Abnormal fetal position - persistent occiput posterior (horizontal) position.docVIP

 PAGE \* MERGEFORMAT 5 Abnormal fetal position - persistent occiput posterior (horizontal) position 1. Concept Labor after the descent, the fetal head does not move in front of the occipital continued until the late delivery is still in the mother’s pelvis after (side) side, resulting in difficulty in childbirth who said the persistent occiput posterior (horizontal) position. 2. Causes (1) pelvic exception: usually occurs in male-type pelvis or pelvic apes. (2) adverse fetal head flexion. (3) uterine contraction fatigue. (4), cephalopelvic disproportion, said: fetal head down and hindered internal rotation (5) Other: placenta previa, bladder filling, lower segment uterine cervical myoma, etc. 3. Diagnostic (1) clinical performance: bridging the late fetal head during labor can often be seen co-ordinated uterine inertia and the slow expansion of the cervix. Occipital bone in the pelvis behind the oppression of the rectum, producing a sense of anus bulge and defecation. The cervix has not opened wide, early use of abdominal pressure could easily cause the cervix before the lip swelling and maternal fatigue, the impact of birth process. When the vaginal opening to see the lanugo, breath-hold not see the fetal head after repeated contractions continued to decline, we should think might be persistent occiput posterior position. (2) of the inspection Abdominal examination: Palace hit the end of fetal buttocks and back bias tire mother after (lateral) side, touching the fetus in the contralateral limb. Fetal heart rate in the lateral side below the belly button could hear the loudest. Anal examination or vaginal examination: occiput posterior position when the rear pelvic rectal investigation was empty, the identification of fetal head sagittal suture is located in the pelvic oblique diameter with the rear skull (occipital) in the pelvis, compared with the left rear LOP position. The identification of fetal head diameter on the sagittal suture is located