Abstract
One thousand unselected charts and the records of one hundred ninety breech cases indicate that in 98 per cent of cases the fetus has assumed its final presentation by the thirty-fourth week of pregnancy.External version is a safe and easy maneuver.The optimum time for version is between the thirty-second and thirty-fourth weeks.In a series of 190 breech cases, version was successful in 84 per cent, with an uncorrected fetal mortality of 2 per cent.Failures were mostly due to the extended legs of the frank breech.In labor, the footling is far more hazardous than the other types; for it, we recommend the early use of a large dilating bag, as a safety measure.The frank and full breech types are most safely delivered by conservative management, simple episiotomy and assistance to shoulders and head after the baby is half born.In every case coming to delivery as a breech, x-ray determination of the exact type is highly important. The type of breech, as well as the relative size, must be known at the onset of labor, for safe management.
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