Fetal kulana a me kona mau manao

Ma ke kakahiaka nui kahua o ka hāpai keiki, i ka wa o ka hailonaʻana o ka lewa i loko o ka uterus, ke fetus aʻole ole i kekahi manaʻo ai. He mea ole kaupalena i loko o kona neʻe, milo lākou me Flip me kou makemake, a me ka i pono.

Nō kāu, o ka loa e like me ka pololei ma ka hōʻike, a ua wehewehe aku ma ka coincidence o ka lonikū o nā koʻi lipi o ka uterus a me ke keiki. Naʻe kekahi manawa ka mea, ia lŘlŘ malposition ma i kona iho (axis) ma kekahi huina intersects masterbatch. Ke kaumaha ma muli o nā 'ano o keia huina, a ma laila i kekahi mau ano malpresentation mea pinepine e ala aʻeʻoe ma muli o ia i ka puka pelvis parturient, haʻahaʻa IeIIeYOA keiki, uterus a me nā reproductive nā loko, a me kekahi ma muli o ka hoemi tonicity o ka abdominal paia, a me ka uterine paha polyhydramnios.

Ano, e hai aku e pili ana i na ano o ka hoʻokomo ma ka hōʻike i loko o hou aku au mamuli.

Penei, occipital fetal wahi me ka nānā 'hoʻohana' ana i ka vaginal ninaninau, a me ka wā nānā akula au i, mai ka gynecologist a me ka ultrasoundʻikepili. Inā occipital previa i loko o ka mua kulana, a laila ka mea, ua noʻonoʻo i ka loa 'ano kūpono no maoli ka nahunahu hanau. Ma nā hihia, ka mea hiki, ina ka pelvis mea o maʻamau nui, a me ke poo o ka fetus mea uuku. He mea nui manawa e diagnose posterior a kīloi paʻewa wahi, e lawe hana mua o ka hoʻomaka o ka lua o ka kahua o ka hana. Kauka ma keia hihia, e hoʻololi i ka fetal kulana hana lima ma ka hōʻoiaʻana i ka oihana o ka wahine i loko o ka hana. Inā he mea kekahi keʻa-occipital fetal kulana, laila huli IeAUPIIe, IAa IO ka hana i laila spontaneously.

Kalevari hōʻike i hanaʻia ma ka hapa straightening poo. Loa pinepine, keia kahua lilo paha occipital, a lehalehu t. Naʻe, ina o ka makuahine i kekahi wahi paiki pelvis, e like ka mea, lilo ole, a me ka papa aku i ke kumu hanau maoli ai.

Ma ka mea maʻamau ka nui o na pelvis, ina he mea he lehalehu tʻoihana o ka fetus, maʻamau deliveries, ma ka kekahi lima, me ke kūʻokoʻa. Inā ka hope kulana, ke kauka huli mai ke keiki wale. I Ina o ka hoʻokō 'ole' ia caesarean pauku.

Breech hōʻike hiki e diagnosed ma hope o ka wale pelvic hōʻike, ultrasound hopena a me vaginal ninaninau. Loa pinepine ia ke kulana aicieeaao like me ka hopena o ka disparity o ka uterus, a me ka nui o ke keiki. Ma ke alo o ia i kekahi maʻi pilikia o anomalies ke kaha 6.5%. Kauka eʻae i ka hanau maoli wale nō inā hoʻokahi wale nō breech hōʻike, fetal kaumaha 2800-3500 g., Maʻamau pelvis o ka makuwahine, nele i pererazgiba fetal poo. Ma lalo o ia mau rula, o ka pilikia o ka hewa hanau o ka hola 3%. I ole ia kohoia caesarean pauku.

Ke kīloi paʻewa kulana o ka fetus hoʻoholo wale ka US, a mawaho o ka gynecological ninaninau. Loa pinepine, ua loaʻa ia iʻike, i loko o nā wāhine, ka poe i hanau kekahi mau manawa, e like me ka pono me ka premature hanau ana, i ke alo o ka uterine fibroids, placenta previa, a me ka mau hāpai keiki. Inā loaʻa nā ole contraindications, a puni o ka pau ana o ka 37 pule ua ho'āʻo manuale cephalic. A hiki aku ia i kaʻike, ua i pololei i hanau, caesarean pauku ua hāʻawi. E emi i ka pilikia o nā palapū a me ka makuwahine o ke keiki, he lonikū incision ua i. Loa pinepine, ka wā i lawe amniorrhea, ke kīloi paʻewa kulana o fetal ka piko hoʻonāukiukiʻana mai o keia poho.

Inā previa i hui pūʻia, a me ka poo mea he uuku ma lalo o ka hōʻike 'ana, e' ae i ka hanau maoli ai. Ma nā hihia, ke ho'āʻo e huli paa: ina ke kaʻina ua hana poorly, hoonohoʻoki kino ma Caesarean pauku.