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Offering women a choice in induction of labour: a prospective cohort study.

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Related Experiment Video

Updated: Jan 4, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
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[Breech Presentation: CNGOF Guidelines for Clinical Practice - Labour and Induction].

O Parant1, F Bayoumeu2

  • 1Équipe SPHERE, Inserm, UMR1027, 31073 Toulouse, France; UMR1027, université de Toulouse III, 31073 Toulouse, France; Pôle de gynécologie-obstétrique, CHU de Toulouse, hôpital Paule-de-Viguier, 31059 Toulouse, France.

Gynecologie, Obstetrique, Fertilite & Senologie
|November 4, 2019
PubMed
Summary
This summary is machine-generated.

Labor induction is possible for term breech vaginal delivery, even with an unfavorable cervix. These guidelines for breech delivery management have a low level of evidence.

Keywords:
Accouchement vaginalBreechDystociaDystocieDéclenchement du travailLabourLabour inductionManœuvres obstétricalesObstetrics maneuversPrésentation du siègeTravailVaginal delivery

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Breech presentation requires specific management protocols for labor and delivery.
  • Existing guidelines offer varying recommendations, necessitating updated consensus.

Purpose of the Study:

  • To establish guidelines for the management of labor induction in breech presentations.
  • To provide recommendations for the safe execution of vaginal breech delivery.

Main Methods:

  • A comprehensive bibliographic search was conducted using Medline, Cochrane Library, and international medical society guidelines.
  • The search was restricted to studies published in French and English.

Main Results:

  • Vaginal breech delivery requires a specialized setting with obstetric, gynecologic, anesthesiology, and pediatric support.
  • Labor induction is permissible for term breech fetuses meeting vaginal delivery criteria, utilizing oxytocin or prostaglandins.
  • Continuous cardiotocography (CTG) monitoring is recommended during labor, with no recommendation for second-line fetal monitoring.
  • Epidural analgesia with low-concentration local anesthetics is encouraged for planned vaginal breech deliveries.

Conclusions:

  • Labor induction can be safely employed for term breech fetuses, even with an unfavorable cervix, when criteria for vaginal delivery are met.
  • The evidence supporting these guidelines for labor and vaginal breech delivery management is of low quality.