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