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It is very important to instruct your patients about how to self exam their breasts for any abnormalities or masses for early detection of any changes

A breech birth is the birth of a baby from a breech presentation. In the breech presentation the baby enters the birth canal with the buttocks or feet first as opposed to the normal head first presentation.

There are either three or four main categories of breech births, depending upon the source:

* Frank breech - the baby's bottom comes first, and his or her legs are flexed at the hip and extended at the knees (with feet near the ears). 65-70% of breech babies are in the frank breech position.

* Complete breech - the baby's hips and knees are flexed so that the baby is sitting crosslegged, with feet beside the bottom.

* Footling breech - one or both feet come first, with the bottom at a higher position. This is rare at term but relatively common with premature fetuses.

* Kneeling breech - the baby is in a kneeling position, with one or both legs extended at the hips and flexed at the knees. This is extremely rare, and is excluded from many classifications.

As in labour with a baby in a normal head-down position, uterine contractions typically occur at regular intervals and gradually cause the cervix to become thinner and to open. In the more common breech presentations, the baby’s bottom (rather than feet or knees) is what is first to descend through the maternal pelvis and emerge from the vagina.

At the beginning of labour, the baby is generally in an oblique position, facing either the right or left side of the mother's back. As the baby's bottom is the same size in the term baby as the baby's head. Descent is thus as for the presenting fetal head and delay in descent is a cardinal sign of possible problems with the delivery of the head.

In order to begin the birth, internal rotation needs to occur. This happens when the mother's pelvic floor muscles cause the baby to turn so that it can be born with one hip directly in front of the other. At this point the baby is facing one of the mother's inner thighs. Then, the shoulders follow the same path as the hips did. At this time the baby usually turns to face the mother's back. Next occurs external rotation, which is when the shoulders emerge as the baby’s head enters the maternal pelvis. The combination of maternal muscle tone and uterine contractions cause the baby’s head to flex, chin to chest. Then the back of the baby's head emerges and finally the face.

Due to the increased pressure during labour and birth, it is normal for the baby's leading hip to be bruised and genitalia to be swollen. Babies who assumed the frank breech position in utero may continue to hold their legs in this position for some days after birth.

A nursing demonstration in Dutch shows how to insert an enema. The narration follows lubricating and inserting the cannula, letting the fluid run in while checking on the patient, removing the cannula, and helping the patient sit up to retain the fluid. It closes with tidying, handwashing and reporting, as a practical nursing skills resource.

A complete head-to-toe assessment of a pediatric patient is presented in this teaching video, following the Bates visual guide format used in clinical training. It works through each body system in examination order. A study resource for students learning pediatric examination. Educational only — not medical advice.

Women are routinely invited to have cervical screening tests (also called smear tests). The tests are done to prevent cervical cancer, not to diagnose cancer. During each test some cells are removed from the neck of the womb (cervix), with a plastic brush. The cells are examined under a microscope to look for early changes that, if ignored and not treated, could develop into cancer of the cervix. You are very unlikely to develop cervical cancer if you have regular cervical screening tests at the times advised by your doctor. If the test shows any abnormality, you will have treatment to stop you ever getting cancer of the cervix. So, an abnormal test does not mean you have cancer. It means you should have some treatment to stop you getting cancer.

A step-by-step educational video of an IUD insertion, showing how the device is placed in the uterus. This is procedure education, not personal medical advice — discuss contraception options with your clinician.

An educational demonstration of Foley catheter insertion technique. Procedure education for students and clinicians — not personal medical advice.

Medical imaging captured during sexual activity is presented in this educational video, showing how internal anatomy changes, as recorded in published MRI research. It is shared for anatomy and physiology education. Educational only — not medical advice.

A new video illustrating the horizontal breast exam technique whihc is performed by doctors for any breast masses or abnormalities.

This childbirth video records the delivery of twins. The recording presents the birth in an educational context, documenting how a twin delivery proceeds in a clinical setting with the maternity team. Twin deliveries require additional monitoring because two babies are born in the same labor.

This video is a television news report from Hutzel Women's Hospital in Detroit about twin-to-twin transfusion syndrome (TTTS), a placental condition that can affect identical twin pregnancies. It follows one family's care, including a minimally invasive in-utero laser procedure used to treat the condition, and the twins' delivery two months later. Educational only — not medical advice.

This educational explainer covers the physiology of the female sexual response, including the stages of arousal and orgasm, in clinical terms. It is intended for adult health education. Educational only — not medical advice.

In this recording, a first-time mother gives birth in a birthing pool, with the delivery documented from the final contractions through the baby's arrival. Water births are supported by a midwife or birth team, as shown here. It offers expectant parents and students a realistic view of the method. For learning purposes only — not medical advice.

This clinical video presents the surgical management of an ectopic pregnancy — a pregnancy developing outside the uterus, most often in a fallopian tube — a condition that requires urgent treatment. Shared for medical education. Educational only — not medical advice.

Placement of an intrauterine device (IUD) is shown step by step in this gynecology video, from preparing the instruments to positioning the device inside the uterus. The IUD is a long-acting, reversible form of contraception fitted during a short clinic procedure. A learning resource for students and patients. Educational only — not medical advice.

A narrated 3D animation of a normal vaginal birth, stage by stage. It follows the baby head-down in the uterus through the first stage of labour - regular contractions and cervical dilation to 10 centimetres - then the stronger second-stage contractions, the waters breaking, crowning, and the delivery of the head and body. A clear visual introduction to how childbirth progresses, for students, expectant parents, and the curious. Educational content only - not medical advice.

Is sex safe during pregnancy? This educational video reviews what is generally known about sexual activity during an uncomplicated pregnancy and the situations in which clinicians usually advise avoiding it. General information only. Educational only — not medical advice; ask your own clinician about your pregnancy.

A tabloid-style news report covers a Brazilian beauty-pageant contestant whose hydrogel buttock and leg implants were rejected by her body. The segment describes the tissue damage that followed, her month in hospital, and her recovery. The underlying event is a serious implant complication, presented for general medical interest.

Cadaver dissection focusing on the body's fat (adipose) tissue is shown in this educational anatomy video, demonstrating the layers beneath the skin. A study resource for anatomy students. Educational only — not medical advice.

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