Correct positioning of the baby before childbirth. How does the baby lie in the stomach? How long does the question of presentation become relevant?

The long-awaited moment when the baby should be born will come very soon.

Often, over a long period of time, the behavior of the baby can change greatly: it becomes quiet, calm, rests a lot, gaining strength before being born.

But it can also happen quite the opposite: the little one is very active, delivering to mom.

Usually, by 37-38 weeks, the baby is also preparing for childbirth and takes its final position in the uterus.

But remember that children are fidgets, so they can turn over as they please, until the very moment of birth.

This is absolutely normal, so you have nothing to worry about. But if you decide to help the baby to lie in correct position, A few simple tips will help you.

We adhere to a healthy lifestyle

Still very important proper nutrition, walks in the open air, physical activity(swimming, walking). It is useful, by the way, to swim on the back or dive.

Experts say that often the unsuccessful position of the child in the mother's tummy is the result of too comfortable life without physical exertion.

Little tricks

Try to sit not on a soft sofa, but on hard chairs with a straight and firm back. If you sat down on the sofa, then do not lean on its back - sit on the edge, legs apart, and let your stomach be between your knees.

Sit backwards on a chair as often as possible - facing the back. Buy a special big ball (fitball) and sit on it more often, even when you are just watching TV.

If you drive a car, it is better to abandon it for a while or make sure that the back of the seat is straight at all times.

Exercises to change the position of the fetus

There are exercises to help your baby get into the correct position for childbirth. We will give examples of the most simple and effective ones.

Get on all fours, swing your hips from side to side. Take this pose more often, especially when you feel that the baby is awake. You can even walk around the house in this position - and it is useful, and amuse your husband!

Without kneeling, lower your hands down, touch the floor with them, and in this position walk a little around the house.

Sit on the floor with the soles of your feet close to each other. Bring your knees as close to the floor as possible, and pull your feet towards you. Sit like this for 10-20 minutes 2 times a day.

There is also an uncomplicated and affordable way turning the baby head down - this is the method of I.F.Dikan.

You need to lie on a flat surface - first on the side where the baby's head is displaced (usually this is the left or right hypochondrium). After 10 minutes, roll over over your back onto the other side and lie down for another 10 minutes. Repeat 6 times. You need to do the exercise 2-3 times a day before meals. Try to sleep on the side where the baby's head is displaced. By the way, the little one does not like it at all: in protest, he turns over, and exactly in the direction we need it.

Self-hypnosis and visualization

Psychologists often talk about the great power of thought. So you can try this method for yourself: clearly imagine a child who is lying with his head down. For better visualization, find pictures in books with the correct location of the crumbs, copy and hang them in a prominent place.

The more often you look at them and inspire yourself, the more chances that the little one will really turn over. Relax and imagine the baby's turning process.

But remember that you should not rush to help the child roll over. He can do it on his own right before childbirth. In addition, in the maternity hospital you will be sure to do an ultrasound scan, which will show the position of the little one.

Your baby loves her mother very much, which means that she will definitely want to help in childbirth in order to quickly meet with you. Enjoy your childbirth and a healthy baby!

If the baby is in a head-down position with the back of the head to the abdomen (anterior view of the fetal position, cephalic presentation), labor is likely to be faster and easier. By the end of pregnancy, most babies take this position.

In the front position, the fetus "snugly" nestles with its head towards the pelvis. During labor, the baby rounds the back, guiding and pressing the chin against the chest. Childbirth will be easy because:

  • The top of the baby's head puts even pressure on the cervix during contractions. This helps her to expand, and the body - to develop the hormones necessary for childbirth.
  • During pushing, the child passes at such an angle that the smallest part of the head appears first. (Try wearing a tight turtleneck without pulling your chin in and you will understand the mechanism.)
  • When the baby is in the lower pelvis, he turns his head slightly so that the widest part of the head is in the widest part of the pelvis. The back of the head slips under the pubic bone. During the very birth, the baby's face passes the area between the vagina and the perineum.

What is the posterior view of the fetal position?

The posterior position means that the fetus is also in the cephalic presentation, but the back of the head is directed towards the spine. By the time labor begins, about 1 in 10 cases have the fetus in this back-to-back position.

Most births with the fetus in the posterior position are delivered by the vaginal route. But childbirth is more difficult, especially if the baby's chin is pushed up, rather than pressed to the chest.

  • You may experience back pain as the baby's skull presses on the spine.
  • Your water may drain early.
  • Labor can be difficult and slow, with intermittent periods of labor.
  • You feel the pushing even before the cervix is ​​fully open.

With the right help during childbirth, most babies in the back position will turn over and take up the front position. When the child hits the lower pelvis, he has to roll over almost 180 degrees (half a circle) in order to get into a better position.

This may take a long time, or the child may decide that they are not going to roll over at all. The latter means that he will be born facing you. This will require a pair of tongs or a vacuum extractor.

Why are some babies in the back position?

The fetus may be in a posterior position due to the type and shape of your pelvis. Most women have a pelvis that is narrow and oval (anthropoid pelvis) or wide and heart-shaped (female male-type pelvis) rather than a round pelvis.

If your pelvis is oval or heart-shaped and not round, then your child will most likely take a back position, a position back to back in the widest part of the pelvis.

This is because in this position it is easier for the fetus to arrange the head.

If you sit in a comfortable chair in front of the TV for a long time, or work at a computer, your pelvis is tilted back. This causes the back of the baby's head and spine (the heaviest parts of the body) to outweigh and roll the baby onto its back. Thus, the fetus takes its back position.

If you spend a lot of time upright, the child is likely to take forward position because the pelvis is tilted forward.

How can I help my child to take the front position?

Try tilting your pelvis forward rather than backward when you are sitting. Make sure your knees are always lower than your hips. This is the optimal position for the fetus as it stimulates the fetus to take a forward position.

Also, try the following steps:

  • Make sure that your favorite chair or seat on the couch doesn't make your pelvis sag or your knees rise. If this happens, try to take a position on all fours.
  • Clean the floor! When you are on all fours, the back of your baby's head is directed towards the front of your belly.
  • If you have sedentary work, make sure to move more and take regular breaks.
  • Place a pillow on your car seat to raise your pelvis.
  • Watch TV while sitting on a fitness ball or leaning forward on it. If you are sitting on it, make sure your hips are higher than your knees.

Don't worry about the correct position of the fetus during sleep. When you are in a horizontal position, there is no vertical pressure on the child. However, the position on the side, and not on the back, is the best option for sleep in the last stages of pregnancy.

Can you help your baby to get into the correct position for childbirth?

The most proven way to help your baby get into the correct prenatal position is to crouch on all fours twice a day for 10 minutes.

You should also stay in an upright or forward tilted position longer than under normal circumstances.

However, your correct posture does not always lead to the correct position of the fetus, so the result of its posterior position may be the shape of the pelvis, no matter how hard you try.

How to improve the position of the fetus just before delivery?

If the fetus is in the back position during labor, you can still use stimulating upside-down positions and movements to help the baby and relieve pain.

It often happens that already during childbirth, the fetus turns from the back position into the front one before the attempts themselves.

You may experience minor pain for several days before giving birth. It may pass, but it will be a sign that the child is trying to roll over to a forward position.

One of the best positions is on all fours. In this position, the fetus moves away from the spine of your spine, helping to relieve back pain and, even more desirable, turns.

    Get plenty of rest at night.

    Diversify your daily routine, from walking and locomotion, ending with a position on all fours or a kneeling position - chest to the floor - with your knees on the floor, your head, shoulders and chest on a pillow or mattress, and your pelvis in the air.

    Lean forward during contractions and try swinging on a fitness ball.

    Eat and drink regularly to maintain strength and water balance in your body.

    Try to stay calm and positive.

During labor itself, try to diversify your positions and movements, and use the following methods, depending on what is most convenient for you:

  • Strike a pose on all fours or on your knees - chest to floor - with your knees on the floor, head, shoulders, and chest on a pillow or mattress, and your pelvis in the air.
  • Lean forward during the scrum using the ball, pillow, partner, or bed.
  • Have your partner massage your back.
  • Swing your pelvis during contractions to help the baby roll over. The fitness ball is great for swinging your pelvis.
  • Lunge, either standing on one leg, kneeling in bed. The side that is most comfortable to lunge is likely to be the side that gives the child more room to turn.
  • Lie down to encourage the child to turn into the correct position.
  • Move or stroll from time to time. Do not remain in a sitting or lying position, leaning back for long periods.
  • Try not to rush with the epidural as it increases the likelihood of the fetus remaining in the posterior position. With an epidural, you are less likely to give birth on your own.

Every woman wants to accurately understand the behavior of her baby both during pregnancy and immediately before childbirth. Does the child calm down before giving birth or should he actively move, how often should the tremors be felt and how long before childbirth does the child calm down? There are a lot of questions.
To correctly recognize the baby's signals, let's take a closer look at the baby's behavior before childbirth.

Every pregnant woman, especially on early dates, wonders if her pregnancy is going well. Even if the doctor says that everything is in order, and the tests are normal, on a subconscious level the question is tormented by the question: "Is everything okay with my child?" It is only when the woman first feels the movement of her baby that the feeling of anxiety diminishes slightly.

The child's movements are a kind of "baby's language", his way of communicating with his mother and the world around him. On it, he transmits messages about his physical and emotional state. Knowing this "language" a woman can understand whether the pregnancy is proceeding normally, how the child lies and, even, whether he is ready to be born.

It is believed that a pregnant woman can feel the first tremors no earlier than in the fifth month. In fact, already in the early stages, the baby begins to actively move and try to prove himself. Already at the 8th week, using an ultrasound scan, you can see how the baby moves his arms and legs. A woman can herself feel the movements during this period. At first, the baby's movements can be easily confused with gurgling in the intestines or light tickling. Some describe this feeling as if a small fish is swimming in its belly.

The reason for these feelings is very simple. Starting from the second month, the development of the nervous system is in full swing, which is responsible for the motor activity of any person. By this time, the baby has already developed muscle tissue and the brain begins to develop, which transmits impulses along the nerve fibers, forcing the muscles to contract. The baby's movements are completely unconscious. Due to the fact that the child is very small, and being in amniotic fluid ah, the limbs still do not reach the walls of the uterus, the expectant mother does not feel any movement or takes them for intestinal processes.

Interesting Facts:

  • at 2.5 months, the child is able to change the trajectory of movement, pushing off from the walls of the uterus;
  • at the 16th week, a reaction to sounds appears, primarily to the mother's voice;
  • at the 17th week, the child may squint;
  • at the 18th week, he moves his arms and legs, touches the face, squeezes the umbilical cord, closes the face if he hears harsh sounds;
  • in the fifth month or at week 20, the child makes from 20 to 60 pushes for an hour. The pace and strength changes with the time of day;
  • at the 24th week, the baby begins to actively talk with his mother in the “language of movements” - with his sharp jerks or smooth movements, he expresses joy, anxiety or calmness;
  • according to statistics, starting from the 24th week, the child moves on average 10 times per hour. He sleeps for three hours and remains completely calm.

Does the baby calm down or is active before giving birth?

In the sixth month of future mother the stomach is still roomy enough and there is enough room for the baby to rotate and move. But later the situation changes, and the child's activity before childbirth decreases.

There are two reasons why a baby calms down before giving birth:

  1. The child has grown and continues to develop. Although the uterus has a tendency to stretch, by the end of pregnancy, the amount of free space is greatly reduced. Accordingly, there is practically no room for somersaults and jerks. It is also influenced by the fact that in the last stages the uterus descends, and the child is in a fixed state between the pelvic bones.
  2. The position of the child before childbirth turns from horizontal to vertical, that is, he is upside down. Thus, most of the blows will be in the upper uterus region. And this is a less sensitive area in a woman due to a smaller number of nerve endings. In fact, even in this upside-down position, the baby is active before giving birth. But the feelings of the second trimester are incomparable with those that she is experiencing now. If earlier "the belly was shaking" and the expectant mother could constantly observe the protruding heel, then the elbow, at the end of pregnancy this will not happen. We can say that the baby began to behave much quieter and calmer. He calms down and prepares for birth. From time to time, a woman feels shoving, but it is less intense and is repeated infrequently.

In order to assess the movements of the child starting from the fifth month of pregnancy, you need to proceed as follows:

  • drink a cup of sweetened tea or eat something sweet;
  • 15 minutes after having a snack, relax on the couch or in a comfortable chair for about an hour. Such simple actions encourage the baby to express himself.

If you fail to stir up the baby, try to repeat your actions after a couple of hours. Maybe you got into the "quiet hour" period and the child was asleep. If during the day, the baby has not responded, you need to see a doctor. Listening to heart sounds will explain the situation and calm you down.

Do not forget that everything is individual and depends both on the character of the baby and on the “threshold of sensitivity” of the expectant mother. Someone has a child more active before childbirth, someone less. Someone feels stronger blows with arms and legs, for someone it is like tickling. Most often, girls are calmer by nature, but boys already in the womb show their character and behave like real football players. Don't worry about the little things. Attention should only be paid to abrupt changes in behavior. They can signal the appearance of problems during pregnancy. It is especially worth paying attention if the child suddenly begins to show great activity and does not calm down for a long time.

In order to find out what caused the deviations in the frequency and nature of the movement, cardiography is performed. CTG is a method for assessing the condition of a child by examining his heart rate. Simply put, the doctor analyzes the baby's cardiac activity when he is at rest, in motion, with the contraction of the uterus, and also when exposed to various environmental factors. This study helps to find out if your baby is suffering from oxygen deprivation. Hypoxia or oxygen starvation is very dangerous, it can lead to various disorders during childbirth and in the early postpartum period, as well as affect the development of the baby.

Causes of hypoxia:

  • bleeding;
  • various diseases such as diabetes mellitus, cardiovascular disease and anemia;
  • fetal-placental insufficiency;
  • pressing the umbilical cord;
  • rhesus conflict;
  • other.

At the initial stage of oxygen starvation, sudden restless behavior of the child can be noted. The baby is constantly in motion, does not calm down for a very long time, his sharp and strong jolts can sometimes even bring pain to his mother. With progressive hypoxia, the behavior is extremely cardinal. The kid stops showing himself completely. He calms down and does not make contact for a whole day. This condition is very dangerous and can be fatal. Therefore, it is very important to pay attention to whether the child is moving before childbirth, and to analyze his activity.

But it is worth remembering that the manifestation of sharp activity does not always indicate the presence of problems. Most likely, my mother sat cross-legged or lay on her back. And these are the least favorite positions for a child, since the supply of oxygen to him decreases. In this case, you need to change the pose. If within a few hours the child does not calm down, you should consult a doctor. Obstetricians recommend starting to pay attention to wiggling from the seventh month. Control must be carried out twice a day.

How a baby lies before childbirth

A child in the womb before childbirth takes the starting position for a safe exit into the world. The correct position is vertical, head down, chin pressed to chest, buttocks up, arms and legs folded and pressed to the body. There are times when the child does not roll over. He can "sit on the priest" with crossed legs, or be in a horizontal position with his buttocks down, and keep his legs straight. But this happens very rarely, about 5% of children remain in breech presentation. Even less often, there are cases when the child is in an oblique or transverse state. If the child does not want to take the right position, he cannot be born on his own. In such cases, doctors refuse natural childbirth and use cesarean.

The way the baby moves and wiggles can tell the mother without an ultrasound whether the baby is positioned correctly. In the last weeks, you can say with accuracy which part of the body the child is shoving with. Most mothers on the left feel the back of the child, and in right side all the pokes and kicks of the child are accounted for.

The feeling of movement of the legs at the top of the abdomen indicates that the child has taken the correct starting position. If such sensations are in the lower abdomen, then with a high degree of probability, the child is in breech presentation.

At 32-34 weeks, the expectant mother is given a screening ultrasound, in which the doctor determines the position of the baby. Sometimes it is a breech presentation, which can change closer to the genus. If the situation does not change at 38-40 weeks, there is still a chance that the child will turn over. The correct position of the baby can be formed almost on the day of birth, but this is a very rare case.

Factors contributing to breech presentation:

  • a large amount of amniotic fluid and small size child;
  • lack of water;
  • uterine fibroids;
  • low position of the placenta.

A mother-to-be can help her child roll over like this:

  1. It is necessary for the stomach to drop down a little under its own weight. To do this, sit on the edge of a sofa or chair. Spread your legs and let your stomach sag down. It is better to sit on a chair backwards, that is, with your stomach to the back.
  2. Get a fitball and practice on it. Sit on the ball, bounce and swing slightly, warm up, or just sit on it.
  3. Walk more, walk in the fresh air. Try to use less car or public transport.
  4. You should sign up for the pool. Water aerobics is very useful for pregnant women. Swim more on your back.
  5. Lie on one side on a hard surface, spend about 15 minutes, then roll over onto the other side over your back and also lie in this state for a quarter of an hour. These turns must be done five times.
  6. On the floor, take a position on all fours and swing your hips a little.
  7. You can do gymnastics, but under the supervision of a specialist.

It is worth remembering that physical activity can only be allowed with the permission of a doctor, otherwise you can harm both the child and yourself.

Child before childbirth. Does the baby move during contractions

Contractions are a process that occurs just before childbirth. It arises due to the involuntary contraction of the smooth muscles of the uterus and is needed for the baby to be born. According to statistics, babies do not stop their activity during contractions and with their movements help their mother to quickly provoke childbirth. When contractions begin, the child actively moves, rests his head against the pelvic floor, turns his head to squeeze in and go through the tortuous birth canal, and pushes his legs with all his might from the bottom of the uterus. The kick-off reflex is learned by babies before they are born.

At the same time, if a child experiences oxygen deprivation, he becomes too active due to the discomfort he is experiencing. This is manifested in the fact that the child also moves between contractions. As soon as the mother feels the baby's activity between contractions, it is urgent to tell the doctor about it.

Lack of wiggling between contractions is a normal labor process. After all, a baby, like a mother, needs to accumulate strength and periodically rest.

During childbirth, a woman experiences a "pain shock". Due to their painfulness, contractions dull sensitivity. Therefore, in most cases, a woman during childbirth does not feel the activity of the baby. The birth of a child is not only a huge work of the expectant mother, but also of the child. For him, this is also a huge stress.

Let's sum up

The moments when a woman saw the cherished two stripes on the test, heard the baby's heartbeat for the first time, saw him for the first time on an ultrasound scan, felt the first shock in her stomach, heard his first cry and finally saw him live - these are the most important and happiest moments, that belong only to you and the baby.

Of course, even if the pregnancy proceeded normally for all nine months without deviations, the expectant mother is worried about a huge number of questions. Especially if this is the first and long-awaited pregnancy. Any careless movement of the baby, any sharp blow, or vice versa, calm behavior can plunge into panic. The first thing to do is to calm down and analyze what is happening. Think back to all the information you received in pregnancy courses, from books and from doctors.

The following important points should be remembered about how the child behaves before childbirth:

  1. Very rarely does anyone feel the movements of the baby until the fifth month. This is natural, since the child is still very small and simply cannot reach the walls of the uterus.
  2. From the seventh month, it is necessary to control and analyze the child's movements twice a day - in the morning and in the evening. If the baby “does not get in touch”, try to provoke him by eating something sweet and lying down for a while.
  3. Closer to childbirth, the activity decreases, the baby kind of calms down.
  4. Sudden activity doesn't always mean a problem. You may be sitting or lying in an uncomfortable position.
  5. Oxygen starvation or hypoxia can cause your toddler to be unusually active. It is worth consulting a doctor and going through all the necessary tests.
  6. Starting from the 32nd week, the baby turns upside down. Sometimes the baby is in breech presentation until the day of delivery, but these are rare cases. Most often, a couple of weeks before birth, the baby still turns over.
  7. The expectant mother can influence the correct position of the baby. Water aerobics and gymnastics for pregnant women, as well as fitball exercises, are very effective. Physical education can be carried out only after the permission of the doctor leading the pregnancy.
  8. The baby is actively moving during contractions. But between contractions, he, like his mother, rests. Therefore, if movements continue, be sure to notify the obstetrician.

And, most importantly, what the expectant mother should remember is that it is impossible to wind yourself up over trifles. A positive and optimistic attitude is the key to a successful childbirth. You will miss those nine months during which you carried the baby under your heart. Take care of yourself and your baby.

Video "How does a baby behave before childbirth"

And you still have it lying wrong! Many future mothers hear this phrase from the lips of a doctor. Most babies, by the due date of birth, still take the correct position, that is, they are located head down. But there are those who do not even think to do this. What, then, should mom do?

With the normal location of the fetus in the uterus, the baby's head is below, above the bosom, and during childbirth, the first passes through the birth canal of the mother. But in 3-4% of all women, the fetus is in the so-called breech presentation. With a breech presentation, the buttocks of the fetus are facing the entrance to the mother's pelvis (in other words, the baby is sitting). Less often, the child lies across (transverse presentation) or obliquely.

Breech presentation

So, the most common posture of a baby in the womb is the head down posture. In this case, childbirth is easiest, since the largest part of the fetus - the head, comes out first and clears the way for other parts of the baby's body.

However, some babies are in the wrong position in the mother's abdomen. Breech presentation of the fetus, this is how the position is called, when the baby in the mother's womb is "ass-first", there are three types: breech presentation, foot presentation or buttocks with legs (mixed breech presentation).

In most cases, babies are in the correct position in the womb 4 weeks before delivery. But still, there are those who cannot or do not want to lie down with their head first. And the closer the expected date of birth, the less likely it is that the child will be able to take the desired position on his own.

However, there is special cases, which midwives talk about when mommy talks to her baby, persuading her to roll over, and the baby changes his position. Surprisingly, this is true. There are also special exercises to turn the child into the desired position.

What are the reasons?

There can be many reasons for breech presentation. Often it occurs due to polyhydramnios, a narrow mother's pelvis, deformation of the small pelvis, due to a tumor of the uterus or its developmental abnormalities.

Some experts believe that the wrong position of the fetus is associated with emotional stress. For example, the world for the baby has not yet been formed - the relationship between the parents is strained or there are still unresolved problems in his future family and the baby protests with his incorrect presentation, thus saying to his mother: I don’t want to come into a world that is not ready to accept me. You may or may not believe these statements, but it doesn't hurt to think about it. Perhaps you can really make the world around you a better place to make your baby more comfortable.

Can you deliberately flip it over?

Today there is whole line exercises, how to turn the baby into the correct position. This procedure is usually performed by a doctor in a hospital 2-3 weeks before the expected birth. With one hand through the uterus, with the other helping from the outside, placing it on the mother's abdomen, the doctor tries to turn the baby. In parallel with this procedure, doctors are preparing for an emergency operation. caesarean section... When you try to turn the baby over, you can prematurely pour out water or the placenta may begin to detach, which means: it is necessary to urgently start labor.

Breech delivery

Labor in the cephalic presentation proceeds according to the usual program. The birth of a child from the "ass-first" position can also develop according to a natural scenario, but it will require a great deal of patience and skill from the doctor, from the expectant mother - composure, and from the baby - firmness and absolute health.

Breech delivery is usually protracted. Weakness may develop generic activity or fatigue of a woman in labor. Doctors very closely monitor the fetal heartbeat, this is done after each contraction. In the second stage of labor, perineal incisions are often made to help the baby be born sooner. In the third stage of labor, a woman is prevented from bleeding.

This is why breech delivery is considered an extraordinary situation and it is up to the doctor to determine if it will be risky. The doctor will decide in favor of the usual scenario if:

1. the baby is absolutely healthy and appears on time;
2.Its estimated weight is average ( natural childbirth may be unsafe for small and large children);
3. the umbilical cord is not entwined around the neck (otherwise, during attempts, the child will begin to hypoxia - lack of oxygen);
4. the expectant mother is healthy;
5. there are no abnormalities in the structure of her uterus;
6. the size of the pelvis is normal;
7. the woman is not more than 30 years old and she had no problems with the onset, gestation and course of pregnancy;
8. the process of childbirth develops smoothly;
9. the appearance of a girl is expected (neonatologists believe that birth in a "butt-first" position is fraught with a serious load on the genitals for boys);
10. in the previous birth, the mother gave birth to a very large child.

The heartbeat of the baby during such childbirth and the course of the process itself will be constantly monitored by a cardiac monitor. The expectant mother needs to know that if in the course of events there are malfunctions, the doctor will send her for an emergency caesarean section - in the interests of the baby. If a woman is not willing to take risks and insists on surgery, the doctor in such a situation will always meet her halfway.

What is the risk of natural childbirth with breech presentation?

The biggest risk, of course, is lack of oxygen during pushing. After the whole body is born, the head can get stuck in the pelvis and pinch the umbilical cord. The placenta in such cases can begin to exfoliate prematurely. Then the midwife needs to remove the baby as soon as possible, since even the perineal incision does not help in these situations, you need to help the child with your hands.

Delivery with transverse presentation of the fetus

Sometimes the baby arranges a surprise for the mother and doctors: it is located obliquely or across in the uterus. In the first case, it is likely that with the onset of labor or after the outpouring of water, the fetus will still take its proper position. The question is how it will be positioned - head or bottom down.

If the child is forced to lie "on the side" of the umbilical cord entanglement, a septum in the mother's uterus or a low-lying placenta, the doctor will suggest not taking risks and will send it to the cesarean.

As for the transverse position of the fetus, in the old days obstetricians tried to deploy such children, because the operation of a cesarean section was very, very risky business in those days.

With the development of surgery, the emergence of new suture material and drugs that help to avoid complications after surgery, doctors have the opportunity to preserve the health of mothers and children. Therefore, today the lateral position of the fetus is not corrected, but the expectant mother is given a caesarean section. An exception to this rule may be a situation when a second baby of twins is located across the uterus, because after the birth of the first one and the outpouring of amniotic fluid, he will have a chance to roll over, using the vacated space.

How is the position of the fetus determined?

The fetus is positioned with its head down (fetal head position). Whether this is so, it will become clear at the 7th month of pregnancy, when the doctor probes the belly of the expectant mother. His conclusion should be confirmed by the results of examination through the vagina and ultrasound.

The kid is sitting. The breech presentation of the fetus can be recognized from the 32nd week of pregnancy during examination: in the upper part of the uterus, the doctor gropes for the firm head of the child, and in the lower part - the soft bottom.

The child lies across (transverse position of the fetus). Having felt the belly of the expectant mother, the doctor will "discover" the head and buttocks of the little sly on the sides. This position of the fetus is determined from the middle of pregnancy, or rather, from the 20th week. By the way, you can try to correct the situation with the position of the fetus with the help of a special exercise, which should be done starting from the 31st week.

You need to lie on a hard surface, turn first on the right, then on the left side and lie in each of these positions for ten minutes. Do this exercise 3 times a day for 3-4 sets, before meals. If the position of the fetus has improved, the doctor will advise wearing a bandage to consolidate the achieved result.

Many doctors rightly consider it important to know how the child lies with mommy. After all, a lot of everything depends on this, in particular, the correct natural childbirth without injuries and death of the mother or child.

How should a baby lie in the stomach before giving birth?

There are correct and incorrect positions of the fetus in the uterus. The correct one can be attributed to the vertical position, which is head and pelvic. Incorrect in obstetrics include transverse and oblique.

To find out for sure exactly how the fetus lies in the uterus, it must be done at the 28th week. Already during this period, the baby's motor activity decreases, and he takes his final position.

Physiologically, this position of the fetus in the uterus is considered optimal: vertical position, cephalic flexion presentation. This means that the baby is in the head down position and the butt up.

At the same time, the head is bent, the arms and legs are crossed by themselves, and they should be pressed against the body. In this position, childbirth is almost always successful, without tears in the mother and injuries in the child.

Presentation can be of several types, except for the head flexion:

  • Cephalic extensor - when the head is not bent, but extended to varying degrees (antero-head, frontal and facial presentation)
  • Breech presentation:
  1. Buttock - it can also be different. With a purely gluteal, buttocks are presented to the entrance to the small pelvis, and the legs are bent at the hip joints, extended at the knee, extended along the body. With a mixed one, the buttocks are facing the entrance to the small pelvis of the woman in labor, together with the legs, which are bent at the joints.
  2. Foot - also divided into full and incomplete foot. Perhaps both legs will be presented, while they are slightly unbent in the hip and knee joints, or one leg is presented, it is unbent in the hip and knee joints, the other is then bent in the hip joint, it is located higher.
  3. Knee - presented with bent knees, a very rare occurrence

The rarest is the transverse and oblique arrangement of the fruit in. Such provisions almost always require a cesarean section, otherwise childbirth can be fatal for both the woman in labor and the baby.

Fetal mobility can be observed up to 33-34 weeks. Anxiety only makes sense in the last month if the fetus is in the wrong position. There are times when the fetus unfolds into the correct position almost a few days before childbirth.

Caesarean section is the delivery of an operation, during which the newborn is removed from the uterus through an incision in the anterior abdominal wall and the uterus itself.

Fetal indications for surgery:

  • acute fetal hypoxia
  • pelvic and abnormal presentation
  • prolapse of the umbilical cord
  • extensor cephalic presentation
  • death of a mother with a living child
  • multiple pregnancy with breech presentation of one fetus

Indications for surgery on the part of the mother:

  • narrow pelvis
  • placenta previa
  • premature placental abruption
  • threatened rupture or rupture of the uterus
  • 2 or more scars on the uterus (previous surgery)
  • scar tissue deformation
  • weakness of labor, which does not lend itself to medical correction
  • tumors of the pelvic organs that prevent childbirth
  • congenital malformations of the genitals
  • severe forms (eclampsia)
  • HIV infection of the mother
  • various extragenital pathologies (diseases of the heart, lungs, kidneys, etc.)

As you can see, the feasibility of a cesarean section is discussed with the doctor at the stage of pregnancy.

Soft tissue ruptures during childbirth are what most pregnant women fear, and the closer the due date, the more this fear increases. The risk of rupture during childbirth depends on the degree of elasticity of the pelvic floor, the size of the fetal head, and the rate at which the baby moves through the birth canal.

If you cannot control the size of the head and the position of the fetus, then the prevention of ruptures comes down to strengthening the tissues of the perineum, which you must do, and the experience of an obstetrician who must lead the birth correctly.

In turn, a woman in labor should listen and follow all the doctor's recommendations (when you need to push, and when you can't).

  • regular crotch tissue with oil
  • treatment of the skin of this area with moisturizers
  • intimate
  • exercise with a gymnastic ball

There is no need to be very afraid of breaks in time. Firstly, all doctors skillfully apply stitches that heal quickly and leave practically no traces. Secondly, specialists carefully monitor the process of childbirth and, if there is a danger of rupture (this is determined by the color and condition of the tissues of the perineum), they will make an episiotomy (incision of the perineum). It is much easier to sew up a straight edge of a wound than a tear.

Therefore, do everything that depends on you, and entrust the rest to the specialist doctors who will take over your delivery.