A fetus in breech position is especially at risk for which outcome?

In the case of a fetus in a breech position, the primary concern is the increased risk of hypoxia. This occurs due to the potential for umbilical cord compression, which can compromise the fetus's oxygen supply during labor. The breech position can impede the effective descent through the birth canal, leading to a higher likelihood of prolonged labor and distress, which can further increase the risk for hypoxia.

While fractures can happen during delivery, especially if a breech presentation requires maneuvering or operative delivery, the risk of hypoxia due to cord compression is a more immediate and critical concern. Fetal abnormalities are generally assessed through screenings and imaging prior to labor, rather than as a direct consequence of breech presentation. Postpartum complications focus more on maternal outcomes rather than direct fetal risks during delivery.

Understanding these risks highlights the significance of careful monitoring and consideration of delivery options for breech pregnancies to minimize the potential for adverse outcomes such as hypoxia.