This presentation demonstrates both upright and supine maneuvers for resolving obstructed breech birth using an obstetrical simulator. After reviewing the vaginal breech decision tree developed by Dr. David Hayes, we review the following maneuvers:
Upright maneuvers:
Front to Back (aka "Face to Pubes" or "Prayer Hands")
Side to Side (aka Louwen maneuver)
Upright Lovset
Shoulder press
Rock & Roll
Ritgen
Finger forceps (aka Finger Flexion or Crowning Touch)
Mauriceau-Banks/Cronk (upright MSV)
Chin tuck
Elevate-flex-rotate (for hyperextended head in the pelvic inlet)
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