Medical Archive

Introduction

??? C/S. ???? Frank, >2,500g?? Mauriceau ??.
Risk factor: ??, high parity, ????, previa
32? ?? ???? ?? breech? ??. ???? ??? vertex? ???.

Classification of breech presentations

Diagnosis

Risk factors

• Advanced maternal age (?35)
• Multiparity
• Placenta previa
• Fetal anomalies (eg, anencephaly)
• Preterm (<37 weeks gestation)
• Fetal hypermobility/hypomobility
  • Oligohydramnios/polyhydramnios
  • Uterine didelphys, septate uterus
  • Uterine leiomyomas

Examination

Route of delivery

Term breech fetus

Preterm breech fetus

Delivery complications

Imaging techniques

Decision-making summary

Labor and delivery management

Vaginal delivery methods

Labor induction and augmentation

Labor management

Spontaneous breech delivery

Partial breech extraction

Total breech extraction

External cephalic version

Indications

Patients with breech presentation and no contraindications to vaginal delivery (eg, placenta previa, prior classical cesarean delivery)

Performed at ?37 weeks gestation to decrease the risk associated with premature delivery.

Complications

• Prelabor rupture of membranes, abruptio placentae, and preterm labor

Technique

Tocolysis

Conduction analgesia

Moxibustion