The baby from a breech or a shifting has turned to the birth by alone in the head position, the possibility of an external application is in some cases.
There, the doctor attempts to “persuade the baby” manually through the abdominal wall to a role of the breech in the appropriate location of the skull.
With lots of experience and very gently used, this method is considered quite promising – in up to 80% of cases, the baby turns indeed.
The outer turn takes place usually between the 36th and 38th week of pregnancy, when other attempts to contact, the baby still did not lead to success. Then, the lungs of a child is considered mature, it is able to breathe on their own. See maternity bras on ethnicityology.com. In addition, it has then usually still enough space in the womb, to turn. The procedure is performed as an outpatient procedure in a clinic. A pure security measure, so that everything is ready for a caesarean section if problems should arise. Like an Abruption of the placenta or altered heartbeat of the baby, complications occur only in exceptional cases.
Get advance informed
The pregnant woman to a detailed discussion in the clinic is appointed before the procedure. It describes the doctor, what child location is, how does the intervention, which technique he applies it and what complications may occur in. Write down your questions in advance, and have explained exactly everything before you finally sign the consent form for the possibly necessary C-section.
The technology of outer turn
The outer turn takes place mostly on the following day. To the pregnant woman must be sober in the clinic. In other words, she must have eaten on the day. First, the pregnant woman on a bed is surrounded by their abdominal wall can relax completely.
The procedure itself takes only a few minutes. The doctor attempts to move the baby after in-depth preliminary examinations under regular ultrasound and heart tone control with the help of a CTG, hand grips on the abdomen of pregnant women to a role in the womb. He includes head and buttocks of the unborn, ever the Po carefully out of the tank and pushes the head gently to the side and down.
This is done without anaesthesia, rarely under administration of labor inhibiting agent and is usually painless. Should nevertheless increased pain occur, the attempt is made immediately.
The patient remains after turning manoeuvres a few hours in the hospital, so that the child-like heart rate and a possible uterine contractions can be controlled. The phrase does not work, she can try once again two days later under circumstances.
Prospect of success of turn
The chance that the baby is still on his head, is between 60, 70 and 80% – the experience of the obstetrician plays a large role. The chances of success increase, if
- the rump of the baby from the outside can be good move, if
- There is enough amniotic fluid
- the pregnant woman is calm and relaxed
- the belly is not to get too excited
- the mother already a child has given birth.
Professionals among others refrain from outer turn at
- low amniotic fluid
- unfavourable seat of placenta – E.g. when a placenta praevia
- a malformation of the uterus
- a very tight wall of uterus
- premature contractions or premature rupture of membranes
- Multiple pregnancies
- several umbilical cord wrap
- a big, heavy baby.
The costs for an outer turn is the health of pregnant women. Love and a wonderful birth!