Obstetric and Gynecological Nursing - The Carter Center

up gently delivery slowly taking 2 to 3 minutes to deliver it
and so prevent cerebral damage
Delivery of extended breach
Get mother to push, when legs are seen it may be necessary
to apply slight pressure in the popliteal space beyond the
knee. This will flex the legs and then they can be easily
delivered. Pull down a loop of cord to prevent traction, feel for
pulsation, and place it in the hollow of the sacrum to prevent
pressure.
Delivery of extended arm
Get mother to push, when the axilla is seen it means that the
arms are extended. So place the cord sacrum and fingers
below the iliac crest, rotate shoulder in to the anterior
posterior diameter of the pelvis, then rotate the posterior
shoulder anteriorly keeping the back on top, now flex the arm
over the face and deliver it, splint it, and now bring the other
arm anteriorly, and deliver it by flexing it across the chest now
the shoulders are born.
Dangers of breech presentation
1. Delay of the after coming head
2. Cerebral damage due to hypoxia
3. Asphyxia (fetal or neonatal), prolapsed of cord or
pressure on cord.
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