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Breech Presentation and Delivery - Causes

Written by Dr. D. Sunitha, MBBS | Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Dec 19, 2019
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Breech Presentation and Delivery - Causes

The causes and predisposing factors for breech presentation include-

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  • Pre term labor - When labor starts when the baby is still small enough to move rather freely in the uterus. This usually occurs at 7-8 months rather than the usual 9 months.
  • Uterine malformations - an unusual shape of the mother's uterus, where there is a partition in the uterus (septate uterus) or the uterus has two incomplete divisions (bicornuate), may predispose to breech presentations.
  • Space occupying mass - fibroids in the lower part of the uterus may predispose to breech presentations.
  • Polyhydramnios - too much of amniotic fluid may allow the fetus too much movement.
  • Fetal abnormalities - like malformations of brain, neck masses and aneuploidy
  • Multiple gestations (more than one fetus) - Breech presentation may result due to the limited space in the uterus.
  • Multiparity - in particular grand multips. Increased maternal parity leads to increased laxity of the uterus and increases the risk of breech presentation.
  • Short umbilical cord
  • Placenta previa - Placental implantation over the cervical opening instead of being on the side may lead to breech presentation.
  • Placental, cornual or fundal implantation - also increases the risk of breech presentation.

Breech Presentation and Delivery - References:

  1. Breech Presentation - (http://www.emedicine.com/med/topic3272.htm)
  2. Breech birth - (http://en.wikipedia.org/wiki/Breech_birth)

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Dr.Niharika

REALLY GOOD EXPLAINATION

sarit.ranjan

use of forcep in after coming head

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