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In obstetrics, a cephalic presentation or head presentation or head-first presentation is a situation at childbirth where the fetus is in a longitudinal lie and the head enters the pelvis first; the most common form of cephalic presentation is the vertex presentation, where the occiput is the leading part (the part that first enters the birth canal). [1]
Situational factors include a short umbilical cord and unevenness of the pregnant person's pelvic floor during contractions, leading to the baby's head tipping to one side. [5] Asynclitism can also begin at the time of birth. This happens when the fetus quickly comes down on the pelvic floor before straightening its head when the water breaks. [14]
The fetal head then continues descent into the pelvis, below the pubic arch and out through the vaginal opening. This is assisted by the additional maternal efforts of pushing, or bearing down, similar to defecation. The appearance of the fetal head at the vaginal opening is termed crowning. At this point, the mother will feel an intense ...
Jenny Recotta, a labor and delivery nurse, shares viral video of what happens to a woman's cervix during birth using clay and her pottery wheel. Jenny Recotta, a labor and delivery nurse, shares ...
In some extreme cases, this could cause temporary or permanent facial nerve injury. Furthermore, if the forceps' handler were to twist his or her wrist while the grip was on the baby's head, this would twist the baby's neck and cause damage to a cranial nerve, resulting in strabismus. In rare cases, a clavicle fracture to the baby could occur.
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From that point, pressure from the presenting part (head in vertex births or bottom in breech births), along with uterine contractions, will dilate the cervix to 10 centimeters, which is "complete." Cervical dilation is accompanied by effacement, the thinning of the cervix. General guidelines for cervical dilation: Latent phase: 0–3 centimeters