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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. [4]
In obstetrics, a cephalic presentation or head presentation or head-first presentation is a situation at childbirth where the fetus is in a longitudinal lie and the head enters the pelvis first; the most common form of cephalic presentation is the vertex presentation, where the occiput is the leading part (the part that first enters the birth canal). [1]
However, a head-down baby's head often molds (shifts its shape to fit the maternal pelvis) and so may present a smaller diameter than the same-size baby born breech. Fetal size in relation to maternal pelvic size – If the mother's pelvis is roomy and the baby is not large, this is favorable for vaginal breech delivery.
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Presentation of twins in Der Rosengarten ("The Rose Garden"), a German standard medical text for midwives published in 1513. In obstetrics, the presentation of a fetus about to be born specifies which anatomical part of the fetus is leading, that is, is closest to the pelvic inlet of the birth canal.
For otherwise healthy twin pregnancies where both twins are head down a trial of vaginal delivery is recommended at between 37 and 38 weeks. [36] [37] Vaginal delivery, in this case, does not worsen the outcome for either infant as compared with caesarean section. [37]
Rachel Standfest was 36 weeks pregnant when she jumped from her house to escape. She had a skull facture, 2nd, 3rd, degree burns like her husband. Details recovery.