Is breech still being delivered vaginally? A comparative study


  • Saira Dars Department of Obstetrics and Gynaecology, Liaquat University Hospital, Sindh, Pakistan
  • Safia Malik Department of Obstetrics and Gynaecology, Liaquat University Hospital, Sindh, Pakistan
  • Aijaz Bhurgri Department of Radiology, Isra University Hospital, Hyderabad, Sindh, Pakistan


Vaginal, Breech presentation, Comparative


Background: This study aimed to find out the frequency of singleton term breech presentation and to complete the fetomaternal outcome between spontaneous vaginal and caesarean delivery. We conducted an observational prospective study to describe neonatal outcome of vagina verses cesarean delivery for term breech presentation.

Methods: The study was conducted in department of Gynae and Obs. Unit-1, LUMHS, Jamshoro from 1st January 2011 to 31st December 2012. All those pregnant women who were admitted in the department with singleton of breech for elective LSCS or those who were in establish labor were included after verbal informed consent.

Results: Out of 3090 Obstetrical admissions, 86 women were having breech presentation. Study divide into two groups group A - Delivered vaginally and group B - Delivered by C-section. The frequency of term breech presentation was 3% (86 out of 3090 obstetrical admissions).

Conclusions: Cesarean section, both, elective and emergency, LSCS is more safe for neonates. Maternal morbidity is comparable in both groups.


Pritchard JA, Mac Donald PC. Dystocia caused by abnormal - lities in presentation, or development of the fetus. William olostdric. 24th ed. Norwalk, CT: Appleton-century-crofts; 2001: 423-439.

Klufio CA, Amoa AB. Breech presentation and delivery. PNG Med J. 1991;34:289-95.

Braun F. H. T., Jones K. L., Smith D. W. Breech presentation was an indication of fetal abnormality. J Paed. 1975;86:419.

Apeawusu B. Amoa, Mathias Sapuri. Perinatal out come and associated factors of persistent breech presentation at the port Mores by General Hospital, Papua new Guinea. PNG Med J. 2001 Mar-Jun;44(1-2):48-56.

Sanders W. B. High risk pregnancy management options. In: DK James, PJ Steer, CP Weiner, B Gonik, eds. Chapter 58. 2nd ed. London, England: W. B. Saunders; 1999: 1025.

Gimovsky ML, Paul Rh. Singleton breech presentation in labour: experience in 1980. AMJ obstet Gynecol. 1982;143:733-9.

Dewhurst's Chapter 23. Keith Edmonds, eds. Text book of obstetrics and Gynecology for postgraduate study. 6th ed. London, England: Blak well science LTD; 1999: 277.

Anderew S. Oco, Stephanie D. Silverman. External cephalic version. American Family Physician. 1998 Sep;58(3):731-8.

Lau TK, Lokw, Rogers M. pregnancy outcome after successful external cephalic version for breech presentation at term. Am J Abstet Gynecol. 1997;176:218-23.

Hofmeyr GJ, Hannah M, Lawrie TA. Planned caesarean section for term breech delivery. Cochrane Database of Systematic Reviews. 2003;2:CD000166.

Igwegbe A. O., Monago E. N., Ugboaja J. O. Caesareanvs vaginal delivery for term breech presentation: A comparative analysis. Afr J Biomed Res. 2010 January;13(1):15-8.

ACOG Committee on Obstetric Practice. ACOG Committee opinion, number 340. Mode of term singleton breech delivery. Obstet Gynecol. 2006 Jul;108(1):235-7.

Stiff E, Friedman S, Mashiach S et al. Maternal and neonatal outcome of 946 singleton breech deliveries. Am J Obstet Gynecol. 1996;175:18-23.

Wright RC. Reduction of perinatal mortality and morbidity in breech delivery through routine use of cesarean section. Obstet Gynecol. 1959;14:758-63.

Collea JV, Chein C, Quilligan EJ. The randomized management of term frank breech presentation at term: A study of 208 cases. Am J Obstet Gynecol. 1980;137:235-49.

Rosen M, Chik L. The effect of delivery route on outcome in breech presentation. Am J Obstet Gynecol. 1984;148:909-14.

Hickok DE, Gordon DC, Milberg JA et al. The frequency of breech presentation by gestational age at birth: a large population-based study. Am J Obstet Gynecol. 1992;166:851-52.

Weiner CP. Vaginal breech delivery in the 1990s. Clin Obstet Gynecol. 1992;35:559-61.

Nahid F. Outcome of singleton term breech cases in the pretext of mode of delivery. J Pak Med Assoc. 2000;50:81-5.

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 randomised multicenter trial. Term Breech Trial Collaborative Group. Lancet. 2000;356:1375-83.

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;105:710-7.

Verhoeven AT, de Leeuw JP, Bruinse HW. Breech presentation at term: elective caesarean section is the wrong choice as a standard treatment because of too high risks for the mother and her future children. Ned Tijdschr Geneeskd. 2005;149:2207-10.

Rauf B, Ayub T. Maternal and perinatal outcome in term singleton breech presentation. J Postgrad Med Inst. 2004;18:373-9.

Zafar F, Imtiaz S, Hussain U, Nausheen F. Incidence, mode of delivery and Apgar score in breech presentation. Ann King Edward Med Coll. 2000;2:179-82.

Doyle NM, Riggs JW, Ramin SM, Sosa MA, Gilstrap LC 3rd. Outcomes of term vaginal breech delivery. Am J Perinatol. 2005;22:325-8.

Hellsten C, Lindqvist PG, Olofsson P. Vaginal breech delivery: is it still an option? Eur J Obstet Gynecol Reprod Biol. 2003;111:122-8.

Molkenboer JF, Debie S, Roumen FJ, Smits LJ, Nijhuis JG. Maternal health outcomes two years after term breech delivery. J Matern Fetal Neonatal Med. 2007;20:319-24.

Bashir R, Khattak K, Anwar A. Planned vaginal delivery versus elective lower segment caesarean section for breech presentation at term. J Ayub Med Coll. 2000;12:3-5.






Original Research Articles