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Vaginal breech delivery: still a safe option.
Sadia Habib1, Shazia Riaz, Nasreen Abbasi
1Department of Obstetrics and Gynaecology, Ayub Medical College Abbottabad; Islamic International Medical & Dental College, Rawalpindi
Journal of Ayub Medical College, Abbottabad : JAMC
|September 18, 2014
Summary
Vaginal breech delivery is safe for mothers and newborns when strict criteria are met. This study found low complication rates, challenging the trend towards caesarean sections for breech births.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Maternal-Fetal Medicine
Background:
- Rising rates of caesarean sections for term breech fetuses due to fear of complications.
- Concerns about adverse outcomes in subsequent pregnancies and fertility, alongside skill loss for vaginal breech delivery.
- Need to evaluate the safety of vaginal breech birth.
Purpose of the Study:
- To determine the safety of vaginal breech birth.
- To assess maternal and neonatal complications associated with vaginal breech delivery.
Main Methods:
- Cross-sectional study conducted from January 2004 to December 2011.
- Inclusion of 178 women with successful vaginal breech delivery of singleton term fetuses.
- Evaluation of neonatal outcomes (Apgar score, birth trauma, NICU admission, perinatal mortality) and maternal complications (genital tract trauma, postpartum hemorrhage).
Main Results:
- Incidence of term breech presentation was 6% (674 out of 11243 deliveries).
- Low rates of neonatal complications: 4.49% with Apgar score < 7, 3.37% NICU admission, no birth trauma or perinatal morbidity.
- Low maternal complication rates: 2.8% overall, including perineal tears, retained placenta, and postpartum hemorrhage.
Conclusions:
- Vaginal breech delivery can be performed safely.
- Maternal and neonatal outcomes are not compromised when strict criteria are followed.
- Supports the safe practice of vaginal breech birth under appropriate conditions.
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