Mechanism of Labor in Breech

Delivery
 Memasuki Panggul

Penurunan Bokong
Assisted Delivery of Frank Breech
 Ekspulsi spontan
Ekspulsi spontan sampai
umbilikus
Sakrum lahir lancar ke
arah depan
Ekstraksi bokong
sebaiknya dihindari
Indikasi SC bila gagal
penurunan bokong atau
ekspulsi Obstetrics - Normal and Problem Pregnancies, 2nd Edition
Edited by SG Gabbe, JR Niebyl, JL Simpson. (1991)
 Cepat & Sabar

JANGAN DITARIK!
Traksi membuat
defleksi kepala fetus
Dapat menyebabkan
tangan menjungkit

Obstetrics - Normal and Problem Pregnancies, 2nd Edition

Edited by SG Gabbe, JR Niebyl, JL Simpson. (1991)
 Lahirkan kaki dengan rotasi lateral paha dan fleksi
lutut pertahankan sakrum tetap di anterior

Obstetrics - Normal and Problem Pregnancies, 2nd Edition

Edited by SG Gabbe, JR Niebyl, JL Simpson. (1991)
Assisted Delivery of Frank Breech
Assisted Delivery of Frank Breech
Assisted Delivery of Frank Breech
 Ibu meneran dengan baik
Lahirkan ketika skapula
terlihat
Rotasikan lengan ke anterior
Ayun humerus melewati
dada dan lahirkan
Rotasi lengan lainnya
anterior dan ulangi untuk
dilahirkan

Obstetrics - Normal and Problem Pregnancies, 2nd Edition

Edited by SG Gabbe, JR Niebyl, JL Simpson. (1991)
Assisted Delivery of Frank Breech
Assisted Delivery of Frank Breech
Assisted Delivery of Frank Breech
 Hindari ekstensi berlebihan

Obstetrics - Normal and Problem Pregnancies,2nd Edition

Edited by SG Gabbe, JR Niebyl, JL Simpson. (1991)
Melahirkan kepala
Manuver Mauriceau - Smellie - Veit
untuk melahirkan kepala bayi dengan
tetap mempertahankan fleksi kepala
Badan tetap disokong pada posisi
horisontal
 Melahirkan kepala

Obstetrics - Normal and Problem Pregnancies, 2nd Edition

Edited by SG Gabbe, JR Niebyl, JL Simpson. (1991)
Mechanism of Labor in Breech
Delivery

Figure 21-5. Maneuver for delivery of the head. The fingers of the
left hand are inserted into the infants mouth of over mandible; the
right hand exerts pressure on the head from above. (Modified and
reproduced, with permission, from Benson RC:Handbook of
Obstetrics & Gynecology, 8th ed. Lange, 1983)
Mauriceau Maneuver