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VAGINAL BREECH DELIVERY - DUE East Lancashire

VAGINAL BREECH DELIVERYE ileen Whitehead 2010 East Lancashire Hospitals NHS TrustBREECH DELIVERY BREECH Is the position of a fetus in which the buttocks, legs or feet present at the maternal pelvic outlet. It is the commonest of the abnormal presentations (3-4 % at term) BREECH DELIVERY The BREECH presentation has been classified as: Footling Complete FrankBREECH DELIVERY Footling BREECH one or both hips or knees are extended with one or both feet presentingBREECH DELIVERY Complete BREECH Hips and knees flexed BREECH DELIVERY Frank BREECH Hips are flexed and the knees extend over the anterior part of the bodyBREECH DELIVERY Diagnosed by: Palpation Auscultation: position of the fetal heart VAGINAL examination UltrasoundBREECH DELIVERY Risk Factors for BREECH Presentation Prematurity Polyhydramnios Oligohydramnios Uterine or pelvic abnormalities Fetal abnormalities ( Downs Syndrome) BREECH presentation in prior pregnancy IUDBREECH DELIVERY VAGINAL BREECH deliveries were previously the norm until 1959 when Wright proposed that all BREECH presentations should be delivered abdominally to reduce perinatal morbidity and mortality.

BREECH DELIVERY Breech Is the position of a fetus in which the buttocks, legs or feet present at the maternal pelvic outlet. It is the commonest of the abnormal presentations (3-4 % at term)

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  Delivery, Vaginal, Vaginal breech delivery, Breech

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