Does external inversion hurt

summary

External inversion is to exchange the breech position and head position of the fetus through certain techniques. It is generally suitable for full-term pregnancy. Sometimes this method is needed when the position of fetal movement is not appropriate. In this process, pregnant women need to bear a lot of psychological pressure, and the pain is more unbearable, let's talk about the pain of external inversion.

Does external inversion hurt

First: turn the fetus by hand through the abdominal wall, so that the fetal position (breech position, transverse position) which is not conducive to delivery can be changed into the fetal position (head position or transverse position can be changed into breech position), which is called external inversion. One hour before the reversal, oral administration of 0. 4-4。 After emptying the bladder, lie on your back, bend your legs slightly and listen to the fetal heart sound; hold the two poles of the fetus with both hands respectively, and slowly push the head down and the buttocks up. It is appropriate to keep the head bent.

Second: listen to the fetal heart sound after the inversion. If there is any change, observe it for 10-20 minutes. If it does not recover, turn the fetus back to its original position. After the inversion is successful, place it on both sides of the abdomen with towel or cloth pad, and fix it with abdominal belt. 0。 5% of pregnant women will have abnormal fetal heart rate, placental abruption and other complications in the process of external inversion, which need immediate cesarean section to terminate pregnancy; very few cases will have unexpected intrauterine death.

Third: the rate of cesarean section was 16. 9%) was 2 times higher than that of other parturients. Contraindications of external inversion: placenta previa, uterine dysplasia, premature rupture of membranes, oligohydramnios, abnormal fetal heart rate monitoring, scarred uterus, intrauterine fetal death, placental abruption, small pelvis, IUGR, maternal hypertension, heart disease and diabetes.

matters needing attention

However, in general, the choice of external inversion is very important for the fetus. Pregnant women will also bear a heavy degree of pain, and the technology is quite mature, but if the fetal heart rate or other states are abnormal during the external inversion operation, they should immediately choose cesarean section.