SUMMARY: ACOG has released guidance that addresses the trend in the United States to deliver term singleton fetuses in breech presentation. If the presentation of a breech presentation is confirmed at term, a . the American College of Obstetricians and Gynecologists (ACOG) and the. The incidence of breech presentation decreases from about 20% at 28 weeks of asphyxia or trauma.1,2 Caesarean section for breech presentation has been.

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In those instances in which breech vaginal deliveries are pursued, great caution should be exercised, and detailed patient informed consent should be documented. You usually need to meet certain guidelines specific to your hospital. The follow-up study to address outcomes of the children at 2 years involved 85 centers with both high and low perinatal mortality rates that were chosen at the breevh of the original trial.

presentayion This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. There are many retrospective reports of vaginal breech delivery that follow very specific protocols and note excellent neonatal outcomes. There are no recent data to support the recommendation of cesarean delivery to patients whose second twin is in a nonvertex presentation, although a large multicenter randomized controlled trial is in progress http: All abnormal results were further evaluated with a clinical neurodevelopment assessment.

ACOG Committee Opinion No. Mode of Term Singleton Breech Delivery.

External cephalic version for breech presentation at term. It is not always known why a fetus is breech. A cord-like structure containing blood vessels that connects the fetus to the placenta. By feeling where the fetus’s head, back, and buttocks are, it may be possible to find out what part of the fetus is presenting first.


If the fetus is breech and you are between 36 weeks and 38 weeks of pregnancy, your health care professional may suggest ECV. Before embarking on a plan for a vaginal breech delivery, women should be informed that the risk of perinatal or neonatal mortality or short-term serious neonatal morbidity may be higher than if a cesarean delivery is planned.

Recommendations The American College of Obstetricians and Gynecologists makes the following recommendations: Presetation you have further questions, contact your obstetrician—gynecologist.

Even in academic medical centers where faculty support for teaching vaginal breech avog to residents remains high, there may be insufficient volume of vaginal breech deliveries to adequately teach this procedure 2.

Variations, taking into account the needs of the individual patient, resources, and limitations unique to the institution or type of practice, may be appropriate. During pregnancy, it can be used to examine the fetus. There is a trend in the United States to perform cesarean delivery for term singleton fetuses in a breech presentation. A tube-like structure surrounded by muscles leading from the uterus to the acot of the body. A recent retrospective observational report reviewed neonatal outcomes in the Netherlands before and after the publication of the Term Breech Trial 8.

If Your Baby Is Breech – ACOG

Use of this Web site constitutes acceptance of our Terms of Use. The initial criteria used in these reports were similar: Published online on July 25, Current evidence demonstrates short-term benefits in neonatal and maternal morbidity and mortality from planned cesarean delivery of the term fetus with a breech presentation.

Copyright by the American College of Obstetricians and Gynecologists. Neuraxial analgesia to increase the success rate of external cephalic version: A test in which sound waves are used to examine internal structures.


Planned vaginal delivery of a term singleton breech fetus presentatkon be reasonable under hospital-specific protocol guidelines for eligibility and labor management. Most children, of 1, The studies included in this meta-analysis did not employ analgesia for the external cephalic version. Firm pressure is applied to the abdomen so that the fetus rolls into a head-down position.

ACOG Committee Opinion No. 745: Mode of Term Singleton Breech Delivery.

A muscular organ located in the female pelvis that contains and nourishes the developing fetus during pregnancy. A condition in which the placenta lies very low in the uterus, so that the opening of the uterus is partially presenhation completely covered. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care.

They found brrech the reduction in risk attributable to planned cesarean delivery was greatest among centers in industrialized nations with low overall perinatal mortality rates 0. The American College of Obstetricians and Gynecologists makes the following recommendations: ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. If a vaginal breech delivery is planned, a detailed informed consent should be documented—including risks that perinatal or neonatal mortality or short-term serious neonatal morbidity may be higher than if a cesarean delivery is planned.

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