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Advice On Pregnancy, Kids & Life: Q: What are abnormal deliveries?

Sunday, March 30, 2008

Q: What are abnormal deliveries?

A normal delivery is one where the baby is born head first through the vagina without the assistance of any instruments.

Other than this type of delivery, all other types of delivery are considered abnormal deliveries.

1) Breech

This is where the baby's buttocks emerge first during birth. Most babies are in the breech position until about 32 weeks of pregnancy when they will turn upside down and the head will be down instead of the buttocks. However, 4 out of every 100 babies remain in breech position in late pregnancy.

Some doctors may choose to turn the baby after 32 weeks. The doctor places her hands on the abdomen and turns the baby around by pushing the head in one direction and the bottom in the opposite direction. This is known as external cephalic version.

Although this is a painless procedure, the baby might still turn back into the breech position.

Do discuss with your doctor whether vaginal birth or caesarian section is best although in most instances, baby can be delivered vaginally.

2) Vacuum

A rubber cup is placed on the baby's head and a vacuum applied, so that suction is used to deliver the baby.

3) Forceps

This procedure is used to guide the baby's head through the pelvis. Indications include:-
  • Foetal distress
  • Prolonged labour
  • Pre-term delivery
  • Hypertension
  • Maternal exhaustion
  • Maternal heart disease

Forceps will not cause any harm to the baby and the mother.

4) Caesarian Section

This operation can be done under general anaesthesia or epidural analgesia.

Recovery stage may take longer. This operation is required in these circumstances:-

  • Big breech babies
  • The cervix not dilating
  • Small pelvis in relation to the baby's size
  • Low-lying placenta which is situated close to the opening of the birth canal blocking the baby's descent.
  • Prolapse of the umbilical cord through the cervix where the umbilical cord, which has come out prematurely, becomes compressed as the baby is being pushed out, cutting off the baby's blood supply.
  • Foetal distress
  • Separation of the placenta from the uterine wall resulting in bleeding in the space created.

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