Vaginal birth in singleton breech:revisited

Hemangi K. Chaudhari, Raviraj D. Tiruke, Parmanand K. Shah


Background: The purpose of the study was to analyze maternal and perinatal outcome according to mode of delivery in singleton breech presentation retrospectively in a tertiary care center.

Methods: This was a retrospective observational study done in KEM Hospital, during 2012 to 2013. Maternal and perinatal outcome was studied retrospectively. The data was collected from the mother's medical records. The neonatology records were also examined. Primary outcomes included neonatal mortality, morbidity and maternal morbidity.

Results: Out of 100 selected patients; 27 delivered vaginally and 73 underwent lower segment caesarean section (LSCS). Perinatal mortality was 3%. Two out of 3 were delivered vaginally and 1 underwent LSCS. Perinatal morbidity was 1% in vaginal delivery. Maternal morbidity was 2%, both patients underwent emergency LSCS. There was no maternal mortality in the study.

Conclusions: Delivery of breech fetus when labor and delivery is supervised and or conducted by experienced obstetrician lowers maternal morbidity, neonatal morbidity and mortality.


Breech, Vaginal, LSCS

Full Text:



Alfirevic Z, Milan SJ, Livio S. Caesarean section versus vaginal delivery for preterm birth in singletons. Cochrane Database Syst Rev. 2012;6:CD000078.

Lindqvist A, Nordén-Lindeberg S, Hanson U. Perinatal mortality and route of delivery in term breech presentations. Br J Obstet Gynaecol. 1997;104(11):1288-91.

Hofmeyr GJ, Hannah M, Lawrie TA. Planned caesarean section for term breech delivery. Cochrane Database Syst Rev. 2015;7:CD000166.

Kotaska A, Menticoglou S, Gagnon R, Farine D, Basso M, Bos H, et al. Vaginal delivery of breech presentation. J Obstet Gynaecol Can. 2009;31(6):557-66,567-78.

Pradhan P, Mohajer M, Deshpande S. Outcome of term breech births: 10-year experience at a district general hospital. BJOG. 2005;112(2):218-22.

Thorpe-Beeston JG, Banfield PJ, Saunders NJ. Outcome of breech delivery at term. BMJ. 1992;305(6856):746-7.

Berhan Y, Haileamlak A. The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies. BJOG. 2016;123(1):49-57.

Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomized multicenter trial. Term Breech Trial Collaborative Group. Lancet. 2000;356(9239):1375-83.

Giuliani A, Schöll WM, Basver A, Tamussino KF. Mode of delivery and outcome of 699 term singleton breech deliveries at a single center. Am J Obstet. Gynecol. 2002187(6):1694.

Al-Mejhim FM, Al-Najashi SS. Trends in perinatal mortality at King Fahd Hospital of the University, Al-Khobar, Saudi Arabia: a ten years study. J Family Community Med. 1998;5(2):31-7.

Alshaheen H, Abd Al-Karim A. Perinatal outcomes of singleton term breech deliveries in Basra. EMHJ. 2010;16(1):34-9.

Irion O, Hirsbrunner Almagbaly P, Morabia A. Planned vaginal delivery versus elective caesarean section: a study of 705 singleton term breech presentations. Br J Obstet Gynaecol. 1998;105(7):710-7.

Obwegeser R, Ulm M, Simon M, Ploeckinger B, Gruber W. Breech infants: vaginal or cesarean delivery? Acta Obstet Gynecol Scand. 1996;75(10):912-6.

Kumari AS, Grundsell H. Mode of delivery for breech presentation in grand multiparous women. Int J Gynaecol Obstet. 2004;85(3):234-9.

Orji EO, Ajenifuja KO. Planned vaginal delivery versus caesarean section for breech presentation in Ile-Ife, Nigeria. East Afr Med J. 2003;80(11):589-91.

Patwardhan MV, OkaM, Mahajan N. Correlation of neonatal outcome with mode of delivery in breech presentation. Obstet Gynaecol India. 1990;40:210.