Footling Breech Presentation: Pathophysiology Explained for Nursing Students

Question
hey! i'm a nursing student right now and we're having our case study on Footling Breech Presentation. We're really having a difficult time on its pathophysiology. Could you further explain it to us? It's process, how the baby resulted to a footling presentation? please and thanks. =)

Answer
Some babies turn breech because of the mother's physiology.  Women with bicornuate uteruses are more likely to have breech babies.  Tight musculature and misaligned pelvic structures can also constrict the baby into a breech position, which is why chiropractor Webster adjustments have such a high success rate.  As for why a baby might be footling breech, as opposed to frank breech, I'm not aware of any known reasons or causes for this particular position.  I suspect it's just how the baby ends up.  Vertex (head-down) babies are usually "footling", but some end up with their feet by their heads like a frank breech.