Been very busy on the labour ward this week, an interesting case from last night:
28 y.o. para 0 + 0 woman presentation breech, admitted to the labour ward from DMU for emergency caesarian section, fetal presentation was confirmed by ultrasound scan. On delivery the baby was seen immediately by the on-call paediatrician with some concerns over baby's breathing. Grunting sounds were heard, heart rate greater than 100. Discussed with the on-call consultant the importance of using accuracy when describing fetal position, lie, and presentation. Learnt that whilst it is possible to have a SVD with a breech fetus, recent evidence has shown that caesarian section has a higher chance of positive outcome.