Related Experiment Video
Updated: May 13, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
[Term breech presentations in singleton pregnancies: a continuous series of 418 cases]
E Gannard-Pechin1, R Ramanah, M Desmarets
1Pôle Mère-Femme, CHU Jean-Minjoz, 3, boulevard Flemming, 25030 Besançon cedex, France.
Summary
This study found no proof favoring elective cesarean over vaginal birth for term breech presentations. Training residents in vaginal breech delivery management is feasible and recommended.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Neonatal Outcomes
Background:
- Debate continues regarding optimal delivery mode for term breech singleton pregnancies.
- Previous studies like the Term Breech Trial and PREMODA have influenced clinical practice.
- This study re-evaluates neonatal outcomes and professional practices in breech delivery management.
Purpose of the Study:
- To analyze neonatal results based on the chosen route of delivery for term breech singleton pregnancies.
- To evaluate professional practices and resident training in managing breech presentations.
- To assess the safety and feasibility of vaginal breech delivery compared to elective cesarean section.
Main Methods:
- Retrospective analysis of 418 singleton breech pregnancies delivered at ≥37 weeks gestation.
- Data collected from January 2005 to December 2011.
- Intention-to-treat analysis of all recorded deliveries.
Main Results:
- 52% of breech singleton pregnancies resulted in vaginal delivery.
- Vaginal birth was successful in 64% of cases where a trial of labor was attempted (81% of eligible cases).
- No significant differences in severe morbidity or neonatal mortality were observed between vaginal birth and elective cesarean groups.
Conclusions:
- The study did not provide evidence supporting elective cesarean section for term breech presentations.
- Training residents in managing vaginal breech deliveries is feasible and highly recommended.
- Continued training is essential for maintaining skills in vaginal breech delivery management.
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