8.23 Breech Presentation

Question 1

What % of pregnancies are breech at 37 weeks?

Answer 1

less than 5%

Question 2

What are the types of breech?

Answer 2

Complete
(Incomplete)
Extended / Frank
Footling

Question 3

What happens in complete breech?

Answer 3

legs are fully flexed at the hips and knees

Question 4

What happens in incomplete breech?

Answer 4

one leg flexed at the hip and extended at the knee

Question 5

What happens in extended / frank breech?

Answer 5

both legs flexed at the hip and extended at the knee

Question 6

What happens in footling breech?

Answer 6

foot is presenting through the cervix with the leg extended

Question 7

What can be done to correct breech? When?

Answer 7

ECV - external cephalic version

use at 36 weeks for nullips and 37 for previous mums

Question 8

What options are offered for delivery of breech?

Answer 8

vaginal - safer for mum (need experienced team and theatre nearby for 40%)

ELCS - safer for fetus (and if first twin is breech)

Question 9

What two things are given to mum for an ECV?

Answer 9

• SC terbutaline tocolysis (beta-agonist)

- antiD if she is Rh-ve (plus Kleihauer test)