Breech Flashcards
Define breech presentation?
Opposite to cephalic, an unusual presentation where the buttocks / feet are the presenting part
What is the incidence?
Between 3 - 4% at term
What are some causes of breech presentation?
Pre term labour Multiple pregnancy Grandmultiparity Fibroids Polyhydramnios/ oligohydramnious Congenital abnormalities
Name some signs and symptoms of breech presentation?
Feels breech on palpation
High fetal heart when auscultating
Felt on vaginal examination
What are some risk factors for women having a breech presentation?
Multiple pregnancy
Preterm labour
Uterine malformations
Fibriods
Describe the 3 manoeuvres to help with delivery of a breech
Popateel fossa (legs)
Lovesetts (arms)
Mauriceau-Smellie-Veit (head)
Name the 3 types of breech
Extended
Flexed
Footling
The buttocks should remain in what position during labour…
Sacroanterior