Current evidence supports elective CS for term breech presentation. There is not enough evidence to recommend the mode of delivery for preterm breeches. Morbidity and mortality may be more influenced by the gestation and estimated birthweight than the mode of delivery. Hence, it is important to have detailed counselling with the parents and consultation with the paediatricians in coming to an informed decision about the mode of delivery.
Some mothers may prefer assisted vaginal breech delivery and there are others who maybe admitted in advanced labour. Their request and needs should be accommodated. The needed skills should be acquired by assisting others, practising assisted breech delivery at the time of CS and on mannequins. Having someone with experience would be more reassuring to the inexperienced accoucheur and to the couple.
Was this article helpful?
The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.