In general, the baby’s head comes out first. However, there are cases where the buttocks come out first. Let’s take a closer look at what this is.
What is dungeon delivery? Have you ever heard of in this delivery, the baby’s lower body comes out first, not the head? While in the mother’s womb, the fetus will change positions little by little until it has decided on the last one with certainty. And finally, the determined posture is determined during childbirth.
Typically, during the last few weeks of pregnancy, the fetus shifts its position, turning its head toward the mother’s pelvis to prepare for birth.
But what if you are not prepared for this? What action should I take? Does gluteal delivery mean that childbirth will be more difficult?
When the fetus takes a position
By the 7th week of pregnancy, it is common for the fetus to take one position. There are times when it is more certain to maintain that position, and there are times when it is not. And if there are no problems, the fetus remains in that position until birth.
During pregnancy, these changes in posture can be seen through ultrasound. This is one of the prenatal tests that your doctor performs to check the health and development of the fetus.
The delivery type is mainly determined at the 37th week of pregnancy, when the position of the fetus is clearly known. Ultrasound shows that the fetus is firmly positioned, and it is highly likely that the position will not change until delivery.
But not always. Dullus delivery is a form of delivery that is performed when the body part of the fetus closest to the birth canal is the lower body (legs or knees). It is not the “head first” of normal delivery, but the lower part of the body that is closest to the birth canal and dedicated to the fetus comes first.
When will the dwarf birth be decided?
After 37 weeks of pregnancy, the doctor checks the fetal position and confirms the need for gluteal delivery. It is to reduce the risk and difficulty by choosing the best method of delivery so that everything is fine.
There are about five positions of the fetus that will give birth to a blunt position.
Transclinic: When the pelvis and buttocks of the fetus are closest to the birth canal. In this position, the fetus has its legs extended towards its head.
One-legged position: Almost similar to the short-limb position, but with one leg extended toward the head and the other towards the birth canal.
Biceps gluteus maximus: Both feet are closest to the birth canal.
Perfect Hips: Your pelvis and hips are in the birth canal. The legs of the fetus are twisted. This is the best position for natural childbirth.
Incomplete Hip: The pelvis and hip are in the birth canal, but unlike the perfect hip position, only one leg is in place.
Can a gluteal delivery be a natural delivery?
Before deciding on a delivery method, your doctor will try a procedure called reverse external rotation. Rotating the fetus in the womb to avoid gluteal delivery. If the fetus is not repositioned, a cesarean section may be considered.
In any case, a physician’s decision will depend on a number of factors, including the individual pregnant woman and the condition of the fetus.
Reverse external rotation to avoid gluteal delivery
Inverse external rotation is the rotation of the fetus in order to prevent problems that may occur through gluteal delivery or cesarean section in which the fetus is turned upside down. This occurs during the 37th week of pregnancy.
The doctor will massage the fetus to turn it and try to put the baby in a head-first position. Although it is not a completely painless process, the level of pain is known to be tolerable for no more than 5 minutes.
The success rate of reverse external rotation is approximately 60%. Continue to check the condition of the pregnant woman and the fetus while massaging.
Factors Influencing Decisions
Your doctor will explain how to deliver. Naturally, the doctor’s decision is the result of considering the individual condition of each pregnant woman. There are several conditions that must be remembered for a natural birth.
The fetus should not be too large and the birth canal not too narrow. The weight of the fetus should be between approximately 3.1 and 3.6 kg, but this is not the only determining factor. Acidity also influences that decision.
The gestation period must have been long enough and the fetus must not suffer too much or develop heart problems.
The fetus should come out in a perfect gluteal delivery. The hips block the entire upper part of the pregnant woman’s pelvis and the fetus’ arms should be crossed with the arms raised toward the head.
The umbilical cord should not be a problem. This is because the fetus may suffer during the birth process.
Amniotic fluid should be at an appropriate level. If there is too much or too little amniotic fluid , it can be a problem when the fetus is trying to move and it can cause problems during childbirth.
The most important thing for pregnant women is to have enough information for a natural childbirth . You should also plan with your doctor as meticulously as possible. It is important to trust your doctor.
A doctor is responsible for the health of both the pregnant woman and the unborn child. Let’s have faith!