Randomized management of the nonfrank breech presentation at term: A preliminary report

Is Breech Presentation in Nulliparous Women at Term an Absolute Indication for Cesarean Section?

“…2,3 Many trials have shown an increase in maternal morbidity associated with elective CS compared with planned vaginal delivery. 4,5 Others have reported an increase in the short-term neonatal morbidity when vaginal delivery was attempted, 6 but this has been disputed by Danielian et al 7 We conducted this study to compare perinatal mortality and morbidity in planned vaginal delivery with elective and emergency CS for breech presentation at term in nulliparous women in a referral teaching hospital in the Eastern Province of Saudi Arabia.…”

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

“…This issue is omitted in 23 of the 27 papers on breech delivery in the last decade. The four papers [1,10,20,52] which do mention this show that a weighted mean of 31.4% of trials of vaginal delivery end in cesarean section. In our own series, 22% of trials of vaginal delivery ended in cesarean section.…”

Vaginal delivery for breech presentation should be an option: experience in a tertiary care hospital

“…Many studies including the Term Breech Trial (TBT) 1 have concluded that vaginal breech delivery at term is associated with increased perinatal morbidity and mortality. [1][2][3] Vaginal breech delivery has also been reported with an increased risk of fetal trauma. [1][2][3] The TBT by Hannah et al 1 published in 2000, made many obstetricians believe that neonatal risks associated with term breech births are much higher among planned vaginal deliveries and implied that Caesarean Section (CS) should be systematically planned for all such women.…”

“…[1][2][3] Vaginal breech delivery has also been reported with an increased risk of fetal trauma. [1][2][3] The TBT by Hannah et al 1 published in 2000, made many obstetricians believe that neonatal risks associated with term breech births are much higher among planned vaginal deliveries and implied that Caesarean Section (CS) should be systematically planned for all such women. These consequently led American College of Obstetricians & Gynaecologists (ACOG) to officially recommend in 2001 that CS should be performed in the case of a singleton breech at term.…”