Obstetric Turn Combined External-Internal

Obstetric turning is a method of childbirth that is used to facilitate labor in women with various pregnancy complications. One of the types of obstetric rotation is a combined external-internal rotation, which combines two methods: external-external and intrauterine rotation.

External rotation is a technique in which the doctor turns the fetus in the uterus and points its head down toward the birth canal. This can be done both before and during labor. External rotation can be done manually or using special tools.

Intrauterine rotation is a technique used to prevent the fetal head from tilting back during labor. The doctor inserts his hand into the uterus and turns the fetal head so that it points down toward the birth canal.

Combined external-internal rotation combines both methods. The doctor begins with external rotation and then moves to intrauterine rotation to prevent the fetal head from tilting back.

This method can be used to give birth to women who have problems with the presentation of the fetus or with the position of the fetus in the uterus. Combined external-internal rotation may also be useful for women with multiple pregnancies or large fetuses.

Overall, obstetric turning is an effective method of delivery and can help reduce the risk of complications for mother and baby. However, before using this method, it is necessary to conduct a thorough examination and discuss all possible risks and benefits with your doctor.