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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.
According to Gabbe, "There is no place for internal podalic version and breech extraction in the management of transverse or oblique lie or unstable presentation in singleton pregnancies because of the unacceptably high rate of fetal and maternal complications." Podalic version has a long history spanning back to Hippocrates.
The increase of this probability is gradual and identical for breech and cephalic presentations during this period. In the third period, from the 36th gestational week onward, the incidence of cephalic and breech presentations remain stable, i.e. breech presentation around 3–4% and cephalic presentation approximately 95%.
Fellows of the College work in the public and private health system, in hospitals and clinics; they teach and undertake research, in universities and in clinical settings; they work collaboratively with other healthcare organisations and government bodies to ensure that women and their families have access to quality care; and many Fellows do ...
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.
Management focuses on quick delivery, usually by cesarean section. [4] Filling the bladder or pushing up the baby by hand is recommended until this can take place. [ 4 ] Sometimes women will be placed in a knee-chest position or the Trendelenburg position in order to help prevent further cord compression. [ 2 ]
In the brow presentation, the head is slightly extended, but less than in the face presentation. The chin presentation is a variant of the face presentation with maximum extension of the head. Non-cephalic presentations are the breech presentation (3.5%) and the shoulder presentation (0.5%). [1]
Locked twins is a rare complication of multiple pregnancy where two fetuses become interlocked during presentation before birth. It occurs in roughly 1 in 1,000 twin deliveries and 1 in 90,000 deliveries overall. [1] Most often, locked twins are delivered via Caesarean section, given that the condition has been diagnosed early enough.