BREECH PRESENTATION

Question 1

Is it a breech deliver doctor?

Answer 1

yes according the findings your baby is in breech deliver?

Question 2

questions to ask

Answer 2

-whats your prefereable mode of delivery
-tell me about your previous pregnancy
(NVD with 41 weeks although child was 4)
-ANC course? normal
-any family hx of DM or other problems

Question 3

advice

Answer 3

-this is a breech presentation in labour
-type is a extended breech which is favourable, so we can attempt for vaginal delivery as you are not keen on CS
-X RAY PELVIMETRY
not needed as previous pregnancy no issues, second baby maybe larger but because b4 date can expect to be smaller
-CTG
required, chance of cord prolapse, vaginal exam after membrane rupture to exclude prolapse,
-USS
diccicult to arrange urgently, but of value if diagnosed previous to check fetal size, presentation, extension of neeck
-C SECTION
indicated if slow progress, CTG abnormal 1st stage,
-overall successful outcome can be expected, but 305 percent chance of problems in latter stages of delivering arms legs

Question 4

Vaginal delivery?

Answer 4

-risk to baby higher than c section