How to understand that the fetus has turned over. Correct and incorrect position of the child in the abdomen. Head and pelvic presentation of the fetus

Most expectant mothers are interested in knowing how the baby is located in their tummy. And the closer the birth, the more important this information becomes for the woman in labor. . With some of these options, childbirth through the female natural birth canal is contraindicated. Not every doctor will undertake natural childbirth with a breech presentation, and head presentation of the fetus does not always give guarantees. The doctor, of course, will help determine the presentation of the child, but sometimes waiting for the next appointment is simply unbearable, especially if mommy hopes that the baby will roll over and take a more favorable position. But how to understand how the fetus lies? How to independently determine the position of the fetus in the uterus, how to understand whether the child has turned over? Calculating the position of the baby itself is not at all as difficult as it might seem. By the way, this is a great way to get to know your baby better.

It makes sense to attempt to determine the position of the baby in the uterus only after the 30th week of pregnancy. Naturally, the longer the term, the clearer how the fetus lies, so if you cannot determine the presentation of the child, you need to try again in a week - the next attempt will surely be successful! In addition, up to 33-34 weeks of pregnancy, including the position of the baby in the uterus can change, baby can roll over. After 34 weeks pregnant it, as a rule, becomes stable, that is, the baby remains in the position in which it will be born.

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· How to determine the position of the fetus yourself: listen to the heartbeat

The easiest way to independently determine the position of the fetus in the uterus is to find out exactly where its heartbeat is best heard. To do this, you will need the most common stethoscope, a little patience and good luck. Your goal is to catch beat-like heartbeat sounds at a rate of 120-160 per minute. It is better to start listening from the left lower segment of the abdomen - in this place you can hear the heartbeat of most babies "standing in place". You can not be limited to the front surface of the abdomen - in some positions of the child, the heart is more audible if the stethoscope is applied to your side. Best of all, the heartbeat is heard in the place where the upper part of the baby's back is.

This method is very useful when it is necessary to understand whether the fetus has turned over to the birth in the head presentation from the breech. Find the place where his heart beats most audibly, and doing daily exercises that help the baby turn over, see if the position of the baby in the uterus changes. With a breech presentation of the fetus, it will be slightly higher than with the head.

· How to independently determine the position of the fetus: compose belly map

This method allows, without the help of ultrasound, to independently determine the position of the fetus in the uterus, and draw up a so-called detailed "map" of the abdomen. The essence of it, in short, is this.

To begin with, observe the movements of the baby (what is their nature, direction, in which part of the tummy you feel them). After that, take a supine or semi-lying position, and gently feel the baby through the abdomen while the uterus is relaxed. So you can make a "map" of the abdomen, where you can note the following observations:

- where the strongest kicks are felt - these are the baby's legs,
- where light movements with a small amplitude are felt - there, most likely, there are handles,
- where is the large protruding area that looks like a head - this is the baby's butt,
- from which side your tummy is more even and firm - this is the back,
- where the doctor or you heard the heartbeat - there is the upper part of the baby's back.

For convenience, you can even draw a conditional “map” and refer to it to understand whether the fetus turned over by the scheduled date, and how exactly it turned over.

· How to distinguish the head presentation of the fetus from the pelvic?

One way or another, you will feel the protruding part of the child from above. In order to determine the position of the baby in the uterus itself, to figure out whether it is the butt or the head, you need to understand that only the neck and back extend from the head, but also the legs from the baby's priests. Actually, the legs can be groped, being persistent, or feel them when the baby kicks. In addition, listen for yourself or remember where the doctor last found the sound of a heartbeat - if it was from below, then the child lies upside down, and if from above, then down with his buttocks.

· Upside down - backwards, or how to understand if the fetus has turned over, and how to make the baby turn upside down?

To begin with, I would like to draw your attention to the fact that the head presentation of the child is not an unambiguous indicator for a successful natural birth. There are other, equally significant factors in the position of the fetus. In particular, it is important to understand how the fetus lies in relation to the back, that is, where is the back of the child facing - towards the mother's back, or towards the stomach? If the baby in recent months most of the time lies with his back to his mother's back (the so-called "posterior presentation"), then, most likely, he will begin to be born from this position. But childbirth in this case can be longer, more painful, and with a high degree of probability can end with a caesarean section.

You can determine the position of the baby in the uterus by observation: if you never manage to find the back of the baby when you feel the abdomen, this means that it is facing your back. In this case, it makes sense to try to "persuade" the baby to roll over. The back is a heavier part of the baby compared to the arms and legs, so it usually tends to turn down on its own - it remains only for the mother to take the right position. In recent decades, women have been leading a much less mobile, less active lifestyle, and especially during pregnancy, they spend a lot of time in a half-sitting or reclining position, for the most part because of this, gravity pulls the baby's back down - to my mother's back. That is, in order for the child to roll over, the mother needs to move more actively and more often take positions in which the gravity force will pull the back of the fetus towards the mother's stomach - any straight positions, as well as postures with the body tilted forward, standing on all fours, swimming .

Tofetus turned over in the uterus after 31 weeks of gestation head in the pelvic presentation The following exercises are recommended:

1. Lie on your right side, lie down for 10 minutes, and then quickly roll over to your left side and after 10 minutes again to your right. Repeat the exercise 3-4 times in a row several times during the day, before meals.

3. The rotation of the fetus is facilitated by classes in the pool.

4. If the child rolls over on his head, it is advised to wear a bandage for a couple of weeks so that the correct position of the fetus is fixed.

Performing such exercises has contraindications, which include: complications during pregnancy (gestosis of pregnant women, the threat of premature birth), placenta previa , a scar on the uterus as a result of a caesarean section in the past, tumors of the uterus.

Previously, they tried to correct the breech presentation of the fetus, which they call manually, by externally turning the fetus - through the stomach, the doctor tried to move the baby's head down. To date, this is being abandoned, since the method has low efficiency and a high percentage of complications, such as premature birth, premature placental abruption, and a violation of the child's condition. If the breech presentation of the fetus persists, then the pregnant woman is sent to the hospital 2 weeks before the expected date of birth. There, under supervision, a delivery plan is drawn up, the most favorable in this situation.

· Why can't Iindependently determine the position of the child ?

In some cases, how to determine the position and presentation of the baby in the uterus itself can be difficult. If there is a lot of amniotic fluid, if the placenta is attached to the anterior uterine wall, the hands will “see” worse. It is problematic to determine the presentation of the fetus on your own, if the mother is chubby - the fat layer interferes with feeling something. If the stomach tenses all the time from trying to independently determine the position of the fetus in the uterus, it is better not to undertake such searches - in this case it will not be possible to obtain reliable information, but it is easy to have an adverse effect on the baby. The baby is best felt during the last two months of pregnancy.

Of course, a professional can very quickly and accurately determine the position of the fetus in the uterus. But mothers have one advantage - the baby is always with them, and they can do this much more often, and feel what is called the gut. As a rule, one or two weeks of attempts makes almost any mother an expert in this matter, and being attentive, you can easily determine the presentation and position of the baby in the uterus.

Then, when the baby is born, his body will be more familiar and you will handle him with more confidence. And during pregnancy, it is much more pleasant to feel the baby's movements when you understand how he does them and what exactly he is doing now - where are the handles, where is the leg, where is the ass, etc. Then it is a pleasure to answer the question "how is he there?" - “Everything is fine with him, he moves as usual, in the morning he actively stretched his legs, lies head down, and here he has a back, you want to touch ....”

Yana Lagidna, especially for mymom . en

And a little more about how to independently determine and change the position of the fetus in the uterus, video:

Can a mother independently determine the position of the unborn baby in her tummy? Yes, and it's not that hard! And learning is useful: your conversations with the tummy will become more meaningful and, if necessary, you can even persuade the baby to roll over!

During pregnancy, sooner or later (usually closer to the 40th week) in the preparation for childbirth classes, expectant mothers ask the question: “Is it possible to understand how the baby lies in the stomach?” And they get acquainted with interest with the Belly Mapping method or “Map of the Belly”, which was invented by the American midwife Gail Tully. With its help, any mother at any time can determine the position of the baby herself. It will take a little curiosity, a couple of days of observation, a piece of paper and a pen.

Preparation

Draw a big circle and divide it into 4 parts. This is your blank for the belly map. The top of the circle is the top of your belly, where (oddly!) is the bottom of the uterus, and the bottom of the circle is the pubic bone. Left and right are swapped, like in a mirror: your left side in the picture will be on the right, and vice versa. Now begin to note your sensations and the movements of the baby.

Midwives know that the position of the baby in the abdomen greatly affects the course of labor. For example, when the baby is in the posterior view (back to mother's back and arms and legs to mother's belly), childbirth is longer, more intense in sensations for a woman and more often begins immediately with strong contractions, but without a quick opening of the cervix.

Where is the heart beating?

At the doctor's appointment, women learn basic things: cephalic presentation or breech presentation, where the heartbeat is heard. If at the bottom of the abdomen, then the baby lies head down, if at the top - head up.
Remember that after 30 weeks, about 15% of babies are in a breech position, and the rest have already prepared for the exit and taken the correct head presentation, so most likely your baby's head is already down.
Some mothers can easily navigate the position of the baby: the most protruding and hard part is usually the back, and then, with a certain persistence, you can feel what else is there: the head (a big and hard thing) or legs and buttocks (by the way, your baby’s butt is very tiny and soft).
On your map, draw a heart in the segment where it is listening. This is the baby's upper back. Accordingly, the head will be opposite. If you don't know at all where the heartbeat was, just go to the next step.

Where is the baby's head?

Many women distinguish several types of movements. Some are very tender and weak, as if someone is tickling inside, as if a butterfly is flapping its wings. They are almost invisible, and usually they are pens.
If such movements are felt in the front of the abdomen, then, most likely, the baby lies head down and his back is turned to the mother's back (what is called "in the rear view").
More noticeable pushes, kicks and even painful pokes (under the ribs - for those whose child lies head down) - this is how the baby usually kicks with its legs. If in the lower abdomen, near the pubic bone, someone is swarming a lot, most likely these are not the hands, but the baby's legs in a breech presentation.
Sometimes movements are noticeable to the mother in all segments at once. This happens when the baby is turned back to the back of the mother and arms and legs outward.
Map two types of movements: in what segment are they felt?

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Where is the back, arms and legs?

Usually, the stomach on this side is more round and even, and the bulge is often noticeable not only to the mother, but also to relatives. This bulge is the baby's back. And the arms, legs and stomach are on the other side. Draw a line on the map that indicates the roundness of the back. Now you can sign all the designations: back, head, arms, legs.

To deal with the position of the crumbs, you can take a doll or toy the size of a baby and attach it to your stomach. Looking at the map and remembering your feelings, try to position the baby doll so that the arms-legs-head-back are in their places. Upside down or upside down? Hands and feet to the left, right, outside or inside mom's belly? Most often, babies lie with their backs to their mother's left side, but there are other options. Which one is most similar to yours?

Why can't I find anything?

Sometimes your curiosity and observation is still not enough to learn how to draw your belly map. The time factor is important. Until the 7th or 8th month, determining the position of the baby may be more difficult due to its mobility and small size. Closer to childbirth, the placenta along the anterior wall, a large amount of water or a large fat layer in the abdomen can make it difficult to read the signals. Then it is worth trying for the first time to make a card with the midwife, and then focus on your feelings.

Shutterstock/Fotodom Ukraine

What to do next?

Gail Talley suggests that moms who find that their baby is not yet in the optimal position in the abdomen (head down, back to mom's belly, or to the left/right side) encourage him to roll over and do special exercises to relax and balance the muscles that support the uterus , pay attention to your lifestyle:

• try to squat more (leaning on the floor with full feet);
• sit, leaning slightly forward or with a straight back;
• while working at a computer or watching movies, do not lean back, for example, sitting on a slightly deflated fitball (this way it is more stable).

As unusual methods: bring the included flashlight to the stomach (the baby will reach for the light) or place headphones with music (the young music lover may roll over to hear better).

In addition, do yoga for pregnant women, walk more and dance: this helps to keep the mobility of the pelvis and strengthen the muscles.

If you find an error, please highlight a piece of text and click Ctrl+Enter.

At the very beginning of pregnancy, an embryo is implanted in the uterine cavity and begins to actively develop. He is growing by leaps and bounds, and will soon begin to resemble a tiny baby with a disproportionately large head and small limbs. As it develops, it freely flips over many times. After the twentieth week, the baby becomes especially active, which the mother feels by a significantly increased number of movements. Now the baby can roll up or down with his feet, and also turn around. However, time passes, and the "house" becomes cramped for him. Now the most important thing is to take the correct position, while the size of the body still allows it. Today we want to talk about how long the child turns upside down.

Correct presentation

The easiest childbirth will be if the baby is pressed against the cervix by the largest part of the body itself. That's right, head first and face down, he must pass through the birth canal and be born. Future mothers are always worried about how long the child turns upside down. In fact, everything is individual, so you should not rely on the experience of your friends, but talk with your doctor. He will definitely be able to dispel all doubts and give certain recommendations.

But it should be noted that there are certain medical standards by which doctors evaluate how long the child turns upside down. These are average standards that must be adhered to, however, these frameworks can vary quite significantly.

So many questions

On the one hand, it is easier to trust nature, because it knows better what to do. However, when the time of childbirth approaches, more and more often a woman begins to wonder at what time the child turns upside down. And at the same time, there are many more questions. What if the baby is in a different position? Why is he positioned wrong? We will try to give answers to them in our article.

So, by the beginning of childbirth, the baby should lie head down and with its back to the front wall of the uterus, facing the mother's spine. His head rests on the cervix, and when the opening begins, it is the head that first enters the birth canal. This is the ideal option in which childbirth is most favorable. At how many weeks does a baby turn upside down? Doctors call the figure 32-34 weeks. Right now, this is happening most comfortably, since the size of the baby allows you to perform such a manipulation. Usually, at this time, a third ultrasound is prescribed, on which the doctor notes how the fetus lies.

An exception

As we have already said, not all children fit the definition of the norm. Moreover, this does not indicate the presence of any pathology. Saying how many weeks the child turns upside down, it should be noted that sometimes he takes the correct position on time, and closer to the birth he returns to his previous presentation, head up. This is bad for labor, since it is the head that is the most voluminous part of the body, it perfectly opens the birth canal. When the movement of the child occurs with the legs forward, complications may arise.

There are situations when the baby takes this position. This is the so-called breech presentation. To find out exactly how your baby is located, the doctor can directly during the examination.

Is it worth worrying about the location of the baby

So, it is already approximately clear when the child begins to roll over. Doctors set the terms as average, but up to 32 weeks, breech presentation for the baby is quite natural and normal. You do not need to worry about this and do anything, you just have to wait. A little later, the baby will independently take the correct position.

And what do doctors say about when a child turns head down? Evidence suggests that up to 30 weeks in the breech presentation are about 30% of children. And only 4% maintain this position by the beginning of childbirth. On average, the crumbs take a natural position for leaving the mother's womb at 33-34 weeks. However, there is reliable evidence that just before giving birth, the baby managed to roll over, especially if it is small in size.

That is, if by the 34th week the baby continues to be head up, then there is cause for concern. However, there is nothing wrong with this, it can still be corrected. Sometimes there is a transverse arrangement of the fetus when it lies across the uterus. If he saves it at the time of the onset of childbirth, then a caesarean section is performed.

What are the reasons why the fetus does not turn over on time?

In fact, there can be a lot of them, so in each case you need to consult your doctor and find out when the fetus should roll over. However, years of medical practice and accumulated experience allow physicians to name a number of cases in which the fetus cannot take the desired position in the uterus:

• These are malformations of the fetus.
• A large amount of amniotic fluid and a small size of the fetus.
• Low water and large size of the baby.
• Abnormal structure of the uterus.
• Low position of the placenta.

Prevention

If the baby develops normally, then the chances are high that he will take a normal position, even if a little later. A reasonable question arises, how long can a child roll over? The answer is quite simple, right up to the very birth. However, it is desirable to know and follow some rules that will contribute to this. Moreover, prevention should not begin at week 34, when the baby is already clearly late with turning over.

From the very first day of pregnancy, remember the need for physical activity. They should be moderate, but regular. It is worth forgetting about a soft sofa and an armchair, or sitting on the very edge, spreading your legs. Sit in a chair on the contrary, so that the stomach rests against its back. Fitball exercises are extremely useful. On the ball, you can sit, jump or wiggle and do a light workout. Try to travel less by public transport, it is better to walk. It is very useful for pregnant women to do water aerobics, do gymnastics for pregnant women, swim and dive. And, of course, try to be in the fresh air more often, go out of town, walk in forest belts.

Special exercises

Now you know exactly at how many weeks the baby should already turn down. This happens at 32-34 weeks. If the baby is in no hurry to take the right position, you need to help him in this. Psychologists recommend talking with the baby, asking him to roll over as soon as possible. In addition, regular circular massage of the abdomen in a clockwise direction can help.

Osteopathic doctors recommend more often to take a position that is uncomfortable for the baby, in which he immediately begins to push. Lie down on the floor, on a hard surface, and spend ten minutes in this position. Then roll over on your back, and after ten minutes on the other side. Such turns are performed 5-6 times. The knee-elbow position is very useful. Take it as often as your schedule allows. You can move on all fours around the apartment, slightly swaying your hips. In addition, doctors recommend 10-15 times to perform a pelvic lift, body tilts and the “bike” exercise.

Instead of a conclusion

Psychologists and children's doctors are sure that the baby feels and understands his mother very well. Therefore, she only needs to devote time daily to communicate with him. Tell him about the upcoming birth, persuade him to roll over, stroke his stomach, say how you are looking forward to meeting him. He will definitely respond, even at the latest dates. And after childbirth, when the umbilical cord is cut, the psychological connection between mother and child remains for a long time. May your first meeting be easy!

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In 9 months, a child goes a long way from a tiny embryo to a chubby baby and already in the womb acquires some features that will remain with him for life: for example, you can understand whether he will become right-handed or left-handed and what food he will prefer. In a fairly short period of time, a lot of interesting things happen to a child, and today we invite you to go through the path from birth to birth with your baby.

website prepared for you this exciting journey.

1st trimester of pregnancy

1st–2nd week

So the long journey began. For the first 4 days, the future person is smaller than a grain of salt - its size is only 0.14 mm. However, starting from the 5th day, it begins to grow and by the 6th it almost doubles - up to as much as 0.2 mm. On the 4th day, the embryo "comes" to where it will spend the next 9 months - in the uterus, and on the 8th day it is implanted in its wall.

3rd–4th week

Embryo at the 4th week of pregnancy.

Around the 20th day of pregnancy, a very important event occurs: the neural tube appears, which will then turn into the spinal cord and brain of the child. Already on the 21st day, his heart begins to beat and all important organs, such as the kidneys and liver, begin to form. The eyes have not yet taken their usual position - the bubbles from which they will then take shape are located on the sides of the head. By the end of the 1st month, the embryo has a circulatory system, and the spine and muscles begin to develop.

5th–6th week

At the 5th week, the hands appear in the embryo, however, the fingers are still very difficult to distinguish, but in the joints the arms and legs are already bent. It was at this time that the external genital organs begin to form, but it is not yet possible to see on an ultrasound whether it is a boy or a girl. By the way, from the moment of its appearance, the embryo has grown a lot - it has increased by as much as 10 thousand times. Already now, the baby's face is beginning to form, and the eyes, which will be closed for a very long time, darken, becoming more human-like.

7th–8th week

The 7th week of pregnancy is the time when the baby begins to move, however, so far completely unnoticed by the mother, and the fingers and toes become almost the same as in adults. At this stage, the rudiments of milk teeth appear in the embryo and the reproductive system develops, and the kidneys begin to produce urine. Despite the fact that the growth of the fetus is only 2.5 cm, it acquires its own facial expressions, it has eyelids, and the tip of the nose becomes more defined.

9th–10th week

Baby at 9-10 weeks of gestation.

By this time, the baby has already grown well - its weight is 4 grams, and its height is 2–3 cm. Despite its tiny size, the brain is already divided into two hemispheres, and milk teeth and taste buds are beginning to form. The baby's tail and membranes between the fingers on the hands disappear, he begins to swim in the amniotic fluid and move even more actively, although still unnoticed by the mother. It was at this time that the child's individual facial features appear, and hair begins to grow on the head.

11–12 weeks

At this time, the genital organs are formed in the child, so it is already possible to find out his sex on an ultrasound scan, although the probability of an error is still high. The child still looks a little alien: he has a big head and a small body, but his face is more and more like an adult. The ears are almost in the right position, eyebrows and eyelashes appear. The cartilage that makes up the skeleton gradually ossifies, new blood vessels appear, and hormone production begins. By the way, the baby has already grown up to 6 cm and weighs about 20 grams.

13th–14th week

Baby at 14 weeks pregnant.

Despite the fact that the child's head is half the length of the entire body, the face is more and more reminiscent of an adult, and the rudiments of all 20 milk teeth have already been formed in the oral cavity. The child is already able to put his finger in his mouth, but he will learn to suck a little later. Due to the active formation of blood vessels, the baby's skin is red and very thin, so vellus hair appears on the body - lanugo, which is necessary to maintain a special lubricant that protects against hypothermia.

2nd trimester of pregnancy

15th–16th week

By the 15th week, the baby has grown to 10 cm and is gaining weight - now he weighs about 70 grams. Despite the fact that the eyes are still quite low, the face is already quite recognizable, moreover, the child begins to "make faces", since the facial muscles are well developed. By this time, he already knows how to suck his thumb, and the sebaceous and sweat glands begin their work.

17th–18th week

And finally, the child's auditory canals are formed, so he begins to distinguish sounds well and hears the mother's voice, moreover, he is able to recognize it. In addition to the milk teeth, the embryos of the molars also appear, the bones are finally formed and begin to harden. By the way, the bones of the skull will remain mobile until birth - when passing through the birth canal, they will overlap each other to make it easier for the baby to be born. But the mother is finally beginning to feel the movements of the child, who has grown to 14 cm and 190 grams.

19th–20th week

Baby at 20 weeks pregnant.

Despite the fact that the child's eyes are still closed, he is already well oriented in the surrounding space. Moreover, now you can understand whether the child will be right-handed or left-handed, because right now he is starting to use his leading hand more actively. Fingerprints appear on the baby's fingers - another unique sign of each of us. By the way, the child is already beginning to gradually distinguish day from night and is active at a certain time.

21–22 weeks

The 21st week is the time when the baby begins to gain weight due to the formation of subcutaneous fat. Soon, the folds that newborns have will appear on his arms and legs. On the 22nd week, those neurons are formed in the brain that will be with a person all his life. Very soon the child will open his eyes, he is already trying to do this, and the eyeballs move almost like an adult.

23–24 weeks

At the 23rd week, the child may begin to dream, and his face is so formed that an ultrasound can determine whose facial features he inherited. His skin becomes opaque, his eyes open, and the child can already react to light, moreover, bright flashes can scare him. By the 24th week, the baby grows to almost 30 cm, and its weight reaches 0.5 kg.

25th–26th week

At this time, the taste buds of the child are finally formed and, tasting the amniotic fluid, he can frown if he does not like it. By the way, eating habits are formed in this way - already in the womb we have our favorite and unloved foods. Very soon the child will learn to blink and can already see a little, however, so far it is very, very vague.

3rd trimester of pregnancy

27th–28th week

Baby at 27–28 weeks of gestation.

If you do an ultrasound at this time, you can see how the child smiles and intensively sucks his thumb. At this time, the baby has the first "toy" - his own umbilical cord, and he actively studies his body. At the end of the 7th month of pregnancy, the child develops an individual metabolism, which he will have all his life. The baby is already quite large - its weight reaches 1.2 kg, and its height is 35 cm.

29th–30th week

Baby at 30 weeks pregnant.

The layer of subcutaneous fat is increasing, and the baby is becoming more and more plump and well-fed. In addition, he already knows how to cry, cough, and even sometimes hiccups - this most likely happens when he swallows too much amniotic fluid. By the 30th week, the baby's brain is already so developed that it is quite capable of remembering and even analyzing information.

31–32 weeks

At this time, a person has all 5 senses, and his daily routine is more and more reminiscent of the one he will follow after birth. The child hears the work of all the organs of the mother, knows her voice perfectly, thanks to which, immediately after birth, he is able to distinguish her from all other people. The baby's immune system begins to produce antibodies that will protect him from all kinds of infections that may lie in wait in the first days and months after birth.

37–38th week

And finally, the process of forming a person has finally ended - now he is completely ready for birth, and obstetricians consider the pregnancy to be full-term. Lanugo completely disappears from his body and can only sometimes remain on his arms and legs. Since there is almost no space left in the uterus, it may seem to the mother that the child has begun to move more intensively, but in fact the force of the blows has increased, because the child's muscles have already completely formed and strengthened.

39th–40th week

The first minutes after birth.

The lungs of the child continue to form until the very birth, and only at the time of birth they release the right amount of surfactant - a substance that prevents the alveoli from sticking together after the first independent breath. Very soon, the baby will announce its birth with the first cry and begin its long journey through a large and interesting world.

nooo :) we don't do "shocking" for this :))) This is Leopold's third trick. The right hand is placed above the symphysis - the place where the bone on the pubis ends - I don’t know how else to explain it exactly, in general, there, just above the hairline with normal hair growth :) Thumb - on one side and four - on the other side of the lower segment, the hand is shaken so that we are probing, moving inward, it was not painful :) this time. (if you sharply press deep immediately, it will hurt and the uterus will tone up. The fingers grasp the presenting part (the head - if a hard, large part or the buttocks are felt - soft, pliable) or do not probe it (in the transverse and oblique position). If this is the head, then continuing the "swinging" of the hand determines the "balloting" of the head, which cannot be detected when the head is pressed or in breech presentation, these are two. That is, they determine the level of standing (and speaking humanly - lowering) of the head into the pelvis, for example , the head high above the inlet to the small pelvis, the head will be pliable, it will also “run” at hand, or the head is pressed - then it will stand firmly and not succumb to our swaying of the hand.This technique determines the presenting part (which is exactly below) and balloting That is, when they say "the belly is down" - this is exactly the same state when the fetus is fixed, i.e. pressed against the entrance to the small pelvis.This technique can be determined.

First reception. The bottom of the uterus is determined (the bottom is what is closer to the stomach. :) Ie. where we would say "the top of the uterus" is actually the bottom. The uterus is like a vessel that has a neck, walls and a bottom. :) It is carried out like this: the back sides of the palms of both hands are placed on the bottom of the uterus, as if they were making a “roof near the house” with their hands, slightly deepening inward while the fingers :) determine the level of standing of the bottom (measured in cm from the symphysis to the highest point of standing this very bottom) and part of the fetus, located at the bottom of the uterus. The level of standing of the bottom of the uterus depends on the duration of pregnancy. There is a conditional formula by which the approximate weight of the fetus is calculated. This is when the circumference of the abdomen at the level of the navel is multiplied by the height of the fundus of the uterus. Conditional formula, because it is not known who has how much fat, how much water, etc. :)

Second take. Both hands are placed on the lateral surfaces of the uterus. Holding the wall with the right hand, with the left hand, with our fingers, we “sort through”, as if we were playing the accordion, the left wall of the uterus, i.e. our right hand holds the baby inside the stomach, so that when we "play" on the left, he does not run away from us to the right side. :) So, with the fingers of the left hand, they alternately probe in which direction the back and small parts of the fetus are facing. The back is defined as a plank without any trifles :) But the limbs are always small-hilly, as a rule, displeased (or quite) pushing. :) First, we hold, for example, the right wall of the uterus, with the left we probe (palpate) the left wall. Then we hold the left wall of the uterus with the left, with the right we probe (palpate) the right wall of the uterus. For information: backrest on the left - 1st position. Backrest on the right - 2nd position.

The third one I have already written above.

The fourth is not done for everyone, but only for those who are about to give birth or are in childbirth. :) For this, the midwife becomes, excuse me, a booty for the pregnant woman (the midwife's face is turned to the legs of the pregnant woman). The palms of both hands are located on the lower segment of the uterus (in the same place as in the third dose). On the right and left, FINGERTIPS determines the presenting part of the fetus and the height of its standing (it is located above the entrance to the pelvis, there is a fixation of it at the entrance to the pelvis, or it has descended into the pelvic cavity). Those. this is a confirmation of the third reception and the dynamics of the advance of the head.