MALPRESENTATION BREECH part one breech presentation

malpresentation breech

1. TOPIC – LABOUR
Post-term pregnancy
DEPT OF OBGY
VEDANTAA MEDICAL COLLEGE
10/08/25 1

2. The title of the college here
along with a brief description if
required
TOPIC- ABNORMAL LIE AND
PRESENTATION
Breech Presentation (part -1)
Department of Obstetrics and Gynaecology
VEDANTAA MEDICAL COLLEGE

3. •COMPETENCY-OG14.4
•DESCRIBE AND DISCUSS THE CLASSIFICATION; DIAGNOSIS;
MANAGEMENT OF ABNORMAL LABOR-BREECH

4. SPECIFIC LEARNING OBJECTIVES
•At the end of the lecture the student should be able to:
•Define Breech presentation-
• Describe incidence, eitiology
•Classify the types of Breech

5. The title of the college here
along with a brief description if
required
Case Scenario
•A 28-year-old second gravida at 32 weeks of
gestation comes to OPD for a routine ANC check-up.
She gave history of previous LSCS at 39 weeks for
breech presentation. On examination, she is 30
weeks, her uterus deviated to right and breech
presentation. She wants to know the chances of
vaginal trial and further management.
•How will you counsel this patient?

6. DEFINITION
•The lie is Longitudinal and Podalic pole present at the Pelvic
brim
•Commonest mal presentation

7. INTRODUCTION
•Incidence: 3-4%

•Breech presentation : 25% 28 weeks
7% at 32 weeks, 1-3% at term
•Perinatal mortality : 2- 4 rise
•Deaths : malformations, prematurity, and intrauterine fetal
demise.

8. Predisposing Factors
•Prematurity
•Uterine abnormalities
•Fetal abnormalities, and
•Multiple gestations.

9. • TYPES OF BREECH
•Frank breech (50-70%)
•Complete breech (5-10%)
•Footling or incomplete (10-30%).
•.

16. DIAGNOSIS:
•Palpations and ballottement
•Pelvic exam
•X-ray studies
•Ultrasound

18. SUMMARY
•Now we know breech presentation under following headings
•Definition
•Eitiology
•Type of Breech Presentation
•Diagnosis

19. QUESTION (LAQ)
1.Describe breech presentation under following headings
(3+2+5).
a) Etiology
b) types
c) mechanism of labour in left sacro-anterior position
2.A primigravida with breech presentation is admitted in labour .
Describe management of this case under following heading:
(3+4+3)
a) evaluation in 1
st
stage of labour
b) evaluation in second stage of labour
c)Fetal complications

20. Questions (SAQ)
1.Explain in brief diagnosis of breech.
2.Explain in brief about diagnosis of complete and frank breech.
3.Describe in brief types of breech and etiology.
4.Pt has come with full term pregnancy with breech presentation she is
being posted for c-section. Describe in brief her about other indications
of c-section.
5.A primigravida with 38 weeks of gestation diagnosed as breech came
with complains of leaking p/v . On examination the cervical os was fully
dilated .write the different techniques to delivery the aftercoming head
and Describe one in brief.
.

21. Bibliography
•DC DATTA TEXT BOOK OF OBSTETRICS 9
TH
EDITION
•WILLIAMS OBSTETRICS 25 TH EDITION