OBJECTIVE To investigate the recurrence risk of breech presentation at term, and to assess the risk factors that contribute to its recurrence. DESIGN Cohort study. SETTING New South Wales, Australia. POPULATION Women with their first two (n = 113 854) and first three (n = 21 690) consecutive singleton term pregnancies, in the period 1994-2002. METHODS Descriptive statistics including ra...

Breech presentation is defined as when the buttock of the fetus occupies the lower uterine segment (or the pelvis) and the head occupies the fundus, when the fetal lie is longitudinal. It is the commonest form of mal-presentation of the fetus [1]. Undiagnosed breech occurs when breech is not diagnosed during the antenatal period. About 40% of babies are breech at 20 weeks gestation, 20% at 28 w...

The early neonatal outcome of vaginal breech delivery is an important to determine which way the breech presentation should be dealt with. This will help counseling the pregnant women with breech about the possible early adverse outcome that associated with vaginal breech delivery. This study was done to determine the Early Neonatal Outcome. of breech presentation delivered vaginally at El Shei...

BACKGROUND The safety of vaginal breech delivery has been debated for decades. Although it has been shown to predispose infants to immediate depression, several observational studies have also shown that attempting vaginal breech delivery does not increase perinatal morbidity or low Apgar score at the age of five minutes. Cardiotocography monitoring is recommended during vaginal breech delivery...

Breech presentation occurs in 3 to 4% of all term pregnancies [1]. Vaginal breech delivery rate has declined significantly since the Term Breech Trial, which showed lower serious perinatal mortality and neonatal morbidity after planned caesarean section delivery at term [1]. External cephalic version (ECV) is proven effective to prevent vaginal breech births and Caesarean sections [2]. The fetu...

External cephalic version (ECV) is the manipulation of the fetus, through the maternal abdomen, to a cephalic presentation. This guideline summarises the evidence regarding the routine use of ECV for breech presentation. The rationale behind ECV is to reduce the incidence of breech presentation at term and therefore the associated risks, particularly of avoidable caesarean section. The evidence...

OBJECTIVE Vaginal breech delivery rates have been accepted widely to be in decline and the Term Breech Trial (TBT) has recommended delivery of a breech-presenting infant by elective cesarean section delivery. Our aim was to examine the rate of vaginal delivery of term breech pregnancies in the 8 years before and after the publication of the TBT. STUDY DESIGN We retrospectively examined vagina...

BACKGROUND Women who have a breech presentation at term have to decide whether to attempt external cephalic version (ECV) and how they want to give birth if the baby remains breech, either by planned caesarean section (CS) or vaginal breech birth. The aim of this study was to explore the attitudes of women with a breech presentation and health professionals who manage breech presentation to ECV...

BACKGROUND Existing studies regarding women's experiences surrounding an External Cephalic Version (ECV) report on women who have a persistent breech post ECV and give birth by caesarean section, or on women who had successful ECVs and plan for a vaginal birth. There is a paucity of understanding about the experience of women who attempt an ECV then plan a vaginal breech birth when their baby r...