Assisted breech

Assisted breech

Assisted breech

ASSISTED Breech delivery :carried by skilled obs  principles :never to rush never pull from bellow  keep fetus with back anterior
STEPS 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