Merlin Ashly M.

S 2 ND YR MSc NSG

DEFINITION
It is the commonest malpresentation with buttocks in

the lower pole of uterus

Clinical varities
Uncomplicated
Complicated

Etiology
Prematurity
Multiple pregnancy Oligohydramnios

Congenital malformations of uterus

Short cord Intra uterine death of the fetus Poly hydramnios Hydrocephalus Contracted pelvis

 Per abdominal examination

Per vaginal examination Sonography

Radiology

Mechanism of labour
Lie longitudinal
Attitude- flexion Presentation breech

Position left sacro anterior

Denominator sacrum Presenting part anterior left buttocks

Extended head -burns marshall method -Mariceau- smellie- vet manoeuver Arrest of buttocks -single groin traction -both groin traction Extended arm -loveset manoeuver Extended leg -pinards manoeuver

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