O83: Other assisted single delivery

O83.0: Breech extraction

Breech extraction is a childbirth scenario where the baby is not positioned head-first in the birth canal, and has to be delivered feet first or buttocks first, which is recognized as a breech position. While most babies situate themselves head down by the last month of pregnancy, about 3-4% of full-term births end up being breech. This type of birth situation requires more specialized care as it carries more risks for both the mother and the baby. Factors influencing breech presentation include multiple pregnancies (such as twins or triplets), presence of uterine abnormalities, abnormal amounts of amniotic fluid, and previous pregnancies resulting in breech births. During labor, breech extraction is noted by abnormal progress of labor, unusual fetal heart rate patterns, or by physical examination revealing a breech position. It constitutes a considerable proportion of caesarean sections/population of children presenting developmental dysfunctions.