CommentThe dilemma of vaginal breech delivery worldwide
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There is still room for disagreement about vaginal delivery of breech infants at term
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Cited by (37)
Short-term neonatal outcomes in vaginal breech delivery: Results of a retrospective single-centre study
2022, European Journal of Obstetrics and Gynecology and Reproductive BiologyThe injustice of unfit clinical practice guidelines in low-resource realities
2021, The Lancet Global HealthCitation Excerpt :Other recommendations might appear achievable but are resource consuming and harmful. For instance, risk ratios of vaginal breech births versus caesarean sections differ between high-resource and low-resource settings, given that the surgical safety that can be achieved in high-income countries (HICs) can rarely be met when resources are scarce.20 Likewise, although the use of oxytocin augmentation is recommended in LMICs as it is in HICs, higher risks of adverse perinatal outcomes are predictable in settings without one-to-one care and poor surveillance, no electronic drip counts, and delayed access to emergency surgery and blood transfusion.19
Conceptual and ethical problems underpinning calls to abandon vaginal breech birth
2021, Women and BirthAttitudes towards breech management among a team of maternity clinicians in Australia undertaking breech training
2020, Women and BirthCitation Excerpt :However, Australian evidence demonstrates that women who seek a planned VBB typically face difficulty accessing a facility that is both supportive of their birthing choice, and adequately resourced with midwives and/or obstetricians who are experienced and confident in facilitating VBB.13 This is further supported with a decline in rates of a planned VBB over the last 15 years that is thought to have precipitated a reduction in the number of maternity clinicians with experience in facilitating a VBB.14,15 One small Australian study that explored the experiences of obstetricians (n = 5) and midwives (n = 4) involved in the care of women having a VBB at two different hospitals in New South Wales found that clinicians encountered considerable resistance towards facilitating VBB from colleagues.14
Deliberate acquisition of competence in physiological breech birth: A grounded theory study
2018, Women and BirthCitation Excerpt :Approximately 1:25 women pregnant at term will carry a fetus presenting breech, bottom- or feet-first.1 Although debates about the safety of vaginal breech birth compared to elective caesarean section have run for decades,2 research and advocacy literature indicates that there is a demand for vaginal breech birth,3,4 that women have difficulty accessing this service,5,6 and that providers experience cultural resistance when attempting to facilitate breech births.7,8 Some experienced midwives and obstetricians have advocated a change towards innovative, physiologically compatible practices for vaginal breech birth,8–10 commonly involving upright maternal birthing positions, such as kneeling, standing, squatting, or sitting on a birth stool.
The influence of counseling on the mode of breech birth: A single-center observational prospective study in The Netherlands
2017, MidwiferyCitation Excerpt :Nevertheless, the rate of elective CS of women with a fetus in breech presentation rose within three months after the publication from 24% to 60% in the Netherlands, possibly due to a change in information given during counseling (Stichting Perinatale zorg, 2014a, 2014b; Rietberg et al., 2005). This resulted in a decrease of knowledge and expertise to attend a vaginal breech delivery (de Leeuwen and Verhoeven, 2006; van Roosmalen and Meguid, 2014). However, in the Netherlands still a large group of women with a fetus in breech presentation opt for a vaginal breech delivery (Vlemmix et al., 2014).