BREECH PRESENTATION abnormal condition.pptx

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virengeeta

OBG Nursing

Healthcare

SUBMITTED TO: MRS. GEETA
CHAUDHARY
(M.sc.Lecturer,OBG)
SUBMITTED BY: MS. ARSHDEEP
KATARIA
B.Sc.(Nsg)4th Year

 Breech is most common
malpresentation.
 Where fetus lies in long axis with
buttocks ,legs or feet present
towards the pelvic brim.

THE FETUS LIES
LONGITUDINALLY WITH
THE BUTTOCKS IN THE
LOWER POLE OF THE
UTERUS .
LIE – LONGITUDINAL
PRESENTATION-BREECH
DENOMINATOR-SACRUM
PRESENTINGDIAMETER-
BITROCHANTERIC
(10cm)

INCIDENCE
20% at 28th
WEEK
5% at 34th
WEEK
3-4% at
TERM

POSITIONS
 Right Sacroposterior.
 Left Sacroposterior.
 Right Sacrolateral.
 Left Sacrolateral.
 Right Sacroanterior.
 Left Sacroanterior.

Extended legs.
Preterm labour.
Multiple pregnancy.
Polyhydramnios.
Hydrocephaly.
Uterine Abnormalities.
Placenta Previa.

ANTENATAL
DIAGNOSIS
Abdominal
examination
USG
X-Rayexamination
PALPATION
ASCULTATION

DIAGNOSIS DURING LABOUR
Abdominal Examination
Vaginal Examination

ANTENATALMANAGEMENT
External cephalic version
Persistent BreechPresentation

Knotting of the umblical cord.
Separation of the placenta.
Rupture of the membrane.

 Pre-eclampsia or hypertension.
 Multiple pregnancy.
 Oligohydramnios.
 Ruptured membrane.
 Hydrocephalic fetus.

 COMPACTION.
 INTERNAL ROTATION OF THE BUTTOCKS.
 LATERAL FLEXION OF THE BODY.
 RESTITUTION OF THE BUTTOCKS.
 INTERNAL ROTATION OF THE SHOULDER.
 INTERNAL ROTATION OF THE HEAD.
 EXTERNAL ROTATION OF THE HEAD.
 BIRTH OF THE HEAD.
MECHANISMOF LEFT SACROANTERIOR POSITION

 Basic care same as
normal labour.
 Analgesia.
 Inform the
obstetrician of the
onset of the second
stage.
FIRST STAGE SECOND STAGE

TYPES OF DELIVERY
SPONTANEOUS BREECH
DELIVERY.
ASSITEDBREECHDELIVERY.
BREECHEXTRACTION.

IMPACTED BREECH.
CORD PROLAPSE.
BIRTH INJURY.
FETAL HYPOXIA.
PREMATURE SEPARATION OF THE
PLACENTA.
MATERNAL TRAUMA.

BIBLIOGRAPH
Y
 Myles,”Textbookfor midwifery,Edition14th,Published by ChurchillLiving
stone;2003.
 Rao kamini,ATextbook of Midwifery and Obstetrics nursing published by
Elseiver;NewDelhi;2011.
 DuttaD.C.Textbook of Obstetric.Edition7th,Publishedby Jaypee;New
Delhi;2011.

BREECH PRESENTATION abnormal condition.pptx

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