Curriculum of Obstetrics
TOPIC 29
BREECH PRESENTATION
RATIONALE
The incidence of breech presentation is about 3-4 percent of singleton deliveries. Because of the greater frequency of operative delivery (including cesarean section), there is higher maternal and fetal morbidity and mortality for pregnancies complicated by persistent breech presentation. Appropriate management of breech presentation can achieve a measurable reduction in maternal and fetal morbidity and mortality. Accordingly, the knowledge and skills of the graduates should be updated so that they can diagnose and manage the breech presentation.
GOALS
l Recognize causes, types, mechanisms of labor, diagnosis, and management of breech presentation
l Ensure that graduates can competently diagnose and manage breech presentations, in order to reduce maternal and fetal mortality and morbidity
LEARNING OBJECTIVES
By the end of this course, the student will be able to:
l Define breech presentation
l List the causes of breech presentation
l Recognize the types and positions of breech presentation
l State the complications that may be associated with breech presentation
l Understand how to diagnose breech presentation
l State the different ways of managing breech presentation
l List the importance of an ultrasound in breech
l Recognize the role of cesarean section in the management of breech
l State the different maneuvers in the delivery of the after-coming head and its arrest
l Assist in the management of breech cases
CONTENT
l Definition of breech presentation
l Causes of breech presentation
l Mechanism of labor of breech presentation
l Diagnosis of breech presentation
l Management of breech presentation
l Complication of breech delivery, their prevention and management.
