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Many of the dangers in vaginal birth for breech babies come from mistakes made by birth attendants. With the majority of breech babies being delivered by cesarean section, there is more risk that birth attendants will lose their skills in delivering breech babies and therefore increase the risk of harm to the baby during vaginal delivery. [2] [28]
The three types of breech positions are footling breech, frank breech, and complete breech. These births occur in 3% to 4% of all term pregnancies. [ 31 ] They usually result in Cesarean sections because it is more difficult to deliver the baby through the birth canal and there is a lack of expertise in vaginal breech delivery and therefore ...
Illustration of deformed pelvises. A deformed pelvis is a risk factor for obstructed labour: Specialty: Obstetrics: Complications: Perinatal asphyxia, uterine rupture, post-partum bleeding, postpartum infection [1] Causes: Large or abnormally positioned baby, small pelvis, problems with the birth canal [2] Risk factors
External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery.
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Non-modifiable risk factors include a family history of diabetes, advanced maternal age, and ethnicity. Modifiable risk factors include maternal obesity. [14] There is an elevated demand for insulin during pregnancy which leads to increased insulin production from pancreatic beta cells. The elevated demand is a result of increased maternal ...
Risk for breech presentation may increase with multiple pregnancies (more than one baby), when there is too little or too much fluid in the uterus, or if the uterus is abnormally shaped. [24] Babies in breech presentation can be delivered vaginally depending on the experience of the provider and if the fetus meets specific low risk criteria ...
Other risk factors include a multiple pregnancy, more than one previous delivery, and too much amniotic fluid. [ 2 ] [ 3 ] Whether medical rupture of the amniotic sac is a risk is controversial. [ 2 ] [ 3 ] The diagnosis should be suspected if there is a sudden decrease in the baby's heart rate during labor.