Breech delivery

Abstract

Abstract In a consecutive series of 285 breech deliveries (3.2%), the overall perinatal mortality rate was 8.0%, but the corrected perinatal mortality rate was 1.2% (primiparae 1.5% — multiparae 1.0%). The incidence of cesarean operation was 11.9%. Of the factors leading to a cesarean operation, unfavorable sociocultural factors (lack of cooperation, inadequate preparation, etc.) are more important than the classical feto-pelvic disproportion. Emphasis is placed on the liberal use of cesarean section, and on more frequent application of forceps on the aftercoming head (FACH) in vaginal deliveries. In any case, the abdominal route is to be preferred to difficult vaginal deliveries. The role of intrapartum fetal monitoring in case of breech delivery is outlined.