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after you confirmed with etiology and diagnosis of breech presentation, we can move to the management of labor.Mechanism of labor can be done in different method after evaluvating the position and size of the fetus.
Favourable factors for vaginal breech delivery are
1.averaged sized baby.
2.adequate pelvis
3.frank or complete breech
4.good labor progress
5.easy and spontaneous delivery of buttocks and thighs
METHOD ONE: mother sitting 45* at her back
IV infusion,emptied bladder,deflate the urinary catheter bulb before delivery.oxytocin infusion.use manual assist once we seen with hair line after shoulder.
baby on right forearm,3rd finger on baby's mouth region,2nd and 4th finger on baby's mandible.2nd and 4th finger of left over the shoulder ,and 3rd finger on occiput region,to maintain the flexion,where the head is carefully delivered.
2nd breech delivery-splitting two legs separate and delivering one by one,by flexion and rotating the body of the back faces anteriorly.anterior arm is delivered by passing two fingers along the humerus towards the elbow.posterior shoulder delivered by lifting the baby upwards,then mother move downwards to make the head has engaged in pelvis, raise baby's head up slightly towards the oblique diameter,flext it and pull down gently,supra-pubic pressure may be used to assist flexion.
3rd breech delivering method:-hold the baby's ankle with your left hand,swing the baby upto an arch in a vertical position,then to mother's abdomen.
4th:-forceps method- hold the baby's ankle with your left hand and swing upto an arch position ,hold by an assistant.use long curve forceps.with the right lubricated hand, gently guide the forceps on your left hand towards the posterio lateral position.apply the left plate of forceps in same fashion,this time use your left lubricated hand to guide into the position.confirm the correct position by locking the hands easily.baby's face symmetrically positioned between the forceps plate.deliver the head by steady traction of the handle and downward pressure on the shacks with the left hand.so the resultant pull follows the curves of the pelvis.if the head cannot be delivered consider rapid cesarean section or symphysiotomy technique.
5th method:-symphysiotomy-infuse the tissue with local anesthetics,pass a firm plastic catheter through the urethra and index finger of your left hand along the catheter into vagina,and move the urethra from the midline.make small scalpel incision on the lower part of the symphisis pubis angle the blade towards the topof the symphisis pubis,cut the anterior fiber of symphisis pubis,with top to bottom keeping a thin layer.now delivering the baby with forceps or by 1st method.
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How do you know if a goat is breech?
By gently feeling - if you can only feel a tail or the spine then it is more than likely breech.
What are Gobies defense mechanism?
Hiding
Is heavy breathing a sign your mare is in foal?
Heavy breathing can be a sign of many things, including that she may be in labor and ready to have her foal. Heavy breathing most commonly means the horse is uncomfortable or has exercised heavily. Mares who are in labor will breathe heavily. Mares who have a foal inside them that is in an awkward position will also be uncomfortable and sometimes breathe heavily.
What is a cockles defense mechanism like?
The Cockle releases a poisonous chemical as a defense mechanism against predators. It is not known to be harmful to humans.
What is the most powerful defense mechanism?
Fear.
How many babies present in a breech position?
Approximately 4% of babies are in what is called the "breech" position when labor begins
Is drinking Castor Oil while your baby is in breech position safe?
A doctor will never tell you to drink Castor Oil. There are no studies that show Castor Oil will induce labor or help your baby flip from the breech position.
What is Electronic fetal monitoring done for?
Specific reasons for EFM include: babies in a breech position, premature labor, and induced labor, among others
When is cesarean section safer for a baby in breech position?
A c-section is safer than a vaginal delivery when the baby is 8 lb (3.6 kg) or larger, in a breech position with the feet crossed, or in a breech position with the head hyperextended.
How can a fetus be prevented from settling into the breech position?
There is no way to prevent a fetus from settling into the breech position at the end of pregnancy. A woman who has had one breech fetus is more likely than average to have another.
What is a complete breech position?
complete breech (in which the baby's legs are crossed under and in front of the body)
What fetal position is hard to deliver?
The breech position is difficult to deliver.
What happens if your baby doesn't flip before birth?
This is called "breech position." Breech position is when the baby's head is near the top of the uterus and the legs are near the cervix. Most breech babies are born by the way of c-section.
What is a footling breech position?
footling breech (in which one leg or both legs are positioned to enter the birth canal)
Armi Galesi Brescia Brevetto 22 how to take apart?
Pull the breech back and in the same motion turn the safety pin counter clockwise when it reaches the locking gap. Turn the safety pen completely to the right and push the breech the rest of the way back pulling upward. The firing mechanism will slide back so as to facilitate putting the gun back together. Simply pull the firing mechanism back and push in when breech is put back into place and put the safety pin back into position
What is the difference between a Mod 62 and a Mod 62A Winchester?
A change in the breech bolt mechanism.
How can you induce the labor of a breech baby?
People can induce labor of a breech baby by eating spicy foods, having sex, and riding in a car on a bumpy road. It is best, however, to allow the baby to come out in their own time.
