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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