When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Breech presentation

Ver PDF
  • Visão geral
  • Teoria
  • Diagnóstico
  • Tratamento
  • ACOMPANHAMENTO
  • Recursos
Última revisão das evidências: 21 Feb 2026
Última atualização do tópico: 21 May 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

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

Outros fatores diagnósticos

  • subcostal tenderness
  • pelvic or bladder pain
Detalhes completos

Fatores de risco

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

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • transabdominal/transvaginal ultrasound
Detalhes completos

Algoritmo de tratamento

Inicial

<37 weeks' gestation and in labor

≥37 weeks' gestation not in labor

AGUDA

≥37 weeks' gestation in labor: no imminent delivery

≥37 weeks' gestation in labor: imminent delivery

Colaboradores

Autores

Natasha Nassar, PhD

Associate Professor

Menzies Centre for Health Policy

Sydney School of Public Health

University of Sydney

Sydney

Australia

Declarações

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

Declarações

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

Declarações

JM declares that he has no competing interests.

Revisores

John W. Bachman, MD

Consultant in Family Medicine

Department of Family Medicine

Mayo Clinic

Rochester

MN

Declarações

JWB declares that he has no competing interests.

Rhona Hughes, MBChB

Lead Obstetrician

Lothian Simpson Centre for Reproductive Health

The Royal Infirmary

Edinburgh

Scotland

Declarações

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

Declarações

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

Declarações

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

Declarações

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

Créditos aos pareceristas

Os tópicos do BMJ Best Practice são constantemente atualizados, seguindo os desenvolvimentos das evidências e das diretrizes. Os pareceristas aqui listados revisaram o conteúdo pelo menos uma vez durante a história do tópico.

Declarações

As afiliações e declarações dos pareceristas referem--se ao momento da revisão.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

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.Texto completo  Resumo

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

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

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.Texto completo  Resumo

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. Resumo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.

O uso deste conteúdo está sujeito ao nosso aviso legal