Vaginal breech delivery
has been a controversial topic for a long time.
 A retrospective observational study analysing the neonatal outcome in the Netherlands before and after the publication of the "Term Breech Trial' reported that though the combined rate of neonatal mortality and birth trauma decreased from 0.35% to 0.18% and 0.29% to 0.08%; of interest, a decrease in mortality also was seen in both emergency CS and the vaginal delivery group, a finding that can be attributed for better selection of women for vaginal breech delivery
.  Reports started coming out from different parts of the world criticising the 'term breech trial' and the ACOG guidelines.
Bilato, "Prevalence and perinatal outcomes of singleton term breech delivery
in Wolisso hospital, Oromia Region, Southern Ethiopia: A cross-sectional study," Journal of Environmental and Public Health, vol.
Simulation training and resident performance of singleton vaginal breech delivery
. Obstet Gynecol 2006; 107: 86-9.
Hehir, "Trends in vaginal breech delivery
," Journal of Epidemiology and Community Health, vol.
The aim of the animation - the first of its kind in the country - is to support women who are facing several choices, such as whether to allow an attempt at turning the baby in the womb, whether to elect for a Caesarean section or breech delivery
Alison, 29, Thorntree, said: "Ironically, it was a straightforward birth, even though Eliza was a breech delivery
. But it was a shock when I started to give birth so early.
A study has shown that in fetal breech presentation, neonatal outcome was better with planned caesarean section than vaginal breech delivery
.  In contrast, a study from Europe showed that neonatal outcome after planned vaginal breech delivery
did not differ from outcome after elective caesarean section.
of Texas, topics include abortion, fetal imaging, breech delivery
, eclampsia, placental abruption, triplets and multiple births, postterm pregnancy, pneumonia, asthma, chronic hypertension, appendicitis, anemia, gestational diabetes, sexually transmitted diseases, cancer, prematurity, injuries to the fetus and newborn, and stillbirth.
The breech delivery
of the newborn is uncomplicated but, immediately following delivery of the placenta, you note excessive uterine bleeding and diagnose a postpartum hemorrhage (PPH) due to uterine atony.
On admission to hospital, 26 (28.9%) of breech presentations were missed, and 23 women (25.6%) were booked for emergency CS but went on to breech delivery
. Twenty-nine women (32.2%) were found to be at full cervical dilatation on admission.
It has been reported between 2 to 7 per 1000 live birth.1,2 Birth related trauma was suggested to be mostly due to difficult vaginal delivery especially with the shoulder in the vertex presentation and extended arms in a breech delivery
, shoulder dystocia, and use of forceps instruments.3,4 However, such fractures may also occur when a baby is of average weight and the delivery is not complicated.