1.The maternity checkup always says that my fetal position is correct, but how come it is not correct when I give birth? The “fetal position” at the time of delivery usually includes occipital position with the fetal head facing downward, or breech position with the fetal buttocks facing downward, and a few are transverse or oblique position (meaning that the fetus is in the uterus and its long axis is perpendicular to the long axis of the mother’s body, or at an angle). The fetal position refers to the “fetal orientation” after labor, when the uterus opens wide. The fetal position includes occipital anterior position, occipital posterior position and occipital transverse position; if the fetus is facing down and towards the ground, it is occipital anterior position, which is easy to deliver vaginally; if the fetus is facing up, it is occipital posterior position, which is extremely difficult to deliver; there is also occipital transverse position, which only a few people can deliver vaginally (good labor force and the fetus is not too big). During the delivery, some medical staffs, when explaining the condition to the patients and their families, should have said “fetal position” but mistakenly said “fetal position”, which caused misunderstanding. Moreover, some of the bad fetal positions can be corrected during labor by the prone ball position, lateral position and sitting ball position, while some fetuses need to be corrected by the physician by turning the fetal head in the vagina. If the correction is unsuccessful, it is necessary to deliver by cesarean section in time. 2. Climbing stairs is not helpful to facilitate labor. Methods to promote childbirth: squatting exercises (such as squatting toilet), when too tired, you can buy a birthing ball (or thick quilt folded up), buttocks sitting on it. Swinging forward and backward in a rotational breech position, bouncing up and down, helps dilate the perineum and pelvis and facilitates the descent of the fetal head. And going up and down stairs does not help much. It is also recommended to rub the belly regularly; or pinch both nipples until there is repeated tightening of the belly. It is also recommended that pregnant women do some turning exercises in bed, such as supine position, turning over to hairy knee-chest position (crawling on the bed like a cat or dog). For the emergency treatment of shoulder obstructed labor, the last trick is to let the mother turn over on the narrow delivery bed and turn to knee-chest position in order to deliver the fetal shoulder quickly; otherwise the fetal head comes out and the shoulder can’t come out, it’s terrible. 3.Fetal growth restriction Fetal growth restriction Fetal development is still smaller than the gestational week after correction. This kind of fetus is prone to fetal malformation, mental retardation, premature birth, and fetal cardiac arrest may occur at any time. In this case, we should pay attention to exclude the combined medical and surgical diseases of pregnancy (such as hypertension, diabetes, hypo- and hyperthyroidism, pathogenic infections, etc.), increase nutrition, caloric intake and strengthen fetal monitoring. The prognosis is poor. The fetus often has chronic intrauterine hypoxia and metabolic disorders, and the tolerance of the fetus to hypoxia decreases during delivery, resulting in neonatal brain neurological damage and hypoglycemia after birth. From 28 weeks to 31 weeks, if the fetus is not very small, it can be treated out-of-hospital under close outpatient monitoring. If you are hospitalized, some fetuses can grow up and some cannot. The brain of the fetus, like an apple, some grow very full and shiny, while others grow shriveled and dry, which the mother certainly does not like. The company’s main business is to provide a wide range of products and services to the public. In this case, the physician can only tell the signature file; if the fetus does not have a heartbeat in the end, must pull the white banner in the hospital, the hospital can not help, justified by the weak heart, even if a moment of bravery, always ends badly. 4, cesarean section is good, or vaginal delivery is good? If you have a central placenta praevia, you must have a cesarean section, at this time let her try to deliver, will hemorrhage, will die. 9 pounds of fetus, let her try to deliver, the risk is great, great. Fetal distress and near-death conditions, sometimes within 10 minutes, sometimes within 30 minutes, necessitate the removal of the fetus, most of which can only be done by cesarean delivery. For those who do not need too much effort to deliver vaginally, try to have a trial of labor. The determination of the mode of delivery is changing profoundly with the changing times and changing attitudes. In the past, it was considered necessary to have a cesarean section, but now it is considered possible to have a trial of labor, such as ICP, or the other way around, such as a breech position, which we used to dare to give a trial of labor, but now it is always a cesarean section; the same is true for twin births, which are too risky and inevitable, while a cesarean section is much more controllable. The patient’s pregnancy in October is the result of many years of family efforts, and the choice to give birth in a hospital, to give birth in a tertiary care hospital, is to be safe, is to get a healthy baby that will come out screaming. The hospital and the patient were in complete agreement on this point. However, the fetus is not delivered, the mystery is not revealed, the order is not announced, how much uncertainty there is in it! 5, pubic symphysis separation = non septic pubic osteitis, pubic symphysis arthritis: causes ① difficult emergency delivery, difficult forceps delivery; ② cephalopelvic disproportion, fetal previa abnormalities; ③ congenital developmental abnormalities, chondromalacia; ④ pregnancy P and other hormones lead to ligamentous loosening. Manifestations ① pubic symphysis pain, aggravated by weight-bearing and long-distance walking; ② slow movement of weight during walking, duck gait; ③ pain in the low back and groin area in some patients. Normal pubic gap 4-6mm, if >10mm may have symptoms. Diagnosis: ①limited fixed pressure pain; ②widened gap at the joint by hand; ③positive pelvic compression-separation test; ④ultrasound >10mm or misalignment difference (the upper edge of one side of the pubic joint is higher than the other side) >5mm; ⑤flat supine X-ray, the patient’s lower limbs on one side of the stirrups forcefully to understand the misalignment of the pubic joint (average 3mm), mostly accompanied by pubic chondritis, the X-ray sign is gross irregularity of the edge of the pubic joint, also It may be accompanied by fracture of one pubic branch. Treatment: ① hard bed rest, side lying, 2-10 weeks; ② apron, inelastic straps pelvic fixation; ③ urinary difficulties, leave urinary catheter; ④ hot compress, spectrum irradiation, Chinese medicine to activate blood circulation and remove blood stasis; ⑤ both sides of the sacroiliac joint and pubic union separation and pain, prenatal symptoms are not obvious, try to postpartum can not move and complaints. CS is recommended, ⑥ analgesics, calcium supplementation for 6 months; most of them will be relieved 2 weeks-2 months after delivery, walking backwards for 90 min/d. A case of closed foramen N injury after pubic union plate fixation and medial femoral area sensory disturbance and decrease in muscle strength of the adductor muscle; closed foramen N enters the lesser pelvis along the inner edge of the psoas major muscle, pastes the surface of the fascia of the inner muscle of the closed foramen anteriorly, goes through the closed canal to the femur, and can project to the superior pubic branch (four transverse fingers lateral to the pubic union). Orthopedics think that the separation of more than 3cm when screw + reset clamp set, arc shaped plate + screw. 6, vaginitis: leucorrhea, yellow, vaginal wall congestion and swelling, cervical erosion-like changes, etc., all suggest significant vaginal inflammation, which may lead to premature rupture of membranes, uterine cavity infection (can directly affect the fetus), the spread of infection during labor resulting in repeated postpartum fever; some fetuses intrauterine infection, no signs before delivery, soon after birth (24 hours), there is a significant increase in infection indicators, some because the infecting pathogens are too virulent, some may be related to the child’s own Some of these infections are due to the virulence of the infecting agent, while others may be related to congenital deficiencies in the microstructure and function of the child’s own organs (e.g., immune organs, intestinal tract, etc.). Systemic and vaginal topical medications are recommended. Routine urinalysis during pregnancy repeatedly sees leukocytes, but there are no manifestations of urinary tract infections such as urinary frequency, urgency, or pain, at which point asymptomatic bacteriuria is not excluded, and most patients must have normal deliveries and healthy children without treatment; however, a few may have accidents or even have children hospitalized in pediatrics for a long time. A small number of patients with medication, rupture of membranes, more likely due to inflammatory stimulation, a few may be due to high depth of drug stimulation stimulation.