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Related Experiment Videos

Breech presentation

D P Eller1, J P VanDorsten

  • 1Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston.

Current Opinion in Obstetrics & Gynecology
|October 1, 1993
PubMed
Summary
This summary is machine-generated.

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Routine cesarean delivery for breech presentation is costly and debated. External cephalic version is a well-accepted alternative for term breech fetuses, with new methods improving success rates.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Routine elective cesarean delivery for breech presentation is common, contributing significantly to cesarean rates and healthcare costs.
  • Concerns regarding perinatal morbidity and mortality associated with vaginal breech delivery have driven this practice.

Purpose of the Study:

  • To review recent literature on breech presentation management.
  • To evaluate current trends and emerging strategies for breech delivery.

Main Methods:

  • Literature review of recent studies on breech presentation.
  • Analysis of data regarding cesarean delivery rates, costs, and alternative methods like external cephalic version.

Main Results:

  • External cephalic version (ECV) for term breech fetuses is widely accepted, with new scoring systems and repeated ECV enhancing success.

Related Experiment Videos

  • Ultrasound remains crucial for ECV, and magnetic resonance pelvimetry is a potential tool for evaluating vaginal breech delivery candidates.
  • Limited evidence supports cesarean delivery for preterm breech presentation.

    • Conclusions:

    • While cesarean delivery is prevalent for breech presentation, evidence for its routine use, especially in preterm cases, is lacking.
    • External cephalic version is a viable and increasingly successful alternative for term breech fetuses.
    • Legal and practice considerations significantly influence the approach to vaginal breech delivery.