[Safe delivery of term breech presentation].
It is well-documented from descriptive studies and a large randomized and controlled trial that planned vaginal delivery of term breech infants is associated with a risk of perinatal mortality and morbidity. However, in a modern setting with careful case selection and labour management, complication rates are low. When informed of the risks, the majority of women will choose Caesarean delivery. This paper provides the basis for informing women with term breech so that they may make an informed choice. Recommendations on selection criteria, intrapartum management parameters, and delivery techniques for a trial of vaginal breech birth are proposed.
Gynaekologisk Obstetrisk Afdeling, Holbaek Sygehus, 4300 Holbaek, Denmark. lone.krebs@dadlnet.dk
Lone
L
Krebs
D001946:Breech Presentation; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D018579:Patient Selection; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors; D012449:Safety