Breech Presentation Flashcards
What is a breech presentation?
Foetus presenting feet / bum first (instead of head first aka cephalic)
What percentage of pregnancies present as breech by 28 weeks?
20%
What percentage of pregnancies present as breech by 37 weeks?
3%
What are the types of breech? (4 things)
- Complete breech
- Incomplete breech
- Extended breech (aka Frank breech)
- Footling breech
![](https://s3.amazonaws.com/brainscape-prod/system/cm/396/870/912/a_image_thumb.jpeg?1663777891)
What is Complete breech?
Legs fully flexed @ hips + knees
![](https://s3.amazonaws.com/brainscape-prod/system/cm/396/870/952/a_image_thumb.jpeg?1663777906)
What is Incomplete breech?
One leg flexed @ hip + Extended @ knee
![](https://s3.amazonaws.com/brainscape-prod/system/cm/396/870/984/a_image_thumb.jpeg?1663777920)
What is Extended breech (aka Frank breech)?
Both legs flexed @ hip + Extended @ knee
![](https://s3.amazonaws.com/brainscape-prod/system/cm/396/871/017/a_image_thumb.jpeg?1663777931)
What is Footling breech?
Foot presenting through cervix w leg extended
![](https://s3.amazonaws.com/brainscape-prod/system/cm/396/871/048/a_image_thumb.jpeg?1663777944)
What can the RF of Breech be divided into? (2 things)
- Uterine
- Foetal
What are the Uterine RF for Breech? (4 things)
- Multiparity
- Uterine malformations (e.g septate uterus)
- Fibroids
- Placenta praevia
What are the Foetal RF for Breech? (5 things)
- Prematurity
- Macrosomia
- Polyhydramnios
- Twins
- Abnormality (e.g anencephaly)
What could suggest Breech even before you see on scan? (2 things)
- Palpating abdomen: foetal head felt in upper uterus
- Auscultating heart: Heart heard higher up maternal abd
What are some differential Dx that are similar to breech? (3 things)
- Oblique lie (diagonal)
- Transverse lie (sideways)
- Unstable lie (presentation changes everyday)
When is unstable lie common?
Polyhydramnios
How do you confirm Breech Dx?
US