Episode 179.0 – Precipitous Breech Deliveries

EM management of the rare but potentially complicated precipitous vaginal breech delivery.

Hosts:
Audrey Bree Tse, MD
Masashi Rotte, MD MPH

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Breesashi_Breech_CoreEM.mp3 Download One Comment Tags: Obstetrics, Precipitous Deliveries, Pregnancy Show Notes

Frank Breech Presentation:

Complete Breech Presentation:

Incomplete Breech (“Footling”) Presentation:

 

Pinard Maneuver:

 

Mauriceau Maneuver:

References:

• Cunningham FG et al.  Breech Presentation and Delivery.  Williams Obstetrics, 22nd ed. 2005.
• Desai S, Henderson SO. Labor and Delivery and Their Complications. Rosen’s Emergency Medicine, 8e. 2014. Chapter 181.
• Gabbe SG et al.  Obstetrics: Normal and Problem Pregnancies, 2nd e. 1991. p.479.
• Stitely ML, Gherman RB. Labor with abnormal presentation and position. Obstet Gynecol Clin North Am. 2005; 32: 165.
• VanRooyen MJ, Scott J.  Emergency Delivery.  Tintanelli’s Emergency Medicine, 7th e.  2011.  Chapter 105.
• http://www.emdocs.net/the-complicated-delivery-what-do-you-do/#:~:text=Deliveries%20that%20occur%20in%20the,in%20denial%20of%20their%20pregnancies.
• https://ranzcog.edu.au/womens-health/patient-information-resources/breech-presentation-at-the-end-of-your-pregnancy
• https://wikem.org/wiki/Breech_delivery

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