http://www.fpnotebook.com/
Breech Delivery
- Epidemiology
- Indications
- Complete or Full Breech Presentation
- Estimated fetal weight between 2 to 4 kg
- Expert physician
- Contraindications
- Unfavorable pelvis (e.g. android, platypelloid, small)
- Fetal Macrosomia (3800 grams)
- Suspected utero-placental insufficiency
- Intrauterine Growth Retardation
- Footling Breech
- Fetal Hydrocephalus
- Inexperienced clinician
- Hyperextension of fetal head
- Severe prematurity
- Technique
- Large episiotomy
- Piper forceps
- Complications of Breech delivery: Maternal
- Placental Abruption
- Fourth degree perineal tear
- Complications of Breech delivery: Fetus
- Intracranial Hemorrhage due to rapid molding
- Ruptured tentorium cerebelli
- Ruptured falx cerebri
- Neck Trauma due to traction
- Dislocation of neck
- Erb-Duchenne Paralysis
- Torticollis from Sternocleidomastoid muscle trauma
- Ruptured viscus (Kidney or liver)
- Secondary to abdominal pressure from grasp
- Genital edema due to caput formation
- Shoulder and arm trauma on delivery of arms
- Cord prolapse (more common in Footling Breech)
- Hip and leg trauma from traction
- Hip Dislocation
- Femur Fracture
- Knee joint disruption
- Intracranial Hemorrhage due to rapid molding
Total breech extraction (C0195707) | |
|---|---|
| Concepts | Therapeutic or Preventive Procedure (T061) |
| English | Breech delivery, Breech extraction, Complete breech delivery, Total breech delivery, Total breech extraction |
| Spanish | extraccion de nalgas, extraccion de nalgas total, extraccion en podalica, extraccion total de nalgas, parto completo de nalgas, parto de nalgas, parto de nalgas total, parto en podalica, parto total de nalgas |
| Parent Concepts | Obstetric Delivery (C0011209), Total breech extraction (C0195707), Ambiguous concept (C1274012) |
| Sources | MTH, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
