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This guideline provides up-to-date information on methods of delivery for women with breech presentation. The aim of this guideline is to aid decision making regarding the route of delivery and choice of various techniques used during delivery.
The NICE guideline on caesarean section (CG132) recommends that women who have an uncomplicated singleton breech pregnancy at 36 weeks of gestation should be offered external cephalic version, and that pregnant women with a singleton
19 sie 2021 · Also see the recommendations on breech presentation in the NICE guideline on caesarean birth, and the recommendations on breech presenting in labour in the NICE guideline on intrapartum care for women with existing medical conditions or obstetric complications and their babies.
29 wrz 2023 · Consider intravenous remifentanil patient-controlled analgesia (PCA), at 40 micrograms per bolus with a 2‑minute lockout period, as an option for women who want ongoing pain relief during labour and birth. In September 2023, this was an off-label use of remifentanil.
16 mar 2017 · Guidance for the case selection and management of vaginal breech birth should be developed in each department by the healthcare professionals who supervise such births. Adherence to the guidelines is recommended to reduce the risk of intrapartum complications.
What guidelines should be in place for the management of breech birth? Women should be informed that adherence to a protocol for management reduces the chances of early neonatal morbidity.
1 sie 2021 · Breech presentation of the fetus in late pregnancy may result in prolonged or obstructed labour with resulting risks to both woman and fetus. Interventions to correct breech presentation (to cephalic) before labour and birth are important for the woman’s and the baby’s health.
