Frank breech

Definition

Frank breech is a term used in obstetrics to describe a position of a baby in the womb where the baby’s bottom faces downwards and the legs are folded towards its torso, with the feet near the head. This is one of several positions a baby can be in prior to birth, specifically leading with the buttocks during delivery. It is significant as it can pose complications during a vaginal delivery.

Key Takeaways

1. ‘Frank breech’ refers to a fetal position during pregnancy, where the baby’s bottom faces the birth canal, and their legs are positioned straight up towards their head. This is the most common type of breech position.
2. In a frank breech, there is an increased risk of complications during vaginal delivery. These can include cord prolapse, where the umbilical cord is delivered before the baby, and birth trauma. Due to these risks, C-sections are often recommended.
3. A frank breech position doesn’t imply any long-term problems or health issues for the child. Many babies move themselves out of the breech position before the third trimester ends. However, an ECV (External Cephalic Version) procedure or certain exercises and movements may also encourage the baby to turn.

Importance

The term “Frank Breech” is significant in motherhood as it describes a particular position a baby may be in during the late stages of pregnancy or during delivery.

Specifically, it refers to a breech position where the baby’s legs are flexed at the hip and extended at the knees (with feet near the ears), causing the baby’s buttocks to be the presenting part for delivery.

Understanding this position is vital for healthcare professionals as a frank breech can cause complications during vaginal delivery, potentially leading to risks for the baby, such as cord prolapse or birth injuries.

Consequently, it often necessitates advanced delivery planning, including the possibility of a caesarean section, to ensure the safety of both the mother and the child.

Explanation

Frank breech is a specific term used primarily in the field of obstetrics and gynecology to describe the position a fetus takes in the womb during the later stages of pregnancy. The purpose of identifying a fetus in the Frank breech position is primarily medical as it aids in both preparing for and executing a safe delivery for both the mother and baby.

A correct identification of the fetal position (whether it is Frank breech or not) is vital to choosing an appropriate and risk-controlled delivery method, be it vaginal birth or cesarean section. The term itself denotes a fetal position where the baby’s legs are folded flat up against the body, with feet near the head, while the buttocks align with the birth canal.

When a fetus is in such a position, it could potentially complicate the delivery process since ideally the baby should be head down (cephalic position). Therefore, accurate knowledge if the fetus is in a Frank breech position allows healthcare providers to provide effective prenatal care, decide on strategies for safe labor and delivery, and take preventive measures to avoid any complications. It’s paramount that this aspect of childbirth is monitored so that before labor begins, doctors will be prepared to handle the situation and increase the likelihood of a successful and safe childbirth.

Examples of Frank breech

Example 1: A first-time pregnant woman goes for her 37 weeks prenatal check-up and her doctor observes that her baby is in a frank breech position. The baby’s bottom is coming first with the legs sticking straight up in front of the body and the feet near the head. The doctor explains the situation, ensuring the mother-to-be that it is a common and generally safe position for the baby, but that it could complicate normal delivery.

Example 2: A woman in her third trimester experienced unusual movement from her baby. Instead of the normal head-down position close to her due date, her baby was positioned bottom first. After getting an ultrasound, her doctor confirmed that the baby was in a frank breech position, where the baby’s bottom is directed towards the birth canal instead of the head. Therefore, they discuss potential delivery options, such as a cesarean section or trying to manually turn the baby.

Example 3: During a yoga class designed for pregnant women, the instructor shares her personal story of giving birth to her first child, who was found at 36 weeks to be in a frank breech position – seat first. This information was confirmed via an ultrasound, and a scheduled C-section was performed, resulting in a healthy baby and mother. The instructor underscores the importance of regular check-ups to ensure the baby’s safe position.

FAQ on Frank Breech

What is a Frank Breech?

A Frank Breech refers to a position of the baby in the womb where the baby’s buttocks are aimed at the birth canal with its legs sticking straight up in front of its body and the feet near the head.

What causes a Frank Breech position?

The exact cause of Frank Breech position is unknown. It could be due to multiple factors such as the amount of amniotic fluid, the type of uterine shape, the number of previous pregnancies, or the presence of a multiple pregnancy.

How common is a Frank Breech?

Frank Breech is the most common type of breech position, occurring in about 65-70% of all breech presentations.

Can a Frank Breech baby turn naturally?

Yes, in some cases a Frank Breech baby may turn naturally before birth. This usually happens before labor starts. However, by the 36th week of pregnancy, most babies would have moved into the delivery position.

How is a Frank Breech baby delivered?

Frank Breech babies can be delivered either vaginally or by a cesarean section. The decision on the type of delivery largely depends on the exact position of the baby, the gestational age, the size of the baby, and the personal preference of the mother.

Related Motherhood Terms

• Obstetrics
• Caesarean Section
• Moxibustion
• External Cephalic Version (ECV)
• Maternal Positioning

Sources for More Information

• Mayo Clinic: An American nonprofit academic medical center focused on integrated health care, education, and research.
• WebMD: An American corporation that provides health information services.
• Healthline: A healthcare information brand that publishes online health and well-being information.
• World Health Organization (WHO): The authoritative body providing leadership on global health matters.