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This guideline provides up-to-date information on methods of delivery for women with breech presentation. It covers the risks, benefits and techniques of vaginal and caesarean birth, and the role of external cephalic version.
Where a woman presents with an unplanned vaginal breech labour, management should depend on the stage of labour, whether factors associated with increased complications are found, availability of appropriate clinical expertise and informed consent.
The aims of this guideline are: To provide guidance to the multidisciplinary team caring for a woman with a baby in a breech presentation. To identify the clinical management required for a woman with a breech baby giving birth at a CTMUHB hospital.
16 mar 2017 · The mode of delivery should be individualised based on cervical dilatation, station of the presenting part, type of breech presentation, fetal wellbeing and availability of an operator skilled in vaginal breech delivery.
Women with a confirmed breech presentation should be reviewed at 36 weeks by an experienced member of staff to discuss on-going options for birth. The three options for management of breech at term are: External cephalic version (ECV) Planning for elective caesarean section.
13 mar 2021 · The management of breech presentation continues to cause academic and clinical contention globally [1–3]. In recent years, research has shown that if certain criteria are met, and appropriately experienced and skilled clinicians are available, Vaginal Breech Birth (VBB) is a safe option [4–6].
3 maj 2020 · The adequate management of term breech pregnancies requires screening and the efficient identification of breech presentation at 36 weeks of gestation, followed by thorough evaluations of foetal weight, growth and mobility, while obstetric history, antenatal gestational disorders and pelvis size/conformation are considered.
