Management trend and safety of vaginal delivery for term breech fetuses in a tertiary care hospital of Karachi, Pakistan

Abstract

Allowing trial of labor to carefully selected mothers can result in vaginal delivery in 77% of the cases. However, the risk of trauma and neonatal intensive-care unit admissions, among vaginal births may favor the decision of elective cesarean section, unless rigorous pre-delivery assessment and conduct of delivery by adequately trained obstetricians is performed.

Frequency of Vaginal Delivery in Women with Previous Cesarean Section : A Single Referral Center Experience

“…In another study conducted in Pakistan, from the study of 287 women where the causes of their previous caesarean section were breech birth, 77% of them had successful vaginal delivery. The results were fully compatible with our study (20).…”

Term Breech Trial and Its Consequences on Practice:a Retrospective Study of the Universityof Malaya Medical Centre's Experience

“…This was not the finding of others that found otherwise (8,13). However, it has been shown that in properly selected cases, slightly more than 70% of cases can be delivered vaginally with very little morbidity (21).…”