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  1. Breech presentation occurs in 3–4% of term deliveries and is more common in preterm deliveries and nulliparous women. Breech presentation is associated with uterine and congenital abnormalities, and has a significant recurrence risk.

  2. The NICE guideline on caesarean section (CG132) recommends that women who have an uncomplicated singleton breech pregnancy at 36 weeks of gestation should be offered external cephalic version, and that pregnant women with a singleton

  3. 31 mar 2021 · Before carrying out a caesarean birth for an uncomplicated singleton breech pregnancy, carry out an ultrasound scan to check that the baby is in the breech position. Do this as late as possible before the caesarean birth procedure.

  4. Breech presentation of the fetus in late pregnancy may result in prolonged or obstructed labour with resulting risks to both woman and fetus. Interventions to correct breech presentation (to cephalic) before labour and birth are important for the woman’s and the baby’s health.

  5. If your baby remains breech towards the end of pregnancy, you should be given the option of a caesarean section. Research has shown that planned caesarean section is safer for your baby than a vaginal breech birth.

  6. Women should be informed that the reduced risk is due to three factors: the avoidance of B stillbirth after 39 weeks of gestation, the avoidance of intrapartum risks and the risks of vaginal breech birth, and that only the last is unique to a breech baby. [ ] New 2017.

  7. 16 mar 2017 · Women should be informed that routine caesarean section for breech presentation in spontaneous preterm labour is not recommended. The mode of delivery should be individualised based on the stage of labour, type of breech presentation, fetal wellbeing and availability of an operator skilled in vaginal breech delivery. Grade of recommendation: C

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