Breech

Births
Diana Rose Villamor
BSEd ENGLISH - 3
 Introduction

Implications of Breech Births

Content
Outline Causes of Breech Births

Management and Interventions

 What do you think is a breech birth?

A. A breech birth is when the baby is positioned feet or buttocks first in the
birth canal.

B. A breech birth is when the baby is positioned head first in the birth canal.

A breech birth is when the baby is positioned sideways in the birth canal.
C.
A breech birth is when the baby is positioned upside down in the birth
canal.
D.
What is breech
births?
A breech baby, or breech birth, is when
your baby’s feet or buttocks are
positioned to come out of your vagina
first. Your baby’s head is up closest to
your chest and its bottom is closest to
your vagina.
How common is a breech
baby?
There is a small chance that your baby
will not move into a head-first position
before 37 weeks of pregnancy. Breech
babies account for about 3% to 4% of
all full-term pregnancies.
TYPES OF BREECH
PRESENTATION
• Frank breech
• Complete breech
• Footling breech
• Transverse lie
 COMPLETE
FRANK BREECH
BREECH
The baby’s buttocks are aimed at
The baby’s buttocks are pointing
the vaginal canal with its legs
downward and both the hips and
sticking straight up in front of
the knees are flexed (folded under
their body and the feet near their
themselves).
head.
FOOTLING BREECH TRANSVERSE LIE

One or both of the baby’s feet

This is a form of breech
point downward and will deliver
presentation where your baby is
before the rest of their body.
positioned horizontally across
your uterus instead of vertically.
This would make their shoulder
enter the vagina first.
Implications of Breech
Births
 POTENTIAL COMPLICATIONS
INCREASED RISKS FOR THE BABY
DURING LABOR AND DELIVERY

- including higher rates of birth

- include prolonged labor, umbilical
injuries such as head entrapment and
cord compression, and fetal distress.
cord prolapse. These risks necessitate
These complications require skilled
careful monitoring and potentially
management to optimize outcomes.
prompt interventions during labor and
delivery.
 PSYCHOLOGICAL EFFECTS ON
IMPACT ON MATERNAL HEALTH PARENTS AND HEALTHCARE
PROVIDERS

- including an increased risk of

- Parents may experience anxiety,
perineal tears, postpartum
fear, and guilt, while healthcare
hemorrhage, and psychological
providers may face challenges in
distress. Addressing these potential
decision-making and communication.
consequences is crucial for the overall
Recognizing and addressing these
well-being of the mother.
psychological effects is essential for
providing holistic care.
Causes of Breech Births
FETAL FACTORS
1. Premature birth
2. Multiple pregnancies
3. Uterine abnormalities
4. Fetal malformations MATERNAL FACTORS
1. Pelvic shape and size
2. Placental location
3. Previous breech birth
4. Maternal health conditions .
Management and
Interventions
External cephalic version (ECV)

is a procedure where a healthcare provider manually attempts to turn

the baby from a breech to a head-down position.

Planned cesarean section

is often recommended for breech births due to the potential risks

associated with vaginal delivery.
Vaginal breech birth

is an option for selected cases when specific criteria are met, and
healthcare providers have the necessary expertise and training.

Informed consent and patient autonomy

are crucial when discussing management options for breech births.

Counseling and communication should address the risks, benefits, and
alternatives, empowering parents to make informed decisions.
CESAREAN
SECTIONS
What is a cesarean section?
• A cesarean section (C-section or ‘cesarean’) is a surgical
procedure in which a baby is born through an incision (cut)
made in the mother’s abdominal wall and the wall of the uterus
(womb).

• A cesarean section may be planned (elective) if there are signs

that a vaginal birth is risky, or unplanned (emergency) if there
are problems during labor.
 your general health, including any health
Things to consider before having a problems, as some things may affect your
cesarean section doctor’s decisions about surgery and
anesthetics

possible risks and complications

any bleeding problems and whether you

bruise easily
any allergies you may have or any
medication you are taking
tests you need to have – these include blood
tests to check if you are anemic and to find
out your blood type
TYPES OF CESAREAN
SECTIONS
LOWER SEGMENT
CLASSICAL INCISION
INCISION
refers to a vertical cut on the uterus.
This is a horizontal (across) cut through
The cut on the abdomen may be
the abdomen (stomach) and a
horizontal or vertical. This type of
horizontal cut through the lower part of
incision is usually only used for
the uterus, sometimes known as a
extreme emergencies or in specific
‘bikini line’ incision.
situations,
Risks and complications of a caesarean section

Some of the more common risks and complications include:

- above-average blood loss
- blood clots in the legs
- infection in the lining of the uterus
- a longer stay in hospital (3 to 5 days, or 72 to 120
hours, on average)
- pain around the wound (you will be given pain relief)
- problems with future attempts at vaginal birth
- a need for a caesarean section for future births
- complications from the anesthetic.
What is the procedure and how long does it take?

• In most cases, the physician makes a horizontal incision of about 4 to 6

inches in the abdomen, at or near the pubic hairline, then makes an
incision in the uterine wall and delivers the baby through that opening.
• The procedure takes about an hour.
• The baby can usually be taken out in 10 to 15 minutes, or even faster in
an emergency.
• After the baby is delivered, the womb and the various layers of the
abdomen are carefully stitched up.
The Do's and Don'ts of Healing from a C-Section
Physical Activity After A C-Section
The biggest change (other than having a new baby) is changing your physical activity until
you’ve healed.

Do:
• Take time to sit and bond with your baby.
• Rest when you’re tired.
• Walk every day. Walking helps prevent blood clots and constipation.
• Hold a pillow over your incision when you need to cough or laugh.
• Shower normally.
• Reach out to a lactation consultant if you have trouble breastfeeding.
The Do's and Don'ts of Healing from a C-Section
Don’t:
• Lift anything heavier than your baby.
• Use tampons or douche until you have your doctor’s permission.
• Take baths until your incision is healed and your postpartum bleeding has
stopped.
• Participate in rigorous activity or do core muscle exercises until your doctor clears
you for activity.
• Have sex until your doctor says you can.
• Be afraid to ask for help. That might mean asking friends and family to watch the
baby while you nap, or having them do laundry.
• Take the stairs repeatedly.
• Soak in public pools or hot tubs.
The Do's and Don'ts of Healing from a C-Section
Diet After a C-Section
Taking care of your body after surgery means getting the right nutrition.

Do:
• Drink enough water and other fluids.
• Eat a well-balanced, healthy diet.
• Take a fiber supplement daily. This can help avoid constipation

Don’t:
• Crash diet. Ask your doctor when you can start trying to lose the baby weight.
The Do's and Don'ts of Healing from a C-Section
Incision Care
After delivering your baby by C-section, your doctor will tell you how to care for your
incision. This care should include:

Do:
• Keeping the area dry and clean.
• Use warm, soapy water to wash your incision daily (usually when you shower). Pat
the area dry after cleaning.
• If your doctor used tape strips on your incision, let them fall off on their own. This
usually takes about a week.
Don’t:
• Use cleansing products that can make your wound heal slowly.
 Long-term health outlook after a caesarean
section

It is unlikely that you will have the same problem again with future
pregnancies or births. However, the fact that you have had a
caesarean section can cause different problems for future
pregnancies or births.

If you become pregnant again, you will need to talk to your doctor
about whether your next birth will be a caesarean or a vaginal birth
QUIZ
TIME!
1. A procedure where a healthcare provider manually attempts to turn the
baby from a breech to a head-down position.
2. It occurs when your baby’s feet or buttocks are positioned to come out of
your vagina first.
3 – 6. Enumerate the types of breech presentation.
7. It is a surgical procedure in which a baby is born through an incision (cut)
made in the mother’s abdominal wall and the wall of the uterus (womb).
8. This is sometimes known as a ‘bikini line’ incision.
9. How long usually the baby taken out on C-section?
10. Give at least three common risks or complications of a caesarean section.
 ANSWERS KEY:
1. External cephalic version (ECV)
2. Breech birth
3-6. Frank breech, Complete breech, Footling breech,
Transverse lie
7. Cesarean Section
8. lower segment incision
9. 10-15 minutes
10. Answers may vary
ANSWERS KEY:
10. Answers may vary
• above-average blood loss
• blood clots in the legs
• infection in the lining of the uterus
• a longer stay in hospital (3 to 5 days, or 72 to 120 hours, on
average)
• pain around the wound (you will be given pain relief)
• problems with future attempts at vaginal birth
• a need for a caesarean section for future births
• complications from the anesthetic.