Managing Complications in Pregnancy and Childbirth: - IAWG

P-42 Breech deliveryFIGURE P-17The Mauriceau Smellie Veit manoeuvreENTRAPPED (STUCK) HEAD• Catheterize the bladder.• Have an assistant available to hold the baby while applying Piperor long forceps.• Be sure the cervix is fully dilated.• Wrap the baby’s body in a cloth or towel and hold the baby up.• Place the left blade of the forceps.• Place the right blade and lock handles.• Use the forceps to flex the baby’s head and deliver the head.• If unable to use forceps, apply firm pressure above the mother’spubic bone to flex the baby’s head and push it through the pelvis.FOOTLING BREECHA footling breech baby (Fig P-18) should usually be delivered bycaesarean section (page P-43).FIGURE P-18Single footling breech presentation, with one leg