Abstract

SummaryOne hundred consecutive cases of breech presentation were studied in a district general hospital in the South of England. All had live singleton pregnancies at 37-4.2 weeks. Fifty-three were allowed or elected to labour. Of these, 22 (42 per cent) progressed to vaginal breech delivery; 31 (58 per cent) had emergency caesarean sections. All the babies in the study were born in good condition. When careful selection criteria are applied and careful management guidelines followed in labour, only 22 per cent of patients with breech presentation delivered vaginally. Concern shared by obstetricians and patients has resulted in a large number of elective and emergency caesarean sections.

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