Breech-csv Flashcards
A 32 y/o (2002) requested for an external cephalic version at 34-36 wks aog after it was diagnosed with utz as complete breech she is afraid that most severe frequent complication of vaginal breech delivery might happen to her baby which is
a. Head entrapment
b. Cord prolapse
c. Spinal cord injury
d. Abruptio placenta
b. Cord prolapse
pg 542
Compared with cephalic presentation, umbilical cord prolapse is more frequent with breech fetuses
Based on nursery statistics received, the most major neonatal morbidity and mortality with breech presentation is:
a. Birth trauma
b. IUGR
c. Cord prolapse
d. Cerebral palsy
c. Cord prolapse
29 y/o G5P4 (4004) is in latent phase of labor. Absolute contraindication for vaginal breech delivery:
a. Prolong missed abortion
b. Footling breech
c. Hyperflexion of fetal head
d. Prolonged latent phase of labor
b. Footling breech
Table 28-1. Factors favoring Cesarean Delivery of the Breech Fetus
. Lack of operator experience
. Patient request for cesarean delivery
. Large fetus >3800 to 4000g
. Apparently healthy and viable preterm fetus either with active labor or with indicated delivery
. Severe fetal-growth restriction
. Fetal anomaly incompatible with birth trauma
. Incomplete or footling breech presentation
. Hyperextended head
. Pelvic contraction or unfavorable pelvic shape determined clinically or with pelvimetry
. Prior cesarean delivery
A 22 y/o G1P0, 37 weeks AOG, in breech position and is advised External Cephalic Version. She should be told that:
a. She should be offered General anesthesia
b. The procedure can be done with oligohydramnios
c. Tocolysis will improve the result of external version
d. Engagement of the presenting part is not considered a contraindication to version
d. Engagement of the presenting part is not considered a contraindication to version
Causes of breech, except:
a. Premature
b. Multiple pregnancy
c. Placenta previa totalis
d. Subserous fundal fibroid
d. Subserous fundal fibroid
pg 540 Risks include . Early gestational age . Extremes of amniotic fluid volume . Multifetal gestation . Hydrocephaly . Anencephaly . Structural uterine abnormalities . Placenta previa . Pelvic tumors . Prior breech delivery
G3P2 (2002), term, frank breech in labor, intrauterine fetal death, G1 delivered vaginally, G2 delivered by caesarean section due to fetal distress, mgt?
a. Vaginal delivery
b. CS
c. Either A or B
b. CS
A G5P4 (4004), term, footling breech in labor, with ruptured bag of membranes
a. Vaginal delivery
b. CS
c. Either A or B
b. CS
Table 28-1. Factors favoring Cesarean Delivery of the Breech Fetus
. Lack of operator experience
. Patient request for cesarean delivery
. Large fetus >3800 to 4000g
. Apparently healthy and viable preterm fetus either with active labor or with indicated delivery
. Severe fetal-growth restriction
. Fetal anomaly incompatible with birth trauma
. Incomplete or footling breech presentation
. Hyperextended head
. Pelvic contraction or unfavorable pelvic shape determined clinically or with pelvimetry
. Prior cesarean delivery
G4P2 (2012), 22 weeks, franks breech, in labor
a. Vaginal delivery
b. CS
c. Either A or B
a. Vaginal delivery
541
periviable fetuses, 20-<26 weeks, do no support routine cesarean delivery to improve mortality
A G1P0, term, frank breech in labor
a. Vaginal delivery
b. CS
c. Either A or B
c. Either A or B
One knee lie below breech
a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B
c. Incomplete breech
Lower extremities are flexed
a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B
d. A and B (Complete and Frank)
Both hips are flexed and one or both knees are also flexed
a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B
a. Complete breech
The lower extremities are extended at the knees
a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B
b. Frank breech
Double footling breech
a. Complete breech
b. Frank breech
c. Incomplete breech
d. A and B
c. Incomplete breech
What do you call the type of vaginal breech where an infant was delivered without assurance as far as the umbilicus, and the reminder of the body is manually assisted by the obstetrician?
a. Spontaneous breech delivery
b. Assisted breech delivery / partial breech extraction
c. Total breech extraction
d. A and B only
b. Assisted breech delivery / partial breech extraction