5 Operator intervention should be limited to the following manoeuvres Breech DeliveryThe essence of the vaginal breech delivery is allowing as much spontaneous delivery by uterine action and maternal effort as possibleOperator intervention should be limited tothe following manoeuvres
10 Breech Delivery Delivery of the breech should be ‘hands off’ Legs and abdomen are born spontaneously.
11 Breech DeliveryEnsure that the fetal back rotates uppermost by carefully grasping the fetal pelvis with fingers & thumbs.Leg delivery may need knee flexion by pressure in popliteal fossa
12 Breech DeliveryThe fetus should be allowed to hang once the legs and abdomen have emerged until the wings of the scapula are seen.
13 Lovset’s ManoeuvreGrasp the fetus around the bony pelvis with the thumbs across the sacrum.The fetal back should then be turned through 180 degrees until the posterior arm comes to lie anteriorly…….
14 Lovset’s ManoeuvreThe elbow will appear below the symphysis pubis and the arm is delivered by sweeping it across the fetal body.The manoeuvre is repeated in reverse to deliver the other arm.
15 Breech DeliveryAllow the fetus to hang from the vulva until the nape of the neck is visible.Then carry out Mauriceau-Smellie-Veit manoeuvre