Breech presentation.pptx
- 1. Topic- Breech presentation Presented by – Mrs. sulekha Dilliwar
- 3. INTRODUCTION • A breech presentation occurs when the baby's buttocks or feet or both are in place to come out first during birth. Breech presentation is often determined by fetal ultrasound at the end of pregnancy.
- 4. DEFINITION • It is a longitudinal lie in which the buttocks is the presenting part with or without the lower limb.in breech presentation fetal heart sounds are heard just above the umbilicus, it is the commonest malpresentation
- 11. Polyhydramnios
- 12. Pelvic tumors
- 13. Pelvic fibroids
- 15. Complete breech • Complete breech is when both of the baby's knees are bent and his feet and bottom are closest to the birth canal.
- 16. • Incomplete breech is when one of the baby's knees is bent and his foot and bottom are closest to the birth canal.
- 17. • Frank breech: The baby's buttocks are aimed at the vaginal canal with its legs sticking straight up in front of their body and the feet near their head.
- 18. Clinical feature of breech presentation • There are not usually symptoms associated with a breech baby. However, if you are 36 weeks pregnant and notice the baby’s head is presenting higher up in your abdomen or feel kicking in your lower abdomen.
- 19. DIAGNOSIS
- 20. abdominal examination • abdominal examination in labour are to determine the gestational age, the lie the position, presentation and engagement of the fetal head and to listen to the fetal heart.
- 21. Ultrasound
- 22. Pelvic examination • A doctor or nurse inserts one or two lubricated, gloved fingers of one hand into the vagina and presses on the lower abdomen with the other hand. This is done to feel the size, shape, and position of the uterus and ovaries.
- 23. Management of breech presentation • Identify complicating factors through sonography. • External cephalic version • Elective cesarean section • Assess fetal and progress of labor • Reduce anxiety and fear of pain
- 24. • External cephalic version (ECV) is a procedure that tries to turn a breech baby into a head- down position so you can have a normal vaginal birth. An obstetrician will gently press on your abdomen to encourage your baby to turn. It is often but not always.