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Updated: May 9, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

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Published on: June 6, 2020

Delivery in breech presentation: the decision making.

Abha Singh1, Nalini Mishra, Rajni Dewangan

  • 1Department of Obstetrics and Gynaecology, Pt.J.N.M. Medical College and Dr. B.R.A.M Hospital, E-8, Shankar Nagar, Raipur, Chhattisgarh 492001 India.

Journal of Obstetrics and Gynaecology of India
|August 2, 2013
PubMed
Summary
This summary is machine-generated.

Optimizing outcomes for breech presentation requires careful consideration of delivery mode. While cesarean sections showed lower initial risks, the difference in fetomaternal outcomes between vaginal and cesarean deliveries was not statistically significant.

Keywords:
Breech presentationCaesarean sectionPerinatal outcome

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Maternal-Fetal Medicine

Background:

  • Breech presentation complicates delivery, necessitating informed decisions on the mode of birth.
  • Optimizing fetomaternal outcomes in breech presentation is a critical aspect of obstetric care.

Purpose of the Study:

  • To compare fetomaternal outcomes across different delivery modes for singleton breech presentation.
  • To guide clinical decision-making for breech delivery to enhance maternal and fetal well-being.

Main Methods:

  • A study of 265 women with singleton breech presentation was conducted.
  • Participants were assigned to planned cesarean section, emergency cesarean section, or trial of vaginal delivery.
  • Fetomaternal outcomes were analyzed based on the chosen mode of delivery.

Main Results:

  • Vaginal delivery occurred in 42.6% of cases, planned cesarean section in 20.4%, and emergency cesarean section in 37%.
  • Perinatal morbidity and mortality were initially lower in the cesarean section group.
  • However, after adjusting for confounding factors, the difference in outcomes between vaginal and cesarean deliveries was statistically insignificant (p=0.14).

Conclusions:

  • Individualized assessment for mode of delivery is crucial for optimizing fetomaternal outcomes in breech presentation.
  • Maintaining proficiency in performing vaginal breech deliveries is recommended in maternity settings.
  • A balanced approach to delivery decisions can significantly improve both fetal and maternal health.