Breech Presentation – Exam Oriented Golden Points. Breech presentation = Buttocks or feet present first instead of head •Frank breech: Hips flexed, knees extended (most common & safest) •Complete breech: Hips and knees flexed (sitting posture) •Footling breech: One/both feet first (highest risk of cord prolapse) •Preferred delivery: Planned LSCS; vaginal only in selected frank breech cases •Complications (High-Yield) Baby: Cord prolapse, birth injury, asphyxia, head entrapment Mother: Operative

If your baby is in a breech position at 36 weeks, you may be offered an external cephalic version (ECV). This is when an obstetric doctor tries to turn the baby into a head-down position by applying pressure on your abdomen. It can be a bit uncomfortable but around 50% of breech babies can be turned using ECV, meaning a more optimal position for a vaginal birth. When an ecv has taken place, you will be monitored closely for a while afterwards to ensure all is well with the baby. As with many int