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  1. Key Points. Abnormal fetal lie or presentation may occur due to fetal size, fetal anomalies, uterine structural abnormalities, multiple gestation, or other factors. Diagnosis is by examination or ultrasonography. Management is with physical maneuvers to reposition the fetus, operative vaginal delivery, or cesarean delivery.

  2. Lie refers to the angle of the fetus in relation to the mother and the uterus. Up-and-down (with the baby's spine parallel to mother's spine, called longitudinal) is normal, but sometimes the lie is sideways (transverse) or at an angle (oblique).

  3. Follow the 4 steps of the Leopold Maneuver for abdominal palpation to determine fetal lie and presentation. Diagnose Count for 60 seconds to have the fetal heart rate bpm (beats per minute) or count for 15 seconds and multiply by 4.

  4. 12 lis 2018 · The obstetric examination is type of abdominal examination performed in pregnancy. It is unique in that the clinician is trying to simultaneously assess the health of two individuals – the mother and the fetus.

  5. The lie, presentation and position of a fetus are important during labour and delivery. In this article, we will look at the risk factors, examination and management of abnormal fetal lie, malpresentation and malposition.

  6. • Oblique lie: The fetal axis is diagonal to the uterine axis. • Transverse lie: The fetal longitudinal axis is perpendicular to the uterine axis. • Unstable lie: The fetal lie continues to change at or near term (usually from 37 weeks onwards).

  7. 22 paź 2023 · Posterior: The head is down, and the back is in line with the pregnant person’s. Transverse lie: The fetus is lying horizontally on its back. Breech: The fetus’s feet point down.

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