After 37 weeks of pregnancy, the incidence of breech presentation appears to have remained stable at around 3-5% of singleton pregnancies. However, the number of caesarean sections performed for breech babies has increased dramatically. Increased morbidity and mortality for the mother and baby may be associated with a decrease in the rate of vaginal breech birth. It could also suggest that the number of people who know how to deliver a baby from the breech position is declining.
In contrast to the conclusions of The Term Breech Trial, which recommended caesarean section for breech babies, recent studies such as the PREMODA study, FRABAT study, RCOG, FIGO, and others have found no increased risk to the baby or woman following vaginal breech delivery. They claim that in properly selected patients, planned vaginal Breech Birth might be a safe alternative for the patient to choose. Patient education and the necessity of regular antenatal clinic visits will aid in making the best and most informed decision on whether to have a planned vaginal birth or an elective caesarean section.
The skills of external cephalic version and vaginal breech delivery must be relearned and passed down to the junior staff.Author(S) Details
Sanjivani Wanjari
Department of Obstetrics & Gynaecology, Mahatma Gandhi Institute of Health Sciences, Sewagram, Wardha, Maharashtra, India.
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