Mar 19, 2003

Breech vaginal delivery at or near term

Seminars in Perinatology
Modupe O Tunde-Byass, Mary E Hannah

Abstract

Three percent to 4% of term fetuses will be breech at delivery. Evidence from randomized controlled trials has found a policy of planned cesarean section to be significantly better for the singleton fetus in breech presentation at term compared to a policy of planned vaginal birth. However, some women may wish to avoid cesarean section and for others, cesarean section may not be possible. We undertook this review to identify factors associated with higher and lower risk of adverse fetal or neonatal outcome at term during vaginal breech delivery. We searched MEDLINE from 1966 to 2002 using the search terms vaginal breech delivery and breech presentation and retrieved all relevant articles. We also reviewed personal references and reference lists of articles retrieved. Women who are older or who have a fetus that is either in footling presentation, has a hyperextended head or is estimated to weigh <2500 g or >4000 g may be at higher risk of adverse fetal outcome. Prolonged labor or not having an experienced clinician at vaginal breech birth may also increase the risk. Women with a fetus in breech presentation at term should be offered the option of delivery by planned cesarean section and should be informed that this will reduce ...Continue Reading

  • References77
  • Citations12

References

  • References77
  • Citations12

Citations

Mentioned in this Paper

Prolonged Labor
Entire Fetus
Postcesarean Section
Labor (Childbirth)
Breech Presentation
Fetal Monitoring
Labor Pain
Incomplete Breech Presentation
Version, External Cephalic
Fetus

About this Paper

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