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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 .
In obstetrics, Leopold maneuvers are a common and systematic way to determine the position of a fetus inside the woman's uterus. They are named after the gynecologist Christian Gerhard Leopold. They are also used to estimate term fetal weight. [1] The maneuvers consist of four distinct actions, each helping to determine the position of the fetus.
Fetal position (British English: also foetal) is the positioning of the body of a prenatal fetus as it develops. In this position, the back is curved, the head is bowed, and the limbs are bent and drawn up to the torso. A compact position is typical for fetuses. Many newborn mammals, especially rodents, remain in a fetal position well after birth.
By about week 21, the fetus begins to develop a regular schedule of movement. [17] The startle reflex is present in half of all fetuses by week 24 and in all fetuses by week 28. [19] Movement is restricted around this time because the fetus has grown so large it has little space for kicking or changing body position. [20]
Gestational age: 35 and 0 days until 39 weeks and 6 days old. Embryonic age: Weeks nr 34–38. 33–37 weeks old. The fetus is considered full-term at the end of the 39th week of gestational age. It may be 48 to 53 cm (19 to 21 in) in length. The lanugo is gone except on the upper arms and shoulders. Fingernails extend beyond fingertips.
To push, a slight rolling movement is used such that the mother is propped up on one elbow is needed, while one leg is held up. This position does not use gravity but still holds an advantage over the lithotomy position, as it does not position the venae cavae under the uterus, which decreases blood flow to mother and child. [7]
Small breast buds are present in both sexes. Head hair becomes coarse and thicker. Birth is imminent and occurs around the 38th week after fertilization. The fetus is considered full-term between weeks 37 and 40 when it is sufficiently developed for life outside the uterus. [14] [15] It may be 48 to 53 cm (19 to 21 in) in length when born.
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]
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