"In many settings, young obstetricians have become experts in [caesarean sections], but are losing confidence in undertaking assisted natural deliveries and breech deliveries
," the experts warn.
Three-fourths of the delivery-related long-bone fractures occur during vaginal breech deliveries
. (5) There may be also fractures in the presence of certain risk factors during Cesarean delivery including various maneuvers performed during the operation (particularly during traction), extended operation duration, inadequate incision line/uterine relaxation, macrosomia, breech presentation, and shoulder dystocia.
Arranging CS delivery for so many expected breech deliveries
is impractical in this resource poor peripheral setting.
have always been topical issues in obstetrics because of the very high perinatal mortality and morbidity.
An inquest in Ipswich heard that the policy of delivering most breeches by caesarean has meant there is a lack of professionals experienced in vaginal breech deliveries
For this retrospective study, researchers studied 58,320 women who had term breech deliveries
at hospitals in the Netherland.
Unexpectedly, all babies with vaginal breech deliveries
The objectives were to: (i) determine the proportion of vaginal births that are live breech deliveries
; (ii) describe antenatal and intrapartum events associated with vaginal breech births; (iii) audit clinical notes of vaginal breech births; and (iv) describe perinatal outcomes.
Acupuncture and moxibustion resulted in fewer breech deliveries
and interestingly, less use of oxytoxin (Coyle, Smith, & Peat, 2005/2012).
In Africa Hilda worked amongst tribes in the days before scans and sophisticated monitoring equipment where she experienced lots of twin and breech deliveries
which could be quite risky.
Unfortunately, a very poor quality study was published some time back that concluded that elective vaginal breech deliveries
should no longer be done (Lancet 2000;356:1375-83).
About 3% of babies born in Australia are delivered in the breech position and, with 50 vaginal breech deliveries
a year, John Hunter Hospital tops the state.