HYPEREXTENSION OF THE FETAL HEAD IN BREECH PRESENTATION A STUDY WITH LONG-TERM FOLLOW-UP

  1. M. Westgren1,
  2. H. Grundsell2,
  3. I. Ingemarsson2,
  4. A. Mühlow2,
  5. N. W. Svenningsen2

Article first published online: 23 AUG 2005

DOI: 10.1111/j.1471-0528.1981.tb00949.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 88, Issue 2, pages 101–104, February 1981

Additional Information

How to Cite

Westgren, M., Grundsell, H., Ingemarsson, I., Mühlow, A. and Svenningsen, N. W. (1981), HYPEREXTENSION OF THE FETAL HEAD IN BREECH PRESENTATION A STUDY WITH LONG-TERM FOLLOW-UP. BJOG: An International Journal of Obstetrics & Gynaecology, 88: 101–104. doi: 10.1111/j.1471-0528.1981.tb00949.x

Author Information

  1. 1

    Department of Obstetrics and Gynaecology, Radiology and Pediatrics University Hospital, S-221 85 Lund, Sweden

  2. 2

    Departments of Obstetrics and Gynaecology, Radiology and Pediatrics University Hospital, S-221 85 Lund, Sweden

Publication History

  1. Issue published online: 23 AUG 2005
  2. Article first published online: 23 AUG 2005
  3. Received April 17, 1980/Accepted August 21, 1980

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Summary

The attitude of the fetal head was determined in 445 women with breech presentations. Thirty-three women (7.4 per cent) were found to have a fetus with the head in various degrees of hyperextension. Of these 26 were born vaginally and seven by Caesarean section. At follow-up (2 to 4 years) five of the vaginally born infants (22 per cent) had neurological sequelae referable to spinal, supraspinal and cerebellar injuries but all infants born by Caesarean section were normal. The results emphasise the value of an abdominal X-ray examination of all women with breech presentations. Caesarean section is recommended if the fetal head is hyperextended.

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