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Presentation of twins in Der Rosengarten ("The Rose Garden"), a German standard medical text for midwives published in 1513. In obstetrics, the presentation of a fetus about to be born specifies which anatomical part of the fetus is leading, that is, is closest to the pelvic inlet of the birth canal.
Shoulder dystocia occurs after vaginal delivery of the head, when the baby's anterior shoulder is obstructed by the mother's pubic bone. [3] [1] It is typically diagnosed when the baby's shoulders fails to deliver despite gentle downward traction on the baby's head, requiring the need of special techniques to safely deliver the baby. [2]
Less than 5% of breech babies have their heads in the "star-gazing" position, the face looking straight upwards and the back of the head resting against the back of the neck. Caesarean delivery is absolutely necessary because vaginal birth with the baby's head in this position confers a high risk of spinal cord trauma and death. [28]
The supine position (/ ˈ s uː p aɪ n /) means lying horizontally with the face and torso facing up, as opposed to the prone position, which is face down. When used in surgical procedures, it grants access to the peritoneal , thoracic and pericardial regions; as well as the head, neck and extremities.
In obstetrics, position is the orientation of the fetus in the womb, identified by the location of the presenting part of the fetus relative to the pelvis of the mother. Conventionally, it is the position assumed by the fetus before the process of birth, as the fetus assumes various positions and postures during the course of childbirth .
They may also be referred to as delivery positions or labor positions. In addition to the lithotomy position (on back with feet pulled up), still commonly used by many obstetricians , other positions are successfully used by midwives and traditional birth-attendants around the world.
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