Handling when the fetus is complicated

The article was professionally consulted by MSc, Dr. Trinh Thi Thanh Huyen - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital

Complicated pregnancy needs active monitoring in the last 3 months of pregnancy. In the last month, pregnant women need to rest to avoid premature rupture of membranes causing death to the fetus. A complicated vaginal birth can only happen when the fetus is very small or has been saved.

Complex fetal position is when the hand of the fetus falls close to the fetal throne or the presentation of the fetus. The fetal head is simultaneously present in the pelvis during vaginal examination.
Complicated pregnancy needs active monitoring in the last 3 months of pregnancy. In the last month, pregnant women need to rest to avoid premature rupture of membranes, causing death to the fetus.
Causes of complicated fetal position can be because:
In the previous delivery, it can make the mother's uterus flabby, so the next pregnancy, the fetus cannot rotate to the vertical position. The mother has a deformed uterus such as a bicornuate uterus, a septum uterus, and a fibroid uterus. The mother's pelvis is narrow, there is a tumor in the prostate. Premature pregnancy, or stillbirth in the uterus. Polyhydramnios or lack of amniotic fluid makes the position of the fetus in the uterus unstable. The placenta previa or the short placenta prevents the fetus from being in a vertical position.

Most of the time, complicated cases of pregnancy require a cesarean section as soon as the time is right. Vaginal delivery is only possible when the fetus is very small or has been saved.
Besides, it is possible to handle complicated fetal position by repositioning the fetal hand. How to do the following:
Push the hand of the fetus on the pelvis and wait until the uterine contractions push the fetal head into the pelvis When it is found that the fetal head is kept in the uterus and the hand is not palpable, you can monitor labor. The surgery of the fetus is complicated when pushing the hand fails or the umbilical cord prolapse. The position of the fetus is very important in predicting a vaginal birth or a caesarean section. Therefore, regular antenatal care during pregnancy is very important.
At Vinmec International General Hospital, there is a package maternity service as a solution to help pregnant women feel secure because of the companionship of the medical team throughout the pregnancy. When choosing Maternity Package, pregnant women can:
The pregnancy process is monitored by a team of qualified doctors Regular check-up, early detection of abnormalities Maternity package helps to facilitate the process. birthing process Newborns get comprehensive care