During the birth it can happen that the head of your baby does not fit well between your pelvis. The result: an emergency Cesarean section or you get annoying symptoms on your pelvic floor after delivery. To prevent this, it is good to determine in advance whether the head fits between the pelvic floor. How this can be done? Hopefully with one ultrasound during childbirth.
Predict whether the head fits through the pelvis
Gynecologists from the university hospital in Groningen have been busy with it: finding a solution for that annoying emergency Cesarean section or nasty complications after delivery because the head did not fit well between the pelvis. According to them, the solution is to make an ultrasound during childbirth at the moment that you have 10 centimeter access and are pressing. Only in this way can it really be properly examined whether the head fits in between.
'We are currently trying to make a prediction of this using echoes or MRIs, but they seem to be wrong next time'. The reason for this is according to Jasper Eijsink of the UMCG: 'The head is still flexible because the skull halves can slide over each other, and also the pelvis is softened, making it smoother. Only at the very last moment of delivery can you really make a good prediction '.
Research among 250 women in labor
To test the theory, research has been done on women in labor. This showed that the ultrasound during childbirth really seems to be the solution to make a correct assessment of whether the head fits between the pelvis or not. During the examination, the gynecologist looked at the angle of the woman's pubic bone in relation to the baby's head. He did this by putting an ultrasound device on the labia during childbirth.
If the angle remained too sharp during pressing, this was an indication that it would be difficult to place the baby on the world by means of a natural delivery (probably with a vacuum pump). Instead of trying all things unpleasant or waiting too long, you can opt for a cesarean section.
Dangers of an emergency Cesarean section
Currently, an emergency cesarean section is chosen if the natural delivery is not successful. But at that moment the baby has already gone far into the birth canal.
Eijsink says: 'That makes for difficult operations. Sometimes you have to pry the child a lot to get it back out of the womb. The risk of bleeding to the uterus is therefore a lot bigger and the baby can get short of oxygen due to lack of oxygen. '
Echo during childbirth for healthy delivery
An ultrasound during childbirth has several advantages. Initially, an emergency cesarean will be performed less quickly. The word 'rush' indicates that it is actually already on the late side. In the Netherlands, around 15,000 deliveries annually end in an emergency cesarean section. With all the dangers and inconveniences for the mother and baby afterwards. In addition, there are also many women who do have a natural delivery, but where the delivery was so heavy that a long and severe recovery period ensues.
These women also have symptoms such as losing urine, stools can not stop or feel pain during sex. You do not want to join this as a mother?
That's why gynecologist Alec Malmberg thinks: 'The focus in birth care is primarily on the birth of a healthy child, but the long-term effects on the mother are also relevant. If we know beforehand that natural childbirth is impossible, we can save both child and mother '.
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