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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. [ 2 ] [ 3 ] It is usually performed late in pregnancy, that is, after 36 gestational weeks , [ 4 ] preferably 37 weeks, [ 5 ] and can even be performed in the early stages of childbirth.
The procedure carries the risks of urethral and bladder injury, fistulas, [9] infection, pain, and long-term walking difficulty. [10] Symphysiotomy should, therefore, be carried out only when there is no safe alternative. [10] It is advised that this procedure should not be repeated due to the risk of gait problems and continual pain. [10]
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.
A breech birth is when a baby is born bottom first instead of head first, as is normal. [1] Around 3–5% of pregnant women at term (37–40 weeks pregnant) have a breech baby. [2] Due to their higher than average rate of possible complications for the baby, breech births are generally considered higher risk. [3]
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 ...
Intact dilation and extraction (D&X, IDX, or intact D&E) is a surgical procedure that terminates and removes an intact fetus from the uterus. The procedure is used both after miscarriages and for abortions in the second and third trimesters of pregnancy. When used to perform an abortion, an intact D&E can occur after feticide or on a live fetus.
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.
1. The baby may turn to a breech position, making birth more difficult if the membranes are ruptured before head engagement. [5] 2. There is an increased risk of umbilical cord prolapse. [5] 3. There is an increased risk of infection if there is a prolonged time between rupture and birth. [5]