Breech presentation Flashcards
1
Q
Types of breech
A
- Extended breech
- Flexed breeches
- Footling breeches
2
Q
Extended breeches
A
- Both legs extended with feet by head
- Presenting part is the buttocks
3
Q
Flexed breeches
A
- Legs flexed at the knees to both buttocks and feet are presenting
4
Q
Footling breeches
A
One leg flexed and one extended
5
Q
What is a breech presentation?
A
- Occurs when the baby’s buttocks lie over the maternal pelvis
- Lie is longitudanal and head is found in the fundus
6
Q
Causes of breech presentation
A
- Idiopathic
- Preterm delivery
- Previous breech presentation
- Uterine abnormalities - fibroids
- Placenta previa
- Fetal abnormalities
7
Q
Fetal consequences of breech presentation
A
- Increased risk of hypoxia and trauma in labour
8
Q
Maternal consequences of breech presentation
A
Delivered by C section
9
Q
Diagnosis of breech presentation
A
- Before 36 weeks it is not important unless in labour
2. Ultrasound can confirm the diagnosis
10
Q
External cephalic version
A
method for manually turning a breech or transverse presentation into a cephalic one
11
Q
When can ECV be performed?
A
- 36 weeks in nulliparous women
2. 37 weeks in multiparous women
12
Q
Precautions taken in an ECV
A
- CTG performed
2. Anti D given if mother is RH - ve
13
Q
ECV success rate
A
50%
14
Q
Absolute contraindications to ECV
A
- C sections already indicated
- Antepartum haemorrhage
- Fetal compromise
- Pre eclampsia
- Oligohydraminios
15
Q
Main mode of delivery in Breech
A
C section
