Breech Flashcards
1
Q
Call for Help
A
- 2222
- obstetric emergency
- SOAPS
- check resus
- extra help- suspected neonatal compromise
2
Q
Pressure to the Popliteal Fossa
A
- delayed due to legs being in an extended position
- encourage baby to flex its legs
- gentle pressure on the popliteal fossa
3
Q
Lovesett’s Manoeuvre
A
- delay due to extended arms
- gentle hold on the sacrum
- rotate baby 90
- gently sweep arm down
- rotate baby 180
- gently sweep other arm down
- rotate baby back 90 and allow breech to hang
4
Q
Mauriceau Smellie Viet Manoeuvre
A
- drape baby over forearm, place 2 fingers on cheekbones
- middle finger placed on occiput
- with contraction, slowly stand up encouraging the face to birth sweeping the perineum
5
Q
Immediate Care- Mother
A
- active 3rd stage management
- prepare for PPH
- inspect perineum
- pain management
6
Q
Immediate Care- Neonatal
A
- assess for resuscitation
- delayed cord clamping
- cord bloods
- skin-to-skin
7
Q
Ongoing Care
A
- debrief
- document
- review cord bloods
