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While a transverse lie prior to labor can be manually versed to a longitudinal lie, once the uterus starts contracting the uterus normally will not allow any version procedure. A shoulder presentation is an indication for a caesarean section. Generally, as it is diagnosed early, the baby is not damaged by the time of delivery.
The next section is looking at external cephalic version (ECV), which is a method that can help the baby turn from a breech position to a head-down position. Vaginal birth of a breech baby has its risks but caesarean sections are not always available or possible, a mother might arrive in the hospital at a late stage of her labour or may choose ...
Breech presentation with longitudinal lie: [1] Left sacrum anterior (LSA)—the buttocks, as against the occiput of the vertex presentation, lie close to the vagina (hence known as breech presentation), which lie anteriorly and toward the left. Right sacrum anterior (RSA)—the buttocks face 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 .
Although her baby was in the breech position at 30 weeks, at 38 weeks she was perceived to be in the opposite position with her head down – so no managed delivery plan was created for the July ...
Baby is in an unusual position: breech (buttocks first) or transverse (lying horizontally across the womb). Placenta previa is itself a risk factor of placenta accreta. Alcohol use during pregnancy was previously listed as a risk factor, but is discredited by this article. [18]
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.
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.