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The longitudinal pelvic position, commonly known as the gluteal position, is the opposite of the head position - the child takes a vertical position, but the head is up, and the buttocks are closer to the exit. In this way, by presenting the world to the rear part of the body, about 3 percent are going to welcome him. children.
The pelvic positionmakes it much more difficult to give birth through nature. Currently, buttock births are rare - usually a child in the pelvic position is born by caesarean section.Gluteal deliveryis more difficult because the buttocks may not open the birth canal sufficiently and the head, which is wider, will have great difficulty passing through it.
Types of gluteal position
- pelvic complete : child's legs bent at all joints, buttocks and feet are the leading part; the child then looks as if he is sitting cross-legged, only tightly pressed together, with his knees high
- pelvic incomplete buttocks : legs are straight at the knees and directed upwards (the feet are next to the face), the child is bent half like a penknife, and the buttocks are the leading part
- complete feet : both baby's feet are above the cervix - so two feet are in the lead
- feet incomplete : one foot of the baby is bent at the knee, the other one enters the birth canal - one foot is in front
- knee positioncomplete and incomplete (analogous to foot position).
How to recognize the gluteal (pelvic) position?
If you want to "play doctor", trying to determine the position of the baby, the following symptoms may indicate the longitudinal pelvic position:
- you don't feel kicking in the ribs, but in the lower abdomen and sides
- baby's heart your partner can hear by putting his ear to your belly above your navel.
Pelvic (gluteal) position: how is the delivery going?
Natural childbirth can be considered in a woman who has the correct structure of the pelvis, gives birth once again, and her baby weighs from 2500 to 3500 g (no more or less) and is in the complete pelvic position (the leading part) there are buttocks and feet),with the head curved to the chest. In certain situations, it is worth trying the so-called external rotation on the head to avoid caesarean section. The following speaks in favor of performing a caesarean section:
- suspected feto-pelvic disproportionate (disproportionately large child with small pelvis size)
- systolic dysfunction
- the fact that a woman gives birth for the first time
- child weighs more than 3500 g or less than 2500 g.