F ETAL O RIENTATION IN U TERUS Suzanita Utama Division of Obstetrics and Infertility Department of Veterinary Reproduction Fac of Veterinary Medicine Universitas Airlangga
FETAL ORIENTATION
IN UTERUS
Suzanita Utama
Division of Obstetrics and Infertility
Department of Veterinary Reproduction
Fac of Veterinary Medicine
Universitas Airlangga
FETAL ORIENTATION IN UTERUS
Practical-7
maternal pelvic QUADRANTS
NORMAL presentation, position and posture
fetal reorientation
abnormal POSTURE
abnormal POSITION
abnormal PRESENTATION
pelvic cavity
abdominal
cavity
SACRUM
ILIUM
PUBIS
PELVIC INLET
PELVIC
OUTLET
Lateral view – cow pelvis
BORDERS OF MATERNAL PELVIS
PELVIC
INLET
PELVIC
OUTLET
Posterior View of cow’s pelvis
BORDERS OF MATERNAL PELVIS
sacrum
illium
PRESENTATION, POSITION and POSTURE
for NORMAL DELIVERY
• POSTERIOR
• LONGITUDINAL PRESENTATION• DORSO-SACRAL
/ DORSAL
POSITION
• NORMAL POSTURE
(no extremities
or head-neck flexion)
• ANTERIOR
:
Stage I (ETOKIA)
RE-ORIENTASI FETUS
• Ekstensi kaki-2 /dan kepala leher
• Position: DORSOSACRAL
EX-
UTERO
IN-
UTERO
ABNORMAL POSTUREHEAD-NECK
LATERAL DEVIATION OF THE HEAD
PELVIC
OUTLET
PELVIC
INLET
RETROPULSION
DORSAL
VIEW
ABNORMAL POSTUREHEAD-NECK
DOWNWARD DISPLACEMENT OF
THE HEAD
VERTEX
VERTEX
VERTEX
VERTEX
VERTEX
RETROPULSION
ABNORMAL POSTUREFORELIMB
UNILATERAL CARPAL FLEXION
HORSE
RETROPULSION
**
ABNORMAL POSTURE
FORELIMB
UNILATERAL SHOULDER FLEXION
BILATERAL
SHOULDER FLEXION
RETROPULSION
SHOULDER FLEXION
*
ABNORMAL POSTUREFORELIMB
ELBOW LOCK POSTURE
RETROPULSION
*
ABNORMAL POSTUREHINDLIMB
BILATERAL HOCK FLEXION
RETROPULSION
*
ABNORMAL POSTUREHINDLIMB
BILATERAL HIP FLEXION
BREECH
BREECH
BREECH
BREECH
BREECH
DOG SITTING POSITION
DOG SITTING
POSITION
POSTERIOR
LONGITUDINAL
PRESENTATION
DORSOPUBIC
POSITION
EXTENSION OF
HINDLIMB
(RECTOVAGINAL
RUPTURE)
OBLIQUE
VENTROVERTICAL
= DOG SITTING POSITION
SITUS
VERTICO-OBLIQUE
POSISI VENTRAL
DOG
SITTING
POSITION
DOG
SITTING
POSITION
DOG
SITTING
POSITION
ROTATION
ABNORMAL POSITION
ABNORMAL POSITION
ANTERIOR LONGITUDINAL
PRESENTATION
DORSO-PUBIC POSITION
ROTATION
VENTRO-TRANSVERSEDORSO-TRANSVERSE
ABNORMAL PRESENTATION
TRANSVERSE PRESENTATION
VERSION
fetal head
fetal front
limbs
fetal back
fetal tail
fetal
hindlimbs
fetal
back
WHAT ARE THE PRESENTATION AND POSITION ?
Anterior longitudinal
Dorso-sacral
Posterior longitudinal
Dorso-sacral
Posterior longitudinal
Dorso-pubis
Anterior longitudinal
Dorso-pubis
DIFFERENTIATING FRONT FROM REAR LIMBS
these joints
bend in opposite
directions
these joints bend
in the same direction