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Burns Marshall Method

A method of breech delivery when the head is flexed involving traction to prevent the neck from bending backwards and being fractured. (See also Breech presentation) The baby's feet are grasped in the non-dominant hand, and sufficient traction applied to prevent the neck from bending backwards and being fractured. The suboccipital region and not the neck should pivot under the apex of the pubic arch to prevent the spinal cord from being crushed. The feet are taken through an arc of 180° until the mouth and nose are free at the vulva. The right (or dominant) hand may guard the perineum to prevent sudden escape of the head. The mother should be asked to take deliberate, regular breaths that allow the vault of the skull to escape gradually.

Further reading

Royal College of Obstetricians and Gynaecologists (2006) Management of breech presentation. Guideline 20. https://www.rcog.org.uk/globalassets/documents/guidelines/gtg-no-20b-breech-presentation.pdf

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