[Strategy for delivery in breech presentations. A retrospective study]

A six-year material of 236 singleton breech deliveries at term was evaluated retrospectively. Infants who were small for the gestational ages at birth were excluded. Vaginal delivery proved successful in 41.1% of the material. The vaginal success rate was 61.8. Low parity and age and high birth weight reduced the vaginal success rate. The route of delivery did not affect the outcome in terms of infantile morbidity or mortality. Nevertheless, an increased number of neonates with congenital disorders was observed. It is concluded that trial of vaginal delivery may be employed in a selected group of pregnant women with breech presentations without increasing the risk of adverse effects of the neonate.