Breech Presentation
Labor Presentation
Delivery, Obstetric
Fetal Distress
Pelvimetry
Pregnancy
Cesarean Section, Repeat
Parity
Pregnancy Outcome
Birth Weight
Gestational Age
Should a preterm breech go for vaginal delivery or caesarean section. (1/92)
This study correlates the mode of breech delivery to the immediate neonatal outcome in preterm breeches. We had 9816 deliveries in the period between 1st January 1994 to 31st August 1996. The incidence of breech deliveries was 3.95% and the incidence of preterm breech deliveries was 1.9%. Totally 112 (69%) patients delivered vaginally and 50 (31%) underwent caesarean section. Between 30-36.6 weeks gestation the incidence of birth asphyxia was higher in the vaginal group. In this group the take home baby rate after vaginal delivery was 81% as compared to 86% in caesarean group. Head entrapment, cord prolapse, respiratory distress syndrome and intraventricular haemorrhage were the various complications seen with vaginal breech delivery. (+info)Birth trauma to muscles in babies born by breech delivery and its possible fatal consequences. (2/92)
Dissection and histological examination was made of the muscles of 86 babies who died after breech delivery, and of 38 babies who died after vertex presentation. A control group of 50 surviving breech-delivered babies was examined clinically and the results compared. It was concluded that the most common type of birth trauma to a baby born by breech delivery is injury to muscles and soft tissues of the back and lower extremities, which is often extensive. In some severly injured babies histological examination of organs revels signs of crush syndrome and disseminated intravascular coagulation. It is suggested that the extensive muscle trauma forms the background of these fatal conditions. (+info)A decision analytical cost analysis of offering ECV in a UK district general hospital. (3/92)
OBJECTIVE: To determine the care pathways and implications of offering mothers the choice of external cephalic version (ECV) at term for singleton babies who present with an uncomplicated breech pregnancy versus assisted breech delivery or elective caesarean. DESIGN: A prospective observational audit to construct a decision analysis of uncomplicated full term breech presentations. SETTING: The North Staffordshire NHS Trust. SUBJECTS: All women (n = 176) who presented at full term with a breech baby without complications during July 1995 and June 1997. MAIN OUTCOME MEASURES: The study determined to compare the outcome in terms of the costs and cost consequences for the care pathways that resulted from whether a women chose to accept the offer of ECV or not. All the associated events were then mapped for the two possible pathways. The costs were considered only within the hospital setting, from the perspective of the health care provider up to the point of delivery. RESULTS: The additional costs for ECV, assisted breech delivery and elective caesarean over and above a normal birth were 186.70 pounds sterling, 425.36 pounds sterling and 1,955.22 pounds sterling respectively. The total expected cost of the respective care pathways for "ECV accepted" and "ECV not accepted" (including the probability of adverse events) were 1,452 pounds sterling and 1,828 pounds sterling respectively, that is the cost of delivery through the ECV care pathways is less costly than the non ECV delivery care pathway. CONCLUSIONS: Implementing an ECV service may yield cost savings in secondary care over and above the traditional delivery methods for breech birth of assisted delivery or caesarean section. The scale of these expected cost savings are in the range of 248 pounds sterling to 376 pounds sterling per patient. This converts to a total expected cost saving of between 43,616 pounds sterling and 44,544 pounds sterling for the patient cohort considered in this study. (+info)Role of pelvimetry in active management of labour. (4/92)
All cases referred for pelvimetry in 1970-1 and all breech presentations referred for pelvimetry in 1972-4 were reviewed. Indications for pelvimetry fell into four main categories: high head in the antenatal clinic (47-8%); high head in labour (13-9%); breech presentation (20-9%); and previous caesarean section (14-8%). In the first two categories pelvimetry rarely if ever influenced management, and it should not be performed routinely. In breech presentation and cases of caesarean section pelvimetry seemed to be of value, but in the latter group it should be performed puerperally to avoid the known radiation hazard to the fetus. A fairly close correlation between obstetric conjugate and pelvic capacity was shown, which suggested that a 3400-g baby might pass through a pelvis of obstetric conjugate of 10 cm as a cephalic trial of labour, but would need an obstetric conjugate of 11-7 cm for safe vaginal breech delivery. (+info)Moxibustion in breech version--a descriptive review. (5/92)
The management of breech presentation at term remains controversial. It appears logical that maternal and perinatal outcomes would be improved if breech presentation could be avoided. External cephalic version is considered a safe procedure if cases are selected appropriately and anaesthesia avoided. Moxibustion is a traditional Chinese method of treatment, which utilizes the heat generated by burning herbal preparations containing the plant Artemisia vulgaris to stimulate the acupuncture points. It is used for breech version with a reported success rate of 84.6% after 34 weeks gestation. Moxibustion technique is cheap, safe, simple, self-administered, non-invasive, painless and generally well tolerated. Although many studies give encouraging results regarding the use of moxibustion in inducing cephalic version of breech presentation, a definitive conclusion cannot be made as most involve small sample sizes and are not randomised. Moxibustion could be an extra option offered to women with breech presentation along with vaginal delivery, caesarean section and external cephalic version. This article discusses the possible role of moxibustion in correction of breech presentation in the hope that, some interest will be stimulated in what is a very interesting area for future research. (+info)Obstetric outcome among women with unexplained infertility after IVF: a matched case-control study. (6/92)
BACKGROUND: Infertility itself and also assisted reproductive treatment increase the incidence of some obstetric complications. Women with unexplained infertility are reported to be at an increased risk of intrauterine growth restriction during pregnancy, but not for other perinatal complications. METHODS: A matched case-control study was performed on care during pregnancy and delivery, obstetric complications and infant perinatal outcomes of 107 women with unexplained infertility, with 118 clinical pregnancies after IVF or ICSI treatment. These resulted in 90 deliveries; of these, 69 were singleton, 20 twin and one triplet. Two control groups were chosen from the Finnish Medical Birth Register, one group for spontaneous pregnancies (including 445 women and 545 children), matched according to maternal age, parity, year of birth, mother's residence and number of children at birth, and the other group for all pregnancies after IVF, ICSI or frozen embryo transfer treatment (FET) during the study period (including 2377 women and 2853 children). RESULTS: Among singletons, no difference was found in the mean birthweight, and the incidence of low birthweight (<2500 g) was comparable with that of the control groups. No differences were found in gestational duration, major congenital malformations or perinatal mortality among the groups studied. Among singletons in the study group, there were more term breech presentations (10.1%) compared with both spontaneously conceiving women and all IVF women (P < 0.01). The rate of pregnancy-induced hypertension was significantly lower among singletons in the study group (P < 0.05) compared with other IVF singletons. The multiple pregnancy rate was 23.3% in the study group. The obstetric outcome of the IVF twins was similar to both control groups. CONCLUSIONS: The overall obstetric outcome among couples with unexplained infertility treated with IVF was good, with similar outcome compared with spontaneous pregnancies and IVF pregnancies generally. (+info)Erich Bracht (1882-1969) of Berlin and his "breech" manoeuvre. (7/92)
Erich Bracht, a German gynaecologist, described in 1935 the manoeuvre named after him for delivering the frank breech with minimal interference. In spite of the reported success of his method, it received little attention in the United Kingdom or North America. (+info)Introducing routine external cephalic version for the management of the malpresenting fetus near term. (8/92)
BACKGROUND: The aim of this study was to assess the efficacy and safety of external cephalic version (ECV) when its use was introduced in the routine management of breech presentation and transverse lie after 36 weeks by obstetricians with limited prior experience with the procedure. The influence of various factors on the outcome of ECV was also studied. METHODS: Retrospective study of 44 consecutive cases of ECV which were analysed with respect to outcome, parity, type of breech, placental site and birth weight. RESULTS: ECV was successful in 45% of women, 80% of women with successful ECV delivered vaginally while 10% underwent spontaneous reversion to a non-cephalic presentation. In contrast, only 15% of women with failed ECV delivered vaginally. Parity, type of breech presentation and placental location did not significantly affect the outcome of ECV although there was a trend towards better success rate of ECV with multiparity, flexed breech presentation, transverse lie and posteriorly-located placentae. The mean birth weight of fetuses of women with successful ECV was significantly heavier than those of women who failed ECV (p < 0.001). No significant fetal or maternal morbidity occurred as a result of ECV in this study. CONCLUSION: ECV is a safe and effective procedure that is useful in the management of breech presentation and transverse lie near term. The lack of prior experience with the procedure does not appear to influence the success rate or morbidity. (+info)Breech presentation is a term used in obstetrics to describe a situation where the fetus's buttocks or feet are positioned to come out first during childbirth, instead of the head. There are several types of breech presentations, including:
1. Frank breech: The fetus's hips are flexed and its knees are extended, so that the buttocks are the leading part of the body.
2. Complete breech: The fetus's hips and knees are flexed, and both thighs and legs are close to its chest, so that the buttocks are the leading part of the body.
3. Footling breech: One or both feet are presenting first, with the heels down.
Breech presentation occurs in about 3-4% of all pregnancies at term. While some breech babies can be safely delivered vaginally, most obstetricians recommend a cesarean delivery for breech presentation due to the increased risk of complications such as cord prolapse, head entrapment, and fetal distress. However, there are some techniques that may be used to attempt a vaginal breech delivery in certain situations, such as external cephalic version (ECV), which is a procedure where a healthcare provider manually turns the fetus from a breech position to a head-down position while it is still in the uterus.
Fetal version is a medical term used to describe the position or presentation of the fetus in the uterus during pregnancy. It refers to the way the fetus is facing or lying in relation to the mother's pelvis.
There are several different types of fetal versions, including:
* Cephalic version: This is the most common and preferred position for birth. The fetus's head is downward, facing the mother's cervix.
* Breech version: In this position, the fetus's buttocks or feet are pointed downward toward the mother's cervix. There are several different types of breech versions, including frank breech (where the baby's legs are straight up in front of its body), complete breech (where the baby's legs are folded at the knees), and footling breech (where one or both of the baby's feet are coming out below the buttocks).
* Transverse version: This is a less common position where the fetus is lying sideways across the mother's uterus.
Fetal version can be assessed through physical examination, ultrasound, or both. In some cases, healthcare providers may attempt to manually turn the fetus into a different position using a procedure called external cephalic version (ECV). This is typically done in the third trimester of pregnancy and is used to reduce the risk of breech delivery and improve outcomes for both the mother and baby.
A Cesarean section, often referred to as a C-section, is a surgical procedure used to deliver a baby. It involves making an incision through the mother's abdomen and uterus to remove the baby. This procedure may be necessary when a vaginal delivery would put the mother or the baby at risk.
There are several reasons why a C-section might be recommended, including:
* The baby is in a breech position (feet first) or a transverse position (sideways) and cannot be turned to a normal head-down position.
* The baby is too large to safely pass through the mother's birth canal.
* The mother has a medical condition, such as heart disease or high blood pressure, that could make vaginal delivery risky.
* The mother has an infection, such as HIV or herpes, that could be passed to the baby during a vaginal delivery.
* The labor is not progressing and there are concerns about the health of the mother or the baby.
C-sections are generally safe for both the mother and the baby, but like any surgery, they do carry some risks. These can include infection, bleeding, blood clots, and injury to nearby organs. In addition, women who have a C-section are more likely to experience complications in future pregnancies, such as placenta previa or uterine rupture.
If you have questions about whether a C-section is necessary for your delivery, it's important to discuss your options with your healthcare provider.
'Labor presentation' is a term used in obstetrics to describe the part of the fetus that enters the mother's pelvis first during labor. This positioning determines the route the baby will take through the birth canal. The most common and uncomplicated presentation is vertex or cephalic presentation, where the baby's head is the presenting part. Other possible presentations include breech (buttocks or feet first), face, brow, and shoulder presentations, which can potentially lead to complications during delivery if not managed appropriately.
"Delivery, Obstetric" is a medical term that refers to the process of giving birth to a baby. It involves the passage of the fetus through the mother's vagina or via Caesarean section (C-section), which is a surgical procedure.
The obstetric delivery process typically includes three stages:
1. The first stage begins with the onset of labor and ends when the cervix is fully dilated.
2. The second stage starts with full dilation of the cervix and ends with the birth of the baby.
3. The third stage involves the delivery of the placenta, which is the organ that provides oxygen and nutrients to the developing fetus during pregnancy.
Obstetric delivery requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby. Various interventions and techniques may be used during the delivery process to facilitate a safe and successful outcome, including the use of medications, assisted delivery with forceps or vacuum extraction, and C-section.
Fetal distress is a term used to describe situations where a fetus is experiencing problems during labor or delivery that are causing significant physiological changes. These changes may include an abnormal heart rate, decreased oxygen levels, or the presence of meconium (the baby's first stool) in the amniotic fluid. Fetal distress can be caused by a variety of factors, such as problems with the umbilical cord, placental abruption, maternal high blood pressure, or prolonged labor. It is important to monitor fetal well-being during labor and delivery to detect and address any signs of fetal distress promptly. Treatment may include changing the mother's position, administering oxygen, giving intravenous fluids, or performing an emergency cesarean section.
A postmature infant is a newborn who is delivered at or after 42 weeks (294 days) of gestation. These infants are also known as "post-term" or "post-dates." At this stage, the placenta may not function optimally, leading to potential issues such as decreased fetal movement, meconium staining of amniotic fluid, and low birth weight. Postmature infants may require close monitoring and evaluation after delivery to ensure their well-being.
Pelvimetry is a medical measurement and evaluation of the size and shape of the pelvis, which can be performed in several ways:
1. Clinical pelvimetry: This involves physical examination to assess the dimensions of the pelvis by palpation and measurement of the distance between bony landmarks.
2. Radiological pelvimetry: This uses X-ray or CT imaging to obtain more accurate measurements of the pelvic diameters, including the anteroposterior, transverse, and oblique dimensions.
3. Magnetic resonance imaging (MRI) pelvimetry: This method is considered the most accurate for assessing the size and shape of the pelvis, as it provides detailed images without radiation exposure.
Pelvimetry is often used in obstetrics to evaluate whether a woman's pelvis can accommodate a fetus during childbirth (known as "obstetric pelvimetry"). It helps healthcare providers determine if a vaginal delivery is possible or if a cesarean section may be necessary. However, the use of pelvimetry in modern obstetrics has become less common due to its limited predictive value and the increasing focus on individualized birth management.
Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.
Dystocia is a medical term used to describe difficult or abnormal labor or delivery in animals, including humans. It refers to a situation where the natural process of childbirth is hindered or obstructed, making it difficult for the fetus to pass through the birth canal. This condition can be caused by various factors such as the size and position of the fetus, maternal pelvic size or shape, hormonal imbalances, or other medical conditions that affect the mother's ability to give birth.
Dystocia can lead to serious complications for both the mother and the fetus if not treated promptly and appropriately. Prolonged labor can result in fetal distress, hypoxia (lack of oxygen), or even death. In addition, maternal injuries such as uterine rupture, cervical trauma, or infection can occur during a difficult delivery.
The treatment for dystocia depends on the underlying cause and severity of the condition. In some cases, manual assistance or manipulation of the fetus may be sufficient to facilitate delivery. However, in more severe cases, medical intervention such as cesarean section (C-section) may be necessary to ensure the safety of both the mother and the fetus.
It is important for pregnant individuals to receive regular prenatal care from a qualified healthcare provider to monitor their pregnancy and identify any potential risk factors for dystocia or other complications. Prompt medical attention should be sought if any signs of difficult labor or delivery are observed.
A "repeat cesarean section" is a medical term that refers to the delivery of a fetus through surgical incision in the abdominal and uterine walls, which has been performed previously. It is also known as a "classical repeat cesarean delivery." This procedure may be recommended when vaginal birth poses potential risks to the mother or the baby, such as in cases of placenta previa, previous classical uterine incision, or multiple pregnancies. The decision for a repeat cesarean section is typically made after considering various factors, including the patient's medical history, current pregnancy status, and personal preferences.
In medical terms, parity refers to the number of times a woman has given birth to a viable fetus, usually defined as a pregnancy that reaches at least 20 weeks' gestation. It is often used in obstetrics and gynecology to describe a woman's childbearing history and to assess potential risks associated with childbirth.
Parity is typically categorized as follows:
* Nulliparous: A woman who has never given birth to a viable fetus.
* Primiparous: A woman who has given birth to one viable fetus.
* Multiparous: A woman who has given birth to more than one viable fetus.
In some cases, parity may also consider the number of pregnancies that resulted in stillbirths or miscarriages, although this is not always the case. It's important to note that parity does not necessarily reflect the total number of pregnancies a woman has had, only those that resulted in viable births.
Pregnancy outcome refers to the final result or status of a pregnancy, including both the health of the mother and the newborn baby. It can be categorized into various types such as:
1. Live birth: The delivery of one or more babies who show signs of life after separation from their mother.
2. Stillbirth: The delivery of a baby who has died in the womb after 20 weeks of pregnancy.
3. Miscarriage: The spontaneous loss of a pregnancy before the 20th week.
4. Abortion: The intentional termination of a pregnancy before the fetus can survive outside the uterus.
5. Ectopic pregnancy: A pregnancy that develops outside the uterus, usually in the fallopian tube, which is not viable and requires medical attention.
6. Preterm birth: The delivery of a baby before 37 weeks of gestation, which can lead to various health issues for the newborn.
7. Full-term birth: The delivery of a baby between 37 and 42 weeks of gestation.
8. Post-term pregnancy: The delivery of a baby after 42 weeks of gestation, which may increase the risk of complications for both mother and baby.
The pregnancy outcome is influenced by various factors such as maternal age, health status, lifestyle habits, genetic factors, and access to quality prenatal care.
A newborn infant is a baby who is within the first 28 days of life. This period is also referred to as the neonatal period. Newborns require specialized care and attention due to their immature bodily systems and increased vulnerability to various health issues. They are closely monitored for signs of well-being, growth, and development during this critical time.
Birth weight refers to the first weight of a newborn infant, usually taken immediately after birth. It is a critical vital sign that indicates the baby's health status and is used as a predictor for various short-term and long-term health outcomes.
Typically, a full-term newborn's weight ranges from 5.5 to 8.8 pounds (2.5 to 4 kg), although normal birth weights can vary significantly based on factors such as gestational age, genetics, maternal health, and nutrition. Low birth weight is defined as less than 5.5 pounds (2.5 kg), while high birth weight is greater than 8.8 pounds (4 kg).
Low birth weight babies are at a higher risk for various medical complications, including respiratory distress syndrome, jaundice, infections, and developmental delays. High birth weight babies may face challenges with delivery, increased risk of obesity, and potential metabolic issues later in life. Regular prenatal care is essential to monitor fetal growth and ensure a healthy pregnancy and optimal birth weight for the baby.
Gestational age is the length of time that has passed since the first day of the last menstrual period (LMP) in pregnant women. It is the standard unit used to estimate the age of a pregnancy and is typically expressed in weeks. This measure is used because the exact date of conception is often not known, but the start of the last menstrual period is usually easier to recall.
It's important to note that since ovulation typically occurs around two weeks after the start of the LMP, gestational age is approximately two weeks longer than fetal age, which is the actual time elapsed since conception. Medical professionals use both gestational and fetal age to track the development and growth of the fetus during pregnancy.
Prenatal ultrasonography, also known as obstetric ultrasound, is a medical diagnostic procedure that uses high-frequency sound waves to create images of the developing fetus, placenta, and amniotic fluid inside the uterus. It is a non-invasive and painless test that is widely used during pregnancy to monitor the growth and development of the fetus, detect any potential abnormalities or complications, and determine the due date.
During the procedure, a transducer (a small handheld device) is placed on the mother's abdomen and moved around to capture images from different angles. The sound waves travel through the mother's body and bounce back off the fetus, producing echoes that are then converted into electrical signals and displayed as images on a screen.
Prenatal ultrasonography can be performed at various stages of pregnancy, including early pregnancy to confirm the pregnancy and detect the number of fetuses, mid-pregnancy to assess the growth and development of the fetus, and late pregnancy to evaluate the position of the fetus and determine if it is head down or breech. It can also be used to guide invasive procedures such as amniocentesis or chorionic villus sampling.
Overall, prenatal ultrasonography is a valuable tool in modern obstetrics that helps ensure the health and well-being of both the mother and the developing fetus.
Breech birth
Tororo General Hospital
Jørgen Løvset
Cephalic index
Moxibustion
List of topics characterized as pseudoscience
Traditional Korean medicine
Mugwort
Familial dysautonomia
External cephalic version
Emergency childbirth
Twin
Caesarean section
Rupture of membranes
Cephalic presentation
Vaginal delivery
Childbirth
Presentation (obstetrics)
Obstetric labor complication
Gaumard Scientific
Pregnancy Outcome Prediction study
Uterus didelphys
Yu Xiuhua
Herbert R. Spencer
Duke Zhuang of Zheng
Silver-haired bat
Myrtle Corbin
Large for gestational age
Hip dysplasia
Intact dilation and extraction
Breech - series-Other presentations: MedlinePlus Medical Encyclopedia
Model Predicts ECV Success in Breech Presentation
Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery
Browsing by Subject "Breech Presentation"
Breech presentation - Ontology Browser - Rat Genome Database
Breech Delivery Clinical Presentation: History, Physical Examination
A population-based case-control study of risk factors for breech presentation - PubMed
WHO EMRO | External cephalic version for breech presentation at term: predictors of success, and impact on the rate of...
The breech effect: is previous caesarean section for breech presentation an independent favourable factor in vaginal birth...
Maternal outcomes of term breech presentation delivery: impact of successful external cephalic version in a nationwide sample...
Breech Baby C-Section Delivery | Frank Breech Baby Presentation
Chiropractic for Breech Presentation
Acupuncture for breech presentation | Health Rediscovered
BL67- Breeched Baby Presentation
Everything You Need to Know About Breech Presentation - Neelu Prajapat
Breech birth - Wikipedia
Subjects: Breech Presentation - Digital Collections - National Library of Medicine Search Results
RESEARCH WEDNESDAY: Resolution of Breech Presentation in Pregnant Patient | Wellness Revolution
The treatment of normal breech presentation - Digital Collections - National Library of Medicine
Presentation from Youth Exchange Student | The Yellow Breeches Rotary Club
Fetal Presentation, Position, and Lie (Including Breech Presentation) - Gynecology and Obstetrics - MSD Manual Professional...
The Webster Technique: a chiropractic technique with obstetric implications
IJERPH | Free Full-Text | Reproductive and Obstetric Outcomes after UAE, HIFU, and TFA of Uterine Fibroids: Systematic Review...
Prevention of Pertussis, Tetanus, and Diphtheria Among Pregnant and Postpartum Women and their Infants
The impact of assisted reproductive technology and ovulation induction on breech presentation: A whole of population-based...
Labor & Delivery: Episiotomy | Healthline
Risk factors and outcomes of abnormal bleeding after external cephalic version
Hip dysplasia
Babies18
- Alternatively, approximately 3-4% of full term babies are in the breech presentation (Shanahan & Gray 2022). (kwmidwifery.ca)
- Why do some babies stay in the breech presentation until the end of pregnancy? (kwmidwifery.ca)
- For most babies, there is no clearly defined reason for why they have remained in the breech presentation until the end of pregnancy. (kwmidwifery.ca)
- Most babies in the breech position are delivered via caesarean section because it is seen as safer than being born vaginally. (wikipedia.org)
- Also, delivering all breech babies by caesarean section in developing countries is difficult to implement as there are not always resources available to provide this service. (wikipedia.org)
- Among frank breech babies the incidence is 0.5 percent, among complete breeches 5 percent, and among footling breeches 15 percent. (wikipedia.org)
- Most breech babies are healthy and don't have problems after birth. (healthlinkbc.ca)
- But a small number of babies move back into a breech position. (healthlinkbc.ca)
- Dr. Stephanie Melka returns to Healthful Woman to discuss ECV, a procedure to turn babies who are breech. (informedpregnancy.tv)
- Evidence-based childbirth only for breech babies? (evidencebasedbirth.com)
- He attends labor at hospitals, homes, and birth centers, and he works with several hundred breech babies each year. (evidencebasedbirth.com)
- EBB's article on the Evidence for using Moxibustion to Turn Breech Babies . (evidencebasedbirth.com)
- Rebecca Dekker: Dr. Berlin also works with several hundred breech babies each year, most of whom, turn into the ideal pre-birth position once normal function is restored to the mother's lower back and pelvis. (evidencebasedbirth.com)
- Babies lying bottom first or feet first in the uterus (womb) instead of in the usual head first position are called breech babies. (ckbhospital.com)
- At term only 3 to 4 out of 10 babies are found to be in breech position. (ckbhospital.com)
- Most breech babies are born healthy. (ckbhospital.com)
- Acupuncture can be effective in Turning Breech Babies. (gileswatts.co.uk)
- Research shows that acupuncture can be used for turning breech positioned babies. (gileswatts.co.uk)
Pregnancy9
- If at around the 36th week of pregnancy, your doctor thinks that your baby is in a breech position, they may order an ultrasound to confirm. (naitreetgrandir.com)
- With regard to the fetal presentation during pregnancy, three periods have been distinguished. (wikipedia.org)
- Eden-Friedman Y, Ginosar Y, Sela HY, Calderon-Margalit R, Eventov-Friedman S, Ezra Y, Weiniger CF. Delivery outcomes in subsequent pregnancy following primary breech cesarean delivery: a retrospective cohort study. (evidencebasedbirth.com)
- He is the co-founder of Berlin Wellness Group in Los Angeles, California, hosts The Informed Pregnancy podcast, and served as executive producer of two documentaries about birth - Head's Up: The Disappearing Art of Breech Delivery, and Trial of Labor. (evidencebasedbirth.com)
- Listen to our fascinating discussion on vaginal breech birth, cesarean, and things to find out about your baby's positioning as you enter the late stages of pregnancy. (evidencebasedbirth.com)
- All about chiropractic care during pregnancy and breech birth. (evidencebasedbirth.com)
- Name and describe the three screenable trisomies in pregnancy, and describe how screening for these changes as first presentation changes with gestational age. (brainscape.com)
- If your baby remains breech towards the end of pregnancy, you should be given the option of a caesarean section. (ckbhospital.com)
- The ultrasound report concluded that this was a 26 weeks viable single pregnancy in breech presentation, with mild polyhydramnios. (thefetus.net)
Mode of breech delivery2
- and studies that observed maternal or neonatal outcomes following mode of breech delivery in Thailand. (kcl.ac.uk)
- Hipsher C, Fineberg A. Up against a wall: A patient and obstetrician's perspective on the mode of breech delivery. (evidencebasedbirth.com)
Uterus4
- In other words, the baby can get into a compromised position (breech, transverse or OP) because of the uterus' shape. (1chiropractor.com)
- Breech presentation can be caused by excess or low amniotic fluid, a short or twisted umbilical cord, placenta previa, or a variation in the shape of the uterus. (jadeandcinnabar.com)
- The highest possible probability of breech presentation of 50% indicates that breech presentation is a consequence of random filling of the intrauterine space, with the same probability of breech and cephalic presentation in a longitudinally elongated uterus. (wikipedia.org)
- This is a non-surgical method of turning a breech baby in the uterus. (ckbhospital.com)
Versus planned vaginal birth2
- Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multi-centre trial. (bmj.com)
- Planned cesarean section versus planned vaginal birth of breech presentation at term: a randomized multicentre trial. (evidencebasedbirth.com)
Incidence of breech presentation3
- In the general population, incidence of breech presentation at preterm corresponds to the incidence of breech presentation when birth occurs. (wikipedia.org)
- The incidence of breech presentation is affected by both maternal and fetal diseases and medical conditions. (wikipedia.org)
- Background The incidence of breech presentation is 3-4% at tem. (bmj.com)
Fetus11
- Breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. (medscape.com)
- Total breech extraction: The fetal feet are grasped, and the entire fetus is extracted. (medscape.com)
- The breech extraction of the fetus through the vagina has a greater risk of hip fracture compared with the extraction by abdominal route. (hindawi.com)
- The operator has engaged the left thigh and performed a pull to extract the fetus as usual in a breech extraction during cesarean section. (hindawi.com)
- The breech was engaged without difficulty, and the fetus was extracted directly by the lower limbs. (hindawi.com)
- A breech presentation at delivery occurs when the fetus does not turn to a cephalic presentation. (wikipedia.org)
- In addition to the above, breech births in which the sacrum is the fetal denominator can be classified by the position of a fetus. (wikipedia.org)
- If breech presentation is detected, external cephalic version can sometimes move the fetus to vertex presentation before labor, usually at 37 or 38 weeks. (msdmanuals.com)
- All mothers with breech presentation of a singleton fetus over 35 weeks of gestation with no known contraindications were booked to attend "Breech Clinic" at 37 weeks of gestation. (bmj.com)
- She had no relevant medical or family history, but she brought the report of an obstetric ultrasound examination that was performed six weeks before, which revealed the presence of an active fetus in breech presentation with a left sided back. (thefetus.net)
- The value set contains the list of the different presentations (orientations within the mother's womb) that a fetus may be in prior to delivery. (cdc.gov)
Term Breech Trial3
- Since the publication of Term Breech Trial, elective Caesarian section (ELCS) has been the default mode of delivery with little or no opportunity for mothers to consider alternative approaches to manage breech presentation at term. (bmj.com)
- Banks M. Term breech trial. (evidencebasedbirth.com)
- Glezerman M. Five years to the term breech trial: the rise and fall of a randomized controlled trial. (evidencebasedbirth.com)
Frank4
- Frank breech. (aultcare.com)
- Factors associated with the decreased success of ECVs: first baby, the cervix is already dilated, estimated weight of baby is less than 2,500g, anterior placenta, decreased amniotic fluid, membranes already ruptured, maternal obesity, frank breech position, engaged presenting part. (kwmidwifery.ca)
- A frank breech (otherwise known as an extended breech) is where the baby's legs are up next to its abdomen, with its knees straight and its feet next to its ears. (wikipedia.org)
- The baby is in the frank, complete breech, or footling breech position. (healthlinkbc.ca)
Buttocks3
- Breech presentation means that your baby is in a buttocks-first or feet-first position. (aultcare.com)
- Breech presentation means the baby's buttocks, feet or both are positioned to be born first, before the baby's head. (kwmidwifery.ca)
- Hours before delivery, the doctors discovered that the baby was in the breech presentation (feet- or buttocks-first). (abclawcenters.com)
Deliveries7
- The percentage of breech deliveries decreases with advancing gestational age from 22-25% of births prior to 28 weeks' gestation to 7-15% of births at 32 weeks' gestation to 3-4% of births at term. (medscape.com)
- Fetal abnormalities are observed in 17% of preterm breech deliveries and in 9% of term breech deliveries. (medscape.com)
- Vaginal breech deliveries were previously the norm until 1959 when it was proposed that all breech presentations should be delivered abdominally to reduce perinatal morbidity and mortality. (medscape.com)
- An anesthesiologist and a pediatrician should be immediately available for all vaginal breech deliveries. (medscape.com)
- Deliveries with a persistent posterior presentation take longer and are more likely to end in an assisted delivery requiring forceps or a vacuum, or in a Csection . (naitreetgrandir.com)
- TBP represented 89.78% of all breech deliveries in Thailand. (kcl.ac.uk)
- Also, women with previous Caesarean deliveries have a risk of breech presentation at term twice that of women with previous vaginal deliveries. (wikipedia.org)
Weeks of gestat1
- The case concerns a 31-year-old Caucasian patient who underwent a cesarean section for breech presentation at 39 weeks of gestation with a history of hysterotomy because of multiple myomas in 2005. (hindawi.com)
Types of breech2
- Types of breech depend on how the baby's legs are lying. (wikipedia.org)
- There are several types of breech presentation. (msdmanuals.com)
Approach to breech2
- On the other hand, Traditional Chinese medicine approach to breech presentation, which has been used for thousands of years, carries no risk to the mother or baby and boasts about 75% success rate. (jadeandcinnabar.com)
- We also talk about their innovative approach to breech vaginal birth training with Breech Without Borders. (evidencebasedbirth.com)
Footling3
- Footling breech presentation. (medscape.com)
- A footling breech is when one or both of the baby's feet are born first instead of the pelvis. (wikipedia.org)
- If your baby assumes a footling breech or transverse presentation, for example, surgery may be advisable. (womenfitness.net)
Gestational age1
- We searched Pubmed, Embase and the Cochrane library for articles comparing neonatal mortality after VD versus CS in preterm breech presentation (gestational age 25 +0 till 36 +6 weeks). (elsevierpure.com)
Maternal3
- This study aims to describe term breech management in Thailand, including the percentage of TBP and mode of delivery, external cephalic version (ECV) outcomes, and maternal and neonatal outcomes following cesarean section (CS) and vaginal breech birth (VBB). (kcl.ac.uk)
- Korb D. [Breech Presentation: CNGOF Guidelines for Clinical Practice - Maternal Benefits and Risks of Planned Cesarean Delivery compared to Planned Vaginal Delivery]. (evidencebasedbirth.com)
- Breech presentation and moxibustion: should it be offered to improve maternal outcomes? (britishjournalofmidwifery.com)
Preterm breech2
- There is controversy on the preferred mode of delivery (vaginal delivery (VD) versus caesarean section (CS)) in preterm breech delivery in relation to neonatal outcome. (elsevierpure.com)
- We performed a systematic review and meta-analysis of non-randomized studies that assessed the association between mode of delivery and neonatal mortality in women with preterm breech presentation. (elsevierpure.com)
Cephalic presentation3
- The fetuses in breech presentation during this period have the same probability for breech and cephalic presentation at delivery. (wikipedia.org)
- During the second period, lasting from the 25th to the 35th gestational week, the incidence of cephalic presentation increases, with a proportional decrease of breech presentation. (wikipedia.org)
- What did your baby flip from breech to cephalic presentation (ready for birth)? (glowing.com)
Cervix2
- As long as the fetal heart rate is stable in this situation, it is permissible to manage expectantly to allow the cervix to completely dilate around the breech (see the image below). (medscape.com)
- You are checking for complete dilation of the cervix and presentation of the calf. (valleyvet.com)
Singleton1
- Singleton vaginal breech delivery at term: still a safe option. (evidencebasedbirth.com)
Cesarean section4
- A 2390 g female infant was delivered at 39 weeks by elective cesarean section for breech presentation. (hindawi.com)
- For cesarean section with breech presentation, such cases are even if more rare, but still possible, as reported in the literature [ 2 - 8 ]. (hindawi.com)
- We present a case of right femur fracture that occurred in the course of cesarean section performed because of breech presentation. (hindawi.com)
- Breech birth at term: vaginal delivery or elective cesarean section? (evidencebasedbirth.com)
Births3
- Breech births occur in about 1 of 25 full-term births. (jadeandcinnabar.com)
- Due to their higher than average rate of possible complications for the baby, breech births are generally considered higher risk. (wikipedia.org)
- Breech births also occur in many other mammals such as dogs and horses, see veterinary obstetrics. (wikipedia.org)
Caesarean section3
- If your baby stays in this breech position, you will probably need a caesarean section (C-section). (healthlinkbc.ca)
- The indications of Caesarean section were a previous Caesarean section or breech presentation. (portlandpress.com)
- Research has shown that planned caesarean section is safer for your baby than a vaginal breech. (ckbhospital.com)
Complications4
- She and Dr. Fox discuss how this procedure works, complications in breech delivery, C-sections, and more. (informedpregnancy.tv)
- Avant de prendre une décision en matière de césarienne, il convient de dé nir les avantages et les risques de l'intervention sous l'angle de l'ensemble de la période de procréation de la femme et du niveau de soins existant, en évitant des césariennes inutiles et coûteuses a n de réduire les complications iatrogènes et de préserver les ressources. (who.int)
- A vaginal breech birth may also cause serious short-term complications for your baby. (ckbhospital.com)
- En dépit des progrès médicaux, les complications obstétricales occasionnent de nombreuses admissions en réanimation et sont des sources de létalité importante. (bvsalud.org)
Delivery23
- Perinatal mortality is increased 2- to 4-fold with breech presentation, regardless of the mode of delivery. (medscape.com)
- Spontaneous breech delivery: No traction or manipulation of the infant is used. (medscape.com)
- Assisted breech delivery: This is the most common type of vaginal breech delivery. (medscape.com)
- Some clinicians perform an episiotomy when the breech delivery is imminent, even in multiparas, as it may help prevent soft tissue dystocia for the aftercoming head (see the images below). (medscape.com)
- Caesarean delivery reduces the risk of causing a traumatic injury of the newborn compared to vaginal delivery, especially with breech presentation but does not eliminate this possible accidental complication. (hindawi.com)
- Head-first presentation is the optimal position for a smooth delivery. (naitreetgrandir.com)
- There is a continuous debate on the management of term breech presentation (TBP) regarding the mode of delivery. (kcl.ac.uk)
- A breech position can make it hard for the baby's head to fit through the birth canal during delivery. (aultcare.com)
- Due to the presentation of the baby, medical professionals should have ordered and performed a C-section delivery. (abclawcenters.com)
- The second period is characterized by a higher than random probability that the fetal presentation during this period will also be present at the time of delivery. (wikipedia.org)
- Transverse lie is often accompanied by shoulder presentation, which requires cesarean delivery. (msdmanuals.com)
- Breech presentation makes delivery difficult ,primarily because the presenting part is a poor dilating wedge. (msdmanuals.com)
- It is best to detect abnormal fetal lie or presentation before delivery. (msdmanuals.com)
- They were provided with an information leaflet to read prior to the clinic appointment, and a detailed consultation on different approaches such as ECV, vaginal breech delivery (VBD) or ELCS was carried out with ample time for mothers to make their decision. (bmj.com)
- Albrechtsen S. Breech delivery in Norway-clinical and epidemiological aspects [dissertation]. (evidencebasedbirth.com)
- Breech delivery in the all fours position: A prospective observational comparative study with classical assistance. (evidencebasedbirth.com)
- Mode of term single breech delivery. (evidencebasedbirth.com)
- Is planned vaginal delivery for breech presentation at term still an option? (evidencebasedbirth.com)
- Hellsten C, Lindqvist PG, Olofsson P. Vaginal breech delivery: is it still an option? (evidencebasedbirth.com)
- Kotaska A. Inappropriate use of randomised trials to evaluate complex phenomena: case study of vaginal breech delivery. (evidencebasedbirth.com)
- Kumari AS, Grundsell H. Mode of delivery for breech presentation in grandmultiparous women. (evidencebasedbirth.com)
- Besides providing analgesia in labor, regional analgesia may facilitate atraumatic vaginal delivery of twins, preterm neonates, and neonates with breech presentation. (medscape.com)
- Delivery presentation describes the way the baby is positioned to come down the birth canal for delivery. (medlineplus.gov)
Vaginally3
- Even if the baby's position can't be changed, a breech baby can sometimes be born vaginally. (aultcare.com)
- Doctors and midwives in the developing world often lack many of the skills required to safely assist women giving birth to a breech baby vaginally. (wikipedia.org)
- If your baby is breech, it is not safe to deliver vaginally. (medlineplus.gov)
Position7
- If your baby is in a breech position, your doctor may perform a procedure called a version. (naitreetgrandir.com)
- Just because your baby is in a breech position doesn't mean that they will have health problems. (aultcare.com)
- Factors associated with the increased success of ECVs: having had at least one baby already, baby lying across the abdomen (transverse or oblique presentation), complete breech position, adequate amniotic fluid, unengaged presenting part. (kwmidwifery.ca)
- This position is called breech. (healthlinkbc.ca)
- Normal fetal lie is longitudinal, normal presentation is vertex, and occiput anterior is the most common position. (msdmanuals.com)
- In most cases it is only a matter of chance that a baby does not turn and remains in the breech (bottom down) position. (ckbhospital.com)
- In breech position, the baby's bottom is facing down instead of the head. (medlineplus.gov)
Uterine1
- Abnormal fetal lie or presentation may occur due to fetal size, fetal anomalies, uterine structural abnormalities, multiple gestation, or other factors. (msdmanuals.com)
Abnormal3
- Several common types of abnormal lie or presentation are discussed here. (msdmanuals.com)
- Midwifery Today Breech Birth: Abnormal or Unusual? (midwiferytoday.com)
- You should provide assistance immediately if you notice an abnormal presentation of the calf (AKA back feet, only one leg, etc.) or when there is no progress after 30 minutes for a cow or 60 minutes for a heifer. (valleyvet.com)
Shanahan2
- Breech Presentation Caron J. Gray 1, Meaghan M. Shanahan 2 In: StatPearls [Internet]. (creighton.edu)
- Shanahan MM. Breech Presentation. (creighton.edu)
Baby13
- Your healthcare provider can tell that your baby is in a breech presentation by gently pressing on your belly. (aultcare.com)
- If an ECV is unsuccessful and the baby remains in a breech presentation, the majority of clients in Ontario will proceed to have a planned c-section. (kwmidwifery.ca)
- The Western treatment for breech presentation is External Cephalic Version (ECV), a method of manually turning the baby, performed around week 37. (jadeandcinnabar.com)
- A bedside ultrasound revealed that the baby was in a breech presentation. (abclawcenters.com)
- Healthpally descry Baby Breech Presentation and Risks Five percent of all children are born butt first in the mother's pelvic floor. (trustyread.com)
- A breech birth is when a baby is born bottom first instead of head first, as is normal. (wikipedia.org)
- Around 3-5% of pregnant women at term (37-40 weeks pregnant) have a breech baby. (wikipedia.org)
- A complete breech (or flexed breech) is when the baby appears as though it is sitting crossed-legged with its legs bent at the hips and knees. (wikipedia.org)
- A kneeling breech is when the baby is born knees first. (wikipedia.org)
- But my current baby has been breech since day 1. (glowing.com)
- Why is your baby breech? (ckbhospital.com)
- Turning a breech baby: is it possible? (ckbhospital.com)
- If there is a case of a breech presentation, you can try to turn the baby. (ckbhospital.com)
Prematurity1
- 5] Certain conditions, such as breech presentation, prematurity,[4] gestational progestin use, and low birth weight, have been associated with an increased risk of hydroceles. (medscape.com)
Brow1
- An ultrasound may be able to confirm a brow presentation. (medlineplus.gov)
Complete1
- Complete breech. (aultcare.com)
Meconium1
- Thick meconium passage is common as the breech is squeezed through the birth canal. (medscape.com)
Spontaneously1
- She has four children and three granddaughters, one of whom was a breech presentation, born spontaneously. (midwiferytoday.com)
Tertiary1
- Impact of implementation of a breech clinic in a tertiary hospital. (evidencebasedbirth.com)
External cephali1
- Methods Once a week Breech Clinic was introduced in June 2012 with a dedicated team of two midwives and two consultant obstetricians who are trained to counsel the mothers to aid informed decision making on their management and to undertake external cephalic version (ECV) if agreed. (bmj.com)