(Disclaimer: This article is only for the purpose of popularization of science, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: For experienced pregnancy and delivery of women in labor and delivery, the relative abnormality of the obstetric examination during pregnancy will be reduced, and the progress of the labor process will be faster after entering into labor, but as a woman in labor and delivery of Ms. Liu encountered an anomaly of the fetal fetal fetal position after the delivery of her baby, which resulted in a slow dilatation of the mouth of the uterus and slow descent of the head of the fetus in the active phase of the labor process. The doctor found the abnormality and gave her a hand reversal in time. After correcting the fetal position, the uterine opening soon opened and the baby was delivered smoothly. Basic information] Female, 29 years old [Type of disease] Abnormal fetal position found during labor [Hospital] Jiangbin Hospital, Guangxi Zhuang Autonomous Region [Time of consultation] May 2022 [Treatment plan] Hand-turned fetal position + delivery with normal delivery [Treatment cycle] Hospitalization for 4 days, review after 42 days [Effect of treatment] Fetus was delivered smoothly I. Initial consultation Ms. Liu described herself as having had 2 abortions in the past, and had a normal delivery of a child in 2017, which went smoothly. The process was smooth. Her last menstrual period was on August 14, 2021, and her urine HCG was positive for more than 1 month after menopause, so she went to the hospital to check the ultrasound, which indicated that she had an early intrauterine pregnancy, and her expected date of delivery was May 21, 2022, and she went to our outpatient clinic at 11 weeks of pregnancy. She was pregnant 11 weeks to our hospital outpatient card and regular maternity checkups, 20 weeks of pregnancy began to self-fetal movement, Down’s syndrome screening, systematic ultrasound, glucose tolerance test did not see any obvious abnormalities, the process of obstetrics and delivery went smoothly. 5:00 a.m. on May 17, began to irregular lower abdominal distension and pain, get up after the redness, 10:00 contractions gradually strengthened encrypted, Ms. Liu went to the hospital for medical attention. Outpatient fetal monitoring examination suggests regular contractions, sterilized gynecological examination found that 80% of the cervical canal regression, the mouth of the uterus is not 1 finger, the diagnosis of pregnancy and delivery 1 39 + weeks of gestation of a live fetus in labor, admitted to the hospital to await delivery. After admission to the hospital, she completed the routine blood tests, coagulation function, fetal ultrasound and other tests, and assessed the situation of the birth canal, the size of the fetus, and so on, did not see any obvious abnormality, Ms. Liu is a transient woman, and suggested a vaginal trial of labor, to which Ms. Liu agreed. 16:20 vaginal examination showed that the cervical canal of the uterus had completely regressed, the uterine mouth was open by 2cm, the head of the fetus was -3, and the fetal heart was normal, and she was given a close watch on the progress of the labor process. 19:10 vaginal examination showed that the uterine mouth had opened by 5cm and the head of the fetus was -3. At 19:10, vaginal examination showed that the uterine opening was 5cm, fetal head -2, left occipital posterior position, good contractions, entering the active stage of labor, and she was sent to the delivery room. At 21:40, the uterine opening was 9cm, fetal head -1, left occipito-recovery position, Ms. Liu wanted to push and started to use abdominal pressure, and the edge of the cervical opening started to edema. She communicated with Ms. Liu and told her that she wanted to push because of fetal malposition, and instructed her to relax and to use abdominal pressure only after the uterine opening was complete. At the same time, she was given a hand reversal of the fetal position, turning the fetal head to the left occipital anterior position, and soon the uterine opening was complete, and the fetus was successfully delivered 15 minutes later. If the fetus is unable to correct the fetal position by itself, the doctor should give hand-turning to help correct the fetal position, which is more conducive to the dilatation of the uterus, the descent of the fetal head and the delivery of the fetus. The postpartum recovery was fast, vital signs were normal, no obvious abnormality in heart and lungs, no abdominal pain, occasional uterine contraction pain, breastfeeding, no breast distension, good uterine recuperation, not much discharge, she was discharged from hospital in 4 days, and she was asked to come back to the hospital for uterine recuperation in 42 days. Note: We are glad that Ms. Liu’s symptoms have improved after treatment, but we still suggest that we need to pay attention to some of the nursing measures: 1, we suggest that postpartum rest, don’t be too tired, and ensure adequate sleep, which is conducive to physical recovery; 2, increase nutrition, drink more soup, which is conducive to increasing lactation, and eat more light and nutritious food, such as fresh vegetables, fruits, eggs, meat, etc.; 3, we suggest that after delivery, you must go to the obstetrician and gynecologist for 42 days to have a good breastfeeding. 3, it is recommended to go to the obstetrics and gynecology clinic for follow-up on the 42nd day, complete the postpartum examination and pelvic floor function assessment, and develop individualized programs, such as pelvic floor rehabilitation to avoid urine leakage, pelvic floor organ prolapse, sexual disharmony, etc.; 4, it is recommended to relax, and family members should care about the psychological changes of mothers, to avoid postpartum depression. V. Personal perception The difference between women who have had a normal delivery and primiparous women is that they have experienced labor before, so the progress of labor is generally significantly faster than that of primiparous women, and in the face of labor pain, they will be more psychologically prepared, and generally will not be overly tense and afraid of other mental factors affecting the progress of labor. However, no matter whether you are a pregnant woman or a primigravida, you need to keep a good mindset when giving birth, avoid being too nervous, and actively cooperate with the doctor as Ms. Liu did, which is conducive to a smooth delivery, and you must pay attention to the maintenance of the body after delivery, which will help the body to recover.