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Introduction to vaginal breech

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This e-tutorial reviews intrapartum care for women with breech presentation. It will focus on the practical aspects of vaginal breech delivery and on the complications that might be encountered during the procedure.

On completion of this e-tutorial, you will understand the methods used during vaginal breech delivery to reduce maternal and perinatal morbidity. You will also have knowledge of new techniques that will assist you in your daily practice.

Learning objectives

When you have completed this e-tutorial you will be familiar with:

  • the types of breech presentation
  • risk factors for breech presentation
  • the techniques of vaginal breech delivery
  • the techniques for managing the complications of vaginal breech delivery
  • counselling of an antenatal patient with breech presentation of the fetus regarding the mode of delivery
  • importance of skills drill to gain experience of the manoeuvres necessary for vaginal breech delivery.

Last updated: 14/07/10 (the section on external cephalic version has been moved from this tutorial to the StratOG tutorial - Principles of antenatal care)

29/06/10 (tutorial reviewed and updated by Dr Kausik Das)

25/02/10 (new animation added showing Lovset's manoeuvre)

22/01/10 (images showing breech presentation replaced with new, higher quality versions)

18/07/08 (references added).

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