Not exact matches
While only half of all women carrying a
breech presenting baby at
term prove to be an appropriate candidate for
vaginal breech birth, our staff is well - prepared to support your informed choice.
In 2000, Hannah et al published the findings of a randomised multicentre trial into planned caesarean section versus planned
vaginal birth for
breech presentation at
term.
Before a
vaginal breech delivery is planned, women should be informed that the risk of perinatal or neonatal mortality or short -
term serious neonatal morbidity may be higher than if a cesarean delivery is planned, and the patient's informed consent should be documented.
Planned
vaginal delivery of a
term singleton
breech fetus may be reasonable under hospital - specific protocol guidelines for both eligibility and labor management.»
Combining the short
term morbidity with the mortality rate may have overstated the risks of
vaginal breech delivery.
It is common for vaginally delivered
breech babies to have short
term issues due to the inevitable cord compression that occurs with
vaginal breech delivery.
INTERPRETATION: Planned caesarean section is better than planned
vaginal birth for the
term fetus in the
breech presentation; serious maternal complications are similar between the groups.
While a rise in cesarean section (C - section) delivery rates due to
breech presentation has improved neonatal outcome, 40 % of
term breech deliveries in the Netherlands are planned
vaginal deliveries.
After the
term breech trial reported a significant decrease in perinatal mortality among women who had a planned C - section compared to those opting for elective
vaginal delivery, C - section rates increased dramatically.