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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 - Information and Management].

D Gallot1

  • 1Pôle femme et enfant, CHU Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand cedex 1, France; R2D2-EA7281, faculté de médecine, université d'Auvergne, place Henri-Dunant, 63000 Clermont-Ferrand, France.

Gynecologie, Obstetrique, Fertilite & Senologie
|November 4, 2019
PubMed
Summary

Parents require comprehensive information on breech presentation and trial of labor, favoring external cephalic version. This ensures informed decisions regarding vaginal birth versus cesarean delivery, with necessary medical support available.

Keywords:
BreechGuidelinesInformationOrganisationRecommandationsSiège

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Breech presentation complicates vaginal delivery, necessitating clear guidelines for management.
  • Informed parental decision-making is crucial for breech labor management.

Purpose of the Study:

  • To establish guidelines for informing parents about breech presentation.
  • To outline labor ward organization for trial of labor in breech presentation.

Main Methods:

  • Systematic review of Medline and Cochrane Library databases.
  • Analysis of international guidelines on breech presentation management.

Main Results:

  • Guidelines advocate for external cephalic version, detailing benefits and risks of vaginal versus cesarean delivery.
  • Patient choice may evolve based on obstetric context; parental awareness is key.
  • A dedicated obstetrician, anesthesiologist, and pediatrician are essential for planned vaginal breech birth.

Conclusions:

  • Concerted decision-making regarding mode of delivery is paramount.
  • Labor ward organization must ensure immediate availability of obstetric, anesthetic, and pediatric support for breech presentations.