There are also possible complications that can be experienced by a woman after giving birth. Similarly, there are common complications that can be expected to occur during the process of giving birth to your child, among which are the difficulties called asr lataf delivery, and that condition indicates a difficult birth for the pregnant woman, but it is only because of fear, and others. Pregnant women who face the same situation, but also the obstetrician will be worried, and despite that, there are still many people who do not know anything about this. The case of this is the reason for me in the following Dalili Medical  article, the problem of the causes of difficulty in the delivery of the baby and the risk factors related to it.

Ma ho Asr Walada al-Katf?

Obstetrics in childbirth occurs when one or both of the child's shoulders hangs inside the pelvis during childbirth.

What are the symptoms of the difficulty of delivery of the shoulder?

 

The obstetrician notices the condition only after the birth of your baby's head. And in the morning, clearly, when your baby's head comes out, then it pulls again against the area between the vagina and the anus.

Reasons for difficulty in giving birth?

 

Difficulties in breech birth can be caused by various factors, leading to the complication of the birth process. These factors include reasons related to the mother, fetus and childbirth:

**reasons related to motherhood**

Maternal factors that contribute to the difficulty of breech birth include the following:

Gestational diabetes: This condition can lead to the large size of the fetus (the largest baby in the middle), which increases the risk of difficulty in breech birth.

Al-Samna: The excessive weight of the mother leads to the complication of vaginal delivery.

Pregnancy after the end of the term: the relationship between birth conditions that occur after 42 weeks of pregnancy with having larger babies and increasing the risk of breech delivery.

** Reasons related to the fetus **

Embryonic factors that contribute to the difficulty of breech delivery include:

Warning: Children weighing more than 4,000 grams (8 pounds and 13 ounces) are at increased risk.

Abnormal position of the fetus: breech or accidental position of the fetus can complicate the birth process.

**Materials related to childbirth**

The dynamics of al-Mahadh also play a role in the difficulty of childbirth:

The prolonged second stage of labor: the length of labor during the second stage leads to exhaustion and complications.

Automatic deliveries: Hiring a forceps or extracting by suction may lead to increased risks.

Am I the most likely to be affected by birth defects?

 

It is difficult for doctors to expect women who are suffering from complications of breech delivery during pregnancy, however, there are some known risk factors, including:

Giving birth to an overweight child, however, most of the older children do not suffer from difficulty in giving birth.

Aanit me Asr Walada al-Katf me before.

Gaining a lot of weight during pregnancy.

Having diabetes.

**Types of difficulty in giving birth**

Understanding the different types of labor complications is essential for effective management. There are two main types:

Difficulty giving birth to the front shoulder ** In this type, the front shoulder of the baby is placed behind the front shoulder of the baby. This is the most common type and requires immediate intervention to prevent complications.

Difficulty giving birth to the posterior shoulder** In the case of difficulty giving birth to the posterior shoulder, it becomes the posterior shoulder of the child (the shoulder that faces the mother's back) due to prolapse of the sacrum. This type is less common but very important to treat.

What are the methods of diagnosis?

 

Obstetricians are responsible for late labor if three factors are met:

The theme of the child's head coming out with the mother's inability to push the child's shoulder out.

At least one minute has passed since the appearance of the child's head, but the body is still visible.

The child needs medical intervention to be born successfully.

What are the ways to prevent my asr lataf delivery?

 

It is impossible to prevent the difficulty of breech birth, but to reduce the risk you can:

diabetes management; Diabetes during pregnancy is considered to be the cause of fetal weight gain in the womb.

Maintaining a healthy weight during pregnancy.

Obstetricians' questions about labor stimulation.

If you exceed your date of birth, contact your healthcare provider.

Arguing about the possibility of caesarean delivery with the obstetrician.

What are the complications of having a difficult delivery of the shoulder?

 

Mother: severe acute bleeding after childbirth.

Severe tearing in the area between Al-Muhabbal and Sharjah (Al-Ajan).

Vaginal fistula: It is an abnormal connection between the vagina and the rectum.

Tearing of the womb during childbirth.

Separation of Azam al-Ana.

Al-Tafil: Paralysis of Al-Dufaira Al-Azdia. The nerves of Al-Azdiyyah Man Habul Al-Shoki stretch out for your love in your competition across the cubit. And the loss of these nerves can cause weakness and paralysis in the affected side.

Defects in the size of the upper arm of the child and/or the upper arm of the upper arm.

Horner's syndrome: a rare anxiety disorder that affects the child's eyes and face.

Compressed umbilical cord: The umbilical cord can be confined between the child's elbow and the pelvic bone.

**I'm sorry for giving birth to Alkatf**
Although it is not possible to permanently prevent the difficulty of childbirth, some measures can reduce the risk:

Our prenatal care** Regular prenatal visits can help identify risk factors early. Monitoring the mother's weight, managing gestational diabetes, and assessing the size of the fetus during ultrasound are crucial steps.

Action management** includes the following appropriate action management strategies:

Avoiding delivery operations using tools when possible: You can reduce the use of forceps and suction to reduce risks.

Controlled delivery: Gentle and restrained delivery techniques can help prevent the difficulty of breech delivery.

**complications of the difficulty of delivery of the left arm**

Ali Al-Alam: Bleeding after birth and bleeding that occurs within 24 hours of birth.

Tears in the cervix and vagina during labor and delivery.

Wounds in the rectal tissue.

The deep tear that extends to the muscles surrounding the anus or uterine wall.

Inability to control the bladder muscle.

On the child: Paralysis of the brachial plexus, which is a loss of function of the entire shoulder and arm due to the loss of the nerves that connect them to the spine.

Kesar Lclavicle.

Eljinin's death

Lack of oxygen in the child.

Wounds and bruises on the child's skin.

Ulcer of the arm, which is a fracture of the bones on the top of the elbow.

When should you see the doctor?

 

It is not possible to notice the difficulty of childbirth except in the case of childbirth and the presence of the responsible medical team.

**Treatment of difficulty in giving birth**

When the difficulty of childbirth occurs, immediate and active treatment is necessary to prevent complications. It is necessary to employ several procedures and interventions to solve the difficulty of childbirth:

The McRoberts maneuver** involves this technique of bending the legs of the mother firmly on the abdomen, which may lead to the expansion of the pelvic outlet and facilitate childbirth.

Suprapubic pressure** Applying constant pressure directly above the pubic bone helps to move the injured shoulder out of position by rotating it to a more suitable position.

Rubin's maneuver ** includes the Rubin's maneuver, inserting the hand into the vagina to press the back shoulder of the child, then rotating it towards the chest to release the front shoulder.

Jungle leaf maneuver** In this maneuver, the health care provider rotates the child's shoulder by pressing on the front shoulder while rotating the back shoulder in the opposite direction at the same time.

Delivery of the rear arm** If the other maneuvers fail, the health care provider may try to remove the rear arm of the child first, which reduces the height and width of the shoulder and makes delivery easier.

In some cases, a surgical incision is made in the vaginal opening to create a larger space for childbirth.

What will the doctors do after the diagnosis of breech delivery?

 

The letter "H" stands for "assistance": in this case, the doctor usually needs additional assistance before the other nurses or doctors.

The letter "E" stands for "Evaluation of Prolapse of Elfraj": First, we must know what Prolapse of Elfraj stands for, which is a small crack in the area of ​​Al-Jan, which is the area between the vagina and the penis, and targets it. The doctor's appointment to perform vaginal dilatation is only an auxiliary procedure, but it cannot be relied on as a practical solution to the problem of difficult childbirth due to the difficulty of breech delivery, according to The size of the child usually prevents the exit from the pelvis area.

The letter "L" stands for "Legs": this step is called McRoberts and your doctor will guide you to bend your legs in the direction of the abdomen, where this method can help to expand. Effective pelvic area, as well as flattening the belly, which allows your baby to come out more easily.

The letter "P" refers to "pressure on the pubic bone" and the doctor uses a device to press on certain positions in the pelvic area, specifically on the pubic bone, and this will contribute to the shape active in rotating the shoulders of the fetus in the direction that it can exit easily.

The letter "E" stands for entry into the discussions: these discussions are represented by the doctors turning the child in several directions, discussing the correct position in which the child can exit. Smooth and flexible.

"R" stands for "removal of the rear arm of the birth canal": the doctor will try to help remove one of the arms of the child from the mother's vagina, and this procedure is very easy. The process of removing the baby's shoulders.

The letter "R" refers to the "disorder of the patient": it represents the presentation of instructions to the mother by moving the arms and legs. Movements are very important in making it easier to get your baby out.

Of course, this method, which includes several methods, will achieve effective results, but it is not a condition that the implementations are carried out in the order mentioned, but they can be used in different orders. There are other solutions that can be used to facilitate the passage of the child through the birth canal and it depends on the factors including the nature of the mother's body and the position of the child in addition to Our doctors have experience, and accordingly they choose to apply different procedures.

**Prayers to facilitate childbirth**
Read this supplication for fresh water and a tribe by drinking water or cutting the stomach

The supplication**

- Either the creator of my soul is my soul, or the sincere soul of my soul, or the denominator of my soul, my sincere soul

- There is no god but Allah, the Most Merciful

- As if on the day of their coming, they will not spend except for Isha or Zuhaha)

- If the sky is divided, and your permission is for the Lord, and if the earth is for a long time, we will be thrown into it and you will be empty

Aurad**

- Read Surah Al-Fatiha seven times, Ayat Al-Kursi, Surah Al-Ikhlas, Wal-Falaq, Al-Nas, all of them three times, Surah Al-Zalzala and Maryam.

- Saying "In the name of Allah (3 times).

- O living, or guardian, with your mercy, I ask for help three times

"-Hasbi Allah, there is no god except Him, upon whom you trust, and He is the Lord of the Great Throne" read the holy verse seven times

- Read the first five verses of Surah Al-Baqarah, and the last verses of Surah Al-Baqarah

upon release**

The promise of these supplications at the time of divorce and at all times during the days of pregnancy:

- O Allah, there is no ease unless we make it easy, and you make it easy if you want it easy

- The end of the whole prayer:

- Oh, the creator of my soul, my soul, or the sincere of my soul, or the detractor of my soul, my sincere soul.

- Oh God, you are the most powerful and hard-wearing agent, and I am in a new order every day, take me out of the narrow throat to the broadest path, protect us, and protect us, may God bless our master Muhammad and his family. Wassahba and peace be upon him

- Ayat Al-Kursi and Al-Mu'adhteen, Surah Al-Ikhlas and Al-Zelzla Weis and Surah Al-Malik

- Dua al-Karab: (There is no god but Allah, the Almighty, the Most Merciful, there is no god but Allah, the Lord of the Great Throne, there is no god but God, the Lord of the Heavens and the Lord of the Earth and the Lord of the Great Throne).

- O Allah, I am asking you that praise be to you, there is no god but You, the creator of the heavens and the earth, or the Most High, or the Living, or the Guardian.

- There is no god but Allah, the Most Merciful, there is no god but Allah, the Lord of the Great Throne, there is no god but God, the Lord of the Heavens and the Lord of the Noble Throne

- Say, O Allah, I am the owner of the king, you will take my king if you want, and you will remove my king if you want, and I will be proud of you if you want, and I will humiliate you if you want, etc.He is the Almighty

- O Allah, You are the Most Gracious and the All-Merciful, You are the Most Merciful, the Most Merciful, the One who has no god but You.. O Allah, I ask You in all your names. O Allah, I am asking you for the grace of the one who does not rest, and the owner of the one who does not rest, and the light of the one who fills the pillars of your throne.. May Allah bless us all.