If possible, sprinkle some talcum powder on the mother's belly before proceeding.
The doctor holds the baby's buttocks through the mother's belly with both hands, lifts the buttocks with the strength of the wrist, and rotates it in the opposite direction of the baby's head. Then, he protects the baby's head with one hand to keep the baby's head down, and continues to rotate the buttocks with the other hand until the baby returns to the correct occipital anterior position. This step is the famous external breech version.
There is external rotation, and the corresponding one is internal version. Internal version of breech presentation requires general anesthesia, which is relatively complicated and is rarely used in clinical vaginal delivery. Sometimes doctors may use it during cesarean section.
For example, partial breech version can be used to try to turn the fetus in a transverse position. In the past, midwives dared to try it themselves. Now, the doctor-patient relationship in hospitals is tense, and obstetrics is the hardest hit area for doctor-patient conflicts. Midwives dare not try it anymore. Only doctors can try it.
The doctor wanted to try the same thing but was very hesitant, because obstetrics is a place where two lives are lost at one time, and the family members would make a big fuss at the slightest sign of trouble.
Although it sounds miraculous that fetal transfer does not require surgery, the actual operation has many restrictive prerequisites and is very risky.
To perform a fetal rotation, the mother's uterus must be large enough to allow the doctor's hands to push the baby. Secondly, there must be enough amniotic fluid in the mother's body, not too little, otherwise the baby will not be able to roll and it will cause certain damage to the mother's uterus.
During the fetal rotation, there may be risks such as tearing the mother's uterine wall and causing the placenta to fall off prematurely. The risks to the baby should not be ignored either. During the fetal rotation, the baby may suffer from severe hypoxia due to the umbilical cord around the neck, and can only be transferred to a cesarean section in a hurry. In this case, it is safer to transfer directly to a cesarean section.
Therefore, many doctors would rather directly advise family members and patients to undergo cesarean section rather than take this risk.
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From this, it can be seen that only doctors with strong enough skills and confidence dare to continue to perform fetal rotation surgery on parturients under difficult conditions in an effort to ensure a normal delivery. In the eyes of doctors, what is the best situation for fetal rotation surgery? Of course, it is the doctor himself who does not force the baby to change position. It is safest if the baby can turn back to the correct position in the mother's womb by itself, which can avoid any harm to the mother and child caused by external brute force.
How to let the baby turn by himself without forcing him to turn? The baby cannot understand what the doctor and mother say. It is indeed a very advanced science to let the baby understand the information sent by the doctor and mother, which is the science that many medical professionals are trying to explore.
In clinical practice, there is still some experience accumulated by predecessors that can be used as a reference for on-site doctors.
The baby lying in the mother's womb can be regarded as a sphere with self-awareness. If there is a relatively spacious space for the sphere to roll in, it will be more comfortable, and naturally, the baby will turn its position by itself. Based on this assumption, clinical doctors will start to teach mothers to do position exercises to correct the fetal position as early as the third trimester after discovering that the fetus is in an abnormal position. The most common one is the knee-chest lying position exercise mentioned earlier.
After sorting out the whole idea, Xie Wanying said to bed number three: "Come, I will help you change your position and teach you how to turn back to the correct position by yourself."
Her eyes were firm and her tone was powerful.
Bed No. 3 felt that her clenched hands injected him with a powerful strength and he nodded.
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