What you ought to Determine If Your Child Is within an Oblique Lie

 

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A baby is oblique when the baby’s head is in the mother’s hip. The baby’s body and head are diagonal, not vertical and not horizontal ( transverse lie ). Pictured above is our friend Rose, her baby is barely oblique. The baby’s head would be more obvious in her hip.

What You Need to Know If Your Baby Is in an Oblique Lie By Sara Lindberg, 5/29/20 Kecia Gaither, MD, an OB-GYN and director of perinatal services at NYC Health + Hospitals, says there are some alternative methods like acupuncture and Spinning Babies classes. Oblique position of the fetus. Oblique position of the fetus An intermediate option between the longitudinal and transverse is the oblique position of the fetus. In this case, its longitudinal axis is at an angle to the axis of the uterus.

The baby lies diagonally. Baby A oblique: When Baby A is oblique, it means his or her head is pointed down, but toward either of your hips, rather than squarely at your cervix. If you were carrying a singleton, a practitioner would probably try external version to bring the baby’s head where it needs to be (facing the exit), but that can be risky when you’re carrying twins. Baby in an Oblique Lie at 36 weeks: Anyone have any experience with baby being in an oblique lie? Basically this turkey is head down but his head is off to the side in my left hip.

His shoulder is over my pelvis and his body comes up around my right side. He is. Get updates on how your baby develops, your body changes, and what you can expect during each week of your pregnancy by signing up to the Mumsnet Pregnancy Newsletters. This is a Premium feature To use this feature subscribe to Mumsnet Premium get first access to new features see fewer ads, and support Mumsnet. My first son was transverse lie (which is kinda worse than oblique so there is even more hope for you! yay! and certainly better than breech-yipes!)until between 37-38weeks-ish.

He was 9 1/2 lbs and 23 1/2 in at birth ( at almost 41 weeks), even as big as he already was when he turned, he still managed it. I did nothing to help him. OK so yesterday my widwife said that the baby was lying ‘a little bit wonky’ quote. i googled the oblique position and this is the diagram i found this to me is NOT a ‘little bit wonky’!!!!! im hoping that by my next midwife appointment she has either turned the right way or turned breech.. then at least i know what im dealing with. the right position for labour is cephallic ‘head down’, does not have to be engaged but does need to be head down,oblique is not head down baby is situated at an angle therefore will move either.

Finally felt comfortable enough to join your group at 34+4, although have been doing a bit of reading in the background recently and have realised how supportive you all are to one another and would like to join in hope that’s ok:) I saw my midwife last night who told me the baby is currently lying oblique, on the left hand side: This is.

List of related literature:

The lie is oblique if the head or breech is in the iliac fossa.

“Oxford American Handbook of Obstetrics and Gynecology” by Errol R. Norwitz, S. Arulkumaran, I. Symonds, A. Fowlie
from Oxford American Handbook of Obstetrics and Gynecology
by Errol R. Norwitz, S. Arulkumaran, et. al.
Oxford University Press, 2007

Side with fetal back will palpate long and firm and the side with arms and legs will be irregular and lumpy.

“Lippincott's Content Review for NCLEX-RN” by Diane M. Billings
from Lippincott’s Content Review for NCLEX-RN
by Diane M. Billings
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

The child may lie quite still or may move cautiously and often prefers to lie on the left side with the right thigh flexed.

“Differential Diagnosis of Common Complaints E-Book” by Robert H. Seller, Andrew B. Symons
from Differential Diagnosis of Common Complaints E-Book
by Robert H. Seller, Andrew B. Symons
Elsevier Health Sciences, 2011

To assess tone, first observe the fully awake child looking for movement, position, and signs of decreased fetal movement (hip dislocation, arthrogryposis, plagiocephaly, pectus excavatum).When supine, infants with low tone will lay with their extremities extended and abducted, termed the frog-leg position.

“Ferri's Clinical Advisor 2012: 5 Books in 1, Expert Consult Online and Print” by Fred F. Ferri
from Ferri’s Clinical Advisor 2012: 5 Books in 1, Expert Consult Online and Print
by Fred F. Ferri
Elsevier Health Sciences Division, 2011

Oblique lie that results when the fetus is diagonally across

“A Comprehensive Textbook of Midwifery & Gynecological Nursing” by Annamma Jacob
from A Comprehensive Textbook of Midwifery & Gynecological Nursing
by Annamma Jacob
Jaypee Brothers,Medical Publishers Pvt. Limited, 2018

In an oblique lie, the fetal head, or breech, is found in one or other iliac fossa.

“Mayes' Midwifery E-Book: A Textbook for Midwives” by Sue Macdonald
from Mayes’ Midwifery E-Book: A Textbook for Midwives
by Sue Macdonald
Elsevier Health Sciences, 2011

Next, determine the lie of the fetus (this is the relationship of the long axis of the fetus to the maternal spine–longitudinal usually, but sometimes oblique or transverse).

“Hutchison's Clinical Methods E-Book: An Integrated Approach to Clinical Practice With STUDENT CONSULT Online Access” by Michael Glynn, William M Drake
from Hutchison’s Clinical Methods E-Book: An Integrated Approach to Clinical Practice With STUDENT CONSULT Online Access
by Michael Glynn, William M Drake
Elsevier Health Sciences, 2012

If the fetal head or sacrum is not visible in the lower uterine segment, then a transverse or oblique lie should be suspected and a midsagittal view of the fetal spine should be obtained to assess the relative angle of the fetal and maternal spines.

“Point of Care Ultrasound E-book” by Nilam J Soni, Robert Arntfield, Pierre Kory
from Point of Care Ultrasound E-book
by Nilam J Soni, Robert Arntfield, Pierre Kory
Elsevier Health Sciences, 2019

● Determine the lie of the second twin by abdominal palpation, internal examination, or transabdominal ultrasound examination.

“High Risk Pregnancy E-Book: Management Options Expert Consult” by David K. James, Philip J. Steer, Carl P. Weiner, Bernard Gonik
from High Risk Pregnancy E-Book: Management Options Expert Consult
by David K. James, Philip J. Steer, et. al.
Elsevier Health Sciences, 2010

Typically, children with abdominal pain will lie on one side and draw their knees up to the abdomen.

“Maternity and Pediatric Nursing” by Susan Scott Ricci, Terri Kyle
from Maternity and Pediatric Nursing
by Susan Scott Ricci, Terri Kyle
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

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8 comments

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  • Please fix your eyebrows not for aesthetic reasons only but because eyebrows are used in communication and perceiving emotion and the fact that the eyebrows are shaped downwards makes you look permanently worried /concerned. Otherwise i really like these videos.

  • WOW! This is so helpful and informative. I am 25 weeks pregnant with my first child and my baby kicks me quite a bit towards the pelvis. I am due for my next sonography appointment on 29th of February, 2020 and I am hoping for the best. At the age of 39 to be pregnant with the first baby is quite exciting as much as makes me nervous too. Please do keep me in your prayers and your thoughts for a healthy pregnancy and a safe delivery. Thanks!

  • Hi I am 36 weeks pregnant and it is my second pregnancy. My first baby was 4.5kgs because of that I had loose/saggy tummy ( diastasis recti problem).
    During my growth scan in second pregnancy (29 Weeks) the baby position is cephalic whereas now because of loose tummy the baby is moving and it went to transverse/oblique position. Wat should I do to bring it back and also if the reason is beautiful of loose tummy how will the position gets fixed. Please reply me soon thanks in advance

  • I’m 26 weeks and 5 days and I feel a lot of movement around my belly button and close to my ribs. I don’t know what position my baby is in because I can’t tell if they’re just kicks or kicks and punches yet.

  • This was really helpful thank you! I’ve just found out our baby is breech at 34 weeks, so it’ll be great to see if I can work out if he’s turned in the run up to my next midwife appointment ��

  • Same position with my baby right now! Don’t know how to check baby’s position until I find this video. Thanks for very educative video..

  • 37 weeks and my baby is transverse (sideways). We scheduled a c-section… The doctor said “It doesn’t matter, I’ll get her out!”…lol

  • Hi I’m 37 weeks pregnant n I feel baby movement mostly on my left side..n I can feel my baby’s head on the right side..so is this an accurate position of my baby??