breech

what is a breech?

malpresentation as the presenting part at the introitus is not the vertex of the head
what is the presenting part?
- either the fetal buttocks or feet
- a longitudinal lie
what are the 4 types of breech?
- frank
- complete
- footling
- knee
what are footling and kneeling breeches classed as?

incomplete breech
what breeches will not deliver and need to be transferred to obstetric unit?

incomplete breech- footling and kneeing
what are the risk factors?
- prematurity
- previous breech
- low lying placenta/ praevia
- pelvic masses/ abnormally shaped uterus
- twins or other multiples
- polyhydramnios/ oligohydramnios
- fetal abnormalities
- grand multiparity
what are the S and S?
- may see feet or buttocks at the introitus
- the genitals may look bruised and swollen
- meconium may be visible
- labour will progress as normal
- cord prolapse is more common with breech presentation
what position should the mother be in to give birth on the ambulance?

sitting on the edge of the trolley

Author

davidgoddard93

346951

Card Set

breech

Description

breech

Updated

2019-05-13T19:40:00Z