Breech presentation delivery care: A review of childbirth semiology, mechanism and care
DOI:
https://doi.org/10.18597/rcog.3345Keywords:
Breech presentation, obstetric complications of childbirth, continuing medical education, dystociaAbstract
Objective: To review the concepts underlying breech presentation delivery as well as the semiology and the obstetric maneuvers contributing to a successful perinatal maternal outcome.
Materials and methods: Based on a hypothetical scenario to set the stage for a practical approach to the topic, an explanatory paper built on a narrative review is created in order to examine the principles related to diagnosis, mechanism of delivery and maternal care, emphasizing maneuvers to ease fetal extraction.
Results: Breech presentation delivery must be managed through the vaginal canal when already in the expulsion phase with fetal engagement. For diagnosis and care, it is essential to know the unique semiology and physiology of this condition as well as the obstetric maneuvers to facilitate an uncomplicated delivery.
Conclusions: The mechanism of childbirth in breech presentation is complex and requires knowledge of its physiology and multiple obstetric maneuvers on the part of the obstetrician as well as the general practitioner, in order to ensure adequate care when there is no other option.
Author Biographies
Carlos Fernando Grillo-Ardila, Universidad Nacional de Colombia
Profesor asistente: docente de cátedra, Departamento de Obstetricia y Ginecología, Universidad Nacional de Colombia.
Alejandro Antonio Bautista-Charry, Universidad Nacional de Colombia
Profesor Asociado; director del Departamento de Obstetricia y Ginecología, Universidad Nacional de Colombia.
Mariana Diosa-Restrepo, Universidad Nacional de Colombia
Residente de tercer año de Obstetricia y Ginecología, Facultad de Medicina, Universidad Nacional de Colombia.
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