Pregnancy: Uterine inertia
Written by D C MorganUterine inertia: This is a common complication in breech delivery. Under the influence of seda¬tives and given enough time, the uterine action is often restored to normal and the labour proceeds.
Sometimes the inertia persists. If it is associated with a large baby or a contracted pelvis and an average sized fetus, if inertia supervenes […]
Tags: BPD, breech
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Extended Breech
Written by D C MorganExtended breech: This should not really be consi¬dered as a complication of breech presentation. In fact, of all varieties of podalic presentations, it has the best fetal prognosis. Owing to the com¬pactness of the presenting part, it engages early in labour in the absence of any contractions of the pelvis or feto-pelvic disproportion. Uterine inertia, […]
Tags: BPD, breech
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Method of delivery of the breech
Written by D C MorganWith increasing uterine contractions, the breech emerges out of the vulval outlet. With a fully flexed breech, sometimes a foot may be caught in the vagina which should be released by hooking it out with the finger. With further contractions and straining by the patient the baby is born as far as the umbilicus. At […]
Tags: BPD, breech
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Precautions necessary during external version
Written by D C MorganPrecautions necessary during external version: Vaginal delivery: Once vaginal delivery is All movements must be gentle. The flexion decided upon, there are three methods usually attitude of the fetus must be maintained. Anes¬ adopted:
thesia is best avoided, as otherwise one may not 1. Spontaneous breech delivery
be able to gauge the degree of force used. How¬ 2. Assisted […]
Tags: BPD, breech
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Place of external cephalic version
Written by D C MorganThe place of external cephalic version: Upto the 34th week of pregnancy breech presentations are common. Many breech presentations by that period correct themselves spontaneously into vertex presentations. After the 34th week, the incidence of such spontaneous corrections drop down significantly and after the 36th week it is rather rare. Hence it is suggested that […]
Tags: BPD, breech
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Breech Presentation: Antenatal period
Written by D C MorganAntenatal period: When a breech presentation is found to persist in a primigravid woman after the 34th week of pregnancy, every attempt should be made to find out the etiological factor. In particular, the pelvis should be suspected and radiopelvimetry should be done to rule out any contraction.
If a contracted pelvis is diagnosed or any […]
Tags: BPD, breech
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