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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]
Vertex presentation with longitudinal lie: [1] Left occipitoanterior (LOA)—the occiput is close to the vagina (hence known as vertex presentation), facing anteriorly (forward with mother standing) and toward the left. This is the most common position and lie. Right occipitoanterior (ROA)—the occiput faces anteriorly and toward the right.
In obstetrics, position is the orientation of the fetus in the womb, identified by the location of the presenting part of the fetus relative to the pelvis of the mother. Conventionally, it is the position assumed by the fetus before the process of birth, as the fetus assumes various positions and postures during the course of childbirth .
In obstetrics, Leopold maneuvers are a common and systematic way to determine the position of a fetus inside the woman's uterus. They are named after the gynecologist Christian Gerhard Leopold. They are also used to estimate term fetal weight. [1] The maneuvers consist of four distinct actions, each helping to determine the position of the fetus.
“Hmm, it looks like your baby is in a transverse position right now,” my ob-gyn told me during the ultrasound at my 30-week prenatal appointment. I cursed. Loudly. After two months of happily ...
[1] [4] Impacted shoulder presentations contribute to maternal mortality. [5] Obviously a cesarean section should be performed before the baby has died, but even when the baby has died or impaction has occurred, C/S is the method of choice of delivery, as alternative methods of delivery are potentially too traumatic for the mother.
A newborn baby died after becoming trapped in the breech position when no NHS staff were able to attend the family’s home to assist paramedics, a fatal accident inquiry heard.
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.