Written by Editorial Team
Vaginal delivery is the best option to bring the baby into this world. But there are some instances which make vaginal delivery quite difficult.
Towards the end of the gestation period, the fetus moves into the position to come out of the mother’s womb. This position has a significant role indetermining the level of difficulty or complication during the delivery.
The normally positioned fetus will be like this:
All the positions deviated from this position are considered as abnormal. The degree of deviation determines the complications of the delivery. One of such rare obstetric complication that can be fatal for both mother and child is shoulder presentation.
Shoulder presentation is an abnormal position of the fetus at the time of delivery. In this position, the fetus lies transversely so that its vertebral column lies perpendicular to the maternal spine. So, the part that enters the birth canal will be the trunk or shoulder or an arm.
In spite of some deviations in the positioning of the fetus, the doctor may try for vaginal birth only if the baby’s head, or buttock, or feet are at the bottom. But definitely not with shoulder presentation. Hence, the vaginal birth will be will be unthinkable for the mother and she has unquestionably to undergo a C-section.
Shoulder presentation can occur due to either of maternal or fetal factors.
Some of the factors are:
A shoulder presentation generally implies that the baby can’t be born through the vagina. If a woman with this condition is already on labor the complication may increase more. Some of the complications arise with shoulder presentation are:
Theoretically,there are several methods of doing an external cephalic version (turning the baby to the correct position by hand) around 37th week. In some cases, this method was found to be a success. But weighing the complication, performing a c- section is an ideal method to save both mother and child without any life threatening issues.
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