During a breech delivery, what is the recommended action?

During a breech delivery, what is the recommended action?

• A. Deliver breech completely before the head
• B. Reach hand in and create air space around baby's mouth
• C. Apply firm upward pressure on the uterus
• D. Cut the umbilical cord immediately

Answer: (B)

Breathable air needs to be maintained for the baby as the breech presents last, so keeping the airway open is the priority. Reaching in and creating an air space around the mouth and nose with a gloved hand prevents obstruction from the birth canal and membranes, giving the baby a clear path to breathe as delivery progresses. Pushing on the uterus or delivering the head prematurely can cause serious complications, and cutting the umbilical cord immediately isn’t appropriate before the baby is fully delivered and breathing.

Breathable air needs to be maintained for the baby as the breech presents last, so keeping the airway open is the priority. Reaching in and creating an air space around the mouth and nose with a gloved hand prevents obstruction from the birth canal and membranes, giving the baby a clear path to breathe as delivery progresses. Pushing on the uterus or delivering the head prematurely can cause serious complications, and cutting the umbilical cord immediately isn’t appropriate before the baby is fully delivered and breathing.