Fetal Presentation

Fetal Presentation Slide Show

1. The term " fetal presentation" refers to the part of your baby's body that is closest to the birth canal. Fetal Presentation By: Sharmaine Fuentes,RN

2. Methods for Assessing Fetal Position vaginal exams, Ultrasound, feeling the abdomen, and listening to the baby's heartbeat with a Doppler device.

3. Normal Position Of The Baby In most full-term pregnancies, the baby is positioned head down, or in cephalic presentation , in the uterus.

4. Types of Cephalic Presentation

5. The occipital fontanel is the presenting part, and this presentation is referred to as a vertex or occiput presentation

6. Types of Vertex Presentation The vertex presentations are further classified according the position of the occiput , it being right, left, or transverse, and anterior or posterior Left Occipito -Anterior (LOA), Left Occipito -Posterior (LOP), Left Occipito -Transverse (LOT); Right Occipito -Anterior (ROA), Right Occipito -Posterior (ROP), Right Occipito -Transverse (ROT); The Occipito -Anterior position is ideal for birth

7. The fetal neck may be sharply extended so that the occiput and back come in contact and the face is foremost in the birth canal face presentation.

8. some consider the brow presentation as an intermediate stage towards the face presentation. brow presentations almost always are converted into vertex or face presentations by neck flexion or extension, respectively. Failure to do so can lead to dystocia

9. Breech Presentation Bottom part of the body closest to the birth canal.

10. Types of Breech Presentation Complete breech is when both of the baby's knees are bent and his feet and bottom are closest to the birth canal.

11. Incomplete breech is when one of the baby's knees is bent and his foot and bottom are closest to the birth canal.

12. Frank breech is when the baby's legs are folded flat up against his head and his bottom is closest to the birth canal . Footling breech where one or both feet are presenting.

13. Complications of Breech Prolapsed umbilical cord is common in breech deliveries. Umbilical cord slips down through the cervix before the baby does. The cord is then compressed during contractions, which cuts down on blood flow to the baby. An emergency cesarean section is usually needed.

14. Correcting Breech doctor may try to manually move him into a head-down position for delivery. There are two ways to do this: During an external version, the doctor moves your baby by pressing on the outside of your belly. During an internal version, the doctor inserts his hand through the vagina and cervix and moves the baby from the inside. If your doctor can't manually reposition the baby, a cesarean section may be needed.

15. Other Presentations Posterior position , his face is turned up toward your belly. This can make labor longer and more difficult, since the widest part of his head has to fit through the birth canal. The baby can rotate into a normal, face-down position by getting on all fours with mother’s bottom in the air, which allows her uterus to drop forward. The doctor may also try to reposition the baby by reaching in through her vagina and gently rotating his head with his hand or forceps. If none of these methods works, a cesarean section may be needed.

16. Transverse Presentation If the baby is transverse, he is lying horizontally in the uterus. The doctor may try to manually turn him into a head-down position, but a cesarean section is usually needed.

17. Prepared by: Sharmaine Fuentes, RN Davao City , Philippines, 8002 [email protected]