The persistent breech presentation may be associated with abnormalities of the baby, the amniotic fluid volume, the placental localization or the uterus. It may be due to corneal placental position or it may apparently be due to chance. There is higher perinatal mortality and morbidity with breech than cephalic presentation, due principally to prematurity, congenital malformations and birth asphyxia or trauma.
This guideline provides up-to-date information on methods of delivery for women with breech presentation. Women should be informed of the benefits and risks, both for the current and for future pregnancies, of planned caesarean section versus planned vaginal delivery for breech presentation at term. Women should be advised that planned caesarean section for breech presentation carries a small increase in serious immediate complications for them as compared with planned vaginal…
