OBJECTIVE To investigate intergenerational recurrence of breech delivery, with a hypothesis that both women and men delivered in breech presentation contribute to increased risk of breech delivery in their offspring. DESIGN Population based cohort study for two generations. SETTING Data from the medical birth registry of Norway, based on all births in Norway 1967-2004 (2.2 million births). ...

OBJECTIVE Long-term intellectual performance in breech-presented infants may be negatively affected by vaginal delivery. We evaluated the effect of presentation at birth and delivery mode on intellectual performance at age 18 years in a nationwide population study. METHODS We studied 8,738 male infants in breech and 384,832 males in cephalic presentation registered in the Medical Birth Regist...

OBJECTIVE To study the relationship between suboptimal maternal thyroid function during gestation and breech presentation at term. DESIGN Prospective follow-up study during three trimesters of gestation. PATIENTS A total of 1058 Dutch Caucasian healthy pregnant women were prospectively followed from 12 weeks gestation until term (>or=37 weeks) delivery. MEASUREMENTS Maternal thyroid param...

Whether term vaginal breech birth is safe is no longer a question. The PREMODA study has clearly shown that with careful selection and management by average maternity units, breech birth can be safe.1 We are now left with two tasks. The first is to define, as clearly as possible, what parameters make vaginal breech birth safe. The second is to decide, individually and collectively as a professi...

To the Editor: I enjoyed reading the editorial titled “Teaching Infrequently Used Skills: Vaginal Breech Delivery.” Despite the present emphasis on delivering breech babies by cesarean, vaginal delivery skills should be taught effectively to all residents who plan to deliver babies. Perhaps you remember that I taught myself to perform external cephalic version for breech babies during the last ...

Background Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery. Objective To determine prevalence and perinatal outcomes of singleton term breech delivery. Methods Hospital based cross-sectional study was conducted on 384 participants retrospectively. Descri...

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.

OBJECTIVE To compare selected umbilical cord parameters, especially cord coiling, between breech and vertex presentations. METHODS We prospectively collected umbilical cords from uncomplicated breech and vertex obtained during elective term cesarean deliveries. We compared various cord parameters between the two groups as well as data regarding obstetric history and pregnancy outcome. RESUL...

BACKGROUND We aimed to define the frequency and predictors of successful external cephalic version in a nationally-representative cohort of women with breech presentations and to compare maternal outcomes associated with successful external cephalic version versus persistent breech presentation. METHODS Using the Nationwide Inpatient Sample, a United States healthcare utilization database, we...

BACKGROUND Breech is the commonest malpresentation. Vaginal breech delivery in a nulliparous lady carries higher risk than in multiparous ladies. Poor neonatal outcome following vaginal delivery has made the mode of delivery a matter of controversy. OBJECTIVE To evaluate the outcome of planned caesarean section among nullipara ladies with breech presentation. METHOD This is a prospective, a...