What type of breech can be delivered vaginally?
Three types of vaginal breech deliveries are described, as follows:
- Spontaneous breech delivery: No traction or manipulation of the infant is used.
- Assisted breech delivery: This is the most common type of vaginal breech delivery.
- Total breech extraction: The fetal feet are grasped, and the entire fetus is extracted.
Is normal delivery possible in breech presentation?
It’s possible to deliver a breech baby vaginally. It can be more dangerous for the baby and the risk of injury is much higher. If the umbilical cord is compressed during birth, the baby could be deprived of oxygen and this could harm their brain and nerves.
What is the management of breech delivery?
All women with a breech presentation should be offered an external cephalic version (ECV) from 37 weeks, if there are no contraindications. Elective caesarean section (ELCS) for a singleton breech at term has been shown to reduce perinatal and neonatal mortality rates.
How do you deliver a breech presentation?
Some breech babies can be safely delivered through the vagina, but usually doctors deliver them by C-section. Risks involved with a C-section include bleeding and infection. There also can be a longer hospital stay for both the mother and her baby. Other risks can occur for breech babies who are born vaginally.
What complications can occur during a Cesarean delivery of a breech fetus?
What complications can occur during a cesarean delivery? Although a planned cesarean birth is the most common way that breech fetuses are born, there may be reasons to try to avoid a cesarean birth. A cesarean delivery is major surgery. Complications may include infection, bleeding, or injury to internal organs.
Is breech birth more painful?
Giving birth to a breech baby vaginally is not usually any more painful than a head-down position, as you’ll have the same pain relief options available to you, although it does carry a higher risk of perinatal morbidity (2:1000 compared to 1:1000 with a cephalic baby).
How is breech presentation diagnosis?
Diagnosis of a breech presentation can be accomplished through abdominal exam using the Leopold maneuvers in combination with the cervical exam. Ultrasound should confirm the diagnosis. On ultrasound, the fetal lie and presenting part should be visualized and documented.
What is a ECV procedure?
External cephalic version, or ECV, is a maneuver your doctor may use when your unborn baby is set up to come out bottom first or feet first. Those positions are called a breech birth, and they can make a vaginal birth more difficult.
Is breech delivery more painful?
Are breech babies intelligent?
studied IQ and educational preparation of born people through breech (658 cases) or cephalic (1151 cases) method in a period of ten years illustrated that those born through breech presentation have higher IQ compared to those born through cephalic presentation [5].