Is occipital transverse position normal?

summary

How the fetus enters the basin is a very important thing for the mother, which not only affects the normal delivery and mode of delivery, but also affects the health of the fetus and the mother to be. But clinically, some fetuses enter the basin in the left occipital transverse position. Is the occipital transverse position normal? Next, I'd like to share my views with you.

Is occipital transverse position normal?

First: abnormal, transverse prone to multipara, because of loose abdominal wall, fetal position changes; Can also be seen in placenta previa, because the lower uterine segment is occupied by the placenta, fetal presentation can not enter the basin, easy to change into transverse or breech position. It can also be seen in uterine malformations, uterine fibroids, umbilical cord abnormalities. Therefore, we should first find out the cause of transverse position, such as transverse position in the third trimester of pregnancy, and it can't be automatically converted to longitudinal mode. External inversion can be used to make the fetus into longitudinal mode. If the external inversion is not successful, we should be hospitalized in advance and consider cesarean section.

Second: occipito transverse posterior asymmetry with cephalopelvic asymmetry: anterior asymmetry cannot be diagnosed as occipito transverse convergence with descending difficulty, which should be differentiated from occipito transverse posterior asymmetry with cephalopelvic asymmetry. The sagittal suture of the fetal head is in the front of the transverse diameter of the pelvis when the fetal head can not be connected and descended due to the imbalance of posterior tilt and cephalopelvic disproportion. The edema of fetal head was on the left parietal bone in the left occipital transverse position and on the right parietal bone in the right occipital transverse position. It can be distinguished from anterior anisoplakia.

Third: occipital transverse position: both have the same point that the sagittal suture of fetal head is consistent with the transverse diameter of pelvis. The difference lies in the occipital transverse position, uneven tilt of the fetal head into the basin is more difficult than occipital transverse position, vaginal examination sagittal suture is not in the middle of the pelvic plane and inclined to sacral promontory, anterior uneven tilt of most vaginal delivery is difficult, postpartum fetal head parietal bone edema can help to identify.

matters needing attention

1. Maternal in pregnancy, it is best not to sit or lie for a long time, to increase such as walking, kneading abdomen, waist and other gentle activities. 2. Avoid cold and flatulent food, such as watermelon, potato, beans, milk, etc. 3. Keep your stool unblocked. It's best to defecate every day.