Butt-laying: What to know

The article was consulted professionally by Specialist I Pham Thi Yen – Obstetrics and Gynecology Department – Share99 Hai Phong International Health Hub

The buttocks have the most common proportions of abnormal types of pregnancy. Butt-laying techniques also have many different and more complex features than the crown. Therefore, it is necessary to master what to know about butt birth support below in order to have a safe labor for both mother and child.

1. What is a butt fetus?

A fetus with an inverted buttock or fetus is a longitudinal throne with a head above, buttocks or legs on the bottom. There are two types of buttocks: (1) a full buttock with a folded buttocks and two lower limbs, a fetus in the form of a seated throne in the uterus, and (2) a buttock lacking when only the buttocks or legs or knees are present.

The buttocks account for only 3 to 4% of all births, much less common than the crown but are more common abnormal pregnancies than the face and forehead. In particular, the buttocks lack more common than the buttocks enough. The buttocks lack the most common type of buttocks with pregnancies over 2500g. With smaller pregnancies, the buttocks lack the type of buttocks or lack of a common leg type with similar appearance. The buttocks are not common in humans giving birth so; on the contrary, the buttocks are common in humans giving birth.

The landmark is chosen to determine the position and the type in the buttocks is the top of the sysy bone. The shortlist diameter is the bipolar diameter of the thigh with a length of 9.5cm. Accordingly, the buttocks have four types of passes that are the same left pot first, left back, right front, right back and two types of ledgers are the same horizontal and right horizontal pots.

Fetus ass

Fetuses are dangerous but make it difficult for pregnant mothers to go into labor

2. Causes of fetal buttocks

Before the 28th week of pregnancy, the fetus is small, the head size is larger than the body. Meanwhile, the uterus is pear-shaped, with a rather large ovarian size in the bottom area and smaller in the lower segment. So, during this period, the fetal head tends to be located at the bottom of the uterus, forming the buttocks.

As the gestational age grows, the fetus grows larger, the amniotic fluid is less and less. At that time, the fetal body was larger than the head and would occupy the common perineum (which is the wider part), the fetus would be able to adjust itself to the throne.

Therefore, the cause of the buttocks may be premature labor when the fetus has not yet been adjusted to a throne or there are factors that interfere with the normal process of the fetus:

  • On the mother's side, the cause may be due to underdeve developed mother's uterus, septum, double uterus, two-horned uterus. In addition, it is also mentioned that when the mother has tumors in the frame such as uterine fibroids,forward tumors … It should be noted that a narrow pelvis is not the cause of the buttocks.
  • On the fetal side, multi-pregnancy, the fetus has malformations, especially the hydrocephalus, which most often leads to the buttocks.
  • On the side of the sub-section is the amnioticsac, each striker…

uterus

Underdeve developed mother's uterus risks causing fetus to take buttocks

3. How to diagnose the buttock fetus?

Women are able to self-identify the buttocks when they see that the fetus is often prone to pedaling in the hypothage and the sensation of one side lowering the ribs due to the reinstrict pinching. Seeing the abdomen still sees the uterus is ovate, longitudinal axis but hears the pregnancy heart most clearly across the navel or on the navel.

The uppermost palpation of the fetus at the base of the uterus is the head of the fetus, which takes the form of a round, solid mass, showing signs of shaking clearly. The lower pole in the lower part of the uterus is the fetal buttocks, which take the form of a soft, uneven mass.

During labor, a vaginal examination when the cervical is open will not see a round face as hard as the crown, but will see the top of the sd bone, buttocks or legs. If the amniotic fluid has ruptured, it will be more visible to the top of the sac, buttocks with the anus and genitalia of the fetus in the middle. If you accidentally put your finger in the anus, there will be a feeling of tightening.

However, ultrasound is always a commonly used means of determining the buttocks, single pregnancy or twin pregnancies as well as the size of the pregnancy in order to choose the appropriate method of birth support.

4. Birth mechanism and how to handle the birth of a butt fetus

There is an important difference between the birth of the first throne and the birth of the butt. In the first birth, when the largest part is the head of the fetus, the rest of the fetus will continue to be born easily. On the contrary, while in the buttocks, followed by the buttocks, the rest will get bigger and bigger. Accordingly, the butt birth will consist of three separate buttocks including buttock birth, shoulder birth and finally first birth.

However, before going into labor, at the 36th week of pregnancy, women with buttocks will be considered to apply the classic procedure of extra-rotating pregnancy to turn the buttocks into a throne. Since pregnancy may continue to adjust in the last weeks of pregnancy, it is not necessary to rotate the pregnancy too early.

In humans giving birth so,the buttocks are usually due to mechanical causes, so the pregnancy rotation is often unsuccessful but is in many dangers. On the contrary, in humans who give birth,rotating the pregnancy is usually easier but it is difficult to fix the pregnancy after rotation due to soft muscle and uterus.

Moreover, the birth of the buttocks in humans is not so ominous as the one who gave birth. Although the pregnancy rotation may experience complications such as the umbilical cord wrapped around the neck, the umbilical cord knotted, the young peeling …, a lot of statistics have shown that this procedure also does not cause the incidence of medenti-erm disease in the buttocks to increase significantly.

Besides, pelvic photoclination at the end of pregnancy is a necessity, especially in cases where the buttocks tend to give birth to vaginal falls. In addition, ultrasound is also required to accurately assess the natural birth index through estimating fetal weight, assessing deformity if any.

When deciding to support the buttocks through the vaginal fall, there are three ways of giving birth:

  1. Natural birth, i.e. birth without intervention.
  2. Intervene piece by piece.
  3. Total intervention, i.e. the procedure of pulling the pregnancy backwards.

4.1. Natural butt-laying support

Natural birth to the buttocks usually applies only to cases of babies, small pregnancies, and amenity.

The birth progresses naturally according to the mechanism of birth of the buttocks, without any help, nor any surgical intervention on the fetus.

4.2. Supporting butt-laying intervenes in parts

The fetus has a buttock that is naturally born to the navel, the doctor or the surrogate will assist in the birth of the shoulders, hands and head. When the buttocks are out of the, if the umbilical cord is tight, it is necessary to gently pull the umbilical cord for less tension. At this time, when pulling the umbilical cord try not to touch the abdomen and body of the fetus.

When the shoulder is already in and about to close, assist in giving birth to the shoulder by gently lifting the fetal body towards the mother's backbone so that the back shoulder and notebook are out. After that, lower the fetal body to the front shoulder. After the shoulders and hands are wiped, gently rotate the fetal body to the position of the stomach, preventing the fetus from rotating itself to the back position.

As for the posterity head, the two hands of the midwife hug the fetal pelvis, gently pulling the fetus in the direction downwards and backwards, at the same time as a woman pushes on the bottom of the uterus to help the head bend well. Until the occipital occipital system arrives at the lower shore of the protective joint, the midwife will raise the pregnancy upside down towards the maternity abdomen so that the fetus's head will gradually back up. At this time, the chin, face and rest of the head will be booked out of the in turn.

4.3. Supporting the buttocks to intervene fully

The procedure to pull the fetus backwards in the support of the fully intervened buttocks should be performed under anesthesia and prepared as an operation.

Today, due to the dangerous nature of the pregnancy pull, the in design of this procedure has been greatly limited and replaced by cesarean section.

5. The toe-like birth of the buttocks

Relieve pain for post-cesarean section by infusion of anesthetic at Share99.

Obstetrics and gynecology may have to have cesarean section when the fetus has a buttock

On the mother's side, the reticent is relatively different from the birth of the crown even though labor is somewhat longer. However, women may experience software tearing at a fairly high rate, often because the ledger is too fast.

On the fetal side, there are often many ominous complications such as trauma, umbilical cord prolapse or compression of the umbilical cord causing asphyxiation leading to fetal death.

In short, the buttocks are reverse pregnancies that make birth difficult but do not mean that it is impossible to support the buttocks through the vagina. Accordingly, all actions and interventions before and during life need to be carefully considered, technically correct and also need the right time to bring safety to both mothers and children.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

Reference source: medscape.com; ncbi.nlm.nih.gov

SEE MORE:

  • Fetus ass, what is the shoulder?
  • Handling when the fetus is complicated
  • What it means to determine the fetus in labor, childbirth

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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