Six types of child delivery performed in case of any complications during pregnancy.
1. Fetal Distress
The term Fetal Distress often has to do with the fetal heart rate at the time of delivery. If the heart rate is slow, does not return to normal after a contraction during delivery, it’s assumed the baby is in some kind of danger. True fetal distress implies an urgency.
If your cervix is fully dilated and your baby’s head is low, your doctor may use forceps or a vacuum extractor, which is a soft suction cup placed on the baby’s head, to deliver your baby quickly. If this can’t be done, then you will have to go in for a Cesarean section.
2. Breech Position
The term Breech Position means that the baby is not positioned correctly in the uterus. It’s either in a head up, bottom down, sideways or feet first position. This is also known as malpresentation.
This is generally rare and only about 4% of women may encounter this.
According to some doctors, getting down on all fours and elevating your hips above your heart, then lowering yourself onto your forearms, encourages the baby to turn. If your baby is found to be in a Breech Position, then by the 37-38 week, some doctors try external version. This means turning the baby manually by applying pressure to the mother’s abdomen. If that doesn’t work or the baby flips back, the doctor can try again or schedule a C-section. Very few doctors will attempt a vaginal delivery for fear that the baby’s head will get stuck in the birth canal.
3. Placenta Previa
The term Placenta Previa means that the placenta is covering the cervix.
Most times, Placenta Previa is found early in the pregnancy. Though usually, the placenta will correct itself by the end of pregnancy.
If the placenta is still covering the cervix at 36 weeks, a Cesarean section will likely be scheduled. If the mother is bleeding vaginally, a C-section will immediately be done because there can be significant blood loss for the mother.
4. Meconium Aspiration
The term Meconium means a black, tarry substance in the baby’s intestines. This is present in amniotic fluid in the womb, which the baby has inhaled. This can cause breathing complications for the baby.
This is common in babies who are a week or more overdue. Meconium is usually passed in 10% of the deliveries. Of these, only between 1-6% of the babies become ill from it.
If Meconium is spotted, your doctor will clear it from the baby’s nose and mouth at birth. If the baby has inhaled it, the baby will be put into intensive care. Most times the babies do fine and just need a little breathing support which is given in intensive care.
5. Nuchal Cord
Nuchal Cord delivery is done when the umbilical cord is wrapped around the baby’s neck. This happens approximately in 25% of the deliveries.
A nuchal cord delivery doesn’t necessarily mean the baby is in danger, though sometimes it causes the baby’s heart rate to go down. A nuchal cord delivery doesn’t have to be serious. In a situation when your baby’s heart rate doesn’t go back up after a contraction, the cord may be too tight around the neck and that could mean the baby is having problems. If you’re unable to push the baby out, forceps or a vacuum extractor may be used to assist the baby down the canal. If the baby is in a too high a position or the mother is not adequately dilated, a Cesarean section might be necessary.
6. Cephalopelvic Disproportion (CPD)
The term CPD means the baby’s head is too big to pass through the mother’s pelvis, resulting in failure to progress.
This condition is hard to determine as it’s impossible to be sure if it’s truly a CPD situation or simply a failure to progress which can be due to either the mother’s cervix stops dilating or the baby is not moving down due to undetermined causes.
Failure to progress is the single most common cause for a C-section. Unfortunately, there’s no accurate way to predict CPD before the mother goes into labor. The expectant mother should follow a good exercising regime during pregnancy and keep her weight gain within recommended limits so as to ensure that she does not develop gestational diabetes, thus reducing the risk of having a too large a baby which can be reason for CPD.
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