lie ,presentation position for 3rd bsc 2014

8/11/2019 Lie ,Presentation Position for 3rd Bsc 2014

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LIE

PRESENTATION,POSITION

LIE

PRESENTATION,POSITION

SINDHU SEBASTIANLECTUER

FMCON2014



Fetal LieLie Relationsi! "et#een lon$ a%is o&

&et's an( lon$ a%is o& )ate*nal s!ineLon$it'(inal + #en lon$ a%is o& &et's

oini(e #it lon$ a%is o& )ote*



T*ans-e*seT*ans-e*se + a%is

*oss ea ote*at .0 (e$*ees



Co)!liation o& T*ans-e*se an(Unsta"le lie/

• Co*( o* an( !*ola!se• O"st*'te( la"o'* • Ute*ine *'!t'*e• Di&&i'lt int*a o!e*ati-e (eli-e* o& te &et's• Bi*t t*a')a e*"s !'ls3• Post!a*t') ae)o**a$e



O"li'e• O"li'e + a%is *oss ea ote* at 45

(e$*ees



P*e(is!osin$ &ato*• Ute*ine &i"*oi(s,• 'te*ine s'*$e*,

• olo$i(*a)nios,• !ol(*a)nios• Fetal )'lti!le $estation,• a"no*)alit, ne'*o)'s'la* on(ition



Unsta"le Lie/

De&inition/• Unsta"le lie *e&e*s to te &*e'ent

an$in$ o& &etal lie an( !*esentationin late !*e$nan

• 's'all *e&e*s to !*e$nanies 6 78#ee9s



Unstable lie:

• o*( !*ola!se &ollo#in$ s!ontaneo's *'!t'*e o&te )e)"*anes,

• an( !*ola!se o& te an(, so'l(e* o* &oot one

in la"o'* In )ost ases, te #o)en is )'lti!a*o's#it la% 'te*'s an( a"(o)inal #all )'s'lat'*ean( $entle -e*sion o& te "a":s ea( #ill *esto*ete !*esentation to e!ali



• Dia$nosis o& t*ans-e*se o* o"li'e

lie )i$t "e s's!ete( "• a"(o)inal ins!etion,• a"(o)en o&ten a!!ea*s

as))et*ial S)!sis &'n(alei$t )i$t "e less tane%!ete( On !al!ation,

•

te &etal ea( o* "'tto9s )a"e in te ilia &ossa• Pal!ation o-e* !el-i "*i) #ill

*e-eal an e)!t !el-is•



Fetal P*esentation• Pa*t o& te &et's #i o'!ies te

lo#e* !ole o& te 'te*'s is alle( as

!*esentation



T!es• CEPHALIC <.=5>

• BREECH <7>

• SOULDER <05>



P*esentin$ !a*t• P*esentin$ !a*t is (e&ine( as te

!a*t o& te !*esentation #i o-e*

lies te inte*nal os an( is &elt " tee%a)ines &in$e* to*o'$ tee*-ial o!enin$



• Ce!ali + ?e*te% o))on3 ,B*o# ,&ae

•

B*ee +le$s



A3 -e*te% B3 sini!'tC3 "*o# D3 &ae



Shoulder presentation



Attit'(e•

Te *elation o& te (i&&e*ent !a*t s o&te &et's to one anote* is alle( asattit'(e

•

Te 'ni-e*sal attit'(e is &le%ion• D'*in$ te late* )onts te ea( li)"san( t*'n9 o& te &et's )aintain teattit'(e o& &le%ion on all te @oints an(&o*) an o-oi( )ass tat o**es!on(sa!!*o%i)atel to te sa!e o& te'te*ine a-it



• Te &et's "eo)es &ol(e( o* "ent'!on itsel& in s' a )anne* tat te

"a9 "eo)es )a*9e(l on-e%• te ea( is sa*!l &le%e( so tat

te in is al)ost in ontat #it te

est



Fetal Position.• Position refers to therelationship of an arbitrarily

chosen portion of the fetal presenting part to the right orleft side of the maternal birth

canal



• Ao*(in$l, #it ea !*esentation

te*e )a "e t#o !ositions, *i$t o*le&t

• Bea'se te !*esentin$ !a*t )a "e

in eite* te le&t o* *i$t !osition,te*e a*e le&t an( *i$t oi!ital,le&t an( *i$t )ental, an( le&t an(

*i$t sa*al !*esentations



Varieties of Presentations

and Positions.• Fo* still )o*e a'*ate o*ientation,

te *elationsi! o& a $i-en !o*tion o&

te !*esentin$ !a*t to te ante*io*,t*ans-e*se, o* !oste*io* !o*tion o&te )ate*nal !el-is is onsi(e*e(



• Bea'se te !*esentin$ !a*t in *i$to* le&t !ositions )a "e (i*ete(

ante*io*l A3, t*ans-e*sel T3, o*!oste*io*l P3, te*e a*e si%-a*ieties o& ea o& te t*ee!*esentation

O i i



Oi!'t !*est, te !*esentation,!osition, -a*iet )a "e a""*e-iate( inlo9#ise &asion as/



Lon$it'(inal lie Ce!ali

!*esentation(A)vertex,

(B) sinciput (C) brow (D) facepresentations



Lon$it'(inal lie ?e*te%

!*esentationB. Left occiput posterior

(LOP).

A. Left occiput

anterior (LOA).



Lon$it'(inal lie ?e*te%!*esentation

A. Right occiput posterior(ROP).

B. Right occiputtransverse (RO).



Lon$it'(inal lie ?e*te%!*esentation Ri$t oi!'tante*io* ROA3



F / ! s ntin ! t is t &



Fae/ !*esentin$ !a*t is te &ae,(eno)inato* is )ent')



CONCLUSION• Te 'n(e*stan(in$ o& te a"o-e

(es*i!tion o& te &et's in te

)ote*s #o)" is -e* *itial in'n(e*stan(in$ te )eanis) o&lalo'*

lie ,presentation position for 3rd bsc 2014

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