Obstetric Hand Techniques: Basics and Applications
During pregnancy and childbirth, obstetricians often use a variety of methods and techniques to ensure the safety and comfort of both mother and baby. One of the important components of obstetric practice is manual techniques, which are manipulations without the use of instruments for diagnostic and therapeutic purposes. In this article we will look at the main aspects of obstetric manual techniques and their application.
Obstetric manual maneuvers are widely used during pregnancy to diagnose and evaluate various aspects of maternal and child health. During an abdominal examination, the obstetrician may use manual techniques to determine the position of the fetus, assess its size and position in the womb. These techniques can also be helpful in determining the baby's heartbeat and assessing the general condition of the fetus.
During labor, midwifery hand techniques play an important role in ensuring a safe and efficient birth process. The obstetrician can use a variety of techniques to support the mother and help her through labor. For example, techniques based on massage and manipulation can help reduce pain and make labor easier. The obstetrician may also use manual techniques to assist in the delivery of the fetus, such as performing external rotation maneuvers or performing delivery maneuvers.
One of the most common manual examinations is a vaginal examination, which is performed to assess cervical maturity and determine readiness to begin active labor. This technique can also be used to monitor the progress of labor and assess the condition of the mother and baby.
It is important to note that obstetric manual maneuvers must be performed by a specialist with appropriate training and experience. Incorrect or unskilled use of these techniques can lead to undesirable consequences for the mother and child. Therefore, it is always recommended to consult an experienced obstetrician or medical specialist if manual techniques are required.
In conclusion, obstetric manual maneuvers are an important tool in the obstetrician's practice. They allow diagnosis, assessment and therapy during pregnancy and childbirth without the use of instruments. Proper use of these techniques promotes the safety and comfort of mother and baby and ensures the efficiency of the birthing process. However, manual techniques should be performed by professionals with appropriate experience and training to minimize risks and ensure the best outcome for patients.
What is an obstetric manual maneuver?
An obstetric manual technique is manual manipulation of the pregnant uterus, without the use of instruments. This technique is used in obstetric and gynecological practice for the diagnosis and treatment of women in labor. The manipulations are performed by an obstetrician, so their precise implementation and technique can reduce complications and injuries to the mother and fetus during childbirth. A surgical operation is cheaper than medical delivery, and many processes in the human body occur without the participation of medications
Classification of obstetric manual techniques By manipulation, obstetricians can correct the position, presentation of the fetus, and reduce pain in the abdominal and chest areas both before and during labor. Such manipulations can help in the process:
the beginning of labor; help with lack of contraction strength. The doctor helps the rhythmic contraction of the uterus (strength, duration of contractions) even before the moment when the woman in labor begins to push. This approach allows you to reduce the likelihood of injury to the woman in labor, break the mucus plug, pump fresh blood into the uterus and increase the strength of contractions from the inside. During labor contractions, the baby can independently take its place in the uterine cavity, and it will be easier for the woman in labor to begin active release of the internal organ. The doctor also ruptures the amniotic sac (the external opening of the chorion) to drain amniotic fluid and remove the baby’s primary head. The health worker helps to make the baby's head more mobile for its subsequent removal and removal of the fetus in turn, legs and torso, completely depending on the course of the first phase. manual opening of the cervical canal and smoothing of the cervix. Preparations are underway for the passage of the fetus. As the child’s organs arrive at the opening of the vagina, which is already provided by the woman in labor, she takes on the role of a plug of the uterus; periodic cessation of pushing. Before the fetus enters the birth canal, an additional prenatal scan is performed.