Breech vaginal delivery at or near term

Tunde-Byass, Modupe; Hannah, Mary E.

doi:10.1053/sper.2003.50003

Cited by 24 publications

(15 citation statements)

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“…In 1 wild breech birth that resulted in a live born infant, the birth phase was described as relatively long, at 5 min (Moreno et al 1991) versus the usual 1-2 min (Sekulic 1982); however, this birth was still rapid compared to the breech birth we observed and others reported in the literature. In the nonhuman primate examples, the longer birth phase associated with breech presentations, in which the infant is often partially outside the mother, likely creates the same circumstances for hypoxia and stillbirth described in humans (Tunde-Byass and Hannah 2003), emphasizing the selection for a short birth phase.…”

Section: Discussionmentioning

confidence: 95%

Birth in Free-ranging Macaca fuscata

et al. 2009

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The birth process is an integral part of reproductive success in mammals, yet detailed, quantitative descriptions of parturition in nonhuman primates are still rare. Observations of free-ranging births can help to elucidate factors involved in this critical event, to contribute to our understanding of how maternal and infant behaviors during parturition affect infant survival and to explain the evolution of human birth. We provide data on the parturition behavior of 4 multiparous Japanese Int J Primatol (2010) 31:15-37

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Section: Discussionmentioning

confidence: 95%

Birth in Free-ranging Macaca fuscata

et al. 2009

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“…14 When breech presentation persists to full term and cesarean delivery is performed instead of vaginal births, outcomes are improved; and the relative risk of neonatal death or serious morbidity is reduced by 33%. 2,13 These reductions in morbidity and mortality come at the expense of slightly increased maternal morbidity. 13 Although women demonstrating breech presentation at full term have been shown to prefer vaginal deliveries, 26 it is important to emphasize that patients must be fully informed of the potential risks and benefits surrounding both vaginal and cesarean delivery methods.…”

Section: Discussionmentioning

confidence: 99%

“…5 Observation of fetal lie has shown fetal malpresentation to decrease from 21% at the beginning of the third trimester to 5% at full term, 5 which is consistent with other reports. [1][2][3][4]6 It has been demonstrated that 75% of fetal malpresentations at 28 to 30 weeks' gestation spontaneously reposition into a cephalic presentation by full term. 5 In addition to the Webster technique, clinicians should acknowledge other management strategies for resolving breech presentation.…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 3% to 5% of all pregnancies reach full term presenting with breech presentation. [1][2][3][4][5][6] The Webster technique is a chiropractic procedure that is believed to relieve the musculoskeletal cause of intrauterine constraint, with the goal of repositioning breech presentation to cephalic presentation. [7][8][9] The Webster technique is thought to promote cephalic presentation by treating sacroiliac joint dysfunction with sacral manipulation and lower abdominal tenderness, nodules, or adhesions with www.journalchiromed.com light effleurage therapy.…”

Section: Introductionmentioning

confidence: 99%

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Breech repositioning unresponsive to Webster technique: coexistence of oligohydramnios

Roecker

2013

Journal of Chiropractic Medicine

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Objective: The purpose of this report is to describe the results of a pregnant woman demonstrating breech fetal presentation who was managed with Webster technique in the presence of oligohydramnios. Clinical Features: A 23-year-old primigravida woman sought chiropractic care for the management of breech presentation and bilateral sacroiliac arthralgia at 34 weeks' gestation. Intervention and Outcome: Sacral manipulation and abdominal effleurage (Webster Technique) was used to address breech presentation and sacroiliac arthralgia for a total of 7 treatments over a 3 1/2-week duration. The patient's sacroiliac pain reduced from 8/10 to 3/10. However, breech presentation was unchanged at each treatment. At a scheduled prenatal surveillance during the 37th week of gestation, the midwife detected vaginal bleeding and reduced fundal height, which resulted in hospitalization, diagnosis of oligohydramnios, and an emergency cesarean delivery. Conclusion: For this particular patient, the breech presentation was not corrected using the Webster technique. Clinicians who use the Webster technique to manage breech fetal presentation should be aware of undiagnosed comorbidities as a complicating factor in clinical presentation. Screening for previously undiagnosed comorbidities, such as oligohydramnios, must be considered.

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“…The primary investigator of the TBT has stated that a woman's choice for vaginal breech delivery should be respected, 9 and opinions from professional societies in Australia and the United Kingdom acknowledge a woman's right to choose vaginal breech delivery. 10,11 In the United States, however, vaginal breech delivery is not described as an optional choice for women.…”

Section: Pat Ient-choice Deliverymentioning

confidence: 99%

Patient-Choice Vaginal Delivery?

Leeman

Plante²

2006

The Annals of Family Medicine

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Patient-choice cesarean delivery is increasing in the United States. The American College of Obstetricians and Gynecologists supports this option, citing ethical premises of autonomy and informed consent, despite a lack of evidence for its safety. This increase in patient-choice cesarean delivery occurs during a time when women with a breech-presenting fetus or a previous cesarean section have fewer choices as to vaginal birth. Patient-choice cesarean delivery may become widely disseminated before the potential risks to women and their children have been well analyzed. The growing pressure for cesarean delivery in the absence of a medical indication may ultimately result in a decrease of women's childbirth options. Advocacy of patient-choice requires preserving vaginal birth options as well as cesarean delivery. 2006;4:265-268. DOI: 10.1370/afm.537. Ann Fam Med INTRODUCTIONP atient-choice cesarean delivery, a primary elective cesarean delivery performed without a medical indication, is increasing among pregnant women.1,2 The American College of Obstetricians and Gynecologists (ACOG) has released a formal opinion supporting obstetricians who perform elective primary cesarean delivery, citing the ethical premise of patient autonomy and informed consent.3 As physicians who advocate for women's right to choose among a variety of medical options, we are pleased at the emphasis on preserving women's medical choices. We are, however, perplexed at the narrowness of the choice. In recent years we have seen a decline in women's choices for vaginal birth as vaginal birth after cesarean (VBAC) becomes less available and vaginal breech birth is rarely performed. 4,5 The question of patient-choice cesarean delivery asks only whether a woman should have the right to choose a cesarean delivery in the absence of a medical indication. A woman's right to choose a vaginal delivery is not addressed.Why is cesarean delivery and not vaginal delivery framed in the language of choice? We contrast professional attitudes toward patient choice for vaginal and cesarean birth, explain the importance of considering the effects of a primary elective cesarean delivery on maternal and neonatal outcomes of subsequent pregnancies, and describe the potential longterm implications of the growing acceptance of patient-choice cesarean delivery. IS PATIENT CHOICE AVAILABLE FOR VAGINAL BREECH OR VBAC DELIVERIES?Before 1970 266PAT IENT-CHOICE DELIVERY Term Breech Trial (TBT) in 2000 found increased perinatal mortality or severe morbidity within the fi rst 3 months of birth when breech infants are delivered vaginally rather than by cesarean section. 6 After the publication of this study of short-term outcomes, obstetric practice swung defi nitively away from vaginal delivery of the term breech infant. ACOG published an opinion supporting planned cesarean delivery in patients with breech presentation at term if an external cephalic version is not successful. Yet recent studies have shown that planned vaginal breech in selected populations may be r...

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Breech vaginal delivery at or near term

Cited by 24 publications

References 125 publications

Birth in Free-ranging Macaca fuscata

Birth in Free-ranging Macaca fuscata

Breech repositioning unresponsive to Webster technique: coexistence of oligohydramnios

Patient-Choice Vaginal Delivery?

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