How to deal with abnormal delivery?

summary

Abnormal fetal position, including abnormal fetal head position, hip and shoulder, can eat some light things, is a common cause of dystocia. So how to deal with abnormal childbirth? I hope this problem can help some people.

How to deal with abnormal delivery?

The first stage of labor: the long stage of labor, should ensure that maternal adequate nutrition and rest. Let the puerpera lie on the side of the fetal abdomen to facilitate the fetal head pillow to turn forward. Oxytocin should be given intravenously as soon as possible in case of poor uterine contraction. Before opening the mouth of the uterus, ask the puerpera not to hold their breath too early. Cesarean section should be performed when fetal distress or no progress of labor occurs during trial production.

Second stage of labor: the primipara has been nearly 2 hours, the multipara has been nearly 1 hour, vaginal examination should be performed. When the biparietal diameter of the fetal head reaches the level of the ischial spine or lower, the occipital part of the fetal head should be turned forward by hand, or natural delivery, or vaginal delivery (low forceps or fetal head suction). The position of fetal head is higher, and the cephalopelvic disproportion is suspected, so cesarean section is needed.

Third stage of labor: prolonged stage of labor, prone to postpartum hemorrhage. Soft birth canal laceration should be repaired in time. Postpartum antibiotics were given to prevent infection.

matters needing attention

(1) Treatment during pregnancy: before 30 weeks of gestation, the buttocks are exposed first, which can turn to the head by itself without treatment. After 30 weeks of gestation, it is still breech presentation and should be corrected. Methods: 1. ② Laser irradiation or moxibustion to the Yin point: ③ external fetal position transfer: for those who failed in the above correction methods, external fetal position transfer was performed at 32-34 weeks of gestation, and salbutamol 4.8 mg was taken orally half an hour before operation（ 2) Delivery period management: make correct judgment at the early stage of labor and decide the mode of delivery.