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Labour Ward Management > Breech Birth > Flashcards

Breech Birth Flashcards

0
Q

Incidence of breech

A

At 28-34 weeks 20-32%

At 34-36 weeks 3-8%

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1
Q

Define breech

A

Presenting part of a foot, knee or buttock post 36 weeks

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2
Q

When to discourage vaginal delivery

A

EFW >3.5kg or 1,0 -1,5kg
Extended fetal head
Footling breach
Kneeling breech

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3
Q

Indications for C/S

A

EFW of more then 3700g or less than 1500g
Contracted pelvis
Footling breech
Deflexed head

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4
Q

Induction vs c/s

A

C/S

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5
Q

Analgesia in breech

A

NB.

allows good progress and prevents premature pushing

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7
Q

Causes of breech birth
(Fetal)
5

A 
Congenital anomalies
Prematurity
Macrosomia
Multiple pregnancy
IUGR and IUFD
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8
Q

Causes of breech
Maternal
5

A 
Pelvic anomalies
Abnormal placentation
Uterine anomalies
Multiparty
Poly/oligohydramnious
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11
Q

Types of breech

Just name X3

A

Complete breech
Frank breech
Footling breech

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12
Q

Complete breech

A

Both thighs and legs are flexed

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13
Q

Diagnosis of breech

A

Palpation

Pelvic exam

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14
Q

What do you look for on an ultrasound in a breech?

X4

A

Presentation
Placental site
?Feral malformations
Biometry, EFW, gestational age

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15
Q

What do you do when there’s no USS available?

A

XRay

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16
Q

Methods of vaginal delivery in breech

X3

A 
Spontaneous breech
Assisted breech (partial breech extraction)
Breech extraction (total)
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17
Q

Mechanism of labour in a breech delivery

X4

A

Descent and engagement
Lateral flexion
Internal rotation
Flexion

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18
Q

Causes of death in malpresentation

X3

A

Prematurity
Cord prolapse
Traumatic vaginal delivery

19
Q

Complications of breech delivery

X5

A 
Birth asphyxia
Brachial palsy
Long bone fractures
Tears in the tentorium cerebellum
Spinal cord disruptions
20
Q

Frank breech

A

Thigh flexed on the abdomen and both legs extended at the knee
(Legs up)

21
Q

Footling breech

A

One or both legs extended below the level of the buttock

Labour Ward Management (1 decks)

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