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Intrapartum ultrasonography is regularly used during pregnancy to constantly monitor the fetal position within the mother's belly. [6] The International Society of Ultrasound in Obstetrics and Gynecology Practice Guidelines recommend the use of intrapartum ultrasound to diagnose asynclitic births during prolonged and obstructed labors. [7]
The main causes of obstructed labour include a large or abnormally positioned baby, a small pelvis, and problems with the birth canal. [2] Both the size and the position of the fetus can lead to obstructed labor. Abnormal positioning includes shoulder dystocia where the anterior shoulder does not pass easily below the pubic bone. [2]
Fetal abnormalities are conditions that affect a fetus or embryo, are able to be diagnosed prenatally, and may be fatal or cause disease after birth. They may include aneuploidies , structural abnormalities, or neoplasms.
In obstetrics, a cephalic presentation or head presentation or head-first presentation is a situation at childbirth where the fetus is in a longitudinal lie and the head enters the pelvis first; the most common form of cephalic presentation is the vertex presentation, where the occiput is the leading part (the part that first enters the birth canal). [1]
In obstetrics, position is the orientation of the fetus in the womb, identified by the location of the presenting part of the fetus relative to the pelvis of the mother. Conventionally, it is the position assumed by the fetus before the process of birth, as the fetus assumes various positions and postures during the course of childbirth .
abnormal birth position; asynclitic birth (asinclitismus) abnormal fetal attitude (extensor inserting head) obstetric turn; acceleration and stimulation of birth; breech presentation; forceps and vacuum extraction [5] While any number of injuries may occur during the birthing process, a number of specific conditions are well described.
Transvaginal scans usually provide clearer pictures during early pregnancy and in obese women. Also used is Doppler sonography which detects the heartbeat of the fetus. Doppler sonography can be used to evaluate the pulsations in the fetal heart and bloods vessels for signs of abnormalities. [5]
Fetal malpresentations are irregular positions of the crown of the fetal head in relation to the mother's pelvis (the fetus is in an abnormal position). [9] Some important ways to manage fetal malpresentation are making rapid evaluations of the condition of the women pertaining to vital signs as well as the heart rate of the fetus. [9]