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Thursday, November 20, 2008

External Cephalic Version

by dr.Ay

Just want to add some pictures about external cephalic version...

External cephalic version is a way to try to turn a baby from breech position to vertex (head-down) position while it's still in the mother's uterus. In other words, external cephalic version means turning the baby from outside of the abdomen so that it's in the head-down position. Your doctor will use his or her hands on the outside of your abdomen to try to turn the baby (see the pictures below).

First step is:

"Beginning the forward roll. The doctor places his or her hands on the abdomen, moving the baby up out of the pelvic bone"

Second step is:

"The baby is turned either forward or backward...."

Third step is:

... until the baby is in the vertex (head-down) position.




This procedures are usually done before the head of the baby engage in the upper pelvic gate. We also have to check the baby's heart rate before and after doing the procedures to make sure that the baby is fine. If there is deterioration of baby's heart rate, we must repositioning the baby to the previous position. Always ask your doctor for further information.





1 comment:

imam said...

Dear dokter
Terima kasih atas kunjungannya.

Maaf saya balas di sini, karena tidak menemukan email dokter.

Menjawab pertanyaan dokter.
Pada dasarnya, mengorok (snoring) akan dapat ditangani dengan mudah jika faktor etiologi diketahui . Mari kita pahami bahwa jika seseorang mengorok , berarti menandakan adanya gangguan atau sumbatan pasase udara di bagian mana saja sepanjang saluran nafas bagian atas (Upper respiratory tract) yang dimulai dari hidung hingga pita suara di larynx (voice box). Tipe gangguannya bisa berbagai macam, mulai dari infeksi (ISPA, commoncold), alergi, neoplasma, metabolik, neurologis, hingga anatomis. Jika sekiranya seorang dokter umum dapat menentukan bahwa keluhan ngoroknya tersebut karena sebab alergi ataupun infeksi (edema atau sekret kental yang terkumpul sekitar hidung dan tenggorok), maka dokter dapat memberikan pengobatan sesuai alergi atau infeksi, dengan tidak lupa memberikan mukolitik ataupun anti alergi (kasus alergi). Namun jika bukan karena itu maka harus dilakukan pemeriksaan secara teliti mengenai kausanya, yang kemungkinan membutuhkan keterlibatan dokter yang berpengalaman di bidangnya., dan bentuk penanganannya pun akan sangat bervariasi hingga operatif sekalipun.
Demikian penjelasan singkat dari saya
Mohon maaf jika kurang berkenan.
Jika ada hal yang harus ditanyakan, please feel free to contact me.

Salam,
Imam Megantara.