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Updated: Nov 28, 2025
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
15.5K
Is Vaginal Breech Delivery Still a Safe Option?
Maria Pulido Valente1, Maria Carvalho Afonso1, Nuno Clode1
1Department of Obstetrics, Gynecology and Reproductive Medicine, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.
Summary
Breech vaginal delivery at term, when managed by experienced obstetricians with strict criteria, showed no significant difference in neonatal or maternal outcomes compared to cephalic vaginal delivery.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Maternal-Fetal Medicine
Background:
- Vaginal delivery of breech presentation remains a debated topic in obstetrics.
- Evidence comparing outcomes of term breech vaginal delivery versus cephalic vaginal delivery is crucial for clinical decision-making.
Purpose of the Study:
- To compare neonatal and maternal outcomes between term breech vaginal delivery and cephalic vaginal delivery.
Main Methods:
- A retrospective case-control study was conducted in a Portuguese hospital from January 2015 to December 2017.
- Twenty-six cases of term breech vaginal delivery were compared with 52 controls undergoing cephalic vaginal delivery.
Main Results:
- Induced labor and episiotomy were more frequent in the breech vaginal delivery group.
- Newborns in the breech group had a lower birthweight, but no significant differences in other neonatal outcomes were observed.
- Maternal morbidity showed no significant difference between the groups.
Conclusions:
- Term breech vaginal delivery, under strict selection criteria and with experienced clinicians, is not associated with increased significant neonatal or maternal morbidity compared to cephalic presentation.
- Breech vaginal delivery can be considered a safe option when managed appropriately.
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