(O32.1) Maternal care for breech presentation

Maternal care for breech presentation is a condition in which the baby is positioned in the uterus such that its head is not pointing towards the birth canal. this can occur during the late stages of pregnancy and can lead to complications during delivery. it is important for pregnant women to receive regular check-ups to monitor the baby’s position and receive medical advice on how to best manage the situation.

Maternal care for breech presentation is a condition in which the baby is in a feet-first or bottom-first position in the uterus. this occurs when the baby's head does not engage with the cervix, allowing the baby to be in a breech position. the primary cause of this condition is unknown, but it is thought to be related to the size and shape of the uterus, the position of the placenta, the amount of amniotic fluid, and the position of the baby in the uterus. risk factors for this condition include a mother's age, multiple pregnancies, a history of breech presentations, and a history of uterine abnormalities. treatment of this condition includes external cephalic version, where the baby is manually turned to a head-down position, or a cesarean section.

More details coming soon

• Obtain detailed medical history.
• Perform physical examination.
• Order an ultrasound to confirm the diagnosis.
• Assess the fetal lie and position.
• Assess the fetal presentation.
• Perform a biophysical profile to assess fetal well-being.
• Perform a fetal movement assessment.
• Order a Doppler ultrasound to assess umbilical artery blood flow.
• Perform a non-stress test to assess fetal heart rate.
• Consult a maternal-fetal medicine specialist.

Additions:

• Order a fetal echocardiogram.
• Perform a contraction stress test.

Main Goal: To ensure a safe and successful delivery of a baby in breech presentation.

• Educate the patient about the risks associated with a breech delivery.
• Schedule regular prenatal visits and ultrasounds to monitor the position of the baby.
• Perform an external cephalic version (ECV) to attempt to turn the baby to a head-down position.
• If ECV is unsuccessful, discuss the risks and benefits of a cesarean delivery with the patient.
• If the patient chooses to attempt a vaginal delivery, consult with an obstetrician or midwife with experience in breech delivery.
• Administer medications to relax the uterus and reduce the risk of uterine rupture.
• Monitor the baby's heart rate throughout the labor and delivery.
• Perform an episiotomy to assist with delivery.
• Deliver the baby slowly and carefully.
• Provide postnatal care for the mother and baby.

Maternal care for breech presentation involves regular monitoring of the baby's position during pregnancy, as well as attending antenatal classes to learn how to do exercises to encourage the baby to turn into the correct position. it is also important to have a discussion with your healthcare provider to decide on the best delivery method for a breech presentation.