LIE

PRESENTATION
,POSITION
LIE
PRESENTATION
,POSITION
SINDHU SEBASTIAN
LECTUER
FMCON2014
Fetal Lie
Lie Relationsi! "et#een lon$ a%is o&
&et's an( lon$ a%is o& )ate*nal s!ine
Lon$it'(inal + #en lon$ a%is o& &et's
,oin,i(e #it lon$ a%is o& )ote*


T*ans-e*se
T*ans-e*se + a%is
,*oss ea, ote*
at .0 (e$*ees
Co)!li,ation o& T*ans-e*se an(
Unsta"le lie/

Co*( o* an( !*ola!se0

O"st*',te( la"o'* 0

Ute*ine *'!t'*e0

Di&&i,'lt int*a o!e*ati-e (eli-e*1 o& te &et's0

Bi*t t*a')a 2 e*"s !'ls130

Post!a*t') ae)o**a$e0
O"li4'e

O"li4'e + a%is ,*oss ea, ote* at 45

(e$*ees
P*e(is!osin$ &a,to*

Ute*ine &i"*oi(s,

'te*ine s'*$e*1,

olo$i1(*a)nios,

!ol11(*a)nios

Fetal )'lti!le $estation,

a"no*)alit1, ne'*o)'s,'la* ,on(ition

Unsta"le Lie/
De&inition/

Unsta"le lie *e&e*s to te &*e4'ent

,an$in$ o& &etal lie an( !*esentation
in late !*e$nan,1

2's'all1 *e&e*s to !*e$nan,ies 6 78

#ee9s0
Unstable lie:

,o*( !*ola!se &ollo#in$ s!ontaneo's *'!t'*e o&

te )e)"*anes,

an( !*ola!se o& te an(, so'l(e* o* &oot on,e

in la"o'* In )ost ,ases, te #o)en is )'lti!a*o's
#it la% 'te*'s an( a"(o)inal #all )'s,'lat'*e
an( $entle -e*sion o& te "a"1:s ea( #ill *esto*e
te !*esentation to ,e!ali,

Dia$nosis o& t*ans-e*se o* o"li4'e

lie )i$t "e s's!e,te( "1

a"(o)inal ins!e,tion,

a"(o)en o&ten a!!ea*s

as1))et*i,al S1)!1sis &'n(al
ei$t )i$t "e less tan
e%!e,te( On !al!ation,

te &etal ea( o* "'tto,9s )a1

"e in te ilia, &ossa

Pal!ation o-e* !el-i, "*i) #ill

*e-eal an e)!t1 !el-is

Fetal P*esentation

Pa*t o& te &et's #i, o,,'!ies te

lo#e* !ole o& te 'te*'s is ,alle( as
!*esentation
T1!es

CEPHALIC <.=05>

BREECH <7>

SOULDER <005>
P*esentin$ !a*t

P*esentin$ !a*t is (e&ine( as te

!a*t o& te !*esentation #i, o-e*
lies te inte*nal os an( is &elt "1 te
e%a)ines &in$e* to*o'$ te
,e*-i,al o!enin$

Ce!ali, + ?e*te% 2,o))on3 ,B*o# ,&a,e

B*ee, +le$s
2A3 -e*te%
2B3 sin,i!'t
2C3 "*o#
2D3 &a,e
Brow Presentation

B*o#/ #en te !o*tion o& te &etal

s9'll @'st a"o-e te o*"ital *i($e
!*esents

So'l( "e s's!e,te( in 'ne%!e,te(l1

!*olon$e( la"o'* #it &ail'*e to
!*o$*ess
Shoulder presentation
Attit'(e

Te *elation o& te (i&&e*ent !a*t s o&

te &et's to one anote* is ,alle( as
attit'(e

Te 'ni-e*sal attit'(e is &le%ion

D'*in$ te late* )onts te ea( li)"s

an( t*'n9 o& te &et's )aintain te
attit'(e o& &le%ion on all te @oints an(
&o*) an o-oi( )ass tat ,o**es!on(s
a!!*o%i)atel1 to te sa!e o& te
'te*ine ,a-it1

Te &et's "e,o)es &ol(e( o* "ent

'!on itsel& in s', a )anne* tat te
"a,9 "e,o)es )a*9e(l1 ,on-e%A

te ea( is sa*!l1 &le%e( so tat

te ,in is al)ost in ,onta,t #it te
,est
Fetal Position.

Position refers to the

relationship of an arbitrarily
chosen portion of the fetal
presenting part to the right or
left side of the maternal birth
canal

A,,o*(in$l1, #it ea, !*esentation

te*e )a1 "e t#o !ositions, *i$t o*
le&t

Be,a'se te !*esentin$ !a*t )a1 "e

in eite* te le&t o* *i$t !osition,
te*e a*e le&t an( *i$t o,,i!ital,
le&t an( *i$t )ental, an( le&t an(
*i$t sa,*al !*esentations
Varieties of Presentations
and Positions.

Fo* still )o*e a,,'*ate o*ientation,

te *elationsi! o& a $i-en !o*tion o&
te !*esentin$ !a*t to te ante*io*,
t*ans-e*se, o* !oste*io* !o*tion o&
te )ate*nal !el-is is ,onsi(e*e(0

Be,a'se te !*esentin$ !a*t in *i$t

o* le&t !ositions )a1 "e (i*e,te(
ante*io*l1 2A3, t*ans-e*sel1 2T3, o*
!oste*io*l1 2P3, te*e a*e si%
-a*ieties o& ea, o& te t*ee
!*esentation
O,,i!'t !*est, te !*esentation,
!osition, B -a*iet1 )a1 "e a""*e-iate( in
,lo,9#ise &asion as/
Lon$it'(inal lie0 Ce!ali,
!*esentation
(A)
vertex,
(B) sinciput (C) brow (D) face
presentations
Lon$it'(inal lie0 ?e*te%
!*esentation
B. Left occiput posterior
(LOP).
A. Left occiput
anterior (LOA).
Lon$it'(inal lie0 ?e*te%
!*esentation0
A. Right occiput posterior
(ROP).
B. Right occiput
transverse (RO).
Lon$it'(inal lie0 ?e*te%
!*esentation0 Ri$t o,,i!'t
ante*io* 2ROA3
Fa,e/ !*esentin$ !a*t is te &a,e,
(eno)inato* is )ent')
CONCLUSION

Te 'n(e*stan(in$ o& te a"o-e

(es,*i!tion o& te &et's in te
)ote*s #o)" is -e*1 ,*iti,al in
'n(e*stan(in$ te )e,anis) o&
lalo'*0