Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presença de fatores de risco
- nádegas ou pés como apresentação
- cabeça fetal sob a margem costal
- batimento cardíaco fetal acima do umbigo materno
Otros factores de diagnóstico
- sensibilidade subcostal
- dor pélvica ou vesical
Factores de riesgo
- feto prematuro
- feto pequeno para a idade gestacional
- nuliparidade
- anomalias fetais congênitas
- parto pélvico prévio
- anormalidades uterinas
- volume anormal de líquido amniótico
- anormalidades placentárias
- feto do sexo feminino
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- ultrassonografia transabdominal/transvaginal
Algoritmo de tratamiento
<37 semanas de gestação e em trabalho de parto
≥37 semanas de gestação não estando em trabalho de parto
≥37 semanas de gestação em trabalho de parto: sem parto iminente
≥37 semanas de gestação em trabalho de parto: parto iminente
Colaboradores
Autores
Natasha Nassar, PhD
Associate Professor
Menzies Centre for Health Policy
Sydney School of Public Health
University of Sydney
Sydney
Australia
Divulgaciones
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
Divulgaciones
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
Divulgaciones
JM declares that he has no competing interests.
Revisores por pares
John W. Bachman, MD
Consultant in Family Medicine
Department of Family Medicine
Mayo Clinic
Rochester
MN
Divulgaciones
JWB declares that he has no competing interests.
Rhona Hughes, MBChB
Lead Obstetrician
Lothian Simpson Centre for Reproductive Health
The Royal Infirmary
Edinburgh
Scotland
Disclosures
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
Disclosures
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
Disclosures
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
Divulgaciones
JH is an author of a number of references cited in this topic.
Referencias
Artículos principales
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 Resumen
Hofmeyr GJ, Hannah M, Lawrie TA. Planned caesarean section for term breech delivery. Cochrane Database Syst Rev. 2015 Jul 21;(7):CD000166.Texto completo Resumen
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 Resumen
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. Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Deitado transversalmente
Más DiferencialesGuías de práctica clínica
- Caesarean birth
- Mode of term singleton breech delivery
Más Guías de práctica clínica
Inicie sesión o suscríbase para acceder a todo el BMJ Best Practice
El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad