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Position (Obstetrics)
In obstetrics, position is the orientation of the fetus in the womb, identified by the location of the presenting part of the fetus relative to the pelvis of the mother. Conventionally, it is the position assumed by the fetus before the process of birth, as the fetus assumes various positions and postures during the course of childbirth. Positions Depending upon which part of the fetus is expected to be delivered first (fetal presentation), there are many possible positions: * Vertex presentation with longitudinal lie: * Breech presentation with longitudinal lie: #Left sacrum anterior (LSA)—the buttocks, as against the occiput of the vertex presentation, like close to the vagina (hence known as breech presentation), which lie anteriorly and towards the left. #Right sacrum anterior (RSA)—the buttocks face anteriorly and towards the right. #Left sacrum posterior (LSP)—the buttocks face posteriorly and towards the left. #Right sacrum posterior (RSP)—the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Obstetrics
Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field. Main areas Prenatal care Prenatal care is important in screening for various complications of pregnancy. This includes routine office visits with physical exams and routine lab tests along with telehealth care for women with low-risk pregnancies: Image:Ultrasound_image_of_a_fetus.jpg, 3D ultrasound of fetus (about 14 weeks gestational age) Image:Sucking his thumb and waving.jpg, Fetus at 17 weeks Image:3dultrasound 20 weeks.jpg, Fetus at 20 weeks First trimester Routine tests in the first trimester of pregnancy generally include: * Complete blood count * Blood type ** Rh-negative antenatal patients should receive RhoGAM at 28 weeks to prevent Rh disease. * Indirect Coombs test (AGT) to assess risk of hemoly ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Scapula
The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on either side of the body being roughly a mirror image of the other. The name derives from the Classical Latin word for trowel or small shovel, which it was thought to resemble. In compound terms, the prefix omo- is used for the shoulder blade in medical terminology. This prefix is derived from ὦμος (ōmos), the Ancient Greek word for shoulder, and is cognate with the Latin , which in Latin signifies either the shoulder or the upper arm bone. The scapula forms the back of the shoulder girdle. In humans, it is a flat bone, roughly triangular in shape, placed on a posterolateral aspect of the thoracic cage. Structure The scapula is a thick, flat bone lying on the thoracic wall that provides an attachment for three groups of muscles: i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Presentations And Positions In Childbirth
A presentation conveys information from a speaker to an audience. Presentations are typically demonstrations, introduction, lecture, or speech meant to inform, persuade, inspire, motivate, build goodwill, or present a new idea/product. Presentations usually require preparation, organization, event planning, writing, use of visual aids, dealing with stress, and answering questions. “The key elements of a presentation consists of presenter, audience, message, reaction and method to deliver speech for organizational success in an effective manner.” Presentations are widely used in tertiary work settings such as accountants giving a detailed report of a company's financials or an entrepreneur pitching their venture idea to investors. The term can also be used for a formal or ritualized introduction or offering, as with the presentation of a debutante. Presentations in certain formats are also known as keynote address. Interactive presentations, in which the audience is involve ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Presentation (obstetrics)
In obstetrics, the presentation of a fetus about to be born specifies which anatomical part of the fetus is leading, that is, is closest to the pelvic inlet of the birth canal. According to the leading part, this is identified as a cephalic, breech, or shoulder presentation. A malpresentation is any presentation other than a vertex presentation (with the top of the head first). Classification Thus the various presentations are: * cephalic presentation (head first): ** vertex (crown)—the most common and associated with the fewest complications ** sinciput (forehead) ** brow (eyebrows) ** face ** chin * breech presentation (buttocks or feet first): ** complete breech ** footling breech ** frank breech * shoulder presentation: **arm **shoulder **trunk *compound presentation—when any other part presents along with the fetal head Related obstetrical terms Attitude * Definition: Relationship of fetal head to spine: **flexed, (this is the normal situation) **neutral ("mil ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pelvimetry
Pelvimetry is the measurement of the female pelvis. It can theoretically identify cephalo-pelvic disproportion, which is when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal. However, clinical evidence indicate that all pregnant women should be allowed a trial of labor regardless of pelvimetry results. Indication Theoretically, pelvimetry may identify cephalo-pelvic disproportion, which is when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal. However, a woman's pelvis loosens up before birth (with the help of hormones). A Cochrane review in 2017 found that there was too little evidence to show whether pelvimetry is beneficial and safe when the baby is in cephalic presentation. A review in 2003 came to the conclusion that pelvimetry does not change the management of pregnant women, and recommended that all women should be allowed a trial of labor regardless of pelvimetry results. It considered routin ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Fetal Position
Fetal position (British English: also foetal) is the positioning of the body of a prenatal fetus as it develops. In this position, the back is curved, the head is bowed, and the limbs are bent and drawn up to the torso. A compact position is typical for fetuses. Many newborn mammals, especially rodents, remain in a fetal position well after birth. This type of compact position is used in the medical profession to minimize injury to the neck and chest. Many people assume a compact position when sleeping, especially when the body becomes cold. Sometimes, when a person has suffered extreme physical or psychological trauma (including massive stress), they will assume a similar compact position in which the back is curved forward, the legs are brought up as tightly against the abdomen as possible, the head is bowed as close to the abdomen as possible, and the arms are wrapped around the head to prevent further trauma Trauma most often refers to: *Major trauma, in physical ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Child Birth
Childbirth, also known as labour and delivery, is the ending of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million births globally. In the developed countries, most deliveries occur in hospitals, while in the developing countries most are home births. The most common childbirth method worldwide is vaginal delivery. It involves four stages of labour: the shortening and opening of the cervix during the first stage, descent and birth of the baby during the second, the delivery of the placenta during the third, and the recovery of the mother and infant during the fourth stage, which is referred to as the postpartum. The first stage is characterized by abdominal cramping or back pain that typically lasts half a minute and occurs every 10 to 30 minutes. Contractions gradually becomes stronger and closer together. Since the pain of childbirth correlates with contracti ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cephalic Presentation
A cephalic presentation or head presentation or head-first presentation is a situation at childbirth where the fetus is in a longitudinal lie and the head enters the pelvis first; the most common form of cephalic presentation is the vertex presentation, where the occiput is the leading part (the part that first enters the birth canal). All other presentations are abnormal (malpresentations) and are either more difficult to deliver or not deliverable by natural means. Engagement The movement of the fetus to cephalic presentation is called ''head engagement''. It occurs in the third trimester. In head engagement, the fetal head descends into the pelvic cavity so that only a small part (or none) of it can be felt abdominally. The perineum and cervix are further flattened and the head may be felt vaginally. Head engagement is known colloquially as the ''baby drop'', and in natural medicine as the ''lightening'' because of the release of pressure on the upper abdomen and renewed ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cesarean Section
Caesarean section, also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen, often performed because vaginal delivery would put the baby or mother at risk. Reasons for the operation include obstructed labor, twin pregnancy, high blood pressure in the mother, breech birth, and problems with the placenta or umbilical cord. A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section. A trial of vaginal birth after C-section may be possible. The World Health Organization recommends that caesarean section be performed only when medically necessary. Most C-sections are performed without a medical reason, upon request by someone, usually the mother. A C-section typically takes 45 minutes to an hour. It may be done with a spinal block, where the woman is awake, or under general anesthesia. A urinary catheter is used to drai ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Asynclitic Birth
An asynclitic birth or asynclitism refers to the position of a fetus in the uterus such that the head of the baby is presenting first and is tilted to the shoulder, Types of Forceps Used in DeliveryFebruary 2006. Reviewer: Douglas Levine, Gynecology Service/Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY. Asynclitic presentation is significantly different from a shoulder presentation, in which the shoulder is presenting first. Many babies enter the pelvis in an asynclitic presentation, and most asynclitism corrects spontaneously as part of the normal birthing process. Persistence of asynclitism can cause problems with dystocia, and has often been associated with cesarean birth. However, with a skilled midwife or obstetrician a complication-free vaginal birth can sometimes, though not necessarily, be achieved through movement and positioning of the birthing woman, and patience and extra time to allow for movement of the baby through the pelvis and mouldi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Shoulder Presentation
A shoulder presentation is a malpresentation at childbirth where the baby is in a transverse lie (its vertebral column is perpendicular to that of the mother), thus the leading part (the part that first enters the birth canal) is an arm, a shoulder, or the trunk. While a baby can be delivered vaginally when either the head or the feet/buttocks are the leading part, it usually cannot be expected to be delivered successfully with a shoulder presentation unless a cesarean section (C/S) is performed. Frequency and causes Shoulder presentations are uncommon (about 0.5% of births) since, usually, toward the end of gestation, either the head or the buttocks start to enter the upper part of the pelvis, anchoring the fetus in a longitudinal lie. It is not known in all cases of shoulder presentation why the longitudinal lie is not reached, but possible causes include bony abnormalities of the pelvis, uterine abnormalities such as malformations or tumors (fibroids), or other tumors in the pel ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Fetus
A fetus or foetus (; plural fetuses, feti, foetuses, or foeti) is the unborn offspring that develops from an animal embryo. Following embryonic development the fetal stage of development takes place. In human prenatal development, fetal development begins from the ninth week after fertilization (or eleventh week gestational age) and continues until birth. Prenatal development is a continuum, with no clear defining feature distinguishing an embryo from a fetus. However, a fetus is characterized by the presence of all the major body organs, though they will not yet be fully developed and functional and some not yet situated in their final anatomical location. Etymology The word '' fetus'' (plural '' fetuses'' or '' feti'') is related to the Latin '' fētus'' ("offspring", "bringing forth", "hatching of young") and the Greek "φυτώ" to plant. The word "fetus" was used by Ovid in Metamorphoses, book 1, line 104. The predominant British, Irish, and Commonwealth spelling ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
