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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]
External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery.
The side where there is resistance to the descent of the fingers toward the pubis is greatest is where the brow is located. If the head of the fetus is well-flexed, it should be on the opposite side from the fetal back. If the fetal head is extended though, the occiput is instead felt and is located on the same side as the back.
It may appear rather suddenly by head engagement of the fetus into cephalic presentation. Doctors advise pregnant women to continue fluid intake despite this. Urinalysis and culture are ordered to rule out infection, which can also cause increased urinary frequency but typically is accompanied by dysuria (pain when urinating). [25]
The baby's father or other support person may also choose to hold the baby SSC until the mother recovers from the anaesthetic. [ 72 ] The WHO suggests that any initial observations of the infant can be done while the infant remains close to the mother, saying that even a brief separation before the baby has had its first feed can disturb the ...
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Situational factors include a short umbilical cord and unevenness of the pregnant person's pelvic floor during contractions, leading to the baby's head tipping to one side. [5] Asynclitism can also begin at the time of birth. This happens when the fetus quickly comes down on the pelvic floor before straightening its head when the water breaks. [14]