Discuss the change in the ACOG practice recommendations for singleton breech delivery at term 2. Apply the new guidance to obstetrical care. Postgraduate Institute for Medicine PIM requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest COI they may have as related to the content of this activity. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.
Aurora's Beautiful and Inspiring Frank Breech Home Birth
Techniques for Vaginal Breech Birth | Pregnancy Video
There is a small revolution happening around vaginal breech birth, and this is due in large part to the miracles of modern technology, especially videos. Watching many breech births via video enables midwives and obstetricians to develop pattern recognition — what is normal, what is not, when it is time to intervene — without having to attend many breech births. And it enables this to happen more quickly than it would normally happen, over decades of practice. Birth videos also enable us to study the features of breech births in a systematic way in research.
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A breech birth is when a baby is born bottom first instead of head first , as is normal. Most babies in the breech position are delivered via caesarean section because it is seen as safer than being born vaginally. With regard to the fetal presentation during pregnancy, three periods have been distinguished. During the first period, which lasts until the 24th gestational week, the incidence of a longitudinal lie increases, with equal proportions of breech or cephalic presentations from this lie.
In the last weeks of pregnancy, a fetus usually moves so his or her head is positioned to come out of the vagina first during birth. This is called a vertex presentation. It is not always known why a fetus is breech.