Can persistent occipital transverse position cause dystocia?

summary

Persistent occipital transverse position is due to the occipital transverse position of the fetal head during delivery. In the process of descent, when the biparietal diameter of the fetal head reaches or approaches the mid pelvic plane, most of them can complete the internal rotation and turn to occipital anterior position for natural delivery. Can persistent occipital transverse position cause dystocia? Let's talk about it

Can persistent occipital transverse position cause dystocia?

If the fetus into the basin is occipital transverse position, fetal head and maternal pelvis is also symmetrical, so you can try natural childbirth. In this process, the delivery personnel must closely observe the uterine contraction, dilatation of uterine orifice and the decline of fetal head of the fetus. Once any abnormality is found, it must be dealt with immediately to ensure the sufficient productivity of the puerpera.

After trial delivery, if the uterine orifice cannot be completely expanded, or the fetal head is not smoothly connected from beginning to end, it must be converted to cesarean section as soon as possible. If the parietal bone of the fetal head is two to two centimeters below the ischial spine plane, the medical staff can try to rotate the fetal head by hand,

Or use the fetal head suction device to help the fetus return to the normal posture, and then use forceps or suction device to assist the maternal delivery of the fetus. If the fetal head aspirator fails more than twice, cesarean section should be performed instead.

matters needing attention

During the whole pregnancy, pregnant women should rest mainly, but they should also rest properly. They should not sit and lie for too long. If the night sleep time, if once done, one or two hours must be not conducive to fetal rotation. Expectant mothers can often take a walk, often quietly turn waist activities, which helps to reduce the occurrence of occipital transverse position.