Malpresentation Flashcards
What is fetal lie?
the position of the spinal column of the fetus in relation to the spinal column of the mother, e.g. longitudinal, transverse, oblique
What is fetal attitude?
the side the baby’s back is on
What is fetal presentation?
the part of the fetus that is coming through (or attempting to come through) the pelvis first
What is fetal position?
relationship between a point of reference on the presenting part of the fetus, to the pelvis of the mother (i.e. relation of occiput to pelvis)
What counts as malposition?
fetus which doesn’t engage in an OT position then rotate to an OA position
What is normal fetal position?
OA
Types of malpresentation (6)
- transverse lie
- oblique lie
- breech
- compound presentation e.g. hand/food in front of head)
- shoulder presentation
- brow or face presentation
Types of breech presentation
- frank breech
- complete breech
- incomplete breech - footling and kneeling breech
What is frank breech?
hips flexed, knees extended (feet pointing up, bum presenting)
What is complete breech?
hips flexed, knees flexed (presenting part: bum, genitals, feet)
What is footling breech?
on 1 or both sides, hip and knee extended (1-2 feet dangling down)
What is kneeling breech?
on 1 or both sides, hips extended and knees flexed (kneeling on 1-2 knees)
Which breech presentation has the greatest risk of cord prolapse?
footling breech
Which is the commonest type of breech?
Frank (extended breech)
What symptom suggests possible breech?
pain under ribs
