Re: Vertex to Breech in labor

From: claire (clairec1979@hotmail.com)
Mon Jun 5 11:18:43 2006


Can type of breech alter in labour as well? May sound stupid.

Primip came in contracting at 38 weeks(no antenatal care since 18/19weeks - she'd moved and no one could find her) on admission, palpated as cephalic, VE 8cm what felt like a head well applied to cervix, no cord or limbs felt - no landmarks either, no sign of meconium at that stage. 30 minutes later presenting part advancing, hmm looks strange - it's foot, now fully and mec (obviously) as baby descended. (Reg came in and she had vaginal delivery, baby's left foot presenting, right leg frank)

Anyway question is at 8cm I had previously imagined a footling breech would easily be diagnosed as a footling (please correct me if that assumption is wrong - or that you would feel something - possibly confusing it with a nuchal hand) - is it more likely that baby moved foot so ended up as a footling rather than a complete breech? - which is what I imagined had happened, and the breech missed at 8cm - or, after reading this thread, that it was cephalic at 8cm and breech at birth

Thanks Claire (BSc Midwifery student_





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