Naegele obliquity

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Naegele's obliquity is a term used in obstetrics to describe the normal position of the fetus in the uterus during the later stages of pregnancy. It is named after the German obstetrician Franz Karl Naegele, who first described it in the 19th century.

Definition

Naegele's obliquity refers to the position of the fetal head in relation to the maternal pelvis. In this position, the fetal head is tilted towards one side of the pelvis, with the occiput (back of the head) facing the mother's right or left side. This is considered the normal position for the fetus during the later stages of pregnancy and is the most common position for delivery.

Clinical significance

The position of the fetus in the uterus can have a significant impact on the process of childbirth. Naegele's obliquity is considered the optimal position for vaginal delivery, as it allows the widest part of the fetal head to align with the widest part of the maternal pelvis. This alignment facilitates the passage of the fetus through the birth canal.

If the fetus is not in Naegele's obliquity, it may lead to complications during childbirth. For example, if the fetus is in a posterior position (with the occiput facing the mother's back), it can result in a more painful and prolonged labor, often referred to as "back labor". In some cases, it may also increase the risk of cesarean section.

See also

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