How to: a breech vaginal delivery before 25 weeks of gestation

Perrine Coste Mazeau1,2

  • 1Gynecology and Obstetrics Department, Service de Gynécologie Obstétrique, Hôpital Mère Enfant, CHU Dupuytren, CHU Limoges, 8 Avenue Dominique Larrey, 87000, Limoges, France. perrine.coste-mazeau@unilim.fr.

Delivery before 25 weeks of gestation has become a more frequent occurrence in our maternity units and can be a difficult obstetrical situation to manage when the fetus is breech. We describe a new obstetrical maneuver enabling vaginal birth of a breech fetus before 25 weeks of gestation. It enables the fetal mobile to be fully grasped and secured, thus facilitating passage through the genital tract.