Childbirth by the seat, can we prevent?

Childbirth by the seat, can we prevent?

The term is approaching and your baby still has not adopted the head-down position. Could we encourage him to turn around to avoid a birth by the seat?

  • Some doctors prefer not to intervene. If a baby does not seem determined to "switch", there is probably a reason: according to them, it is better to respect nature.
  • Other practitioners are more interventionist and give a little help to the fetus. By exerting manual pressure on the belly of the mother, they try to make him tumble, head first! We call it a "version by external maneuver ".
  • The expectant mother is lying down, she has been given medicine to release her uterus. The baby's position is constantly monitored by ultrasound, and his heart rate by monitoring.
  • To know : this maneuver does not always succeed ... Above all, it requires monitoring in the following hours and even days, to ensure the health of the baby and check the reactions of the uterus and placenta.

But how do they know how he presents himself?

How do midwives know where the baby is? Touch.

  • For a seat or cross-sectional presentationIt's quite simple: buttocks, feet or shoulders are very recognizable parts of the body.
  • For presentations by the headit is less obvious to evaluate the degree of sagging of the latter ... It is then the fontanelles - these fine membranes lasting as long as the ossification of the bones of the skull is not completed - which serve as landmarks. There are two: the large fontanelle, between the temporal bones, in front of the skull, and the small, joining the occipital bones in the back. When the baby's head is very well flexed, you should only feel the small fontanelle under your fingers. If one feels great, it means that the head is badly flexed. If in doubt, the ultrasound allows you to decide.

Isabelle Gravillon