Breech Presentation
Fetal positioning with buttocks or feet presenting first, affecting delivery method and anesthetic planning.
Full Definition
Breech presentation occurs when the fetal buttocks or feet present at the pelvic inlet instead of the vertex (head). This malpresentation significantly influences anesthetic planning as it often necessitates cesarean delivery, though vaginal breech delivery may be attempted in select cases with experienced providers. Anesthetic considerations include preparation for potential emergency conversion to cesarean section during attempted vaginal delivery, management of potential airway difficulties if general anesthesia becomes necessary, and awareness of increased risk of umbilical cord complications. The type of breech (frank, complete, or incomplete) may influence the urgency and method of delivery.
Usage
Usage note: Specify type of breech when known (frank, complete, incomplete) for complete documentation.
In Context
- "Breech presentation at term prompted scheduled cesarean delivery under neuraxial anesthesia." — Operative delivery planning
- "The anesthesiologist prepared for emergency conversion due to breech presentation complications." — Labor room documentation