Breech presentation occurs in about 2 to 4 % of singelton deliveries at term and more frequently in the early third and second trimester.

Slides:



Advertisements
Similar presentations
Fetal Malpresentation
Advertisements

MALPRESENTATION &MALPOSITION.
FROM CONCEPTION TO BIRTH. KEY TERMS Amniotic fluid – clear liquid in sac that the fetus develops in; protects fetus from injury. Placenta- barrier between.
Chapter 37 Emergency Childbirth. © 2005 by Thomson Delmar Learning,a part of The Thomson Corporation. All Rights Reserved 2 Overview  Anatomy Review.
The course and conduct of normal labor and delivery
Prolapsed Cord Dr Maryam. Prolapsed Cord In order to understand about 'what is prolapsed cord', you can visualize the normal consequences in natural child.
Malpresentation Dr. Abdalla H. Elsadig MD. Definitions Presentation: Presentation: Is the lowermost part of the fetus occupying the lower uterine segment.
ABNORMALITIES OF THE UMBILICAL CORD ASSOCIATE PROFESSOR IOLNDA ELENA BLIDARU MD, PhD.
Abnormal Labor Professor Abdulrahim Rouzi MB, ChB, FRCSC.
Dr. Udin Sabarudin Department of Obstetrics & Gynecology Medicine School of Padjadjaran University Bandung MECHANISM OF LABOR IN BREECH PRESENTATION.
Presentation and prolapse of the umbilical cord
DR. HAZEM AL-MANDEEL OB/GYN ROTATION-COURSE 481 Multiple Pregnancy.
Dr. ROZHAN YASSIN KHALIL FICOG,CABOG, HDOG, MBChB 2011.
Amniotic Fluid Problems. Amniotic fluid is an important part of pregnancy and fetal development. This watery fluid is inside a casing called the amniotic.
Labor, Delivery, and Changes at Birth Fred Hill, MA, RRT.
Diseases and Conditions of Pregnancy pre-eclampsia once called toxemia –a pregnancy disease in which symptoms are –hypertension –protein in the urine –Swelling.
MULTIPLE PREGNANCY King Khalid University Hospital Department of Obstetrics & Gynecology Course 482.
BREECH PRESENTATION.
Prof. Abdulhafid Abudher MBBch,DGO,MD,FABOG,FRCOG.
بسم الله الرحمن الرحيم Malpresentations By dr. sallama kamel.
Vaginal Breech Delivery
Dr. Yasir Katib mbbs, frcsc, perinatologest
Placenta Abruption (abruptio placentae)
Delivery in the ER Preparedness for Antepartum, Intrapartum, and Postpartum Complications Joel Henry, M.D. Associate Professor, Ob/Gyn.
Breech presentation By Dr. Khattab KAEO Prof & Head of Obstetrics and Gynaecology Department Faculty of Medicine, Al-Azhar University, Damietta.
Adam Fogel, Christopher Elliot, Miso Gostimir
POST TERM PREGNANCY & IOL Dr. Salwa Neyazi Assistant professor and consultant OBGYN KSU Pediatric and adolescent gynecologist.
Preterm Birth Hazem Al-Mandeel, M.D Course 481 Obstetrics and Gynecology Rotation.
Developed by D. Ann Currie RN, MSN  Version  Cervical Ripening  Induction / Augmentation  Amniotomy  Amnioinfusion  Episiotomy  Assisted Vaginal.
Lecture 6 BREACH PRESENTATION TRANSVERSAL & OBLIQUE LIE Prof. Vlad TICA, M.D., Ph. D.
kg BIRTH WEIGHT all deliveries vaginal breech BREECH PRESENTATION PNMR HAZARDS PREMATURITY (IVH) ASPHYXIA TRAUMA CAESAREAN SECTION.
Umbilical Cord Prolapse
Breech Presentation Breech presentation, the most common obstetric malpresentation, complicates approximately 4% of deliveries. Breech presentation is.
Breech Delivery Dr. ?? December 12 th, IntroductionIntroduction 1)Incidence of breech a)3 - 4% at term b)25% at 28 wks 2)Predisposing Factors a)CNS.
Antepartum Hemorrhage Family Medicine Specialist CME University of Health Sciences.
1 Clinical aspects of Maternal and Child nursing NUR 363 Lecture 4 Intrapartum complications.
SMFM Clinical Consult Series
1 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Chapter 3 Antenatal Assessment and High-Risk Delivery.
1 Clinical aspects of Maternal and Child nursing Intrapartum complications.
Labor and the birth -Term for twins is usually considered to be 37 weeks rather than 40 - and approximately 50% of twins are born pre-term, that is before.
Transverse lie and oblique lie cord presentation and prolapse
Fetal Position and Presentaion
Abnormal Umbilical Cord Liquor Volume Abnormality Premature Delivery Premature Rupture of Membrane Prolonged Pregnancy, Multiple Pregnancy Women Hospital,
Obstetrics and Gynecology Clerkship Case Based Seminar Series
NORMAL LABOR wang jingyin. Ⅰ. Definition Ⅰ. Definition Delivery is the process by which the mature or nearly mature (fetus and placenta) are expelled.
BREECH PRESENTATION Lecturer: Dr. Hui Wang Department of Obstetrics & Gynaecology Tongji Hospital Tongji Medical College Huazhong University of Science.
Breech presentation.
Bleddyn Woodward 4th year medical student
Breech presentation Breech presentation occurs when the fetal buttocks or lower extremities present into the maternal pelvis . The incidence of beech presentation.
Breech delivery Lecture, Medical Students 2D, NTNU 2009, Pepe Salvesen.
Fetal Position and Presentation
Pre-labor Rupture of Membranes (PROM)
abnormal presentation
Healthy Labor and Delivery Booklet for Notebook
Vaginal Breech Delivery
abnormal presentation
Fetal Position and Presentation
Fetal Malpresentation
Midwifery and obstetric emergencies
Chapter 18: Labor at Risk.
Fetal Position and Presentation
Labor and Delivery Unit 3 Chapter 11.
ABNORMAL PRESENTATIONS AND MALPOSITIONS
Fetal Malpresentation
Pregnancy at Risk: Gestational Conditions
Breech Presentation Dr Madhavi Kalidindi
Presentation transcript:

Breech presentation occurs in about 2 to 4 % of singelton deliveries at term and more frequently in the early third and second trimester

The conditions associated with breech presentation: prematurity multiple pregnancy polyhydramnios hydrocephaly anencephaly uterine anomalies uterine tumors placenta previa

Kinds of breech presentation: complete incomplete frank footling single or double kneeling single or double

Diagnose: Leopold maneuvers pelvic examination ultrasonography

In the cephalic presentation the largest part of the fetal body (head) is delivered at first. It lasts usually from 30 minutes to 2 hours. After the delivery of the head the rest part of the body which is smaller is delivered without problems. In the breech presentation the smaller part of the fetus (pelvis) deliveries at first. Then the bigger part of the body (head) has to pass through the birth canal in a very short time (1-2 minutes) because of the compression of the umbilical cord between the head and the bony pelvis.

The morbidity and mortality rates for mothers and fetuses, regardless to gestational age or mode of delivery, are higher in the breech than in the cephalic presentation. This increased risk of the fetus comes from associated factors such as fetal anomaly, prematurity and umbilical cord prolapse as well as birth trauma.

Contraindications for vaginal delivery in breech presentation (because of the increased risk of birth injury): preterm fetus weighting < 2000 g fetus weighting > 4000 g pelvic abnormalities breech presentation in primiparas hyperextension of the fetal head (5%) footling breech In these situations we perform elective cesarean section

The suggested criteria for a vaginal breech delivery: a normal labor curve (normal rate of the dilatation of the cervix and descending of the presenting part without the necessity of stimulating uterine action) estimated fetal weight between 2000 and 4000 g doubtless fetal heart trackings an adequate maternal pelvis by clinical pelvimetry a normally flexed head

The key to successful vaginal delivery in breech presentation is not to rush the process, allowing spontaneous delivery as much as possible before intervention.

Sometimes in breech presentation it is possible to perform external cephalic version which avoids the neccessity of cesarean section. selection criteria for this version include: - a normal fetus with reassuring fetal heart trackings - adequate amniotic fluid - presenting part not in pelvis - no uterine operative history - no labor

The potential risk include: placental abruption cord accident uterine rupture In our Clinic we don’t use the technique of external version

When the fetus is delivered spontaneously to the level of the lower angles of the scapule the obstetrician finishes the labor by use of maneuver called manual assistance. The best mode of this assistance is the maneuver of Bracht