••• Chapter 8^ Breech^89
❍ What are some common fetal complications associated with a vaginal breech delivery?
Fracture of either the humerus or clavicle.
Skull fractures.
Paralysis of the arm.
Testicular injury.
Increased risk of sudden infant death syndrome.
❍ Name a condition when a vaginal breech delivery of a singleton should be considered.
A patient presents in active labor, with advanced cervical dilation and delivery appears.
❍ True or False: Planned cesarean section is the recommended mode of delivery for a persistent
breech presentation.
True.
❍ In the United States, the percentage of breech presentations who are delivered by u cesarean section?
90%.
❍ Required conditions to consider for external cephalic version (ECV)? (New)
- Breech presentation.
- Reassuring fetal heart tracing.
- No contraindications for vaginal delivery.
- ≥36 weeks’ gestation.
❍ What is the most favorable factor associated with successful ECV?
Parity.
❍ Factors associated with an unsuccessful version include?
- Diminished amniotic fluid.
- Obesity.
- Anterior placenta.
- Cervical dilation.
- Descent of breech into the pelvis.
- Positioning of the fetal spine.
❍ Name three absolute contraindications for ECV.
- Contraindications to vaginal delivery, ie, previa.
- Multiple gestations with a breech presenting fetus.
- Nonreassuring fetal status.
❍ Relative contraindications for ECV include?
- Abnormal fluid, both poly and oligohydramnios.
- Fetal growth restriction.
- Fetal anomaly.