BACKGROUND Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV) is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV) and the Dutch Society for Obstetrics and Gynaecology (NVOG). Implementation of ECV does not exceed 50 to 60% and probably less....

We conducted a meta-analysis of the mortality and morbidity of the breech presentation according to the method of delivery. Using the term 'breech', we used the Medline data base to search the English and French-language literature from 1978 to July 1995. Twenty-two studies (7239 deliveries) were found and analysed. The meta-analysis concerning perinatal mortality did not reveal a significant i...

OBJECTIVE This study was undertaken to compare maternal outcomes at 2 years postpartum after planned cesarean section and planned vaginal birth for the singleton fetus in breech presentation at term. STUDY DESIGN In selected centers in the Term Breech Trial, mothers completed a structured questionnaire at 2 or more years postpartum to determine their health in the previous 3 to 6 months. RE...

"When an operation is once performed, nobody can ever prove that it was unnecessary". The Craze for Operations from The Doctor’s Dilemma: Preface on Doctors by George Bernard Shaw, 1909*. Breech presentation complicates 3-4% of deliveries at term and it is associated with an increased risk of perinatal mortality and morbidity 1,2 . The increased fetal risks may be due to the hypoxia or trauma...

The authors note significant room for improvement in facilitating informed consent in the management of breech presentation. New Zealand maternity care providers, including midwives, general practitioners and specialist obstetricians, have legal duties to provide full and unbiased information about risks and benefits of all relevant treatment options. In the case of breech presentation, such op...

Abstract Based on the theory of a low-recoil rarefaction wave(RAVEN)gun firing cased telescoped ammunition(CTA), equation system interior ballistics and kinematics also dynamics were established. The dynamic characteristic curves obtained by numerical simulation analysis, results verified tests. Compared with traditional closed-breech guns, low recoil force swing chamber gun keeps projectile’s ...

“Locked twins” is a rare event occurring in about 1 every 1000 twin births. A 21-year-old primigravida with 31-week pregnancy was admitted for delivery. The head of the first locked to chin of second at top the symphysis pubis. Caesarean section performed allowing delivery both dead twins. Twins gestations breech presentation raise index suspicion potential locked twin. However, managemen...

Many obstetricians in this country are still not in favour of external cephalic version (ECy). This is despite the various studies in recent years that have shown its effectiveness in reducing the incidence of vaginal breech delivery and Caesarean section for breech presentation1,2,3,4,5. This study is a prospective observational study on the outcome of 80 cases of external cephalic version at ...

Objective: The aim of the study is to determine the prevalence and the mode of delivery of breech presentation and outcome in each method. Methods and Material: A retrospective study performed at King Abdulaziz University Hospital from January 2002 to August 2014, for all cases of breech. Data collated from the chart Age, gravidity, gestational age, and method of delivery, vaginal versus cesare...