“…This has consequently led to fewer vaginal breech deliveries and reduced instruction for this type of delivery [3,5]. With the emphasis on cesarean section, safe and effective methods, and care pathways have been poorly established in the obstetrical arena, making it even more challenging for the ED physician who rarely encounters deliveries, especially precipitous labor and high-risk cases [3]. Physicians who are in ED settings without formal obstetrical services, and where a cesarean section may not be feasible, may face an increased risk of adverse outcomes in patients with a complicated breech presentation [1].…”