Breech

Breech

1. Frank Breech, Butt first ,70% of Breech,
1. breech presenting w/ hips flexed& legs extended on the abdomen
  1. type common in primips,whos strong uterine muscle tone inhibits flexion of the legs & free moving of the mobile fetus .
    1. Vaginal Birth is able to be carried out, if progress is made & no signs of fetal compromise presents
2. Footling Breech 10-30% single footling= incomplete breech
1. one or both ffet extend past infants butt, into womans vagina, not advised for HB
  1. high risk of premature urge to push, prompt ROM & cord prolapse, dilation is often ineffective because resenting part does not apply pressure uniformly
3. Complete Breech 5-10% both hips & knees are flexed with both feet above the infants buttocks (cannonball position)
1. 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. Kneeling Breech/ Knee presenting breech, rare type
1. presented with one or both hips extended, not advised for HB, due to inefficient dilation, unregular pressure
  1. Risk: premature urge to push, prompt ROM/ Cord prolapse

Resource summary

	Created by Malou Khalsa about 5 years ago