Breech Presentation

Caron J. Gray, Meaghan M. Shanahan, Caron J. Gray, Meaghan M. Shanahan

Excerpt

Breech presentation refers to the fetus in the longitudinal lie with the buttocks or lower extremity entering the pelvis first. The three types of breech presentation include frank breech, complete breech, and incomplete breech. In a frank breech, the fetus has flexion of both hips, and the legs are straight with the feet near the fetal face, in a pike position. The complete breech has the fetus sitting with flexion of both hips and both legs in a tuck position. Finally, the incomplete breech can have any combination of one or both hips extended, also known as footling (one leg extended) breech, or double footling breech (both legs extended).

Conflict of interest statement

Disclosure: Caron Gray declares no relevant financial relationships with ineligible companies.

Disclosure: Meaghan Shanahan declares no relevant financial relationships with ineligible companies.

Copyright © 2024, StatPearls Publishing LLC.

References

    1. Hinnenberg P, Toijonen A, Gissler M, Heinonen S, Macharey G. Outcome of small for gestational age-fetuses in breech presentation at term according to mode of delivery: a nationwide, population-based record linkage study. Arch Gynecol Obstet. 2019 Apr;299(4):969-974.
    1. Schlaeger JM, Stoffel CL, Bussell JL, Cai HY, Takayama M, Yajima H, Takakura N. Moxibustion for Cephalic Version of Breech Presentation. J Midwifery Womens Health. 2018 May;63(3):309-322.
    1. Niles KM, Barrett JFR, Ladhani NNN. Comparison of cesarean versus vaginal delivery of extremely preterm gestations in breech presentation: retrospective cohort study. J Matern Fetal Neonatal Med. 2019 Apr;32(7):1142-1147.
    1. Grabovac M, Karim JN, Isayama T, Liyanage SK, McDonald SD. What is the safest mode of birth for extremely preterm breech singleton infants who are actively resuscitated? A systematic review and meta-analyses. BJOG. 2018 May;125(6):652-663.
    1. Andrews S, Leeman L, Yonke N. Finding the breech: Influence of breech presentation on mode of delivery based on timing of diagnosis, attempt at external cephalic version, and provider success with version. Birth. 2017 Sep;44(3):222-229.
    1. Walker S, Breslin E, Scamell M, Parker P. Effectiveness of vaginal breech birth training strategies: An integrative review of the literature. Birth. 2017 Jun;44(2):101-109.
    1. Hofmeyr GJ, Barrett JF, Crowther CA. Planned caesarean section for women with a twin pregnancy. Cochrane Database Syst Rev. 2015 Dec 19;2015(12):CD006553.
    1. Ainsworth A, Sviggum HP, Tolcher MC, Weaver AL, Holman MA, Arendt KW. Lessons learned from a single institution's retrospective analysis of emergent cesarean delivery following external cephalic version with and without neuraxial anesthesia. Int J Obstet Anesth. 2017 May;31:57-62.
    1. Hutton EK, Simioni JC, Thabane L. Predictors of success of external cephalic version and cephalic presentation at birth among 1253 women with non-cephalic presentation using logistic regression and classification tree analyses. Acta Obstet Gynecol Scand. 2017 Aug;96(8):1012-1020.
    1. Adjaoud S, Demailly R, Michel-Semail S, Rakza T, Storme L, Deruelle P, Garabedian C, Subtil D. Is trial of labor harmful in breech delivery? A cohort comparison for breech and vertex presentations. J Gynecol Obstet Hum Reprod. 2017 May;46(5):445-448.
    1. Poole KL, McDonald SD, Griffith LE, Hutton EK, Early ECV Pilot and ECV2 Trial Collaborative Group Association of external cephalic version before term with late preterm birth. Acta Obstet Gynecol Scand. 2017 Aug;96(8):998-1005.
    1. Domingues AP, Belo A, Moura P, Vieira DN. Medico-legal litigation in Obstetrics: a characterization analysis of a decade in Portugal. Rev Bras Ginecol Obstet. 2015 May;37(5):241-6.
    1. Delotte J, Oliver A, Boukaidi S, Mialon O, Breaud J, Benchimol D, Bongain A. [Who limit vaginal birth for breech presentation: medical practice or Law? Discussion between a medical doctor, a lawyer and the head chief of an university hospital]. J Gynecol Obstet Biol Reprod (Paris) 2011 Oct;40(6):587-9.
    1. Burke G. The end of vaginal breech delivery. BJOG. 2006 Aug;113(8):969-72.

Source: PubMed

Sponsor e collaboratori

Condizioni mediche

Interventi farmacologici

3
Sottoscrivi