
Breech! ECV and Beyond
Dr. Chapa’s Clinical Pearls.
00:00
How to Lift a Breach Upwards
Non-reassuring fetal status is a relative contraindication to do this because the baby is already not happy and if it's not already not tolerating in you to an environment for some reason, giving it the extra stress of a version is just not wise. It does involve lifting the breach upwards from out of the pelvis with one hand and then providing pressure on the head with the other to produce either a forward roll or a backward roll. An ECV attempt should be abandoned if there's prolonged fetal bradycardia discomfort to the patient that's more than the usual. The recommendation from the college is to keep the patient on the monitor for about 30 minutes or longer if
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