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    Fetalpresentation 141019024144 Conversion Gate02

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    zerish0208
    The document discusses fetal presentation, which refers to the part of the baby's body closest to the birth canal. The normal position is head down, or cephalic presentation. Cephalic presentations can be further classified as vertex or occiput presentations. Breech presentation means the bottom of the baby is closest. Types of breech include complete, incomplete, frank, and footling. Other possible presentations discussed are face, brow, posterior, and transverse. Methods to assess presentation include vaginal exams, ultrasound, feeling the abdomen, and Doppler. Manual techniques or c-section may be needed to correct abnormal presentations.

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    Fetalpresentation 141019024144 Conversion Gate02

    Uploaded by

    zerish0208
    5 views17 pages
    The document discusses fetal presentation, which refers to the part of the baby's body closest to the birth canal. The normal position is head down, or cephalic presentation. Cephalic presentations can be further classified as vertex or occiput presentations. Breech presentation means the bottom of the baby is closest. Types of breech include complete, incomplete, frank, and footling. Other possible presentations discussed are face, brow, posterior, and transverse. Methods to assess presentation include vaginal exams, ultrasound, feeling the abdomen, and Doppler. Manual techniques or c-section may be needed to correct abnormal presentations.

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    The document discusses fetal presentation, which refers to the part of the baby's body closest to the birth canal. The normal position is head down, or cephalic presentation. Cephalic presentations can be further classified as vertex or occiput presentations. Breech presentation means the bottom of the baby is closest. Types of breech include complete, incomplete, frank, and footling. Other possible presentations discussed are face, brow, posterior, and transverse. Methods to assess presentation include vaginal exams, ultrasound, feeling the abdomen, and Doppler. Manual techniques or c-section may be needed to correct abnormal presentations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views17 pages

    Fetalpresentation 141019024144 Conversion Gate02

    Uploaded by

    zerish0208
    The document discusses fetal presentation, which refers to the part of the baby's body closest to the birth canal. The normal position is head down, or cephalic presentation. Cephalic presentations can be further classified as vertex or occiput presentations. Breech presentation means the bottom of the baby is closest. Types of breech include complete, incomplete, frank, and footling. Other possible presentations discussed are face, brow, posterior, and transverse. Methods to assess presentation include vaginal exams, ultrasound, feeling the abdomen, and Doppler. Manual techniques or c-section may be needed to correct abnormal presentations.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 17

    Fetal Presentation

    The term "fetal presentation" refers to the


    part of your baby's body that is closest to
    the birth canal.

    By: Sharmaine Fuentes,RN


    Methods for Assessing Fetal Position

    vaginal exams,
    Ultrasound,
    feeling the abdomen,
    and listening to the baby's heartbeat with a Doppler device.
    Normal Position Of The Baby

    • In most full-term
    pregnancies, the baby
    is positioned head
    down, or in cephalic
    presentation, in the
    uterus.
    Types of
    Cephalic Presentation
    The occipital fontanel is
    the presenting part, and
    this presentation is
    referred to as a vertex
    or occiput presentation
    Types of Vertex Presentation
    The vertex presentations are
    further classified according the
    position of the occiput, it being
    right, left, or transverse, and
    anterior or posterior
    Left Occipito-Anterior
    (LOA), Left Occipito-
    Posterior (LOP), Left
    Occipito-Transverse (LOT);
    Right Occipito-Anterior
    (ROA), Right Occipito-
    Posterior (ROP), Right
    Occipito-Transverse (ROT);
    The Occipito-Anterior position is
    ideal for birth
    The fetal neck may be
    sharply extended so
    that the occiput and
    back come in contact
    and the face is
    foremost in the birth
    canal face
    presentation.
    • some consider the
    brow presentation as an
    intermediate stage
    towards the face
    presentation.
    • brow presentations
    almost always are
    converted into vertex or
    face presentations by
    neck flexion or
    extension, respectively.
    Failure to do so can
    lead to dystocia
    Breech Presentation

    Bottom part of the body


    closest to the birth canal.
    Types of Breech Presentation

    Complete breech is when


    both of the baby's knees
    are bent and his feet and
    bottom are closest to the
    birth canal.
    Incomplete breech
    is when one of the
    baby's knees is bent
    and his foot and
    bottom are closest
    to the birth canal.
    Frank breech is when
    the baby's legs are
    folded flat up against
    his head and his bottom
    is closest to the birth
    canal.
    Footling breech where
    one or both feet are
    presenting.
    Complications of Breech
    Prolapsed umbilical cord
    is common in breech
    deliveries.
    Umbilical cord slips down
    through the cervix before
    the baby does. The cord is
    then compressed during
    contractions, which cuts
    down on blood flow to the
    baby. An emergency
    cesarean section is usually
    needed.
    Correcting Breech
    doctor may try to manually move him into a head-down position for
    delivery. There are two ways to do this: During an external version, the
    doctor moves your baby by pressing on the outside of your belly.
    During an internal version, the doctor inserts his hand through the
    vagina and cervix and moves the baby from the inside.
    If your doctor can't manually reposition the baby, a cesarean section
    may be needed.
    Other Presentations
    Posterior position, his face is turned up toward
    your belly. This can make labor longer and more
    difficult, since the widest part of his head has to fit
    through the birth canal.
    The baby can rotate into a normal, face-down
    position by getting on all fours with mother’s
    bottom in the air, which allows her uterus to drop
    forward.
    The doctor may also try to reposition the baby by
    reaching in through her vagina and gently rotating
    his head with his hand or forceps. If none of these
    methods works, a cesarean section may be needed.
    Transverse Presentation
    If the baby is transverse, he is
    lying horizontally in the
    uterus.
    The doctor may try to
    manually turn him into a
    head-down position, but a
    cesarean section is usually
    needed.
    Prepared by:

    Sharmaine Fuentes, RN
    Davao City , Philippines, 8002
    [email protected]

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