Breech presentation is encountered in 3-4% of pregnancies at term(1). However, it is more common in preterm deliveries and in pregnancies complicated by myoma uteri, placenta previa and fetal anomalies. On account of this, obstetricians must have the required skills in order to manage these deliveries. During the past years, there is a decreasing trend in delivering babies vaginally if they are...

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...

INTRODUCTION The breech presentation occurs when fetal buttocks or 1 lower extremities present into maternal pelvis . Infants born after breech presentation have increased perinatal mor tality and high risk of neonatal 2 complications . The management of breech presentation in term pregnancy is highly controversial. It varies among different institutions or even clinicians 3 in same institution...

OBJECTIVE This paper aims to study if vaginal breech delivery is associated with increased risk for neonatal mortality (NNM) or cerebral palsy (CP) in Norway where vaginal delivery accounts for 1/3 of all breech deliveries. DESIGN Cohort study using information from the national Medical BirthRegister and Cerebral Palsy Register. SETTING Births in Norway 1999-2009. PARTICIPANTS 520 047 ter...

Background: Obstetric management of term breech infants changed dramatically following the Term Breech Trial which suggested increased serious neonatal morbidity following trial of labour. Short-term morbidity is a poor proxy of long-term neurological sequelae. We determined whether vaginal breech delivery was associated with educational outcomes. Methods: We linked three Scotland-wide administ...

OBJECTIVE to establish a consensus of opinion on standards of competence for professionals attending upright breech births. DESIGN a three-round Delphi e-survey. SETTING multinational. PARTICIPANTS a panel of 13 obstetricians, 13 midwives and two user representatives. Clinicians had attended >20 upright breech births, or >10 upright among >40 total breech births. Mean level of experience=...

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 ...