The art of vaginal breech birth at term on all fours
نویسندگان
چکیده
Despite a shift in clinical practice favouring cesarean section for breech presentation, adequate skills are still needed for a safe vaginal breech birth. This case report illustrates the physiological mechanism of vaginal breech birth. The accompanying pictures are a testimony to the "hands-off" approach and could be used for educational purposes.
منابع مشابه
Vaginal breech delivery: still a safe option.
BACKGROUND Elective caesarean section has replaced vaginal delivery for term breech foetuses due to fear of complications of vaginal breech delivery. This increasing rate of caesarean section worldwide is alarming. It has not only led to increase in adverse consequences in subsequent pregnancies and future fertility but also loss of skills for vaginal breech delivery. This study was conducted t...
متن کاملThe costs of planned cesarean versus planned vaginal birth in the Term Breech Trial.
BACKGROUND The Term Breech Trial compared the safety of planned cesarean and planned vaginal birth for breech presentations at term. The combined outcome of perinatal or neonatal death and serious neonatal morbidity was found to be significantly lower among babies delivered by planned cesarean section. In this study we conducted a cost analysis of the 2 approaches to breech presentations at del...
متن کاملPlanned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Term Breech Trial Collaborative Group.
BACKGROUND For 3-4% of pregnancies, the fetus will be in the breech presentation at term. For most of these women, the approach to delivery is controversial. We did a randomised trial to compare a policy of planned caesarean section with a policy of planned vaginal birth for selected breech-presentation pregnancies. METHODS At 121 centres in 26 countries, 2088 women with a singleton fetus in ...
متن کاملCommentary: routine cesarean section for breech: the unmeasured cost.
Historically, partial breech extraction under maternal sedation was accompanied by high perinatal mortality rates (1). With the safety of modern cesarean section techniques, many deemed the avoidance of this fetal risk worth the maternal risk of cesarean section, and the proportion of breech fetuses delivered by cesarean section steadily increased. This trend reached its peak after publication ...
متن کاملManagement of Term Breech Presentation and External Cephalic Version
Breech presentation occurs in 3 to 4% of all term pregnancies [1]. Vaginal breech delivery rate has declined significantly since the Term Breech Trial, which showed lower serious perinatal mortality and neonatal morbidity after planned caesarean section delivery at term [1]. External cephalic version (ECV) is proven effective to prevent vaginal breech births and Caesarean sections [2]. The fetu...
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