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Flashcards in Malpresentations Deck (16)
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1

What is frank breech?

where the babies hips are flexed and the legs are extended (ankles by ears or pike position)

2

What is complete breech?

where the babies hips and knees are flexed and the feet are not below the level of the buttocks (cross-legged)

3

What is footling breech?

where one or both of babies feet are presenting with extension at the hips and knees

4

What is kneeling breech?

where one or both hips are extended with flexion at the knees so that the knee is the presenting part

5

What are the five types of malpresentation?

- brow
- face
- shoulder
- breech
- cord

6

When will face presentation necessitate surgical birth?

When the baby is presenting mento-posterior, which means that fetal back is anterior
mento-anterior is fine for vaginal birth

7

What proportion of babies are in shoulder presentation in labour?

1:250

8

What proportion of babies are in brow presentation in labour?

1:1000

9

What proportion of babies are in face presentation in labour?

1:500

10

What are the two types of incomplete breech?

- footling
- kneeling

11

From 29-32 weeks what percentage of babies present in breech position?

around 15%

12

At 35 weeks what is the chance that a breech baby will flip to cephalic?

25%

13

What percentage of babies remain in breech position at 36 weeks?

3-4%

14

What midwifery care should be offered for women with breech babies at 36 weeks?

- offer ECV
- discussions about LUSCS or planned vaginal breech birth

15

What 6 maternal factors are associated with a higher prevalence of breech presentation?

- polyhydraminos
- uterine anomalies (bicornate, septate)
- fibroids
- placental abnormalities (e.g. praevia)
- contracted (smaller-than-usual) maternal pelvis
- multiparity (particularly grand multiparity)

16

What 5 fetal factors are associated with a higher prevalence of breech presentation?

- prematurity
- fetal anomalities (e.g. neurological, hydrocephalus, anenecephaly)
- multiple pregnancy
- fetal death
- short umbilical cord