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Updated: Aug 23, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Outcome of term breech by intended mode of delivery
O OboroV1, F O Dare, S O Ogunniyi
1Department of Obstetrics & Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
Background:
The optimal mode of delivery for the term breech fetus is undetermined.
Methods:
Over a 10-year period, the outcome of 157 planned caesarean sections and 265 trials of vaginal delivery for the matured, selected, singleton breech presentation were compared.
Results:
The perinatal mortality among the planned vaginal group was not statistically different from the planned caesarean group (3.0% vs 0.6%, p = 0.102), so was the incidence of birth asphyxia (9.4% vs 4.5%, p = 0.06), admission into neonatal intensive care unit (13.6 vs 7.6%, p = 0.063) and neonatal birth injury (3.4% vs 0.6%, p = 0.072). The overall maternal morbidity was 28% in the planned caesarean group, and 9% in the planned vaginal group, p = 0.025.
Conclusion:
Given appropriate selection criteria and management protocol, the outcome from elective caesarean section might not be better than that from planned vaginal delivery.
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