breech presentation

Question 1

breech before 36wks

Answer 1

often turn spontaneously so no intervention

Question 2

beech 37wks

Answer 2

can use external cephalic version

Question 3

ECV failure

Answer 3

women can choose between vaginal delivery and elective CS

Question 4

Mx - fist baby in twin pregnancy is breech

Answer 4

CS

Question 5

success rate of ECV

Answer 5

50%

Question 6

ECV used in babies that are breech - when?

Answer 6

after 36wks for nulliparous women

after 37wks for women that have given birth previously

Question 7

what is given before ECV

Answer 7

tocolysis to relax uterus before procedure

reduces contractility of myometrium

Question 8

Rhesus D negative women and ECV

Answer 8

need anti-D prophylaxis