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Sacrum posterior (SP)—the buttocks face posteriorly. Shoulder presentation with transverse lie are classified into four types, based on the location of the scapula (shoulderblade); note: the presentation is significantly different from asynclitic positioning , and in most cases needs to be delivered by cesarean section .
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]
Sacrum posterior (SP)—the buttocks face posteriorly. Shoulder presentations with transverse lie are classified into four types, based on the location of the scapula (shoulder blade). This presentation needs to be delivered by cesarean section. Left scapula-anterior (LSA) Right scapula-anterior (RSA) Left scapula-posterior (LSP)
The placenta (pl.: placentas or placentae) is a temporary embryonic and later fetal organ that begins developing from the blastocyst shortly after implantation.It plays critical roles in facilitating nutrient, gas and waste exchange between the physically separate maternal and fetal circulations, and is an important endocrine organ, producing hormones that regulate both maternal and fetal ...
Placental pathology (velamentous insertion, succenturiate lobes, bipartite i.e. bilobed placenta etc.) [13] Baby is in an unusual position: breech (buttocks first) or transverse (lying horizontally across the womb). Placenta praevia is itself a risk factor of placenta accreta. Alcohol use during pregnancy was previously listed as a risk factor ...
As the fetal hypothalamus matures, the activation of the hypothalamic–pituitary–adrenal (HPA) axis initiates labor through two hormonal mechanisms. The end pathway of both mechanisms lead to contractions in the myometrium, a mechanical cause of placental separation, which is due to the sheer force and contractile and involutive changes that occur within the uterus, distorting the placentome.
The average time from delivery of the baby until complete expulsion of the placenta is estimated to be 10–12 minutes dependent on whether active or expectant management is employed. [61] In as many as 3% of all vaginal deliveries, the duration of the third stage is longer than 30 minutes and raises concern for retained placenta. [62]
In obstetrics, a shoulder presentation is a malpresentation at childbirth where the baby is in a transverse lie (its vertebral column is perpendicular to that of the mother), thus the leading part (the part that first enters the birth canal) is an arm, a shoulder, or the trunk.