Criteria for vaginal delivery of a breech presentation - USMLE Forums
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Old 07-11-2011
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ObGyn Criteria for vaginal delivery of a breech presentation

  • Fetus must be in a frank or complete breech presentation.
  • Gestational age should be at least 36 weeks.
  • Estimated fetal weight should be between 2500 and 3800 g.
  • Fetal head must be flexed.
  • Maternal pelvis must be adequately large, as assessed by x-ray pelvimetry* or tested by prior delivery of a reasonably large baby.
  • There must be no other maternal or fetal indication for cesarean section.
  • Anesthesiologist must be in attendance.
  • Obstetrician must be experienced.
  • Assistant must be scrubbed and prepared to guide the fetal head into the pelvis.
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