Outside twist
The outer phrase is an obstetrics term that describes the manual change in the position of the child in the uterus from the breech position or transverse position . A very experienced obstetrician tries to turn the child from the outside through the abdominal wall. The child should play a “role” in the uterus so that it moves from the rump to the skull position .
This requires a lot of experience and appropriate caution. The success rate is around 60 to 80%. Possible complications are given in the literature at around 3% and range from minor vaginal bleeding to fetomaternal transfusions to premature detachment of the placenta and umbilical cord wrapping with a drop in the child's heart rate .
To be on the safe side, a complete OR team should be ready for every external turn. If one of the rarely described complications occurs, a caesarean section is performed immediately . This is why the procedure should only take place after the 37th week of pregnancy, as the child can be assumed to be mature.
literature
- Michael Glaubitz u. a .: The external turn from the pelvic end or lateral position - results and complications at the MHH women's clinic . Poster presentation Gebfra 2000. ( Abstract )
- Henning Schneider, Karl-Theo Husslein (Hrsg.): The obstetrics . 3. Edition. Springer Verlag, Berlin 2006, ISBN 3-540-33896-9 .
