Presentation Information

Maneuvers for Abnormal Breech Birth: A Review

• Speaker: Rixa Freeze , PhD
• Presentation Type:
• Duration: 60 Mins
• Credits: 1 ACM CPD, 1 ACNM CEU, 0.1 Midwifery CEU

Abstract:

This presentation demonstrates both upright and supine maneuvers for resolving obstructed breech birth using an obstetrical simulator. After reviewing the vaginal breech decision tree developed by Dr. David Hayes, we review the following maneuvers:

Upright maneuvers: Front to Back (aka "Face to Pubes" or "Prayer Hands") Side to Side (aka Louwen maneuver) Upright Lovset Shoulder press Rock & Roll Ritgen Finger forceps (aka Finger Flexion or Crowning Touch) Mauriceau-Banks/Cronk (upright MSV) Chin tuck Elevate-flex-rotate (for hyperextended head in the pelvic inlet)

Supine maneuvers: Lovset Burns-Marshall Bracht Pinard MSV (Mauriceau-Smellie-Veit)