Malpresentations Flashcards
1
Q
Definition
A
Presenting part of the fetus is leg and bottom
2
Q
Complete breech
A
Where the legs are fully flexed at the hips and knees
3
Q
Incomplete breech
A
With one leg flexed at the hip and extended at the knee
4
Q
Extended breech
A
Also known as frank breech, with both legs flexed at the hip and extended at the knee
5
Q
Footling breech
A
one or both feet come first with the bottom in a higher position
6
Q
Management <37 weeks
A
Babies can turn spontaneously so no intervention
7
Q
Management from 37 weeks
A
ECV = external cephalic version
Women given tocolysis (terbutaline) which relaxes the uterus to reduce contractability
+ give Rhesus-D negative women require anti-D prophylaxis
Can do either vaginal or elective c section (safer for baby)
