Is it possible to have a normal delivery without the fetus entering the pelvis? (Introducing maternal knowledge about childbirth)

Failure of the fetus into the pelvis will affect the mode of delivery

Before the mother gives birth, the fetus will gradually descend into the mother\’s pelvis. This process is called \”pelvic entry.\” If the fetus does not successfully enter the pelvis, it will affect the way the delivery is performed. In some cases, the fetus can be delivered safely by caesarean section if the fetus does not enter the pelvis. However, in other cases, more rigorous and professional management is required to avoid fetal damage, maternal discomfort, or other difficult situations.

The reason why the fetus does not enter the pelvis

The reason why the fetus does not enter the pelvis is based on several factors. One of the common reasons is that the fetus has not turned into a head-down position. In addition, there are some other reasons, such as narrow pelvis, too large fetus, abnormally low placenta or restricted intrauterine growth of the fetus, etc.

The possibility of the fetus not entering the pelvis affecting normal delivery

If the fetus does not enter the pelvis, the mother\’s labor process will be affected. Uterine contractions will only reach sufficient force when the fetus\’ head descends to the pelvic floor, so the fetus not entering the pelvis will prolong the time of normal delivery and increase the risk of dystocia. Furthermore, if the labor process is long, it can easily lead to excessive maternal wear and tear.

Intrauterine traction surgery

If a pregnant woman is in a situation where the fetus does not enter the pelvis causing dystocia, the doctor will choose a surgical method based on comprehensive factors such as the woman\’s age, the condition of the fetus, and future family planning. Without entering the pelvis, a procedure called \”intrauterine traction\” can help the fetus descend to a suitable position and then deliver the baby smoothly. This surgery involves installing tools in the mother\’s cervix to help the mother produce uterine contractions, thereby prompting the fetus to descend inwards.

Caesarean section is another option

If the fetus does not enter the pelvis and cannot be operated through intrauterine traction surgery, doctors still have another option: caesarean section. A caesarean section is performed by removing the baby from the mother\’s abdomen. This method is also suitable for situations where the mother does not support delivery, such as malposition of the fetus, herniation of the amniotic membrane, etc.

Conclusion

Failure of the fetus to enter the pelvis will pose risks to the mother\’s delivery. In order to avoid fetal damage or maternal discomfort, doctors will consider intrauterine traction or caesarean section based on individual circumstances. Throughout the process, doctors and nurses will introduce families to the best postpartum care options to ensure the health of mother and baby.

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