Fetal presentation at the doctor determines the presenting part, which is palpated (groped) through the cervix, and the first pass the birth canal during delivery. When breech birth can pass normally, but often there are complications, such as asphyxia, birth trauma or even stillbirth. Therefore breech used surgery and manual aids. breech presentation are considered as the border between the normal and abnormal. The frequency of breech presentation is 2,7-5,4%.
The appearance of breech delivery is facilitated by such factors as abnormal shape or narrowing of the pelvis, malformations of the uterus, fibroids in the lower uterine segment (nodulation), excessive mobility of the fetus with polyhydramnios, discoordination labor, which leads to a redistribution of the tone of the myometrium (muscle layer of the uterus) between body, bottom and lower uterine segment. In these cases, the head t. the largest and most dense part of the fruit is pushed from the entrance to the pelvis, and the result is the fruit of flips.
Earlier breech was recommended external cephalic to change the breech to head. It should be said that this turn proved to be ineffective and unsafe.
In obstetrical rotation can occur squeezing and entanglement umbilical cord, placental abruption occur or premature birth. As a secure method with the 35 th week of pregnancy recommend corrective physiotherapy sessions for Shuleshova and Grishchenko, according to Dikan or Cayo. These exercises are completely safe and have no contraindications. One of the exercises is that pregnant at 10 minutes on each side rests on a rigid and stable surface for an hour. Exercise is repeated three times a day before meals.
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