Dr. Chen Qinghua
08- 17 obstetrician and gynecologist
Xiao Ju asked vaguely: My baby is breech, will it affect his development? Is it impossible to give birth naturally?
Fetal breech position is a situation in which the baby's butt is sitting in the mother's stomach, and it is a kind of abnormal fetal position. Although the breech position of the fetus has no influence on the healthy development of the fetus, it will have a certain influence on the delivery mode of pregnant mothers. If the fetal position is breech position, expectant mothers should be cautious, pay more attention during pregnancy, exercise properly, such as walking and doing yoga, and exercise under the guidance of doctors to prepare for caesarean section.
Most of the causes leading to fetal breech position are due to excessive amniotic fluid, uterine relaxation, pelvic stenosis, abnormal uterine development and so on. , may lead to fetal breech position. If you find breech position, you can observe it first. Some pregnant women may turn to the head position in the third trimester and full term. Especially for the second child, there are more opportunities to turn back. Clinically, even naughty babies who go to the delivery bed will lower their heads again.
The probability of breech premature rupture of membranes is higher. Because it is difficult to enter the basin in breech position, there is more amniotic fluid before, and uterine contraction or excessive exercise is easy to cause water breakthrough.
If the breech position of the fetus is found before the 28th week of pregnancy without any treatment, it may change with the development of the fetus. If the fetus is still breech at 30 weeks, pregnant women can help correct the breech of the fetus at home by changing the position and posture under the guidance of a doctor.
When the fetus reaches the third trimester, the fetal position is basically fixed. If the fetus is still in the breech position in the mother's uterus in the third trimester, it is not recommended for the mother to give birth naturally. It is best to have a caesarean section to ensure the health of the fetus and the mother. In breech delivery, the feet or buttocks of the fetus are delivered first, so the head may not have enough time to form a shape that can match the pelvic passage, and it may get stuck during delivery. If not handled in time, it may lead to neonatal asphyxia. At the same time,
For breech fetus, pregnant mother should pay attention to the baby's fetal movement in the third trimester, move around more, and try to take the left position when sleeping. This is because under physiological conditions, the uterus will turn slightly to the right after pregnancy, and the pregnant mother will take the left lateral position to sleep, which will alleviate the situation that the uterus leans slightly to the right and improve the blood supply of the uterus.