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Breech presentation

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  • Обзор
  • Теория
  • Диагноз
  • Лечение
  • Последующее наблюдение
  • Источники
Последний просмотренный: 11 Feb 2026
Last updated: 21 May 2024

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • buttocks or feet as the presenting part
  • fetal head under costal margin
  • fetal heartbeat above the maternal umbilicus
Полная информация

Другие диагностические факторы

  • subcostal tenderness
  • pelvic or bladder pain
Полная информация

Факторы риска

  • premature fetus
  • small for gestational age fetus
  • nulliparity
  • fetal congenital anomalies
  • previous breech delivery
  • uterine abnormalities
  • abnormal amniotic fluid volume
  • placental abnormalities
  • female fetus
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • transabdominal/transvaginal ultrasound
Полная информация

Алгоритм лечения

Начальные

<37 weeks' gestation and in labor

≥37 weeks' gestation not in labor

Острый

≥37 weeks' gestation in labor: no imminent delivery

≥37 weeks' gestation in labor: imminent delivery

Составители

Авторы

Natasha Nassar, PhD

Associate Professor

Menzies Centre for Health Policy

Sydney School of Public Health

University of Sydney

Sydney

Australia

Раскрытие информации

NN has received salary support from Australian National Health and a Medical Research Council Career Development Fellowship; she is an author of a number of references cited in this topic.

Christine L. Roberts, MBBS, FAFPHM, DrPH

Research Director

Clinical and Population Health Division

Perinatal Medicine Group

Kolling Institute of Medical Research

University of Sydney

Sydney

Australia

Раскрытие информации

CLR declares that she has no competing interests.

Jonathan Morris, MBChB, FRANZCOG, PhD

Professor of Obstetrics and Gynaecology and Head of Department

Perinatal Medicine Group

Kolling Institute of Medical Research

University of Sydney

Sydney

Australia

Раскрытие информации

JM declares that he has no competing interests.

Рецензенты

John W. Bachman, MD

Consultant in Family Medicine

Department of Family Medicine

Mayo Clinic

Rochester

MN

Раскрытие информации

JWB declares that he has no competing interests.

Rhona Hughes, MBChB

Lead Obstetrician

Lothian Simpson Centre for Reproductive Health

The Royal Infirmary

Edinburgh

Scotland

Раскрытие информации

RH declares that she has no competing interests.

Brian Peat, MD

Director of Obstetrics

Women's and Children's Hospital

North Adelaide

South Australia

Australia

Раскрытие информации

BP declares that he has no competing interests.

Lelia Duley, MBChB

Professor of Obstetric Epidemiology

University of Leeds

Bradford Institute of Health Research

Temple Bank House

Bradford Royal Infirmary

Bradford

UK

Раскрытие информации

LD declares that she has no competing interests.

Justus Hofmeyr, MD

Head of the Department of Obstetrics and Gynaecology

East London Private Hospital

East London

South Africa

Раскрытие информации

JH is an author of a number of references cited in this topic.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Impey LWM, Murphy DJ, Griffiths M, et al; Royal College of Obstetricians and Gynaecologists. Management of breech presentation: green-top guideline no. 20b. BJOG. 2017 Jun;124(7):e151-77.Полный текст  Аннотация

Hofmeyr GJ, Hannah M, Lawrie TA. Planned caesarean section for term breech delivery. Cochrane Database Syst Rev. 2015 Jul 21;(7):CD000166.Полный текст  Аннотация

Royal College of Obstetricians and Gynaecologists. External cephalic version and reducing the incidence of term breech presentation. Mar 2017 [internet publication].Полный текст

Cluver C, Gyte GM, Sinclair M, et al. Interventions for helping to turn term breech babies to head first presentation when using external cephalic version. Cochrane Database Syst Rev. 2015 Feb 9;(2):CD000184.Полный текст  Аннотация

de Hundt M, Velzel J, de Groot CJ, et al. Mode of delivery after successful external cephalic version: a systematic review and meta-analysis. Obstet Gynecol. 2014 Jun;123(6):1327-34. Аннотация

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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