"Cephalic presentation"

Predictors of success of external cephalic version and cephalic presentation at birth among 1,253 women with non-cephalic presentation using logistic regression and classification tree analyses. Among women with a fetus with a non-cephalic presentation, external cephalic version (ECV) has been shown to reduce the rate of breech presentation at birth and cesarean birth. Compared with ECV at term , beginning ECV prior to 37 weeks' gestation decreases the number of infants in a non-cephalic presentation at birth. The purpose of this secondary analysis was to investigate factors associated with a successful ECV procedure and to present this in a clinically useful format. Data were collected as part of the Early ECV Pilot and Early ECV2 Trials, which randomized 1776 women with a fetus in breech

External Cephalic Version of the Non-cephalic Presenting Twin: a Systematic Review External Cephalic Version of the Non-cephalic Presenting Twin: a Systematic Review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information

) and gestational diabetes requiring medication. [2014, amended 2022] 1.3.3 Offer continuous CTG monitoring for women in labour who have any of the following antenatal fetal risk factors: • non-cephalic presentation (including breech, transverse, oblique and cord), including while a decision is made about mode of birth • fetal growth restriction (estimated fetal weight below 3rd centile) • small for gestational

. The remainder of pre-term birth is due to iatrogenic delivery, most commonly because of pre-eclampsia and intrauterine growth restriction.Breech presentationSigns & symptomsInvestigationsDifferentialsTreatment algorithmgo to our full topic on Breech presentationBreech presentation in pregnancy occurs when a baby presents with the buttocks or feet rather than the head first (cephalic presentation ) and is associated with increased morbidity and mortality for both the mother and the baby.[82][83]​​​ It is common in early pregnancy and decreases with advancing gestational age, as most babies turn spontaneously to a cephalic presentation before birth.[84][85]​ Factors that predispose pregnancies to breech presentation include pre-term delivery, small for gestational age fetus, primiparity, congenital anomalies

the likelihood of vaginal birth or a planned caesarean section, the optimal gestation being 37 and 39 weeks, respectively.Planned caesarean section is considered the safest form of delivery for infants with a persisting breech presentation at term.DefinitionBreech presentation in pregnancy occurs when a baby presents with the buttocks or feet rather than the head first (cephalic presentation) and is associated

• Multiple pregnancy• Non-cephalic presentation• Known fetal abnormality requiring monitoring• Fetal movements altered unless there has been a return to normal fetal movements and demonstrated well-being (CTG with or without ultrasound) Abnormal findings in pregnancy• Oligohydramnios/polyhydramnios• Suspected chorioamnionitis or sepsis• Antepartum haemorrhage• Abnormal: o Antenatal CTGo Doppler umbilical restriction/small for gestation age o Refer to Queensland Clinical Guideline: Term small for gestational age newborn baby6 • Multiple pregnancy • Non-cephalic presentation • Known fetal abnormality requiring monitoring • Fetal movements altered unless there has been a return to normal fetal movements and demonstrated well-being (CTG with or without ultrasound) o Refer to Queensland Clinical Guideline: Fetal

Episiotomy 1.64 1.62 to 1.6611 Trauma > 2nd degree tear 1.71 1.66 to 1.7611 Uterine rupture 23.1 20.4 to 26.235 Trauma General anaesthesia 2.90 1.90 to 4.5016 Tone Infection PROM 1.51 1.19 to 1.9324 Tone/Thrombin Temp > 38O C in labour 2.53 1.78 to 3.5824 Chorioamnionitis 2.52 Not available Non-cephalic presentation 1.6 1.5 to 1.635 Tone/Trauma Precipitate labour 33.8 18.8 to 60.936 Tone/Trauma CI

Consideration Relevant to: • Women with a live, singleton fetus with cephalic presentation between 22+0 and 36+6 weeks gestation with suspected prelabour rupture of membranes • Sub-categories of preterm variously defined by gestational age as1: o Late preterm or near term (34+0 to 37+0 weeks) o Moderately preterm (32+0 to 33+6 weeks) o Very preterm (28+0 to 31+6 weeks) o Extremely preterm (less than 28+0

Considerations Relevant to: • Pregnant women with a live singleton, fetus with cephalic presentation equal to or greater than 37+0 weeks gestation, with suspected prelabour rupture of membranes Context • Occurs in around 8% of pregnancies1 • Majority (60–95%2-7) of women will spontaneously establish in labour within 24–48 hours • Advise women to present for assessment when PROM is suspected Initial assessment and send for culture (IOL may/may not be indicated) • Non-cephalic presentation (consider CS) • Contraindications to vaginal birth16 (CS) Antibiotics • Routine prophylactic antibiotics are not recommended for women with term PROM prior to the onset of labour17 • PROM of 18 hours or more prior to birth is a risk factor for EOGBSD o At the onset of labour, if maternal risk factors for EOGBSD, recommend

 Are between 37+0–41+6 completed weeks gestation  Baby is in cephalic presentation o Are aged 18–40 years o Have had less than five previous births o Have an uncomplicated pregnancy at entry to the PFHB service and remain uncomplicated at the commencement of labour o Have no pre-existing or current health concerns that impact maternal and fetal wellbeing and safety at a homebirth o Can make an informed

anaesthesia 2.90 1.90 to 4.5012 Tone Infection PROM 1.51 1.19 to 1.9322 Tone/Thrombin Temp > 38O C in labour 2.53 1.78 to 3.5822 Non-cephalic presentation 1.6 1.5 to 1.67 Tone/Trauma Precipitate labour 33.8 18.8 to 60.927 Tone OR: odds ratio, CI: confidence interval Queensland Clinical Guideline: Postpartum haemorrhage Refer to online version, destroy printed copies after use Page 11 of 37 2.2

reached the pelvic floor • Fetal scalp visible without separating the labia • Sagittal suture is in the antero-posterior diameter or right or left OA or OP (rotation does not exceed 45º) Indications and contraindications for instrumental vaginal birth Aspect Consideration Indications • Women with a live fetus with cephalic presentation in second stage labour where2: o There is inadequate progress

the Incidence of Term Breech Presentation.Breech presentation occurs in 3–4% of term deliveries and is more common in preterm deliveries and nulliparous women. Breech presentation is associated with uterine and congenital abnormalities, and has a significant recurrence risk. Term babies presenting by the breech have worse outcomes than cephalic presenting babies, irrespective of the mode of delivery.A large

Conservative management or suture of vaginal or first-degree perineal tears? Skip to contentHomeAboutIndexFeedbackSearch for:Less Is MoreConservative management or suture of vaginal or first-degree perineal tears?DECEMBER 27, 2023/BCAYLEYSummary: For women with an isolated vaginal or first degree perineal tear after spontaneous vaginal delivery of a cephalic-presenting infant, an approach

examples are showninFigures 4-9.Figure 2Axial planes suggested for screening the fetal heart at the time of the obstetric anatomic survey and as an initial series ob-tained during fetal echocardiography. Note that the images depict a fetus in cephalic presentation; breech presentation will result inmirror-image reversal from that shown here.Ao, Aorta;DA, ductus arteriosus;LV, left ventricle;LVOT, left

a straightforward pregnancy. While risk assessment is a continuous process and risk level can change throughout pregnancy and labour, almost 90% of women will give birth to a single baby with a cephalic presentation after 37 weeks of pregnancy.2 41% of women go into labour spontaneously. There are many clinical questions about care in labour, particularly around the benefits and risk of interventions in labour in a cephalic presentation and epidural analgesia. The timing of starting the peanut ball intervention varied between included studies, often immediately or within 30 minutes of having the epidural commenced and ended at the diagnosis of full dilation. • There was little to no difference found in the length of second stage between women using a peanut ball and those not using it (MD- 11.7minutes, 95% CI -33.6