P03: Fetus and newborn affected by other complications of labour and delivery

P03.0: Fetus and newborn affected by breech delivery and extraction

In the final weeks of pregnancy, the child turns to the birth position. The child’s head then normally points downwards and lies in the mother’s pelvis. The child’s face usually faces the mother’s back and the child’s head is bent towards its chest. The child’s back is turned to the right or left side of the mother.

The breech position is when the child is not lying with its head towards the bottom. The child is lying with its head towards the top. Below it then are other body parts such as its bottom, feet and knees.

The child’s head is the part of the body which has the largest diameter. Normally, the head dilates the birth canal during birth. The other parts of the child’s body can then follow more easily. If the head is the last part of the body to pass through the birth canal, the birth canal may not be as well-dilated as usual.

In the case of a breech birth, there are various reasons why a child’s health may be harmed. For example, an injury may occur, or there may be problems with the oxygen supply.