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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.
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]
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 ...
In these cases, the chin of the first twin locks behind the chin of the second twin while in the uterus or birth canal, preventing vaginal delivery. [3] In vertex/vertex presentations, where both twins are positioned for head-first delivery, the two heads become locked at the pelvic brim , preventing either fetus from passing through the pelvic ...
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 ...
Current practice guidelines in Canada recommend symphysiotomy for trapped head during vaginal delivery of a breech birth. A 2016 meta-analysis found that in low and middle income countries, there was no difference between maternal and perinatal mortality following either symphysiotomy or C-section. [9]
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]