The position of a baby in the uterus can affect delivery. There are three types of positions: head, breech, and shoulder. The anterior occiput position is the best for delivery, while breech and transverse positions may require a cesarean delivery.
During pregnancy, a baby will move and lie in a variety of ways within the uterus. It is towards the end of pregnancy when the position of the baby becomes a serious issue, as it can affect the delivery. There are three types of different positions of the baby in the uterus: head, breech or shoulder. Cephalad, or head-first, presentation includes occiput anterior and occiput posterior, while breech, or feet-first, presentation includes breech frank, breech complete, and breech breech. Shoulder presentation is also called transverse lying.
Among the different positions of the baby in the uterus, the anterior occiput position is the most common and ideal position for delivery. In this position, the baby is facing forward and facing the mother’s back. With her head turned slightly to the side and her chin in, the smallest part of her head will be the first part through the birth canal.
Another of the baby’s positions in the uterus where the baby is headfirst is the posterior occiput position. The difference between this position and the occiput anterior position is that here the baby faces the mother’s abdomen, not the back. The baby, therefore, is not in the ideal position to pass its head easily through the birth canal. This results in a difficult and prolonged delivery, often called labor. While most babies will roll into the correct position on their own, if there’s no room to do so, your doctor may need to manually roll your baby.
Breech presentations are not the baby’s preferred positions in the womb. A frank crush is the most common of infringement submissions. The baby’s buttocks are closest to the birth canal and his legs are vertically in front of his body so that his feet are next to his head. In a full breech, the baby’s buttocks are closest to the birth canal and his knees are bent so that his feet are next to his buttocks. A foot violation is when the baby’s buttocks are near the birth canal, but one or both of his feet are pointing down and will be the first leg through the birth canal.
In most, though not all, cases, doctors agree that breech presentations are not ideal for vaginal birth. If a baby is in the breech position and the doctor cannot rotate the baby, the doctor will most likely recommend a cesarean delivery. This is because vaginal delivery of a baby in the breech position presents complications and danger to the baby. Since the baby’s head will be the last part through the birth canal, there can be a disruption in blood and oxygen supply.
A transverse lie is the least common of the baby’s positions in the womb during delivery. It usually occurs only with multiple pregnancies or premature birth. In a transverse lie, the child lies sideways or across. While this position is common during pregnancy, it is not a good position for birth. Your baby’s shoulder, hands, or feet are closest to the birth canal, and if your doctor can’t rotate him in time, cesarean delivery may be the best delivery option.
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