presentation cephalic meaning in hindi

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What Is Cephalic Position?

The ideal fetal position for labor and delivery

• Why It's Best

Risks of Other Positions

• Determining Position
• Turning a Fetus

The cephalic position is when a fetus is head down when it is ready to enter the birth canal. This is one of a few variations of how a fetus can rest in the womb and is considered the ideal one for labor and delivery.

About 96% of babies are born in the cephalic position. Most settle into it between the 32nd and 36th weeks of pregnancy . Your healthcare provider will monitor the fetus's position during the last weeks of gestation to ensure this has happened by week 36.

If the fetus is not in the cephalic position at that point, the provider may try to turn it. If this doesn't work, some—but not all—practitioners will attempt to deliver vaginally, while others will recommend a Cesarean (C-section).

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Why Is the Cephalic Position Best?

During labor, contractions dilate the cervix so the fetus has adequate room to come through the birth canal. The cephalic position is the easiest and safest way for the baby to pass through the birth canal.

If the fetus is in a noncephalic position, delivery becomes more challenging. Different fetal positions have a range of difficulties and varying risks.

A small percentage of babies present in noncephalic positions. This can pose risks both to the fetus and the mother, and make labor and delivery more challenging. It can also influence the way in which someone can deliver.

A fetus may actually find itself in any of these positions throughout pregnancy, as the move about the uterus. But as they grow, there will be less room to tumble around and they will settle into a final position.

It is at this point that noncephalic positions can pose significant risks.

Cephalic Posterior

A fetus may also present in an occiput or cephalic posterior position. This means they are positioned head down, but they are facing the abdomen instead of the back.

This position is also nicknamed "sunny-side up."

Presenting this way increases the chance of a painful and prolonged delivery.

There are three different types of breech fetal positioning:

• Frank breech: The legs are up with the feet near the head.
• Footling breech: One or both legs is lowered over the cervix.
• Complete breech: The fetus is bottom-first with knees bent.

A vaginal delivery is most times a safe way to deliver. But with breech positions, a vaginal delivery can be complicated.

When a baby is born in the breech position, the largest part—its head—is delivered last. This can result in them getting stuck in the birth canal (entrapped). This can cause injury or death.

The umbilical cord may also be damaged or slide down into the mouth of the womb, which can reduce or cut off the baby's oxygen supply.

Some providers are still comfortable performing a vaginal birth as long as the fetus is doing well. But breech is always a riskier delivery position compared with the cephalic position, and most cases require a C-section.

Likelihood of a Breech Baby

You are more likely to have a breech baby if you:

• Go into early labor before you're full term
• Have an abnormally shaped uterus, fibroids , or too much amniotic fluid
• Are pregnant with multiples
• Have placenta previa (when the placenta covers the cervix)

Transverse Lie

In transverse lie position, the fetus is presenting sideways across the uterus rather than vertically. They may be:

• Down, with the back facing the birth canal
• With one shoulder pointing toward the birth canal
• Up, with the hands and feet facing the birth canal

If a transverse lie is not corrected before labor, a C-section will be required. This is typically the case.

Determining Fetal Position

Your healthcare provider can determine if your baby is in cephalic presentation by performing a physical exam and ultrasound.

In the final weeks of pregnancy, your healthcare provider will feel your lower abdomen with their hands to assess the positioning of the baby. This includes where the head, back, and buttocks lie

If your healthcare provider senses that the fetus is in a breech position, they can use ultrasound to confirm their suspicion.

Turning a Fetus So They Are in Cephalic Position

External cephalic version (ECV) is a common, noninvasive procedure to turn a breech baby into cephalic position while it's still in the uterus.

This is only considered if a healthcare provider monitors presentation progress in the last trimester and notices that a fetus is maintaining a noncephalic position as your delivery date approaches.

External Cephalic Version (ECV)

ECV involves the healthcare provider applying pressure to your stomach to turn the fetus from the outside. They will attempt to rotate the head forward or backward and lift the buttocks in an upward position. Sometimes, they use ultrasound to help guide the process.

The best time to perform ECV is about 37 weeks of pregnancy. Afterward, the fetal heart rate will be monitored to make sure it’s within normal levels. You should be able to go home after having ECV done.

ECV has a 50% to 60% success rate. However, even if it does work, there is still a chance the fetus will return to the breech position before birth.

Natural Methods For Turning a Fetus

There are also natural methods that can help turn a fetus into cephalic position. There is no medical research that confirms their efficacy, however.

• Changing your position: Sometimes a fetus will move when you get into certain positions. Two specific movements that your provider may recommend include: Getting on your hands and knees and gently rocking back and forth. Another you could try is pushing your hips up in the air while laying on your back with your knees bent and feet flat on the floor (bridge pose).
• Playing stimulating sounds: Fetuses gravitate to sound. You may be successful at luring a fetus out of breech position by playing music or a recording of your voice near your lower abdomen.
• Chiropractic care: A chiropractor can try the Webster technique. This is a specific chiropractic analysis and adjustment which enables chiropractors to establish balance in the pregnant person's pelvis and reduce undue stress to the uterus and supporting ligaments.
• Acupuncture: This is a considerably safe way someone can try to turn a fetus. Some practitioners incorporate moxibustion—the burning of dried mugwort on certain areas of the body—because they believe it will enhance the chances of success.

A Word From Verywell

While most babies are born in cephalic position at delivery, this is not always the case. And while some fetuses can be turned, others may be more stubborn.

This may affect your labor and delivery wishes. Try to remember that having a healthy baby, and staying well yourself, are your ultimate priorities. That may mean diverting from your best laid plans.

Speaking to your healthcare provider about turning options and the safest route of delivery may help you adjust to this twist and feel better about how you will move ahead.

Glezerman M. Planned vaginal breech delivery: current status and the need to reconsider . Expert Rev Obstet Gynecol. 2012;7(2):159-166. doi:10.1586/eog.12.2

Cleveland Clinic. Fetal positions for birth .

MedlinePlus. Breech birth .

UT Southwestern Medical Center. Can you turn a breech baby around?

The American College of Obstetricians and Gynecologists. If your baby is breech .

Roecker CB. Breech repositioning unresponsive to Webster technique: coexistence of oligohydramnios .  Journal of Chiropractic Medicine . 2013;12(2):74-78. doi:10.1016/j.jcm.2013.06.003

By Cherie Berkley, MS Berkley is a journalist with a certification in global health from Johns Hopkins University and a master's degree in journalism.

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Home • हिंदी • गर्भावस्था

MomJunction believes in providing reliable, research-backed information to you. As per our strong editorial policy requirements, we base our health articles on references (citations) taken from authority sites, international journals, and research studies. However, if you find any incongruencies, feel free to write to us .

क्या नॉर्मल डिलीवरी के लिए वर्टेक्स पोजीशन अच्छी है? | Vertex Position Of Baby In Hindi

विनिता पंगेनी ने एचएनबी गढ़वाल विश्वविद्यालय से मास कॉम्युनिकेशन में मास्टर डिग्री हासिल की है। इन्होंने सबसे पहले एक कॉपी राइटर, उसके बाद पत्रकार, फिर संपादक के रूप में विभन्न मीडिया कंपनियों में कार... read full bio

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गर्भावस्था के दौरान, खासकर जिन्होंने पहली बार गर्भधारण किया हो उन्हें सबसे बड़ी चिंता इस बात की सताती है कि उनकी नॉर्मल डिलीवरी होगी या सिजेरियन। यह पूरी तरह से गर्भवती के स्वास्थ्य और गर्भ में पल रहे बच्चे की पोजीशन पर निर्भर करता है। गर्भ में बच्चे की पोजीशन अलग-अलग होती हैं, जिसमें वर्टेक्स भी एक है। मॉमजंक्शन के इस लेख में हम बच्चे की वर्टेक्स पोजीशन के बारे में विस्तार से बात करेंगे। इस लेख में हम जानेंगे कि वर्टेक्स पोजीशन क्या है, इसमें डिलीवरी कैसे होती है और इसके क्या जोखिम हो सकते हैं। इन सभी सवालों के जवाब जानने के लिए लेख को अंत तक पढ़ें।

चलिए सबसे पहले समझते हैं कि बच्चे की वर्टेक्स पोजीशन क्या होती है।

वर्टेक्स पोजीशन (शीर्ष स्थिति) क्या है?

जैसा कि हम सभी जानते हैं कि गर्भ में भ्रूण की वृद्धि होने के साथ–साथ बच्चा अपनी पोजीशन बदलता रहता है। वहीं, जब बच्चे का सिर महिला की योनी के नीचे की ओर घूम जाता है, तो इसे वर्टेक्स पोजीशन यानी शीर्ष स्थिति कहते हैं। अक्सर डिलीवरी के कुछ हफ्तों पहले लगभग 34 हफ्ते तक बच्चा सिर-नीचे की स्थिति में आ जाता है। इस पोजीशन को हेड डाउन और सेफेलिक पोजीशन (Cephalic Position) के नाम से भी जाना जाता है। नॉर्मल डिलीवरी के लिए ये पोजीशन सबसे अच्छी मानी जाती है। इससे प्रसव के दौरान मां और बच्चे दोनों को कम परेशानियों का सामना करना पड़ सकता है (1) (2) । लेख में आगे वर्टेक्स पोजीशन कितनी तरह की होती है, इसके बारे में बता रहे हैं।

वर्टेक्स पोजीशन (सिर नीचे की ओर) के प्रकार – Types of Vertex Position

वर्टेक्स पोजीशन दो तरह की होती हैं, जो इस प्रकार हैं (1) :

1. ऑकीपुट इंटीरियर (Occiput anterior) : इसमें बच्चे का सिर नीचे की तरफ और चेहरा व शरीर मां की पीठ की तरफ होता है। डिलीवरी के लिए इस पोजीशन को सबसे बेहतर माना जाता है।

2. ऑकीपुट पोस्टीरियर (Occiput Posterior) : इसमें भी बच्चे का सिर नीचे की तरफ होता है, लेकिन चेहरा मां की पीठ की जगह पेट की तरफ होता है। आमतौर पर डिलीवरी के लिए इस अवस्था को भी सुरक्षित माना जाता है, लेकिन इसमें बच्चे के लिए पेल्विस से निकलना थोड़ा मुश्किल हो सकता है। कई बार बच्चा लेबर के दौरान खुद इस पोजीशन से घूम कर ऑकीपुट इंटीरियर पोजीशन में आ जाता है।

यदि डिलीवरी के दौरान बच्चा इस अवस्था में होता है, तो उसे मुड़ने के लिए प्रोत्साहित करने के लिए गर्भवती महिलाओं को टहलने यानी वॉक करने के लिए कहा जाता है। इसके अलावा, डिलीवरी की अलग-अलग पोजीशन ट्राई की जा सकती है। वहीं, जरूरत पड़ने पर वैक्यूम डिवाइस की मदद से बच्चे को बाहर निकाला जा सकता है।

लेख के इस भाग में जानते हैं कि गर्भवती महिला में वर्टेक्स पोजीशन कितनी आम है।

क्या शीर्ष स्थिति सामान्य है?

जैसा कि लेख में ऊपर बताया गया है कि डिलीवरी के दौरान बेबी का सिर नीचे की ओर यानी सिर के बल वाली अवस्था (वर्टेक्स पोजीशन) में होना सबसे अच्छा माना जाता है। गर्भावस्था में 34 हफ्ते के बाद ज्यादातर शिशु सिर के बल नीचे वाली स्थिति में आ जाते हैं। लगभग 97 फीसदी बच्चे डिलीवरी से पहले हेड डाउन अवस्था में आ जाते हैं। बाकी के 3 प्रतिशत बच्चे ब्रीच पोजीशन (पेट में बच्चा उल्टा) में हो सकते हैं, जिससे प्रसव के दौरान कई जटिलताएं हो सकती हैं (3) । अब जानें शिशु के वर्टेक्स पोजीशन का कैसे पता लगा सकते हैं।

क्या मेरा शिशु वर्टेक्स पोजीशन में है? | Shishu Ke Vertex Position me Hone Ke Lakshan

बच्चा किस पोजिशन में है, गर्भवती महिलाएं खुद इसका पता नहीं लगा सकती हैं। बच्चे की पोजिशन से जुड़े कोई लक्षण नहीं होते हैं। निम्नलिखित तरीकों से इसका पता लगाया जा सकता है :

1. एब्डोमिनल पल्पेशन (abdominal palpation) : गर्भावस्था के दौरान बच्चे की पोजीशन जानने के लिए डॉक्टर पेट को छूकर जांच कर सकते हैं। बच्चे की स्थिति जानने का यह सबसे आसान तरीका है। इस तकनीक को लियोपोल्ड मन्यूवर्स कहते हैं (4) ।

2. अल्ट्रासाउंड स्कैन : प्रसव का समय पास आने पर डॉक्टर गर्भ में बच्चे की पोजीशन की पुष्टि के लिए अल्ट्रासाउंड स्कैन की सलाह दे सकते हैं (5) ।

आगे विस्तार से जानिए वर्टेक्स पोजीशन में प्रसव के बारे में।

शीर्ष स्थिति में बच्चे की डिलीवरी कैसे होती है?

नॉर्मल डिलीवरी के लिए बच्चे की वर्टेक्स पोजीशन (हेड डाउन) को सबसे अच्छा माना जाता है। जैसा कि लेख में बताया गया है कि यह भी दो प्रकार की होती है। भ्रूण का ऑकीपुट इंटीरियर पोजीशन (सिर नीचे और शरीर मां की पीठ की तरफ) में होना नॉर्मल है। गर्भवती महिला की नॉर्मल डिलीवरी की शुरुआत में भले ही बच्चा ऑकीपुट इंटीरियर पोजीशन में हो, लेकिन कई बार पेल्विस में आगे बढ़ते हुए वह ऑकीपुट पोस्टीरियर (सिर नीचे और चेहरा मां की पीठ की तरफ) की स्थिति में आ सकता। इसमें कोई परेशानी वाली बात नहीं है। 5 प्रतिशत मामलों में अचानक बच्चा घूम कर अपनी पोजीशन बदल सकता है (6) ।

• सबसे पहले शिशु पेल्विस की तरफ आगे बढ़ता है और धीरे-धीरे इतनी जगह बनाता है कि उसमें से निकलकर जननमार्ग (बर्थ कैनाल-birth canal) से गुजर सके। बर्थ कैनाल छोटा होने की वजह से बच्चा अपने सिर को भी काफी इधर–उधर घुमाता है।
• इसके बाद भ्रूण की ग्रेविटी और एमनियोटिक द्रव सिर को घुमाते हुए शिशु को नीचे की तरफ जाने के लिए प्रेरित करते हैं। यही कारण है कि बच्चे के जन्म के दौरान सबसे पहले उसका सिर मां की योनी से बाहर निकलता है।
• इसके बाद प्रसव का दूसरा चरण शुरू होता है। इस दौरान गर्भाशय ग्रीवा (cervical dilatation) पूरी तरह से खुल जाती है और शिशु का सिर नीचे आ जाता है। इस दौरान शिशु ऑकीपुट पोस्टीरियर में है, तो उसे सिर की मदद से आराम से घुमाकर ऑकीपुट इंटीरियर पोजीशन में लाया जा सकता है।
• इसके बाद बच्चे के बाकी शरीर को बाहर निकाला जाता है।

बच्चे के जन्म की यह प्रक्रिया देखी जाए, तो काफी दिलचस्प है, क्योंकि सोचने वाली बात यह है कि बच्चे को कैसे पता की उसे प्रसव के दौरान अपना शरीर और सिर कहां और किधर से निकालना है। वर्टेक्स यानी शीर्ष पोजीशन में बच्चे का जन्म जल्दी हो जाता है, क्योंकि इसमें बच्चे का सिर दबाव डालता है, जिससे वह संकरे मार्ग को भी चौड़ा कर खुद-ब-खुद बाहर निकल आता है (7) । इसलिए, वर्टेक्स पोजीशन को नॉर्मल डिलीवरी के लिए सबसे बेहतर माना जाता है।

लेख में आगे शिशु की वर्टेक्स पोजीशन के जोखिम के बारे में बता रहे हैं।

क्या बच्चे के लिए शीर्ष (वर्टेक्स) स्थिति में कोई जोखिम है?

हर प्रेगनेंसी और डिलीवरी अलग-अलग होती है। इसलिए, कई बार बच्चे की वर्टेक्स पोजीशन होने के बावजूद प्रसव के दौरान समस्याएं आ सकती हैं, जिनके बारे में नीचे जानकारी दे रहे हैं (8) :

1. कमजोर संकुचन : कई बार संकुचन कमजोर हो सकता है, जिस वजह से गर्भाशय ग्रीवा समय पर पूरी तरह से खुल नहीं पाता है। ऐसे में शिशु बर्थ कैनाल से नहीं निकल पाता है। यदि लेबर की प्रक्रिया ठीक से आगे नहीं बढ़ती है, तो डॉक्टर संकुचन के लिए दवा दे सकते हैं या सिजेरियन डिलीवरी कर सकते हैं।

2. पेरिनियल टियर्स : डिलीवरी के समय योनि और आसपास के ऊतक पर अधिक दबाव पड़ता है, जिससे कभी-कभी वह हिस्सा फट जाता है। कई बार यह टियर अपने आप ठीक हो जाते हैं। यदि टियरिंग गंभीर है, तो परिस्थिति को देखते हुए एपीसीओटोमी (योनि और गुदा के बीच एक सर्जिकल कट) का सहारा लेना पड़ सकता है।

3. गर्भनाल संबंधित समस्या : बर्थ कैनाल से निकलते समय गर्भनाल शिशु के हाथ या पैर में फंस सकती है, लेकिन कई बार गर्भनाल शिशु के गले में लिपट जाती है, जिससे बच्चे के लिए जोखिम की स्थिति बन सकती है।

4. बच्चे की असामान्य हृदय गति : ज्यादातर लेबर के दौरान शिशु की हृदय गति का असामान्य होना कोई परेशानी वाली बात नहीं है। ऐसे में मां को पोजीशन बदलने के लिए कहा जा सकता है, जिससे शिशु का ब्लड फ्लो अच्छे से हो सके। कुछ मामलों में यह परेशानी गंभीर रूप ले सकती है, जिस वजह से तुरंत डिलीवरी करनी पड़ सकती है।

5. पानी की थैली का जल्दी फट जाना : आमतौर पर प्रसव की प्रक्रिया पानी की थैली के फटने के 24 घंटे के अंदर खुद शुरू हो जाती है। यदि ऐसा नहीं होता है, तो डॉक्टर लेबर को प्रेरित करने के लिए दवा दे सकते हैं।

6. पेरिनेटल एस्फेक्सिया : जब भ्रूण को गर्भाशय में या शिशु को प्रसव के दौरान पर्याप्त ऑक्सीजन नहीं मिलती है, तो पेरिनेटल एस्फेक्सिया की परेशानी हो सकती है।

7. शोल्डर डिस्टोकिया : यह परेशानी तब होती है जब प्रसव के दौरान योनी से बच्चे का सिर निकल आता है, लेकिन कोई एक कंधा फंस जाता है।

8. अत्यधिक रक्तस्राव : यदि डिलीवरी के दौरान गर्भाशय में टियर्स ज्यादा आ जाते हैं या प्लेसेंटा गर्भाशय को ढक लेती है, तो रक्तस्राव की स्थिति उत्पन्न हो सकती है।

चलिए, अब जानते हैं कि बच्चे को वर्टेक्स पोजीशन में कैसे लाया जा सकता है।

बच्चे को वर्टेक्स पोजीशन में कैसे लाएं?

नीचे बताए गए तरीकों से बच्चे को वर्टेक्स पोजीशन में लाने में मदद हो सकती है :

• एक्सरसाइज : बच्चे को वर्टेक्स पोजीशन में लाने के लिए डॉक्टर कई एक्सरसाइज की सलाह दे सकते हैं। हालांकि, ये एक्सरसाइज बच्चे को सिर के बल आने में मदद कर सकती हैं, लेकिन इसका मतलब नहीं है कि यू यह पूर्णतः कारगर है। इस विषय में संबंधित डॉक्टर से जरूर बात करें।
• एक्सटर्नल सेफेलिक वर्जन (ईसीवी) : डिलीवरी के कुछ समय पहले तक अगर बच्चा ब्रीच अवस्था (गर्भ में बच्चा उल्टा) है, तो संभव है कि डॉक्टर एक्सटर्नल सेफेलिक वर्जन (ईसीवी-मां के पेट पर हाथों से दबाव देकर भ्रूण की स्थिति को ठीक करने की प्रक्रिया) की मदद से बच्चे को सिर के बल लाने का प्रयास कर सकते हैं। ऐसा नॉर्मल डिलीवरी की संभावना बढ़ाने के लिए किया जाता है (9) ।

लेख के अंतिम भाग में जानिए क्या प्रसव के दौरान भी बच्चा शीर्ष स्थिति में आ सकता है।

क्या डिलीवरी के दौरान बच्चा वर्टेक्स पोजीशन से मुड़ सकता है?

डिलीवरी से पहले शिशु गर्भ में अपनी स्थिति बदलता रहता है, लेकिन प्रसव के शुरू होने के बाद यदि शिशु वर्टेक्स पोजीशन में है, तो अमूमन मामलों में वो इसी अवस्था में योनि से बाहर आता है। कुछ दुर्लभ मामलों में आखिरी के पलों में बच्चा वर्टेक्स पोजीशन से दूसरी अवस्था में आ सकता है (10) ।

1. Delivery presentations By Medlineplus 2. Your baby in the birth canal By Medlineplus 3. Labor with Abnormal Presentation and Position By Researchgate 4. Leopold Maneuvers By NCBI 5. Ultrasound By Medlineplus 6. Clinical effectiveness of position management and manual rotation of the fetal position with a U-shaped birth stool for vaginal delivery of a fetus in a persistent occiput posterior position By Sage Journals 7. Labor Stage 2 By Science Direct 8. What are some common complications during labor and delivery? By NIH 9. Effects of external cephalic version for breech presentation at or near term in high-resource settings: A systematic review of randomized and non-randomized studies By European Journal of Midwifery 10. BREECH PRESENTATIONS IN GENERAL PRACTICE . By Medical Journal

• Learn   /  

Why Is Cephalic Presentation Ideal For Childbirth?

5   Dec   2017 | 8 min Read

During labour, contractions stretch your birth canal so that your baby has adequate room to come through during birth. The cephalic presentation is the safest and easiest way for your baby to pass through the birth canal.

If your baby is in a non-cephalic position, delivery can become more challenging. Different fetal positions pose a range of difficulties and varying risks and may not be considered ideal birthing positions.

Two Kinds of Cephalic Positions

There are two kinds of cephalic positions:

• Cephalic occiput anterior , where your baby’s head is down and is facing toward your back.
• Cephalic occiput posterior , where your baby is positioned head down, but they are facing your abdomen instead of your back. This position is also nicknamed ‘sunny-side-up’ and can increase the chances of prolonged and painful delivery. 

How to Know if Your Baby is In a Cephalic Position?

You can feel your baby’s position by rubbing your hand on your belly. If you feel your little one’s stomach in the upper stomach, then your baby is in a cephalic position. But if you feel their kicks in the lower stomach, then it could mean that your baby is in a breech position.

You can also determine whether your baby is in the anterior or posterior cephalic position. If your baby is in the anterior position, you may feel their movement underneath your ribs and your belly button could also pop out. If your baby is in the posterior position, then you may feel their kicks in their abdomen, and your stomach may appear rounded up instead of flat. 

You can also determine your baby’s position through an ultrasound scan or a physical examination at your healthcare provider’s office. 

Benefits of Cephalic Presentation in Pregnancy

Cephalic presentation is one of the most ideal birth positions, and has the following benefits:

• It is the safest way to give birth as your baby’s position is head-down and prevents the risk of any injuries.
• It can help your baby move through the delivery canal as safely and easily as possible.
• It increases the chances of smooth labour and delivery.

Are There Any Risks Involved in Cephalic Position?

Conditions like a cephalic posterior position in addition to a narrow pelvis of the mother can increase the risk of pregnancy complications during delivery. Some babies in the head-first cephalic presentation might have their heads tilted backward. This may, in some rare cases, cause preterm delivery.

What are the Risks Associated with Other Birth Positions?

A small percentage of babies may settle into a non-cephalic position before their birth. This can pose risks to both your and your baby’s health, and also influence the way in which you deliver. 

In the next section, we have discussed a few positions that your baby can settle in throughout pregnancy, as they move around the uterus. But as they grow old, there will be less space for them to tumble around, and they will settle into their final position. This is when non-cephalic positions can pose a risk.  

Breech Position

There are three types of breech fetal positioning:

• Frank breech : Your baby’s legs stick straight up along with their feet near their head.
• Footling breech: One or both of your baby’s legs are lowered over your cervix.
• Complete breech: Your baby is positioned bottom-first with their knees bent.

If your baby is in a breech position , vaginal delivery is considered complicated. When a baby is born in breech position, the largest part of their body, that is, their head is delivered last. This can lead to injury or even fetal distress. Moreover, the umbilical cord may also get damaged or get wrapped around your baby’s neck, cutting off their oxygen supply.  

If your baby is in a breech position, your healthcare provider may recommend a c-section, or they may try ways to flip your baby’s position in a cephalic presentation.

Transverse Lie

In this position, your baby settles in sideways across the uterus rather than being in a vertical position. They may be:

• Head-down, with their back facing the birth canal
• One shoulder pointing toward the birth canal
• Up with their hands and feet facing the birth canal

If your baby settles in this position, then your healthcare provider may suggest a c-section to reduce the risk of distress in your baby and other pregnancy complications.

Turning Your Baby Into A Cephalic Position

External cephalic version (ECV) is a common, and non-invasive procedure that helps turn your baby into a cephalic position while they are in the womb. However, your healthcare provider may only consider this procedure if they consider you have a stable health condition in the last trimester, and if your baby hasn’t changed their position by the 36th week.

You can also try some natural remedies to change your baby’s position, such as:

• Lying in a bridge position: Movements like bridge position can sometimes help move your baby into a more suitable position. Lie on your back with your feet flat on the ground and your legs bent. Raise your pelvis and hips into a bridge position and hold for 5-10 minutes. Repeat several times daily.
• Chiropractic care: A chiropractor can help with the adjustment of your baby’s position and also reduce stress in them.
• Acupuncture: After your doctor’s go-ahead, you can also consider acupuncture to get your baby to settle into an ideal birthing position.

While most babies settle in a cephalic presentation by the 36th week of pregnancy, some may lie in a breech or transverse position before birth. Since the cephalic position is considered the safest, your doctor may recommend certain procedures to flip your baby’s position to make your labour and delivery smooth. You may also try the natural methods that we discussed above to get your baby into a safe birthing position and prevent risks or other pregnancy complications. 

When Should A Baby Be In A Cephalic Position?

Your baby would likely naturally drop into a cephalic position between weeks 37 to 40 of your pregnancy .

Is Cephalic Position Safe?

Research shows that 95% of babies take the cephalic position a few weeks or days before their due date. It is considered to be the safest position. It ensures a smooth birthing process.

While most of the babies are in cephalic position at delivery, this is not always the case. If you have a breech baby, you can discuss the available options for delivery with your doctor.

Does cephalic presentation mean labour is near?

Head-down is the ideal position for your baby within your uterus during birth. This is known as the cephalic position. This posture allows your baby to pass through the delivery canal more easily and safely.

Can babies change from cephalic to breech?

The external cephalic version (ECV) is the most frequent procedure used for turning a breech infant.

How can I keep my baby in a cephalic position?

While your baby naturally gets into this position, you can try some exercises to ensure that they settle in cephalic presentation. Exercises such as breech tilt, forward-leaning position (spinning babies program), cat and camel pose can help.

Stitches after a normal delivery : How many stitches do you need after a vaginal delivery? Tap this post to know.

Vaginal birth after caesarean delivery : Learn all about the precautions to consider before having a vaginal delivery after a c-section procedure. 

How many c-sections can you have : Tap this post to know the total number of c-sections that you can safely have.

Cover Image Credit: Freepik.com

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Breech, posterior, transverse lie: What position is my baby in?

Fetal presentation, or how your baby is situated in your womb at birth, is determined by the body part that's positioned to come out first, and it can affect the way you deliver. At the time of delivery, 97 percent of babies are head-down (cephalic presentation). But there are several other possibilities, including feet or bottom first (breech) as well as sideways (transverse lie) and diagonal (oblique lie).

Fetal presentation and position

During the last trimester of your pregnancy, your provider will check your baby's presentation by feeling your belly to locate the head, bottom, and back. If it's unclear, your provider may do an ultrasound or an internal exam to feel what part of the baby is in your pelvis.

Fetal position refers to whether the baby is facing your spine (anterior position) or facing your belly (posterior position). Fetal position can change often: Your baby may be face up at the beginning of labor and face down at delivery.

Here are the many possibilities for fetal presentation and position in the womb.

Medical illustrations by Jonathan Dimes

Head down, facing down (anterior position)

A baby who is head down and facing your spine is in the anterior position. This is the most common fetal presentation and the easiest position for a vaginal delivery.

This position is also known as "occiput anterior" because the back of your baby's skull (occipital bone) is in the front (anterior) of your pelvis.

Head down, facing up (posterior position)

In the posterior position , your baby is head down and facing your belly. You may also hear it called "sunny-side up" because babies who stay in this position are born facing up. But many babies who are facing up during labor rotate to the easier face down (anterior) position before birth.

Posterior position is formally known as "occiput posterior" because the back of your baby's skull (occipital bone) is in the back (posterior) of your pelvis.

Frank breech

In the frank breech presentation, both the baby's legs are extended so that the feet are up near the face. This is the most common type of breech presentation. Breech babies are difficult to deliver vaginally, so most arrive by c-section .

Some providers will attempt to turn your baby manually to the head down position by applying pressure to your belly. This is called an external cephalic version , and it has a 58 percent success rate for turning breech babies. For more information, see our article on breech birth .

Complete breech

A complete breech is when your baby is bottom down with hips and knees bent in a tuck or cross-legged position. If your baby is in a complete breech, you may feel kicking in your lower abdomen.

Incomplete breech

In an incomplete breech, one of the baby's knees is bent so that the foot is tucked next to the bottom with the other leg extended, positioning that foot closer to the face.

Single footling breech

In the single footling breech presentation, one of the baby's feet is pointed toward your cervix.

Double footling breech

In the double footling breech presentation, both of the baby's feet are pointed toward your cervix.

Transverse lie

In a transverse lie, the baby is lying horizontally in your uterus and may be facing up toward your head or down toward your feet. Babies settle this way less than 1 percent of the time, but it happens more commonly if you're carrying multiples or deliver before your due date.

If your baby stays in a transverse lie until the end of your pregnancy, it can be dangerous for delivery. Your provider will likely schedule a c-section or attempt an external cephalic version , which is highly successful for turning babies in this position.

Oblique lie

In rare cases, your baby may lie diagonally in your uterus, with his rump facing the side of your body at an angle.

Like the transverse lie, this position is more common earlier in pregnancy, and it's likely your provider will intervene if your baby is still in the oblique lie at the end of your third trimester.

Was this article helpful?

What to know if your baby is breech

What's a sunny-side up baby?

How your twins’ fetal positions affect labor and delivery

What happens to your baby right after birth

BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies .

Ahmad A et al. 2014. Association of fetal position at onset of labor and mode of delivery: A prospective cohort study. Ultrasound in obstetrics & gynecology 43(2):176-182. https://www.ncbi.nlm.nih.gov/pubmed/23929533 Opens a new window [Accessed September 2021]

Gray CJ and Shanahan MM. 2019. Breech presentation. StatPearls.  https://www.ncbi.nlm.nih.gov/books/NBK448063/ Opens a new window [Accessed September 2021]

Hankins GD. 1990. Transverse lie. American Journal of Perinatology 7(1):66-70.  https://www.ncbi.nlm.nih.gov/pubmed/2131781 Opens a new window [Accessed September 2021]

Medline Plus. 2020. Your baby in the birth canal. U.S. National Library of Medicine. https://medlineplus.gov/ency/article/002060.htm Opens a new window [Accessed September 2021]

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Cephalic मीनिंग : Meaning of Cephalic in Hindi - Definition and Translation

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CEPHALIC MEANING IN HINDI - EXACT MATCHES

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Definition of cephalic.

• of or relating to the head

RELATED OPPOSITE WORDS (Antonyms):

Information provided about cephalic:.

Cephalic meaning in Hindi : Get meaning and translation of Cephalic in Hindi language with grammar,antonyms,synonyms and sentence usages by ShabdKhoj. Know answer of question : what is meaning of Cephalic in Hindi? Cephalic ka matalab hindi me kya hai (Cephalic का हिंदी में मतलब ). Cephalic meaning in Hindi (हिन्दी मे मीनिंग ) is शीर्ष.English definition of Cephalic : of or relating to the head

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Meaning summary.

Antonym/Opposite Words : caudal

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English Hindi Dictionary | अंग्रेज़ी हिन्दी शब्दकोश

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cephalic - Meaning in Hindi

Adjective , definitions and meaning of cephalic in english, cephalic adjective, antonyms of cephalic.

A head is the part of an organism which usually includes the ears, brain, forehead, cheeks, chin, eyes, nose, and mouth, each of which aid in various sensory functions such as sight, hearing, smell, and taste. Some very simple animals may not have a head, but many bilaterally symmetric forms do, regardless of size.

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What is cephalic meaning in hindi.

The word or phrase cephalic refers to of or relating to the head. See cephalic meaning in Hindi , cephalic definition, translation and meaning of cephalic in Hindi. Also learn cephalic opposite words, cephalic antonyms. Learn and practice the pronunciation of cephalic. Find the answer of what is the meaning of cephalic in Hindi. देखें cephalic का हिन्दी मतलब, cephalic का मीनिंग, cephalic का हिन्दी अर्थ, cephalic का हिन्दी अनुवाद।

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What is cephalic meaning in Hindi, cephalic translation in Hindi, cephalic definition, pronunciations and examples of cephalic in Hindi. cephalic का हिन्दी मीनिंग, cephalic का हिन्दी अर्थ, cephalic का हिन्दी अनुवाद

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