Breech Delivery

Question 1

Define Breech delivery

Answer 1

Fetus lies longitudinally with buttons in lower part of uterus

Question 2

What are causes of breech delivery?

Answer 2

Premature, multiple, abnormal liquor, grand multiparty

Question 3

How do you diagnose breech?

Answer 3

Palpation, USS, VE and auscultation

Question 4

What are the mechanism of breech delivery?

Answer 4

Compations, 
Internal rotation of buttocks,
Lateral flexion of body,
Restitution of buttocks,
Internal rotation of shoulder,
Birth of shoulder,
Internal rotation of head,
Birth of head by flexion

Question 5

What is a external cephalic version?

Answer 5

Manipulation of fetus through maternal abdomen to cephalic

Question 6

What are the contraindications of an ECV?

Answer 6

Limited evidence, placenta abruption or abnormal doppler/CTG

Question 7

What is the ECV procedure?

Answer 7

Empty bladder, CTG, lie flat, USS, disimpact breech, pressure to both poles, CTG, observe

Question 8

Compare LSCS and SVD for breech delivery

Answer 8

LSCS= decreases perinatal morbidity
SVD= increase risk of low APGAR
LSCS= future complications increased
SVD= future complications decreased

Question 9

What is the role of a midwife in breech delivery?

Answer 9

Hands off, loveset maneuver, burs marshall maneuver and Mauriceau- Smellie-Veit

Question 10

What are some complications of breech?

Answer 10

EMCS, fetal hypoxia, impacted breech, fractures, maternal trauma