Analysis of 518 cases of breech deliveries
during a 5 year period.
For this retrospective study, researchers studied 58,320 women who had term breech deliveries
at hospitals in the Netherland.
9) * Among the 40 births where method of delivery was recorded, there were 11 spontaneous breech births, 23 assisted breech deliveries
, and 6 breech extractions.
Four other babies, in Gunma, Saitama, Nara and Tottori prefectures died between 1992 and 1999 due to the lack of professional medical workers to deal with breech deliveries
That is why breech deliveries
are best looked after in hospital.
Breech presentation for prior cesarean deliveries and first births for breech deliveries
both increase the already high probability of cesarean by almost 20 percentage points.
Obstetricians at Roddom 7 perform cesareans, forceps deliveries, and breech deliveries
although in the three months I was there I never saw them.
These examples are also meant to reassure the viewer that vaginal breech deliveries
are safe and infrequently used as an alternative to elective cesarean section; however, watching these five women give birth, with the final two complicated by entrapped arms and extended heads, I was reminded of why I stoopped performing vaginal breech deliveries
3 years ago.
Some of the contributing factors are decreased rate of vaginal births after caesarean section, assisted breech deliveries
, patient perception that caesarean section is safer for the foetus, fear of labour pains, pelvic floor damage and socio-cultural influence (e.
Last year the delivery suite had: * 1,398 unassisted normal deliveries * 219 assisted deliveries * 14 breech deliveries
* 402 caesarean sections * 27 sets of twins * 28 water births Senior midwife Donna Chisholm explains the role of a midwife says: "Midwives support labouring women and safely deliver their babies, ensuring they receive the best and most appropriate care.
Similarly, approximately 3%-4% of singleton babies are in the breech position, yet only a minority of obstetricians are able to perform vaginal breech deliveries
Comparative features between vaginal and caesarean breech deliveries
Vaginal breech Caesarean breech N = 64 (35.
But the reason it called for C-section in breech births was not tied to an inherent risk involved with vaginal breech deliveries
- the study found that doctors today lack the experience and expertise to perform vaginal breech deliveries
Most of us who participated in the Term Breech Trial, myself included, were very comfortable doing vaginal breech deliveries
of carefully selected patients.
The Impact of Economic Incentives on Physician Behavior: The Case of Breech Deliveries