How to correct abnormal fetal position

Fetal malposition refers to an abnormal position of the fetus within the uterus in late pregnancy, when the fetus fails to assume the normal head-down position entering the pelvis in preparation for delivery. Common types of fetal malposition include breech presentation, transverse lie, and face presentation. The following are several methods used to correct fetal position:

1. Knee-chest position: This is suitable for pregnant women at approximately 30 weeks of gestation. The woman should empty her bladder and loosen her waistband, then assume a kneeling position with her chest pressed close to the bed surface and her hips elevated. She should maintain this position for 15–20 minutes, twice daily. This method uses gravity to help the fetus properly descend into the pelvis, thereby correcting fetal position.

2. Traditional Chinese medicine techniques: For example, moxibustion applied to the lateral side of the little toe, which stimulates acupoints to promote uterine contractions and may aid in fetal repositioning. This technique must also be performed under the supervision of a physician.

3. External cephalic version: Usually performed around 36 weeks of gestation, this method is suitable for pregnant women with fetal malposition. An experienced physician manually rotates the fetus from a breech or transverse position into a head-down position. This procedure must be conducted in a hospital setting and carries risks such as placental abruption and umbilical cord entanglement.

Each method has its own indications and contraindications, and the choice of method should be determined by a physician based on the individual circumstances of the pregnant woman. Additionally, during the process of correcting fetal position, the pregnant woman should comprehensively consider her physical condition and tolerance level, avoiding excessive strain.