Frank breech: Fetal hips flexed and knees extended with feet near the face. Sacrum presents first (40–60...
Often asymptomatic and discovered on exam or ultrasound (US)
Often found emergently in preterm prelabor rupture of membranes (PPROM)
Fetal anus/sacrum/genitals/feet palpabl...
The options of ECV, elective trial of labor (TOL), or elective cesarean section should be discussed with the patient.
ECV is more likely to be successful when one or more of t...
O32.1XX0 Maternal care for breech presentation, unsp
O64.1XX0 Obstructed labor due to breech presentation, unsp
O32.8XX0 Maternal care for other malpresentation of fetus, not applicable or un...
External Cephalic Version should be offered to all women with a breech presentation without contraindications, ideally at 37 weeks, and is more successful with use of neuraxial analges...
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Presentation, breech - Breech presentations. (A) Frank: both hip joints are flexed and both knee joints are extended. (B)Complete: both hip joints and both knee joints are flexed. (C) Incomplete breech: hip and knee joints on one leg at flexed and the other extended.
Presentation, breech - Breech presentations. (A) Frank: both hip joints are flexed and both knee joints are extended. (B)Complete: both h...
Presentation, breech, external cephalic version - Complete turning of baby in three steps using external cephalic version. After relaxing the uterus the operator places one hand over the breech for elevation and the other over the head, then rotates slowly through the shortest arc.
Presentation, breech, external cephalic version - Complete turning of baby in three steps using external cephalic version. After relaxing ...
Presentation, breech, extraction, step 1 - Breech extraction. Gentle traction on the feet, ankles, and thighs. Note that traction is not applied above the pelvis.
Presentation, breech, extraction, step 1 - Breech extraction. Gentle traction on the feet, ankles, and thighs. Note that traction is not...
Presentation, breech, extraction, step 2 - Breech extraction. Gentle traction on the pelvis. Note that traction is not applied above the pelvis. Continuation of traction, with rotation as the scapulae becomes visible, sweeping the posterior and then anterior arm free in the process
Presentation, breech, extraction, step 2 - Breech extraction. Gentle traction on the pelvis. Note that traction is not applied above the...
Presentation, breech, extraction, step 3 - Breech extraction to deliver the head. Mauriceau maneuver
Presentation, breech, extraction, step 4 - Breech extraction. Mauriceau maneuver to deliver the after coming head