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Ebook Clinics in obstetrics: Part 2

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Nội dung chi tiết: Ebook Clinics in obstetrics: Part 2

Ebook Clinics in obstetrics: Part 2

CHAPTER 12Breech PresentationTania G SinghDEFINITION•Defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix (at the

Ebook Clinics in obstetrics: Part 2 maternal pelvic outlet)•Commonest of all the malpresentations.INCIDENCE•3-4% of all deliveries•Decreases with advancing gestational age:-22-25% of bi

rths prior to 28 weeks gestation-7% of births at 32 weeks gestation-1 -3% of births at term•Fetal abnormalities are observed in:-17% of preterm breech Ebook Clinics in obstetrics: Part 2

deliveries-9% of term breech deliveries•Cord prolapse occurs in:-0-2% with frank breech-5-10% with complete breech-10-25% with footling breech-6% in

Ebook Clinics in obstetrics: Part 2

multigravidas-3% in primigravidas•Nuchal arms (one or both arms are wrapped around the back of the neck) are present in:-0-5% of vaginal breech delive

CHAPTER 12Breech PresentationTania G SinghDEFINITION•Defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix (at the

Ebook Clinics in obstetrics: Part 2is):-0-8.5% of vaginal breech deliveries•Perinatal mortality:-Increased 2-4 fold with breech presentation, regardless of mode of delivery-Commonest ca

uses:-Malformations-Prematurity-Intrauterine demise.404 Section 1: Long CasesPREDISPOSING FACTORS•Prematurity (most common cause)•Uterine malformation Ebook Clinics in obstetrics: Part 2

s (septate; bicornuate uterus)•Fibroids and cysts

CHAPTER 12Breech PresentationTania G SinghDEFINITION•Defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix (at the

CHAPTER 12Breech PresentationTania G SinghDEFINITION•Defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix (at the

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