title: SOGC clinical practice guideline: Vaginal delivery of breech presentation: no. 226, June 2009.
abstract: OBJECTIVE
  To review the physiology of breech birth; to discern the risks and benefits of a trial of labour versus planned Caesarean section; and to recommend to obstetricians, family physicians, midwives, obstetrical nurses, anaesthesiologists, pediatricians, and other health care providers selection criteria, intrapartum management parameters, and delivery techniques for a trial of vaginal breech birth.
  
  
  METHODS
  Trial of labour in an appropriate setting or delivery by pre-emptive Caesarean section for women with a singleton breech fetus at term.
  
  
  RESULTS
  Reduced perinatal mortality, short-term neonatal morbidity, longterm infant morbidity, and short- and long-term maternal morbidity and mortality.
  
  
  METHODS
  Medline was searched for randomized trials, prospective cohort studies, and selected retrospective cohort studies comparing planned Caesarean section with a planned trial of labour; selected epidemiological studies comparing delivery by Caesarean section with vaginal breech delivery; and studies comparing long-term outcomes in breech infants born vaginally or by Caesarean section. Additional articles were identified through bibliography tracing up to June 1, 2008.
  
  
  METHODS
  The evidence collected was reviewed by the Maternal Fetal Medicine Committee of the Society of Obstetricians and Gynaecologists of Canada (SOGC) and quantified using the criteria and classifications of the Canadian Task Force on Preventive Health Care.
  
  
  RESULTS
  This guideline was compared with the 2006 American College of Obstetrician's Committee Opinion on the mode of term singleton breech delivery and with the 2006 Royal College of Obstetrician and Gynaecologists Green Top Guideline: The Management of Breech Presentation. The document was reviewed by Canadian and International clinicians with particular expertise in breech vaginal delivery.
authors.forename: Andrew
authors.initials: A
authors.lastname: Kotaska
authors.forename: Savas
authors.initials: S
authors.lastname: Menticoglou
authors.forename: Robert
authors.initials: R
authors.lastname: Gagnon
authors.forename: Dan
authors.initials: D
authors.lastname: Farine
authors.forename: Melanie
authors.initials: M
authors.lastname: Basso
authors.forename: Hayley
authors.initials: H
authors.lastname: Bos
authors.forename: Marie-France
authors.initials: MF
authors.lastname: Delisle
authors.forename: Kirsten
authors.initials: K
authors.lastname: Grabowska
authors.forename: Lynda
authors.initials: L
authors.lastname: Hudon
authors.forename: William
authors.initials: W
authors.lastname: Mundle
authors.forename: Lynn
authors.initials: L
authors.lastname: Murphy-Kaulbeck
authors.forename: Annie
authors.initials: A
authors.lastname: Ouellet
authors.forename: Tracy
authors.initials: T
authors.lastname: Pressey
authors.forename: Anne
authors.initials: A
authors.lastname: Roggensack
mesh_terms: D001946:Breech Presentation; D002170:Canada; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008428:Maternal Mortality; D018579:Patient Selection; D011247:Pregnancy; D011256:Pregnancy Outcome; D014219:Trial of Labor