Balancing the risks of planned cesarean section and trial of vaginal delivery for the mature, selected, singleton breech presentation

The term breech presentation. A retrospective study with regard to the planned mode of delivery

“…This should be taken into account when the different options are discussed as 16% of all planned vaginal deliveries in breech presentation will end with an emergency CS according to this study, and up to 35% according to the Lancet study (4). A high frequency of emergency CS with more operative complications will offset the possible maternal benefits of a planned VD (2). Maternal morbidity was also higher after planned VD and breech presentation than after planned VD and vertex presentation, probably due to the very different frequencies of emergency CS in the two groups.…”

“…The medical literature regarding this subject is both extensive and contradictory. The frequency of caesarean section (CS) for breech delivery has in general been increasing (1–3), but no really strong evidence for this course of action has been available. In the Lancet in October 2000 a much‐discussed paper addressing this issue was published (4).…”

Term Breech Trial and Its Consequences on Practice:a Retrospective Study of the Universityof Malaya Medical Centre's Experience

“…Of course, in the No. of infants presence of additional risk factors such as diabetes mellitus, intrauterine growth retardation and pathological CTG, an elective Caesarean section should be appropriately considered as a safer option (15)(16)(17).…”

“…This was evident as more infants with the birth weight of 2.5 kg or less were delivered by assisted breech delivery. Nevertheless, estimation of birth weight by clinical palpation of the gravid uterus or by ultrasound had been shown to be inaccurate (20).Therefore, correct assessment on the progress of labour and timely intervention in deciding on continuation or stopping any trial of vaginal breech delivery cannot be overlooked (16).…”