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This topic contains definition, risk to fetus, causes, diagnosis, symptoms and treatment of vasa previa.
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This topic contains definition, risk to fetus, causes, diagnosis, symptoms and treatment of vasa previa.
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Cord prolapse is a frightening and life-threatening event that occurs in labor. Rapid identification and immediate appropriate response may well save the life of a neonate. Therefore, clinicians should be knowledgeable in its recognition and management.
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When fetal head is delivered, but shoulders are stuck and cannot be delivered it is known as shoulder dystocia. The anterior shoulder becomes trapped behind on the symphysis pubis, whilst the posterior shoulder may be in the hollow of the sacrum or high above the sacral promontory.
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Placenta previa is a condition in which the placenta lies very low in the uterus and covers all or part of the cervix. The cervix is the opening to the uterus that sits at the top of the vagina. Placenta previa happens in about 1 in 200 pregnancies. Placenta praevia risk factors include a previous delivery, age older than 35 and a history of previous surgeries, such as a caesarean section (C-section) or uterine fibroid removal. The main symptom is bright red vaginal bleeding without pain during the second-half of pregnancy. The condition can also cause severe bleeding before or during delivery. Limited physical activity is recommended. A C-section is often required in severe cases.
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When fetal head is delivered, but shoulders are stuck and cannot be delivered it is known as shoulder dystocia. The anterior shoulder becomes trapped behind on the symphysis pubis, whilst the posterior shoulder may be in the hollow of the sacrum or high above the sacral promontory.
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Placenta previa is a condition in which the placenta lies very low in the uterus and covers all or part of the cervix. The cervix is the opening to the uterus that sits at the top of the vagina. Placenta previa happens in about 1 in 200 pregnancies. Placenta praevia risk factors include a previous delivery, age older than 35 and a history of previous surgeries, such as a caesarean section (C-section) or uterine fibroid removal. The main symptom is bright red vaginal bleeding without pain during the second-half of pregnancy. The condition can also cause severe bleeding before or during delivery. Limited physical activity is recommended. A C-section is often required in severe cases.
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Breech Presentation: This is one of the most well-known anomalies in fetal positioning. In a breech presentation, the baby's buttocks or feet are positioned to emerge first during childbirth, rather than the head. Breech presentations occur in approximately 3-4% of full-term pregnancies. There are different types of breech presentations, including frank breech, complete breech, and footling breech. Transverse Lie: In this position, the fetus is lying horizontally across the uterus, with its head on one side and its feet on the other. This positioning can obstruct the birth canal and make vaginal delivery difficult or impossible. Face Presentation: This occurs when the fetus presents with its face rather than the top of its head toward the birth canal. Face presentations are relatively rare and may result in prolonged labor or the need for cesarean delivery. Occiput Posterior Position: In this position, the fetus is facing the mother's abdomen rather than her spine, with the back of the baby's head (occiput) against her spine. This position can lead to back labor and increased discomfort during childbirth. Compound Presentation: In a compound presentation, one of the baby's limbs (such as an arm or hand) presents alongside the head during delivery. This can complicate the delivery process and increase the risk of injury to both the baby and the mother. Asynclitic Presentation: This occurs when the baby's head is tilted to one side, making it difficult to descend through the birth canal. Asynclitic presentations can prolong labor and increase the likelihood of instrumental delivery (e.g., forceps or vacuum extraction). Anomalies in fetal position can be diagnosed through physical examination, fetal ultrasound, or other imaging techniques. Management of these anomalies may involve techniques to try to manually correct the position of the fetus, such as external cephalic version for breech presentations, or interventions during labor and delivery, such as cesarean section. Overall, awareness of anomalies in fetal position is crucial for healthcare providers to anticipate potential complications during childbirth and to ensure the safest possible outcome for both the baby and the mother. Breech Presentation: This is one of the most well-known anomalies in fetal positioning. In a breech presentation, the baby's buttocks or feet are positioned to emerge first during childbirth, rather than the head. Breech presentations occur in approximately 3-4% of full-term pregnancies. There are different types of breech presentations, including frank breech, complete breech, and footling breech. Transverse Lie: In this position, the fetus is lying horizontally across the uterus, with its head on one side and its feet on the other. This positioning can obstruct the birth canal and make vaginal delivery difficult or impossible. Breech Presentation: This is one of the most well-known anomalies in fetal positioning. In a breech presentation, the baby's buttoc
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Mal presentation
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FETAL MALPRESENTATION
and MALPOSITION Joni Jabez O. Areola Ulysses E. Boglosa, Jr. Jennifer P. Sedillo
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Fetal Malposition Pathophysiology
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