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Conducting pregnancy with pelvic presentation of the fetus
Last reviewed: 23.04.2024
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Pregnancy and childbirth with pelvic presentation of the fetus should be considered pathological. Births with pelvic presentation of the fetus represent a certain danger for both the woman and especially for the fetus. With this presentation, perinatal mortality is 4-5 times higher than in the headache in the headache. Pelvic presentation of the fetus is observed in 4-5% of parturient women; With preterm pregnancy, the frequency of pelvic presentation is increased.
Pelvic presentation of the fetus is divided into gluteus and leg; Gluteal, in turn, are divided into purely gluteal and mixed gluteal. Mixed breech presentation can be complete and incomplete. Legendary presentations are divided into complete, incomplete and chopped. Among foot legends, incomplete are more common; knees are extremely rare.
As the fetus grows, it takes an increasing volume of the uterine cavity and tends to adapt to the ovoid last. The etiology of pelvic presentation may be associated with a deviation from this adaptive process or a violation of the fetal position in the uterus. Pelvic presentation of the fetus may be due to the following factors:
- changes in the lower segment (its stretching and flabbiness);
- inferiority of the musculature of the uterus, due to neurotrophic and structural-anatomical changes in it as congenital (anomalies, malformations of the uterus, etc.), and acquired character on the basis of the suffered traumatic injuries, inflammatory processes and postoperative complications;
- stretching and flabbiness of abdominal muscles, indirectly entailing a change in the tone of the uterus;
- prematurity;
- placenta previa;
- fetal hydrocephalus;
- pregnancy in a multifarious woman;
- multiple pregnancies;
- polyhydramnios;
- congenital anomaly of the uterus;
- tumors of the uterus, cervix, vagina or ovaries;
- incompetence of the ligamentous apparatus of the uterus;
- oblique position of the fetus, when in one of the iliac hollows of the mother is the pelvic end of the fetus;
- anhydration.
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