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21 Cards in this Set
- Front
- Back
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Factors predisposing to breech presentation:
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Gestation age
Hydramnios & Oligohydramnios High patity w/ uterine relaxation Multiple fetusus Hydrocephaly & Anencephaly Previous breech delivery Uterine anomalies Placenta previa Fundal placental implantation Pelvic tumors |
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Describe a Frank breech
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Lower extremities FLEXed at hips, EXTENDED at knees, feet lies in close PROXIMITY to head
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Describe a Complete breech
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One or both knees are FLEXED
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Describe an Incomplete breech
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Hips are NOT flexed, knee/s lie BELOW the breech, FOOT or KNEE is the lowermost in birth canal
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Describe a Footling breech
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Incomplete breech with one or both feet below the breech
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Describe a Stargazer/Flying fetus. What could be a complication when such fetus is delivered vaginall? How will you manage it?
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Fetal head is in extreme hyperextension
Complication: Cervical spinal cord Mgmt: CS delivery |
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This evaluation/imaging is indicated with SUSPECTED breech or any other non-cephalic presentation
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Abdominal sonography
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This evaluation/imaging is indicated with SUSPECTED breech or any other non-cephalic presentation
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Abdominal sonography
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First Leopold maneuver
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Hard, round, ballotable fetal HEAD occupying the fundus
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This evaluation/imaging is indicated with SUSPECTED breech or any other non-cephalic presentation
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Abdominal sonography
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First Leopold maneuver
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Hard, round, ballotable fetal HEAD occupying the fundus
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Second Leopold maneuver
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Fetal back on one side of abdomen and small parts on other side
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This evaluation/imaging is indicated with SUSPECTED breech or any other non-cephalic presentation
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Abdominal sonography
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First Leopold maneuver
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Hard, round, ballotable fetal HEAD occupying the fundus
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Second Leopold maneuver
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Fetal back on one side of abdomen and small parts on other side
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Third Leopold maneuver
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If not engaged, breech is movable above the pelvic inlet
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This evaluation/imaging is indicated with SUSPECTED breech or any other non-cephalic presentation
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Abdominal sonography
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First Leopold maneuver
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Hard, round, ballotable fetal HEAD occupying the fundus
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Second Leopold maneuver
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Fetal back on one side of abdomen and small parts on other side
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Third Leopold maneuver
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If not engaged, breech is movable above the pelvic inlet
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Fourth Leopold maneuver
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After engagement, shows breech beneath the symphysis
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