OBSTETRIC TORSION, PATHOGENESIS, MECHANISM, MODERN CLINICAL DIAGNOSIS

Obstetric rotation mechanism pathogenesis pathology and normal course

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April 16, 2025

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Obstetric rotation is an operation that can change the position of the fetus from an unfavorable position to a favorable one for the process of childbirth, always only longitudinal. There are the following methods of obstetric version: external version to the head, less often to the pelvis; internal rotation with full opening of the cervical os - classical or timely, rotation.

External rotation of the fetus is performed by a doctor only through the abdominal wall using external means without any impact from the vagina. Indications: transverse and oblique positions of the fetus, lower view of the fetus. Conditions for the procedure: good fetal mobility (if the waters break, rotation is not indicated); normal pelvic dimensions (true conjugate not less than 8 cm); absence of indications for early termination of labor (fetal asphyxia, premature detachment of the placenta, etc.).

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