Breech Flashcards
1
Q
Breech - management
A
<36 - many turn alone
>36 nullip - ECV - uncomfortable. Not risky. 60% success
>37 multip - ECV
Caesarean
2
Q
Risks of vaginal delivery with breech
A
cord prolapse - cord descends before foetus, can get compressed during delivery - hypoxia/death
DDH
3
Q
RFs for breech
A
uterine malformations / fibroids placenta praevia poly/oligo hydramnios foetal abnormality prematurity
4
Q
when does cord prolpase occur?
A
artificial rupture of membranes
5
Q
cord prolapse - diagnosis
A
FHR abnormal
cord palpable vaginally
