title: Expedited versus conservative approaches for vaginal delivery in breech presentation.
abstract: BACKGROUND
  In a vaginal breech birth there may be benefit from rapid delivery of the baby to prevent progressive acidosis. However, this needs to be weighed against the potential trauma of a quick delivery.
  
  
  OBJECTIVE
  The objective of this review was to assess the effects of expedited vaginal delivery (breech delivery from umbilicus to delivery of the head within one contraction) on perinatal outcomes.
  
  
  METHODS
  The Cochrane Pregnancy and Childbirth trials register and the Cochrane Controlled Trials Register were searched. Date of last search: February 1999.
  
  
  METHODS
  Randomised trials of expedited vaginal breech delivery compared with delivery not routinely expedited in women undergoing vaginal breech delivery.
  
  
  METHODS
  Eligibility and trial quality were assessed by one reviewer.
  
  
  RESULTS
  No studies were included.
  
  
  CONCLUSIONS
  There is not enough evidence to evaluate the effects of expedited vaginal breech delivery.
authors.affiliation: Department of Obstetrics and Gynaecology, Coronation Hospital and University of the Witwatersrand, 7 York Road, Parktown 2193, Johannesburg, South Africa. 091just@chiron.wits.ac.za
authors.forename: G J
authors.initials: GJ
authors.lastname: Hofmeyr
authors.forename: R
authors.initials: R
authors.lastname: Kulier
mesh_terms: D001946:Breech Presentation; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D011247:Pregnancy