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TRANSVERSE LIE AND CORD AROUND THE NECK
CAUSES, COMPLICATIONS AND IT’S MANAGEMENT
*WHAT IS TRANSVERSE BABY?*
A fetus is in a transverse position when it is sideways, at a 90-degree angle to the pregnant person’s spine. In situations when a good fetus cannot be turned into a head-down position by the time a person goes into labor, a cesarean section (C-section) will likely be required.
Vaginal birth with a transverse position poses risks to the baby and the person giving birth.
It is estimated that between 2% to 13% of babies are in malposition at delivery—meaning that they are not in the cephalic (head down) position.1
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WHAT ARE CAUSES AND RISK FACTORS OF A TRANSVERSE BABY?
There are both physiological features that can cause a fetus to be in a transverse position, as well as certain risk factors that could increase the chances of that happening. These include having:
*• A bicornuate uterus,* meaning that the uterus has two separate sides, so you may only be able to fit a fetus that is in the transverse position2
• *Oligohydramnios or polyhydramnios* , conditions which involve abnormally low or high amniotic fluid volume, respectively, during pregnancy3
Other common risk factors include:
√ The position of the placenta (particularly, if the pregnant person has placenta previa)
√ Going into labor early
√ Being pregnant with twins or other multiples4
√ The pregnant person’s pelvic structure
√ Having a different type of abnormality of the uterus
√ Having a cyst or fibroid blocking the cervix
√ Not being a person’s first pregnancy5.
WHAT ARE IT COMPLICATION?
Complications
Whether the baby is born via C-section or had been moved to the point of allowing a vaginal delivery, other potential complications remain.
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WHAT IS CESAREAN SECTIONS?
While C-sections are generally safe for both the baby and the person delivering it, there are some inherent risks associated with the procedure, as there are with any surgery. For the pregnant person, these can include:
• Increased bleeding
• Infection
• Bladder or bowel injury
• Reactions to medicines
• Blood clots
• Death (very rare)
CAN BABIES RETURN TO A TRANSVERSE POSITION AFTER BEING MOVED?
Yes! Even if the baby does change positions, it is possible that it could return to a transverse position prior to delivery.
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IS NORMAL DELIVERY POSSIBLE IF CORD AROUND NECK?
Yes! Babies are often born safely with multiple loop’s of cord around their neck through normal delivery. In few cases when the cord around the neck does not come off the baby easily Our medical professional Doctor at Adebayo living tower hospital may decide to clamp and cut the cord and then deliver the baby.
*OUR DIAGNOSIS ON TRANSVERSE LIE AND CORD AROUND NECK*
It’s not uncommon for a fetus to be in a transverse position in the earlier stages of pregnancy, but in most cases, the baby’s position shifts on its own before labor begins.
Because there are no signs or symptoms of having a fetus in a transverse position, Our medical professionals at Adebayo living tower hospital diagnose this through an examination method which involves touching the pregnant person’s abdomen to determine the fetal position. It is usually confirmed by an ultrasound.
for better and clear image of your baby visit us at Adebayo living tower hospital
*OUR TREATMENT AND MANAGEMENT ON TRANSVERSE LIE AND CORD AROUND THE NECK*
Approximately 97% of deliveries involve a fetus in cephalic presentation, which is when the baby’s head is down, making a vaginal delivery easier and safer. But approximately 1% of deliveries involve a fetus in a transverse lie position—meaning that its shoulder, arm, or trunk may present first.
In these cases, there are two options:
Attempting to manually turn the baby so that it can safely be delivered vaginally. Visit or contact our Medical professional at _Adebayo living tower hospital_ for more details.
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I… C…T Department“`
*ADEBAYO LIVING TOWER HOSPITAL*
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