Breech presentation
Essential equipment
Steps
As the fetus begins to emerge, the hips will deliver
Avoid aggressive traction, which increases the risk for head entrapment or nuchal arm entrapment (allow mother to push as far as possible)
Once the infant is delivered to the level of the sacrum, rotate the sacrum to an anterior-posterior orientation, then sweep anterior leg over the body to deliver leg
Then rotate sacrum 180 degrees, and repeat leg delivery of opposite leg
Wrap a towel around legs and torso for greater traction
Allow mother to push until delivered to the level of the scapulae
When the scapulae appear under the symphysis, sweep the anterior shoulder to unlock it from the pubic bone, Deliver the anterior arm
Rotate the shoulder girdle 180 degrees. Deliver opposite shoulder as above
Rest the fetal body on your dominant palm and forearm
Place your dominant-hand index and middle fingers over the infant’s maxilla to maintain head flexion (chin to chest). The infant's face should be facing the floor
Place your non-dominant hand between the scapulae
Apply downward traction on the shoulders with non-dominant hand, then elevate the body of the fetus to deliver the head