Impact of the International Term Breech Trial on Clinical Practice and Concerns: A Survey of Centre Collaborators

Planned vaginal breech delivery: current status and the need to reconsider

“…Indeed, only 3 years after the publication of the TBT, the lead authors of the TBT reported that 92% of over 80 collaborative centers in 23 countries had completely abandoned planned VBD in favor of CS [4]. In The Netherlands, the CS rate for breech presentation has increased from 57% in 2000 to 81% in 2001 after the publication of the TBT [5].…”

Elective cesarean section for term breech delivery

“…After the publication of the study, almost immediately, there was a rapid change in clinical practice by many obstetricians regarding breech delivery in term pregnancies. This led the American College of Obstetrics and Gynecology (ACOG) and the Royal College of Obstetricians and Gynaecologists (RCOG) to recommend the practice of elective cesarean section in this condition 33 (B) 34 (D). However, because of serious methodological flaws identified in later publications that did not allow extrapolation of results obtained by the TBT, both the ACOG and RCOG reassessed their recommendations towards considering the possibility of vaginal birth as an acceptable option in properly selected cases [35][36][37] (D).…”

Breech presentation: a retrospective analysis of 12-years' experience at a single center

“…The results have been immediately accepted and incorporated into national guidelines [4] and planned cesarean section has become the preferred mode of delivery for term breech births [11,12]. A survey in 2003 showed that more than 90% of the centers participating in the TBT had changed obstetric practice in favor of elective cesarean delivery [13].…”