{
  "schema_version": 1,
  "kind": "condition",
  "id": "abnormal-fetal-presentation",
  "name": "Abnormal fetal presentation",
  "category": "chronic",
  "sources": "Breech Presentation - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK448063/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WD71.00 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Abnormal fetal presentation - disease-level clinical article (abnormal-fetal-presentation-full.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 4,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Breech or other non-head-down presentation near term; the GP recognises this on examination and refers to obstetrics for assessment of turning the baby or delivery planning.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Breech or other non-head-down presentation near term; the GP recognises this on examination and refers to obstetrics for assessment of turning the baby or delivery planning.",
      "cautions": [
        "RED FLAG - Fetal distress or vaginal bleeding in the presence of malpresentation: assess urgently and refer.",
        "Abnormal presentation with ruptured membranes or active labour needs immediate obstetric referral due to the risk of cord prolapse.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - A high risk of umbilical cord prolapse is associated with incomplete or footling breech presentation."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "abnormal-fetal-presentation"
    }
  ]
}