What are the precautions for breech presentation in late pregnancy?

It is normal for pregnant women to find that the fetal position and breech position are not correct during the examination. You can correct it through some exercise methods. After the breech position is corrected, the risk of delivery will be greatly reduced. However, you cannot correct it blindly. You must combine your own situation with the doctor's advice to correct it. So what are the precautions for breech position in late pregnancy?

First, what are the precautions for breech presentation in late pregnancy? Pregnant women with breech presentation need to make a preliminary decision on the mode of delivery in the early stages of labor. The correct judgment should be based on maternal age, parity, pelvic size, fetal size, fetal survival, breech presentation type, and the presence or absence of complications. Cesarean section is required to end delivery if the following phenomena occur: narrow pelvis, large fetus weighing more than 3500 grams, suspected cephalopelvic disproportion or soft birth canal laceration. Elderly first-time mothers, or those who have been married for many years without getting pregnant, are eager for the fetus to survive. Primiparas, women with foot presentation, premature rupture of membranes, and those with undilated cervix and changes in fetal heart rate. Those whose cervix is ​​not fully dilated, umbilical cord is prolapsed, fetal heart rate is still good, and it is estimated that vaginal delivery will not be possible in a short period of time. After rupture of membranes, the uterus contracts weakly, labor progresses slowly, or labor is too long, resulting in fetal distress, in which case the fetus needs to be rescued and infection prevented. The multipara has a history of difficult labor and no live baby, and the fetus is larger this time.

Second, before 7 months of pregnancy, because the fetus is small and the amount of amniotic fluid is relatively large, the fetal position is often not fixed. At this time, if it is a breech position, there is no need to treat it, and most of them can naturally turn to a head position. After 30 to 32 weeks of pregnancy, if the baby is still in breech presentation, it should be corrected to reduce the risk of premature rupture of membranes, umbilical cord prolapse, and breech delivery. The most common and safest way to correct breech presentation is to use the knee-chest position. The knee-chest position is to have the pregnant woman kneel on a hard bed with her upper limbs and chest pressed against the mattress, her hips raised, and her thighs perpendicular to the bed. This will allow the fetus's buttocks to withdraw from the pelvis and, with the help of the change in the fetus's center of gravity, help the fetus change from a breech position to a head position. Perform it twice a day, each time for 15 minutes. It can be done in the early morning or evening. You should urinate and loosen your belt beforehand. Usually the results are seen in 1 to 2 weeks.

What are the precautions for breech presentation in late pregnancy? For women with medium-sized fetuses, full-term pregnancy, single buttocks, intact membranes, normal-sized pelvis, good uterine contractions after labor, and smooth progress of labor, vaginal delivery can be achieved. There are three ways of vaginal delivery: natural delivery. The fetus is delivered completely naturally without any traction. It is more common in multiparous women with small fetuses, good labor force and normal birth canal. Breech delivery. fetal