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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 ...
Operative vaginal delivery, also known as assisted or instrumental vaginal delivery, is a vaginal delivery that is assisted by the use of forceps or a vacuum extractor. [ 1 ] Operative vaginal delivery is required in times of maternal or fetal distress to assist in childbirth as an alternative to caesarean section . [ 2 ]
A breech birth is the birth of a baby from a breech presentation, in which the baby exits the pelvis with the buttocks or feet first as opposed to the normal head-first presentation. In breech presentation, fetal heart sounds are heard just above the umbilicus. Babies are usually born head first.
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
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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.
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.