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Vertex presentation with longitudinal lie: [1] Left occipitoanterior (LOA)—the occiput is close to the vagina (hence known as vertex presentation), facing anteriorly (forward with mother standing) and toward the left. This is the most common position and lie. Right occipitoanterior (ROA)—the occiput faces anteriorly and toward the right.
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 .
While a transverse lie prior to labor can be manually versed to a longitudinal lie, once the uterus starts contracting the uterus normally will not allow any version procedure. A shoulder presentation is an indication for a caesarean section. Generally, as it is diagnosed early, the baby is not damaged by the time of delivery.
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, Leopold maneuvers are a common and systematic way to determine the position of a fetus inside the woman's uterus. They are named after the gynecologist Christian Gerhard Leopold. They are also used to estimate term fetal weight. [1] The maneuvers consist of four distinct actions, each helping to determine the position of the fetus.
The iliopectineal lines, at widest transverse distance. 13 to 14.5 cm. [4] Obstetric conjugate Median plane, 20 mm thick Same, but may require minor side-to-side scrolling to visualize both end points. The line between the closest bony points of the sacral promontory and the pubic bone next to the symphysis: 10 to 12 cm. [4] Interspinous distance
The biparietal (9.5 cm), the greatest transverse diameter of the head, which extends from one parietal boss to the other. The bitemporal (8.0 cm), the greatest distance between the two temporal sutures. The occipitomental (12.5 cm), from the chin to the most prominent portion of the occiput
A transverse plane (also known as axial or horizontal plane) is parallel to the ground; it separates the superior from the inferior, or the head from the feet. The transverse planes identified in Terminologia Anatomica are the transpyloric plane , the subcostal plane , the transumbilical (or umbilical) plane , the supracristal plane , the ...