MoonDragon's Pregnancy Information
THE ESTABLISHED BREECH PRESENTATION
VAGINAL BREECH DELIVERY CONSIDERATIONS
It is of great importance when considering a vaginal breech delivery that the mother has emotional stability, a high degree of confidence in her body as well as in her midwife, and a high degree of motivation. In attempting breech delivery, excellent communication and cooperation between the mother and her birth attendant are important. Make extra time to carefully go over the following material with the parents so that they will know what to expect.
COMPLICATIONS OF BREECH LABOR & DELIVERY
1. Greater incidence of cord prolapse, particularly with footlings.
2. Pressure on the cord in first stage.
3. Increased incidence of premature placental separation.
4. Head entrapment due to pushing before, or misdiagnosis of complete dilation.
5. Injury to the neck or head.
6. Increased danger of nerve damage if arms are swept up over the head.
NO ATTEMPT AT VAGINAL DELIVERY SHOULD BE MADE UNDER THE FOLLOWING CONDITIONS!
1. Suspected cephalo-pelvic disproportion (CPD).
2. Possibility of baby weighing over 8 lbs or under 5 lbs.
3. Post-term infant (over 40 weeks).
4. Pre-term infant (before 36 weeks).
5. Prior history of CPD or NECESSITY for forceps delivery.
6. Previous NEED for pitocin induction or augmentation.
7. Previous shoulder dystocia.
8. Previous history of protracted or obstructed labor in the first or second stage, except posterior (face up) position.
9. Possible intra-uterine growth retardation (IUGR).
10. Any evidence of fetal distress.
BREECH SCORING INDEX
When a decision is to be made as the feasibility of attempting a breech delivery, this scoring index is of great help. However it remains important that the midwife uses her own judgment as well, and never attempts a delivery for which she has neither the skill or experience. Even when you have determined that there are no predisposing factors against the delivery, if your heart shouts "NO!" do not do it!
BREECH INDEX SCORING SYSTEM
39 weeks or more
37 to 38 weeks
36 to 37 weeks
Estimated Fetal Weight
Over 8 lbs
7 to 8 lbs
5 to 7 lbs
4 cm or more
-1 or lower
2 or more
This assessment is designed to be made at the onset of labor. A score of less than three would indicate the need for a cesarean section. A score of 4 to 5 would indicate that a careful review be made and would suggest that one should proceed with caution. A score of 5 or more would indicate a reasonable chance for a successful vaginal delivery. There are of course some moderating factors. If a multipara has had two nine pound babies vaginally, and this baby is of similar size, she should do fine as long as the baby does not go post dates. One point should be subtracted for footling breeches, as they are somewhat difficult to manage. In general, this is a very reliable system for predicting outcome.
BREECH BIRTH LINKS
MoonDragon's Pregnancy Information: Breech Presentation Information
MoonDragon's Pregnancy Information: Breech Turning Ideas
MoonDragon's Pregnancy Information: Performing External Cephalic Version
MoonDragon's Pregnancy Information: Breech Labor - What to Expect
MoonDragon's Pregnancy Information: Breech Labor - Esstablished Breech
MoonDragon's Pregnancy Information: Breech Labor - How the Attendant May Assist
MoonDragon's Pregnancy Information: The Breech Delivery at Home
MoonDragon's Pregnancy Information: Vaginal Breech Pictorial - Hospital with Episiotomy & Forceps
MoonDragon's Birthing Guidelines - The Unexpected Breech
The Website: "Heads Up! All About Breech Babies"
Vaginal Breech Pictorial - Hospital without Pain Medication, Episiotomy & Forceps
MoonDragon's Pregnancy Information: Pregnancy Information & Survival Tips
MoonDragon's Pregnancy Index
MoonDragon's Womens Pregnancy Health Information Index
MoonDragon's Pediatric Information Index
MoonDragon's Parenting Information Index
MoonDragon's Nutrition Information Index
AROMATHERAPY: ESSENTIAL OILS DESCRIPTIONS & USES
Allspice Leaf Oil Angelica Oil Anise Oil Baobab Oil Basil Oil Bay Laurel Oil Bay Oil Benzoin Oil Bergamot Oil Black Pepper Oil Chamomile (German) Oil Cajuput Oil Calamus Oil Camphor (White) Oil Caraway Oil Cardamom Oil Carrot Seed Oil Catnip Oil Cedarwood Oil Chamomile Oil Cinnamon Oil Citronella Oil Clary-Sage Oil Clove Oil Coriander Oil Cypress Oil Dill Oil Eucalyptus Oil Fennel Oil Fir Needle Oil Frankincense Oil Geranium Oil German Chamomile Oil Ginger Oil Grapefruit Oil Helichrysum Oil Hyssop Oil Iris-Root Oil Jasmine Oil Juniper Oil Labdanum Oil Lavender Oil Lemon-Balm Oil Lemongrass Oil Lemon Oil Lime Oil Longleaf-Pine Oil Mandarin Oil Marjoram Oil Mimosa Oil Myrrh Oil Myrtle Oil Neroli Oil Niaouli Oil Nutmeg Oil Orange Oil Oregano Oil Palmarosa Oil Patchouli Oil Peppermint Oil Peru-Balsam Oil Petitgrain Oil Pine-Long Leaf Oil Pine-Needle Oil Pine-Swiss Oil Rosemary Oil Rose Oil Rosewood Oil Sage Oil Sandalwood Oil Savory Oil Spearmint Oil Spikenard Oil Swiss-Pine Oil Tangerine Oil Tea-Tree Oil Thyme Oil Vanilla Oil Verbena Oil Vetiver Oil Violet Oil White-Camphor Oil Yarrow Oil Ylang-Ylang Oil Aromatherapy
Healing Baths For Colds
Using Essential Oils
AROMATHERAPY: HERBAL & CARRIER OILS DESCRIPTIONS & USES
Almond, Sweet Oil Apricot Kernel Oil Argan Oil Arnica Oil Avocado Oil Baobab Oil Black Cumin Oil Black Currant Oil Black Seed Oil Borage Seed Oil Calendula Oil Camelina Oil Castor Oil Coconut Oil Comfrey Oil Evening Primrose Oil Flaxseed Oil Grapeseed Oil Hazelnut Oil Hemp Seed Oil Jojoba Oil Kukui Nut Oil Macadamia Nut Oil Meadowfoam Seed Oil Mullein Oil Neem Oil Olive Oil Palm Oil Plantain Oil Plum Kernel Oil Poke Root Oil Pomegranate Seed Oil Pumpkin Seed Oil Rosehip Seed Oil Safflower Oil Sea Buckthorn Oil Sesame Seed Oil Shea Nut Oil Soybean Oil St. Johns Wort Oil Sunflower Oil Tamanu Oil Vitamin E Oil Wheat Germ Oil
HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS
MoonDragon's Nutrition Basics Index MoonDragon's Nutrition Basics: Amino Acids Index MoonDragon's Nutrition Basics: Antioxidants Index MoonDragon's Nutrition Basics: Enzymes Information MoonDragon's Nutrition Basics: Herbs Index MoonDragon's Nutrition Basics: Homeopathics Index MoonDragon's Nutrition Basics: Hydrosols Index MoonDragon's Nutrition Basics: Minerals Index MoonDragon's Nutrition Basics: Mineral Introduction MoonDragon's Nutrition Basics: Dietary & Cosmetic Supplements Index MoonDragon's Nutrition Basics: Dietary Supplements Introduction MoonDragon's Nutrition Basics: Specialty Supplements MoonDragon's Nutrition Basics: Vitamins Index MoonDragon's Nutrition Basics: Vitamins Introduction
NUTRITION BASICS ARTICLES
MoonDragon's Nutrition Basics: 4 Basic Nutrients MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute? MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods MoonDragon's Nutrition Basics: Foods That Destroy MoonDragon's Nutrition Basics: Foods That Heal MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods MoonDragon's Nutrition Basics: Phytochemicals MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce MoonDragon's Nutrition Basics: Limit Your Use of Salt MoonDragon's Nutrition Basics: Use Proper Cooking Utensils MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water
RELATED MOONDRAGON HEALTH LINKS & INFORMATION
MoonDragon's Nutrition Information Index MoonDragon's Nutritional Therapy Index MoonDragon's Nutritional Analysis Index MoonDragon's Nutritional Diet Index MoonDragon's Nutritional Recipe Index MoonDragon's Nutrition Therapy: Preparing Produce for Juicing MoonDragon's Nutrition Information: Food Additives Index MoonDragon's Nutrition Information: Food Safety Links MoonDragon's Aromatherapy Index MoonDragon's Aromatherapy Articles MoonDragon's Aromatherapy For Back Pain MoonDragon's Aromatherapy For Labor & Birth MoonDragon's Aromatherapy Blending Chart MoonDragon's Aromatherapy Essential Oil Details MoonDragon's Aromatherapy Links MoonDragon's Aromatherapy For Miscarriage MoonDragon's Aromatherapy For Post Partum MoonDragon's Aromatherapy For Childbearing MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing MoonDragon's Aromatherapy Chart of Essential Oils #1 MoonDragon's Aromatherapy Chart of Essential Oils #2 MoonDragon's Aromatherapy Tips MoonDragon's Aromatherapy Uses MoonDragon's Alternative Health Index MoonDragon's Alternative Health Information Overview MoonDragon's Alternative Health Therapy Index MoonDragon's Alternative Health: Touch & Movement Therapies Index MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy MoonDragon's Alternative Therapy: Touch & Movement - Massage Therapy MoonDragon's Alternative Health: Therapeutic Massage MoonDragon's Holistic Health Links Page 1 MoonDragon's Holistic Health Links Page 2 MoonDragon's Health & Wellness: Nutrition Basics Index MoonDragon's Health & Wellness: Therapy Index MoonDragon's Health & Wellness: Massage Therapy MoonDragon's Health & Wellness: Hydrotherapy MoonDragon's Health & Wellness: Pain Control Therapy MoonDragon's Health & Wellness: Relaxation Therapy MoonDragon's Health & Wellness: Steam Inhalation Therapy MoonDragon's Health & Wellness: Therapy - Herbal Oils Index
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