Wiganda Obstetric Turn

Wiegand Obstetric Turn: History and Significance

The Wiegand Obstetrical Turn, also known as the Wiegand twist, is a medical procedure that was developed by German gynecologist Johann Wiegand (1769-1817). This technique, first described by Wigand in the early 19th century, had a significant impact on the field of obstetrics and gynecology.

Wiegand Obstetric Turn is used to change the position of the fetus in the uterus, especially in cases where the fetus is in an abnormal or reverse position. Before the advent of this procedure, malpositioned deliveries often required a cesarean section, increasing the risk to mother and baby. The Wiegand Obstetric Turn provided an alternative method to reposition the fetus within the uterus and facilitate normal delivery.

The Wiegand Obstetric Turn procedure consists of manipulations performed by an obstetrician or gynecologist using the hands. The doctor gently turns the fetus while applying external pressure to the mother's abdomen. This allows you to change the position of the fetus so that the head or legs are directed towards the outlet of the mother's pelvis.

However, it should be noted that the Wiegand Obstetric Turn is not always possible or safe for all pregnant women. The decision to perform this procedure must be made by a doctor based on the individual circumstances of each case. Some factors that may affect the ability to perform a Wiegand Obstetric Turn include fetal size, umbilical cord position, fetal fluid, and other medical considerations.

In modern obstetric practice, the Wiegand Obstetric Turn continues to be used in some cases when it is necessary. It can be performed as a stand-alone procedure or in combination with other methods, such as the intravaginal version or the use of external devices.

Overall, Wiegand's Obstetric Turn leaves a significant mark on the history of obstetrics and gynecology. Developed by Johann Wiegand, this procedure provided an effective and relatively safe way to reposition the fetus in the uterus, significantly reducing the need for caesarean section. Today it continues to be an important tool for facilitating childbirth and ensuring a favorable outcome for mother and child.

Wiegand obstetric turn is a method used in operative gynecology to prevent bleeding from the cervix and fetal tearing during childbirth.

This method was developed by the German gynecologist Johannes Sigismund Wiganda in the 18th century and is one of the first successfully performed obstetric rotations of the birth process, which reduced the mortality and disability of women in labor.

The Wiegand obstetric turn helps to avoid the high risks of complications from the mother and fetus when the head of the biparietal part passes through the pelvis during pushing. Using this method, you can rotate the fetal head anteriorly, preventing it from moving upward during flexion of the head - one of the most dangerous periods when the risk of fetal injury and maternal bleeding increases.

The main advantage of the Wiganda technique is its simplicity and effectiveness in reducing complications such as umbilical cord cutting, hyperextension of the head and fetal injury, as well as cases of head or soft tissue trauma. In some cases, its use may help reduce blood loss in a pregnant woman.

The main method of performing viganda obstetric rotation requires the pregnant woman to lie on her back with her knees bent and her legs lying at full length so that the fetal head moves down slightly. After this, the doctor will position the cervix in the upper