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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] Type of breech presentation – the frank breech has the most favorable outcomes in a vaginal ...
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.
A vaginal delivery is the birth of offspring in mammals (babies in humans) through the vagina (also called the "birth canal"). [1] It is the most common method of childbirth worldwide. [ 2 ] It is considered the preferred method of delivery, as it is correlated with lower morbidity and mortality than caesarean sections (C-sections), [ 3 ...
Decreasing experience of accoucheurs with the management of breech presentation. Although obstetricians and midwives are extensively trained in proper procedures for breech presentation deliveries using simulation mannequins, there is decreasing experience with actual vaginal breech delivery, which may increase the risk. [18]
Mauriceau–Smellie–Veit maneuver or Mauriceau maneuver (named after François Mauriceau, William Smellie and Gustav Veit) is an obstetric or emergent medical maneuver utilized in cases of breech delivery. This procedure entails suprapubic pressure by one obstetrician on the mother/uterus, while another obstetrician inserts left hand in ...
This treatise for midwives demonstrated abnormal presentations at birth and their management. She was the first to describe a two-handed method of performing an internal rotation of the baby to extract it as a breech (a variation of which is performed today on the second twin, see above) using a sling. [6]
Vaginal delivery is generally recommended as a first option. Cesarean section can lead to increased risk of complications and a significantly slower recovery. There are also many natural benefits of a vaginal delivery in both mother and baby. Various methods may help with pain, such as relaxation techniques, opioids, and spinal blocks. [15]
Vaginal delivery of a baby in breech position should not be performed without the availability of nearby emergency C-section capabilities and extensive efforts should be made to bring a woman in labor with breech presentation to a hospital. There are many variations of breech presentations and multiple ways the baby can get stuck during delivery.