Know what are the positions that the baby can adopt in the womb and understand how each influences the time of childbirth.
Have you heard that the baby might be in a wrong position to be born? While there is indeed a “wrong” position, there are Yes postures that can make natural childbirth more complicated or even positions a caesarean is required. However, the most common is that most pregnant women are able to have a natural childbirth, since babies often adopt the best posture for that until the moment of birth.
Still, Brazil has a high rate of births by caesarean section, more than 40%. The who recommendation, however, is that this rate does not exceed 15%. According to the survey were born in Brazil, 28% of women already want to do c-section in early pregnancy. However, the c-section due to position of the baby is a decision that should happen only at the time of delivery.
“The baby moves and can, during pregnancy, assuming various positions. At the time of birth, if the baby is in an unfavorable position for vaginal delivery, cesarean section is indicated, “explains the obstetrician and gynecologist Sundays Mantelli.
What will determine the influence on the type of delivery is the position in which the baby is at the time of birth, independent of any other that he may have assumed throughout the pregnancy. As indicated, considering only the position of the fetus, is to wait until the beginning of labor to complete if the caesarean is necessary. After all, the odds are that the baby position favouring the natural childbirth.
The Positions Of The Baby At The Time Of Delivery
“The positions influence on time of birth”, explains Domingos Mantelli. “Generally, the baby is positioned by free will. He travels throughout pregnancy “, he adds.
Check out what are the most common positions of the baby and how each influences the time of childbirth.
The cephalic position is one in which the baby’s head down. According to Dr. Sunday, this is the best position for the birth by natural childbirth. In addition, it is the most common position: statistics show that in over 90% of cases the baby takes naturally to cephalic position.
As the inflection of the baby’s head, the cephalic position can be bent or was deflected from 1st, 2nd (forehead) or three (of the face). “Cephalic position bent, was deflected first grade and third grade was deflected the baby also born of natural childbirth”, says the doctor.
However, in the second degree was deflected position, cesarean section is needed. Moreover, while the third was deflected degree may be conducted for a vaginal birth, is an atypical and posture is not so common that midwives are trained to deliver normal in this case.
When the baby is sitting – IE of heads up – he’s breech. Although much is speculation on the impossibility of normal birth when the baby is sitting, this is a possible alternative. “Pelvic position can also be born of normal birth, but is a little more difficult,” says the obstetrician.
In this position the baby is lying, crossed into the uterus. In many cases, the doctor may be able to help the baby to turn this cephalic position. When this doesn’t happen and the woman is already in labor, it is not possible for the child to be born through natural childbirth. “In the transverse position must be discussed,” points out Dr. Sunday.
3 Myths About The Position Of The Baby And Childbirth
1. Obligation Of Cesarean Section In The Case Of Baby Sitting
“One of the biggest myths about baby’s position is that when the baby is sitting necessarily has to be a c-section. Pelvic babies, namely, seats, can also be born of natural childbirth”, explains Domingos Mantelli.
- Mandatory C-Section When The Cord Is Wrapped Around The Baby
The umbilical cord being wrapped in some part of the fetus is not a reason in itself determinant of the need for a c-section. Even if the cord around the baby, it is possible that the delivery is normal without pose risks to the child.
- Inability To Make The Baby Turn
When the baby is in a different position of the cephalic, it is possible to make some exercise so that he changes his position. To do so, however, you need to consult your obstetrician. “There are some maneuvers that doctors can do to try to turn the baby. For example, there is a maneuver called external cephalic version, where the doctor can often turn babies that are transverse or cephalic position pelvic, “comments Dr. Sunday.
When The C-Section Is Really Necessary?
It’s not just the position of the baby at the time of delivery that can cause a caesarean is required. Still, the cases in which this happens are often the most unusual is that the woman may have natural childbirth without any problem.
Check out the key factors that make the c-section required:
When the baby is in a transverse position and not at the time of birth;
When there is premature separation of placenta;
When the mother is a carrier of HIV and has no count of viral load or a high viral load;
When, after the beginning of labor, the umbilical cord appear first to the baby in the channel;
When the mother has heart disease, only in some cases.
Babies “too big” or pregnant women have more than 35 years old are not compelling reasons for the indication of a c-section. Other cases, like the mother has high blood pressure, should be studied with the doctor.
It is always important to discuss with the obstetrician to situation, seek information and check all aspects of pregnancy before taking a decision. A conscious choice can provide a healthy childbirth – both for the woman and for the child.