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	Breech Presentation - Childbirth Resources at StorkNet's Childbirth Cubby
		During pregnancy, a fetus is said to be in a breech presentation when the buttocks of the baby are presenting first at the bottom of the uterus, and the head is in the upper part, or fundus of the uterus.
		A breech presentation might be found during a routine prenatal visit when the nurse-midwife or physician feels the mother's abdomen for the outline of the fetus.
		There are a number of variations of the breech presentation, determined by the position of the baby's body parts, like arms and legs, in relation to his or her head and trunk.
	www.storknet.com /cubbies/childbirth/breech.htm (1257 words)

	BREECH PRESENTATION
		Breech presentation is more common when a baby is smaller than average, the uterus is an abnormal shape, there is more than one baby, or the woman has already has children and her uterus is relaxed.
		With a complete breech presentation one or both of the legs are extended If the baby is in the incomplete breech position one or both hips are not flexed and the feet and knees are often below the buttocks.
		A fetus is said to be in a breech presentation when the buttocks of the baby are presenting first at the bottom of the uterus, and the head is in the upper part, or fundus of the uterus.
	www.womenfitness.net /preg_breech_presentation.htm (743 words)

	Baby in the Breech Presentation
		Mothers sometimes suspect a breech presentation when the baby's movements are felt very low in the pelvis, or even in the rectum or bladder.
		In the case of the breech, it is significant whether one or both legs are folded at the knees ("complete" breech), fully extended with the feet near the face ("frank" breech), or a foot or knee (or two!) descending first.
		If he or she is breech near the due date, turning around is still a possibility, although some medical studies find as much as 80% of breech babies stay breech until birth.
	www.childbirthsolutions.com /articles/birth/babybreech/index.php (1235 words)

	eMedicine - Breech Presentation : Article by Richard Fischer, MD
		Vaginal breech deliveries were previously the norm until 1959 when it was proposed that all breech presentations should be delivered abdominally to reduce perinatal morbidity and mortality.
		Total breech extraction for the singleton breech is associated with a birth injury rate of 25% and a mortality rate of approximately 10%.
		Women with breech presentation, reassuring fetal heart rate tracings, and no contraindications to vaginal delivery at 36 weeks' gestation and beyond are usually candidates for ECV (see Contraindications).
	www.emedicine.com /med/topic3272.htm (6495 words)

	IS BREECH PRESENTATION IN NULLIPAROUS WOMEN AT TERM
		Background: The aim of this report was to study the perinatal outcome of singleton breech presentation in nulliparous women who delivered after 37 weeks, either vaginally or by cesarean section, and whether by elective surgery or emergency, and to identify the indications for cesarean sections.
		Breech delivery was allowed in all nulliparous women unless there was a contraindication for vaginal delivery, such as a large baby (when the clinical and ultrasound estimation of the fetal weight was >3500 g), antepartum hemorrhage, fetal distress, footling breech, failure to progress in labor, previous uterine scar, severe preeclampsia and long-term infertility.
		Breech presentation in general and in nulliparous women in particular at term has been managed in different ways, such as external cephalic version, elective cesarean section, and a trial of vaginal delivery.
	www.kfshrc.edu.sa /annals/213_214/01-022.htm (1609 words)

	Correcting Breech Presentation with Moxabustion
		Breech presentation means that the baby is in a position where the head is the last to emerge, and the buttocks or feet are the first to emerge during delivery.
		In a research study published by JAMA (The Journal of the American Medical Association), 130 mothers with breech presentation were treated with moxabustion and an equal number in a control group received no treatment.
		In the treatment of breech presentation, this herb is burned above a point located below the nail of the small toe for 15 minutes on both feet.
	www.elementhealing.com /articles/correcting_breech.html (504 words)

	Pregnancy Today - Definitions: Breech Presentation
		In a breech presentation, the baby is positioned head up, and, if delivered vaginally, would be born buttocks first or with one or both feet first.
		Breech positioning is relatively uncommon, occurring in fewer than five percent of all births.
		Breech isn't the only unusual presentation: a baby that's posterior is head down but facing forward, which could lead to a stalled labor and "back labor." In a face presentation, the baby is looking down the birth canal with its neck extended.
	pregnancytoday.com /resource/definitions/breech.htm (217 words)

	MoonDragon's Obgyn Information & Discussion - Breech Presentation
		In a breech presentation, the fetal buttocks or feet lie nearest the birth canal and are the first part to emerge.
		Breech presentation occurs in 3-4% of all births.
		Once the diagnosis of a breech presentation is made, be sure you are informed and understand the options and risks (both to you and to the fetus) involved for each type of delivery (cesarean or vaginal).
	www.moondragon.org /obgyn/pregnancy/breech.html (944 words)

	Breech Presentation - Search Results - MSN Encarta (Site not responding. Last check: 2007-11-01)
		Breech Presentation, abnormal position of a baby awaiting delivery in which the baby’s buttocks or feet are nearest the birth canal.
		The numerical result of a quantitative analysis may state the absolute quantity of the constituent or some percentage of it in the sample.
		The collected data must be arranged, tabulated, and presented to permit ready and meaningful analysis and interpretation.
	uk.encarta.msn.com /Breech_Presentation.html (110 words)

	Breech Presentation - Caesarean operation versus normal birth, by Gina Lowdon
		Although Confino, et al found that umbilical cord prolapse was much more common in breech presentations (3.7%) than in vertex presentations (0.3%)(5), cord prolapse may not necessarily be as devastating in breech presentations as it is in vertex presentations, because the fetal legs may shield the prolapsed cord from compression.
		High rates of caesarean section for breech presenting babies have not been proved to improve outcome statistics, but the risks involved in operative delivery remain largely unacknowledged, summarily dismissed and are presented on the whole as being generally more acceptable.
		Since breech presentations are relatively rare such a person is likely to be one of the more experienced midwives or doctors at the hospital.
	www.aims.org.uk /Journal/Vol10No3/breechCSvsNormal.htm (2433 words)

	Breech Presentation \| Caremark Health Resources
		This is called a "frank breech," and it's the most common breech position.
		But when a baby is in breech position, his head doesn't have a chance to slim down.
		If your baby is in a breech position, your doctor may try turning him around by pushing strategically on your belly.
	healthresources.caremark.com /topic/breech (686 words)

	Breech Presentation : American Pregnancy Association
		Complete breech: The buttocks are down, with the legs folded at the knees and the feet near the buttocks.
		The causes of breech presentations are not fully known.
		In a breech birth, the baby's head is the last part to emerge, and it may be harder to ease it through the birth canal.
	www.americanpregnancy.org /labornbirth/breechpresentation.html (1074 words)

	Prenatal Breech Issues - from Ronnie Falcão's Midwife Archives
		Breech Baby Study - This study is for women after they've given birth to a breech baby, whether or not by cesarean.
		On closer examination, however, it is clear that the association between breech presentation and perinatal mortality is due principally to the confounding variables of prematurity and congenital malformation.
		Breech Presentation - This page presents a brief explanation of breech presentation, and outlines a method rooted in Traditional Chinese Acupuncture (the Zhiyin method) which encourages the baby in the womb to a normal presentation.
	www.gentlebirth.org /archives/breech.html (9046 words)

	Vaginal delivery in breech position and breech birth
		Under unusual circumstances, as when a second twin is breech or a breech vaginal birth is progressing quickly, a cesarean is neither recommended nor possible.
		During a partial breech extraction, a health professional pulls gently downward on the fetus and rotates its body as needed to deliver the shoulders, arms, and head.
		Should a breech vaginal labor cause severe problems for the fetus or mother, an emergency cesarean section is done to deliver the fetus.
	www.webmd.com /hw/being_pregnant/hw180045.asp (937 words)

	Ask Your Midwife \| Breech Presentation
		In a normal, vertex presentation, the baby's head is down at the mother's cervix and comes first at delivery.
		Women whose first baby is in breech presentation are advised to have a cesarean section, to avoid unnecessary risks.
		The older, experienced physicians were very skilled at vaginal breech delivery, since breech presentation was not considered a reason to perform a cesarean section.
	www.askyourmidwife.com /breech_presentation.html (596 words)

	Mode of Delivery for Breech Presentation - Childbirth.org
		Here are some studies that discuss management of the breech presentation and the mode of delivery.
		The randomized management of term frnk breech presentation: a study of 208 cases.
		I understand that many residents in training are not being taught how to deliver breech babies." JO McCall, MD, writes: "I submit to you that you will see some very awkward and difficult breech deliveries at the time of cesarean section.
	www.childbirth.org /section/vagbreech.html (703 words)

	The Management of Breech Presentation (20) - Apr 2001
		Breech presentation, whatever the mode of delivery, is a signal for potential fetal handicap and this should inform antenatal, intrapartum and neonatal management.
		The overall risk of perinatal death for the term frank/complete breech fetus with planned caesarean birth was reduced by 75% (RR 0.23; CI 0.07-0.8).
		Breech presentation and abnormal lie in late pregnancy.
	www.rcog.org.uk /index.asp?PageID=513 (3939 words)

	Breech Baby
		In any breech position, the baby will exit the uterus feet or buttocks first, the head being the last part to be born.
		The death rate for breech babies is 4 times higher than for head first or vertex presentation babies.
		As fewer doctors and midwives participate in vaginal breech births, the skills necessary to safely attend the mother are lost.
	www.birthingnaturally.net /birth/challenges/breech.html (814 words)

	Acupuncture Vancouver - Fertility, IVF, Pregnancy, Women's Health, Pain & Injury, Treatment with Traditional ... (Site not responding. Last check: 2007-11-01)
		Despite the fact that 24 subjects in the control group and 1 subject in the intervention group underwent external cephalic version, 98 (75.4%) of the 130 fetuses in the intervention group were cephalic at birth vs 81 (62.3%) of the 130 fetuses in the control group (P =.02; RR, 1.21; 95% CI, 1.02-1.43).
		CONCLUSION : Among primigravidas with breech presentation during the 33rd week of gestation, moxibustion for 1 to 2 weeks increased fetal activity during the treatment period and cephalic presentation after the treatment period and at delivery.
		If you are presenting with breech presentation, schedule an appointment for you and your husband for moxibustion instruction.
	www.acubalance.ca /web/res_medical_pregnancy_breech.php (481 words)

	Moxibustion Treatment of Breech Presentation American Journal of Chinese Medicine - Find Articles
		Although breech fetuses often reposition spontaneously to a cephalic position up to the 30th to 32nd week of pregnancy, spontaneous cephalic version rarely occurs after this period of pregnancy.
		External version, which is a method of rotating a fetus positioned in a breech presentation using external force, may cause premature placental abruption or neonatal asphyxia (Kinoshita et al., 1974; Levinson et al., 1987), resulting in its infrequent use in recent years.
		One hundred thirty-three pregnant women whose fetuses were determined to be in a breech presentation at the 28th week of pregnancy or later and who gave their consent to moxibustion treatment were entered to this study.
	www.findarticles.com /p/articles/mi_m0HKP/is_1_29/ai_73711259 (807 words)

	Breech Babies: What Can I Do if My Baby is Breech? -- familydoctor.org (Site not responding. Last check: 2007-11-01)
		Many babies are breech early in pregnancy, but most of them turn to the headfirst position near the end of the pregnancy.
		Breech babies may also have accidents during delivery that can damage the umbilical cord or cause asphyxia, or even cause death of the mother or baby.
		Although breech babies can be delivered vaginally, it's generally safer and easier to deliver babies head first from the vagina.
	familydoctor.org /310.xml (1017 words)

	Medical Dictionary: Breech presentation - WrongDiagnosis.com
		Breech presentation: A malpresentation of the FETUS at near term or during OBSTETRIC LABOR with the fetal cephalic pole in the fundus of the UTERUS.
		There are three types of breech: the complete breech with flexed hips and knees; the incomplete breech with one or both hips partially or fully extended; the frank breech with flexed hips and extended knees.
		Breech presentation: Another name for Breech pregnancy (or close medical condition association).
	www.wrongdiagnosis.com /medical/breech_presentation.htm (326 words)

	ICPA - Breech Birth
		Of the 112 responses, 102 resulted in resolution of the breech presentation while 10 remained unresolved.
		This paper includes five case studies that demonstrate the effects of chiropractic on breech presentations of the fetus.
		From the abstract: The purpose of this paper is to present a brief review of the medical versus chiropractic management of breech presentation.
	www.icpa4kids.org /research/chiropractic/breech.htm (781 words)

	Breech Presentation (Site not responding. Last check: 2007-11-01)
		Breech presentation is the commonest of the abnormal presentations (3-4 percent at term) (1, 2, 3).
		For a term breech, obstetrical consensus supports vaginal delivery of selected cases provided that management protocols are strictly adhered to (Table 14.4) (7).
		The survival of a preterm breech is mainly determined by the gestational age and infant birthweight.
	www.manbit.com /OA/C14.htm (728 words)

	Moxibustion to correct breech presentation?
		A traditional Chinese medical practice that involves the burning of herbs to stimulate acupuncture points (moxibustion) is found to be effective in stimulating fetal movement and in correcting breech presentation, according to an article in "The Journal of the American Medical Association" (JAMA).
		Francesco Cardini, M.D., a private practice physician in Verona, Italy, and Huang Weixin, M.D., of the Jiangxi Women's Hospital in Nanchang, China, found that 75 percent of fetuses in the group treated with moxibustion changed their position to the correct "head-first" position compared to 48 percent of the fetuses in the control group.
		All participants had fetuses in the breech position, which was determined by ultrasound.
	parenting.ivillage.com /pregnancy/plabor/0,,42zd,00.html (187 words)

	[No title]
		If the doctor thinks the baby is in a breech position, an ultrasound may be used to confirm.
		Sometimes doctors do not know if a vaginal delivery is possible for a breech birth until a woman is in labor.
		Breech babies who are premature are often delivered by cesarean birth.
	www.pregnancy.org /article.php?sid=1437 (1075 words)

	External cephalic version for breech presentation before term
		Babies born bottom first (in the breech position) may have more problems during birth than those who are born head first (in the cephalic position).
		External cephalic version (ECV) of the breech fetus at term (after 37 weeks) has been shown to be effective in reducing the number of breech presentations and caesarean sections, but the rates of success are relatively low.
		To assess the effectiveness of a policy of beginning ECV before term (before 37 weeks' gestation) for breech presentation on fetal presentation at birth, method of delivery, and the rate of preterm birth, perinatal morbidity, stillbirth or neonatal mortality.
	www.cochrane.org /reviews/en/ab000084.html (646 words)

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