Narrow pelvis: is there a chance to give birth

Narrow pelvis: is there a chance to give birth

Is there a chance to give birth at the narrow pelvis? Only your gynecologist will be able to answer this question by examining the type and degree of pelvic contraction and analyzing information about your health and diseases you have suffered. But in general, natural childbirth with a narrow pelvis is possible.

Let's take a closer look at when the birth is permissible in a natural way, and in which cases it is necessary to resort to cesarean section.

Read also:What anesthesia to choose for caesarean section

HOW THE NARROW TASK IS DETERMINED IN A PREGNANT WOMAN

By type of narrowing the pelvis is divided into anatomically narrow pelvis and clinically narrow. The degree of contraction of the pelvis is also determined. With 1 degree narrowing allowed natural childbirth. Under certain conditions, they are possible with 2 degrees of pelvic contraction. 3 and 4 degrees of contraction of the pelvis are always an indication for a planned cesarean section. Attempts to give birth independently in these cases are excluded.

Anatomically narrow pelvisis determined by a gynecologist even when registering a pregnant woman,when he measures the parameters with a tazomer. Normally, they should be:

  • the distance between the iliac ridges is more than 28 cm;
  • the distance between the anterior spines of the iliac bones is more than 25 cm;
  • the distance between the big spits of the femurs - 30 cm;
  • the distance between the upper edge of the pubic symphysis and the supracarpal fossa is more than 20 cm.

Read also:10 interesting facts about childbirth that you did not know

If the gynecologist fixes deviations from these parameters by more than 1.5 cm, a narrow pelvis will be diagnosed to the pregnant woman.

Clinically narrow pelvis- it is diagnosed, as a rule, already during childbirth, when it is found that the fetus is larger than the pelvis. At the same time during pregnancy, the pelvic bones can be of ideal size.

Read also:What moms say: caesarean section

NATURAL BIRTHS AT THE NARROW Pelvis

Natural childbirth in a narrow pelvis is not excluded, given that before the birth itself, the pelvic bones can disperse a little, so that the child can freely pass through the birth canal.

When deciding on the possibility of natural birth, an obstetrician-gynecologist takes into account many factors:

  • the size of the pelvis;
  • the presence or absence of any pathology of pregnancy;
  • age of the woman in labor;
  • the presence or absence of past infertility;
  • the degree of contraction of the pelvis;
  • fetal size;
  • previa fetus.

Read also:Caesarean section: necessity or desire?

So, if the pelvic narrowing is insignificant, the fetus is small, and its presentation is correct, then a decision is made about natural childbirth.

In many other cases, independent childbirth can be dangerous for both the mother and the baby.

narrow pelvic labor

By

Features of the flow of natural childbirth with a narrow pelvis:

  • during childbirth requires constant hardware monitoring of the fetus;
  • the duration of labor increases;
  • sluggish labor, weak contractions, general fatigue of the woman;
  • premature rupture of amniotic fluid is possible.

What is dangerous natural childbirth in a narrow pelvis for a child:

  • the likelihood of fetal hypoxia (lack of oxygen);
  • the probability of spinal injuries, especially of the cervical spine;
  • infection of infections (with early rupture of the amniotic fluid, the infection can enter the mother's body and infect the fetus);
  • It is possible that the loops of the umbilical cord or the handles of the child fall into the pelvic cavity before the passage of the head.

For these reasons, the natural passage of the child through the birth canal becomes almost impossible, so the only correct solution in such a situation is an emergency cesarean section.

Read also:How to recover from cesarean section?

KESAREVO SECTION AT THE NARROW Pelvis

The diagnosis of "clinically narrow pelvis" - the indication for cesarean section. This is due to the fact that with natural childbirth with such a diagnosis, a child may develop oxygen starvation, a high risk of spinal injuries and head injuries; in the mother - damage to the organs of the urogenital system and intestines by squeezing and tearing the uterus.

Indications for cesarean section with a narrow pelvis can be divided into 2 groups: absolute and relative.

Absolute indications:

  • narrow pelvis 3 and 4 degrees;
  • pronounced pelvic deformities;
  • damage to the joints and pelvic bones in previous births;
  • pelvic bone tumors.

With absolute indications, a planned caesarean section is performed, or the operation is performed with the occurrence of the first contractions.Natural childbirth is absolutely impossible.

Relative indications:

  • narrow pelvis of 1 degree in combination with large fruit;
  • narrow pelvis of 1 degree and pelvic presentation;
  • narrow pelvis of 1 degree, prolonged pregnancy;
  • narrow pelvis of 1 degree, fetal hypoxia;
  • narrow pelvis of 1 degree and a scar on the uterus;
  • narrow pelvis of 1 degree and genital anomalies;
  • narrow pelvis 2 degrees.

Natural childbirth in the presence of relative factors can be resolved, but in case of deterioration of the woman in labor or the child, an emergency cesarean section is performed.

Related news

  • Fudgy Creamy Brownie Cheesecake Recipe
  • Todorenko admitted that she has not yet chosen where to give birth
  • 10 Commandments for the Real Woman
  • Sexy Viagra Woman Erica Herceg undressed for a magazine
  • She wrote a thank-you letter to the new girlfriend of her ex-husband and conquered the net
  • Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth

    Narrow pelvis: is there a chance to give birth