FETUS IN UTRO

 (1) Attitude:- 

Attitude is the relationship of the fetus body part to one another

Normal intrauterine attitude is Flexion.

Extension Largest Fetal diameters

(2) Lie:-

Relationship of the spine of the fetus to the spine of mother

Longitudinal or vertical:-

Fetal Spine is parallel to the mother’s spine

Fetus is in cephalic or breech presentations

Transverse or horizontal

 Fetal spine is at a right angle or perpendicular to the mother’s spine

Presenting part is the shoulder

Delivery by cesareans section is necessary

(3) Presentation:-

Portion of the fetus that enter the pelvic inlet first

Cephalic:-

Head first

Cephalic is the most common presentation four variations:- Vertex, Military, brow, face

Breech: - Buttocks present first

Delivery by cesarean section three variations-frank, full (complete) & footling

Shoulder: - Fetus is an a transverse lie or arm back, or side could present

If fetus does not spontaneously rotate a cesarean section may need to perform.

(4)     Presenting past :  - The specific fetal structure lying nearst to the cervix 

(5) Position: - Relationship of assigned area of the presenting part or landmark to the maternal pelvis

(6) Station: - The measurement of the progress of descent in centimeters above or below the misplace from the presenting part to the Ischial spine.

Station o-At Ischial Spine 

Minus station- Above Ischial Spine

Plus station – Below Ischial spine 

(7) Engagement: - When the widest diameter of the presenting part has passed the inlet usually cars spends to a station

(8) Fetal position:-

ROA – Right Ocupito Anterior   RMA- Right Mantum anterior

LOA- Left Ocupito Anterior LMA- Left Mento anterior

ROP- Right Ocupito Anterior    RMP- Mento posterior

LOP- Left Ocupito Anterior LSA- Left sacro anterior

ROT- Right Ocupito Transverse  LSP- Left sacro posterior

LOT Right Ocupito Transverse