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Vaginal delivery of breech presentation
Author(s) -
Kotaska Andrew,
Menticoglou Savas,
Gag Robert,
Farine Dan,
Basso Melanie,
Bos Hayley,
Delisle MarieFrance,
Grabowska Kirsten,
Hudon Lynda,
Mundle William,
MurphyKaulbeck Lynn,
Ouellet Annie,
Pressey Tracy,
Roggensack Anne
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.07.002
Subject(s) - medicine , breech presentation , caesarean section , external cephalic version , obstetrics , guideline , vaginal delivery , obstetrics and gynaecology , pregnancy , randomized controlled trial , cohort study , pediatrics , surgery , genetics , pathology , biology
Abstract Objectives To review the physiology of breech birth; to discern the risks and benefits of a trial of labour versus planned Caesarean section; and to recommend to obstetricians, family physicians, midwives, obstetrical nurses, anaesthesiologists, pediatricians, and other health care providers selection criteria, intrapartum management parameters, and delivery techniques for a trial of vaginal breech birth. Options Trial of labour in an appropriate setting or delivery by pre‐emptive Caesarean section for women with a singleton breech fetus at term. Outcomes Reduced perinatal mortality, short‐term neonatal morbidity, long‐term infant morbidity, and short‐ and long‐term maternal morbidity and mortality. Evidence Medline was searched for randomized trials, prospective cohort studies, and selected retrospective cohort studies comparing planned Caesarean section with a planned trial of labour; selected epidemiological studies comparing delivery by Caesarean section with vaginal breech delivery; and studies comparing long‐term outcomes in breech infants born vaginally or by Caesarean section. Additional articles were identified through bibliography tracing up to June 1, 2008. Values The evidence collected was reviewed by the Maternal Fetal Medicine Committee of the Society of Obstetricians and Gynaecologists of Canada (SOGC) and quantified using the criteria and classifications of the Canadian Task Force on Preventive Health Care. Validation This guideline was compared with the 2006 American College of Obstetrician's Committee Opinion on the mode of term singleton breech delivery and with the 2006 Royal College of Obstetrician and Gynaecologists Green Top Guideline: The Management of Breech Presentation. The document was reviewed by Canadian and International clinicians with particular expertise in breech vaginal delivery. Sponsors The Society of Obstetricians and Gynaecologists of Canada.