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| Assisted breech |
Assisted breech
ASSISTED Breech delivery :carried by skilled obs principles :never to rush never pull from bellow keep fetus with back anteriorSTEPS pt is brought to table when anterior buttock and fetal anus r visible she is placed lithotomy position or tilted Antiseptic cleaning pudendal block is done episiotomy done in all case Patient is encouraged to bear down for easy descent No touch of fetus policy is used until buttocks delivered with legs flexed
Soon after trunk upto umbilicus born following done extend leg Pull cord down and nobilised to one side Rotate trunk to bring it anterior BABY is wraped with towel
delivery of arms :should not be extension of arms Arms are delivered one after other only when one axilla is visible by hooking down elbow
HEAD DELIVERY crucial stage various methods BURNS MARSHALL METHOD FORCEP delivery method
process baby allowed to hang by own weight Supra pubic pressure by hand in downward backward direction when neck is visible baby is grasped traction is done
Resuscitation of baby
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