Episode 179.0 – Precipitous Breech Deliveries

EM management of the rare but potentially complicated precipitous vaginal breech delivery.

Hosts:

Audrey Bree Tse, MD

Masashi Rotte, MD MPH

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Breesashi_Breech_CoreEM.mp3

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Tags: Obstetrics, Precipitous Deliveries, Pregnancy

Show Notes

Frank Breech Presentation:

Complete Breech Presentation:

Incomplete Breech (“Footling”) Presentation:

Pinard Maneuver:

Mauriceau Maneuver:

References:

Cunningham FG et al. Breech Presentation and Delivery. Williams Obstetrics, 22nd ed. 2005.

Desai S, Henderson SO. Labor and Delivery and Their Complications. Rosen’s Emergency Medicine, 8e. 2014. Chapter 181.

Gabbe SG et al. Obstetrics: Normal and Problem Pregnancies, 2nd e. 1991. p.479.

Stitely ML, Gherman RB. Labor with abnormal presentation and position. Obstet Gynecol Clin North Am. 2005; 32: 165.

VanRooyen MJ, Scott J. Emergency Delivery. Tintanelli’s Emergency Medicine, 7th e. 2011. Chapter 105.

http://www.emdocs.net/the-complicated-delivery-what-do-you-do/#:~:text=Deliveries%20that%20occur%20in%20the,in%20denial%20of%20their%20pregnancies.

https://ranzcog.edu.au/womens-health/patient-information-resources/breech-presentation-at-the-end-of-your-pregnancy

https://wikem.org/wiki/Breech_delivery

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