Breech

Breech

1. 1. Frank Breech, Butt first ,70% of Breech,

   • breech presenting w/ hips flexed& legs extended on the abdomen
     • type common in primips,whos strong uterine muscle tone inhibits flexion of the legs & free moving of the mobile fetus .
       • Vaginal Birth is able to be carried out, if progress is made & no signs of fetal compromise presents

2. 2. Footling Breech 10-30% single footling= incomplete breech

   • one or both ffet extend past infants butt, into womans vagina, not advised for HB
     • high risk of premature urge to push, prompt ROM & cord prolapse, dilation is often ineffective because resenting part does not apply pressure uniformly

3. 3. Complete Breech 5-10% both hips & knees are flexed with both feet above the infants buttocks (cannonball position)

   • presenting part is the infants buttocks more irregular presenting shape does not fill pelvis as fully, & is more compressible making it some what inefficient dilation

4. 4. Kneeling Breech/ Knee presenting breech, rare type

   • presented with one or both hips extended, not advised for HB, due to inefficient dilation, unregular pressure
     • Risk: premature urge to push, prompt ROM/ Cord prolapse

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