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Obstetric interventions

Fortunately the majority of pregnancies and births progress without complications and naturally, without the need for any medical intervention.

But sometimes there can be a problem and so it is reassuring to know that we can help.

 

With the threat of preterm birth: Cerclage and total closure of the cervix

Encircling the uterine cervix with a ring (Cerclage) is a method used to keep a weak cervix shut or from opening early. This procedure prevents or delays some premature births.

Cerclage is performed using regional anaesthesia and the procedure involves wrapping a special plastic tape around the cervix, the outlet of the uterus, to support the weak (incompetent) cervix.

 

There is also the option of closing the cervix with stitches (total closure of the cervix).

 

The stitches are usually removed 3 weeks before the expected due date or earlier when the signs of labour start.

 

Breech: What happens if the baby is "upside down"?

At the end of a pregnancy, most babies lie with their heads pointing downwards (cephalic presentation). However, in three to four percent of cases the baby is in a breech position – when the foetus presents “bottom-down” in the uterus. This can cause problems at birth.

 

That is why it is very useful to have a consultation in advance. You can arrange an appointment with our practice, at best 4 weeks before the expected due date.

 

Before employing any other measures, we try to rotate the foetus at an early stage. Our professional midwives use alternative methods during the childbirth preparation process, such as the Indian bridge, acupuncture and moxibustion.

 

External cephalic version to turn the foetus into the head-down position

Turning the foetus into the head-down position (external cephalic version) is a well-known obstetric measure. Thanks to modern monitoring capabilities such as foetal heart rate monitoring and ultrasonography, this procedure is very safe now. The chances of success of an outer twist are around 60 percent.

The most suitable time is about 3 weeks before the expected due date, after a detailed consultation with an examination in our practice.

 

The external cephalic version is performed in the delivery room. After the appropriate preparatory measures have been completed (ultrasound scan, CTG, positioning the mother comfortably on the delivery bed), the baby’s bottom is slowly pushed out of the mother’s pelvis into a tilted position. It is then rotated by careful movements into the head-down position.

If the rotation does not work, after 2-3 attempts, the procedure is stopped. It is also stopped if the mother appears too uncomfortable or the foetus resists our efforts to turn it

The heart rate of the baby is monitored before, during, and after the attempts to turn it.

 

Vaginal delivery of a breech baby

For more information about the vaginal delivery of a breech baby click here.


Obstetrics See-Spital
Asylstrasse 19
8810 Horgen

geburtshilfe@see-spital.ch

Tel. Midwives:
044 728 17 00

Tel. Lactation consultant:
044 728 17 87

Classes:
kurse@see-spital.ch