How to correct right occipital posterior position

Right occipital posterior position is a manifestation of transverse fetal position. Transverse fetal position will cause pregnant women to be unable to give birth normally, and may even cause dystocia. If this situation is found, it is necessary to find a way to deal with it as soon as possible. So what should we do with the late stage right occipital posterior position?

1. In the late pregnancy, if the baby is in the right posterior position, it is recommended that the pregnant woman sleep on her left side and not on her back. At this moment, the pregnant woman's uterus has been pushed thickly by the fetus, and there is very little space left. It is unlikely to adjust to a normal position, but it is still recommended that pregnant women try it.

2. If the pregnant woman has not adjusted the baby's position during the delivery period, it is recommended that she choose a cesarean section. This can reduce the probability of dystocia, avoid unexpected situations, and effectively assist the pregnant woman to give birth successfully.

In the later stages of pregnancy, you should also pay attention to doing more exercises that are beneficial to the fetus, take a moderate walk after meals, and eat more energy-rich foods, such as chocolate, brown sugar, etc. This way, when giving birth, you can immediately replenish sufficient energy for the pregnant woman, and it can also effectively help the pregnant woman shorten the time of delivery, relieve the pain during delivery, and allow the pregnant woman to quickly recover her energy after giving birth.

How to check fetal position

1.B-ultrasound

This is the most direct and effective method. Under B-ultrasound examination, we can clearly see the position and posture of the fetus in the uterus.

2. Four-step palpation method

This is the most common examination method. Pregnant women can use this method after 24 weeks of pregnancy to determine whether the size and position of the fetus and the size of the uterus are consistent with the pregnancy period. In addition, it can also determine whether the presenting part is normal and estimate the amount of amniotic fluid in the pregnant woman.

(1) Posture of pregnant women: When using the four-part palpation method to check the fetal position, the posture of the pregnant woman is very important. First, she must empty her bladder, then lie on her back with her head higher than her feet, her legs spread apart and bent, and her abdomen exposed and relaxed.

(2) Operator: The position where the operator stands is very important, and the examination is usually carried out on the right side of the pregnant woman.

(3) Skills:

Step 1: First, the operator touches the fundus of the uterus with his hand to measure its height to determine whether the fetus is in line with the growth size during pregnancy, and then pushes gently with the fingertips of both hands alternately to determine the position of the fetus. To the touch, the baby's head is hard and round like a floating ball, while the baby's buttocks are wide, soft and irregular in shape.

Step 2: The operator places both hands on both sides of the pregnant woman's abdomen, fixes the abdomen with one hand, and checks the abdomen with the other hand. The intersection of the two hands can be used to check from top to bottom. First, you need to identify the fetus's spine and limbs. The fetus's spine is flat and round, and the fetus's limbs are uneven. The direction of the mother's inner fetus's back can be determined based on the spine. In addition, the operator can also experience the movements of the fetus's limbs.

Step 3: The operator extends his left hand, separates the thumb and four fingers, checks the presenting part, identifies the head and buttocks of the fetus, and then moves it up and down to confirm the docking status. If the first part can move in the upper and lower positions, it means that the pelvis is not connected; on the contrary, the pelvis is connected.

Step 4: Determine the level at which the fetus has entered the pelvis. To do this, gently press both sides of the presenting part with both hands and press down along the position of the pelvis. If one hand can easily enter the passage of the pregnant woman's pelvis, and the other hand is blocked by the fetal head, it indicates that the fetal head is presented first, and the protruding part is called the fetal head bulge. There are also two situations here. If the protuberance is in the same direction as the limbs, then the frontal bone at the contact point is occipital first presentation; if the protuberance is in the same direction as the spine, then the occipital bone at the contact point is face first presentation.

Note: During the inspection, pay special attention to the operator's position. In the first three steps, the operator should face the pregnant woman, and in the last step, the operator should face the pregnant woman's feet.