Malpresentation

Question 1

How many women have breech at 36 weeks?

Answer 1

4-5%

Question 2

Chance of baby turning at 36 weeks?

Answer 2

50%

Question 3

Causes of breech presentation?

Answer 3

Oligohydramnios
Polyhydramnios
Placenta praevia
Fibroids
Bicornate uterus
Multiple pregnancy
Fetal abnormalities

Question 4

Choices for breech?

Answer 4

ECV
C-section
Wait
Deliver breech
Positioning

Question 5

When do ECV? How is it done?

Answer 5

37 weeks
CTG monitoring
U/S to confirm breech and liquor volume
Check for where cord is.

Question 6

Dangers of ECV?

Answer 6

If cord is around neck

Question 7

What fetal abnormalities can cause breech?

Answer 7

Anencephaly

hydrocephalus

Question 8

How to relax uterus

Answer 8

Terbutaline

Question 9

Complications of ECV?

Answer 9

Ruptured membranes
Placental abruption
Won't work
Painful
Maybe cause distress

Question 10

When do c-sections in terms of weeks for breech?

Answer 10

39 weeks

Question 11

What more risk of in breech?

Answer 11

DDH
Ultrasound
Ortalani

Question 12

Breech delivery risks?

Answer 12

Counselling
Head gets stuck
Death

Question 13

Grand multi para increased risk of?

Answer 13

PPH

Uterine atony,

Question 14

Golden rule for breech delivery in labour?

Answer 14

Don’t interfere

Question 15

Transverse lie presentation, what to do in clinic?

Answer 15

ultrasound - check placenta and cord

Monitoring

Question 16

Danger of water breaking with transverse lie?

Answer 16

Cord prolapse

Question 17

cord prolapse management?

Answer 17

Keep fingers in vagina 
Call for help
Keep them on all 4s
Trolley 
Code GREEN

Question 18

When do classical caesarean section?

Answer 18

No lower uterine segment
Extreme prematurity
Transverse lie
Major placenta praevia