Y2 Breech Flashcards
Which are the three types of breech presentation?
Complete breech 30% (lotus position, bum first)
Incomplete breech (footling)
Frank breech 65-70% (legs up, preferred)
What risk factors could cause baby to be breech?
Previous breech Prematurity High parity Oligo/polyhydramnios Multiple pregnancy Uterine anatomy abnormality Fetal abnormalities Placentation (previa, cornual)
How many percentage of births are breech presentations?
3-4 %
Which are success factors for a breech vaginal birth?
Skilled practitioners, a committed mother, a healthy fully grown fetus in frank position.
Should a mother with an incomplete breech (footling) baby be offered to give birth vaginally?
?NO
What risk factors should be considered before attempting a vaginal breech birth?
2000> fetal weight <3800 Placental insuficiency Incomplete breech Hyperextended head Previous CS Presence of skilled practitioners Access to theatre
When you discover an undiagnosed breech presentation in labour, make sure to… ?
Get the per son with the most experience in the room asap.
How common are cord prolapse in vaginal breech birth?
1%
What differentiates care on 1st stage of labour?
Nothing
Why is meconium not as bad a sign when baby is breech?
As the cause of the meconium is mechanical compression of the babys abdomen rather than a sign of hypoxia.
Why is it less favourable to give birth with epidural or in the pool when breech?
As gravity is central to progression.
Why should pushing be discouraged before VE has confirmed full dilation?
Risk of head getting stuck, especially when baby is preterm.
Why is the 2nd stage more stressful to baby when breech?
Due to cord compression
If presenting part is not visible after 1h (prim)/30 mins (parus) of puching, this could indicate?
Fetopelvic disproportion
Why would continuous monitoring be advised?
Due to the increased risk of cord compression/prolaps