Please use this identifier to cite or link to this item:
Title: Breech presentation at term: Caesarean section or vaginal delivery?
Authors: Djuric, Janko
Arsenijevic, Slobodan
Banković, Dragić
Protrka, Zoran
Sorak, Marija
Dimitrijevic, Aleksandra
Zivanovic, Aleksandar
Issue Date: 2011
Abstract: Introduction Term breech presentation occurs in 3-4% of all deliveries. Most obstetricians are completely sure how to end delivery when the foetus is in breech presentation, by caesarean section as the only option. Objective The main goal of the paper was to present the method of delivery for term breech presentation analyzed at the Hospital of Gynaecology and Obstetrics and Clinical Centre in Kragujevac, and parameters that influenced the decision on the method of choice to perform delivery with the foetus in breech position. Methods During a three-year prospective study, the course and outcome of all term breech deliveries were under followup. The study involved only deliveries in breech presentation, with a trial of labour ending by vaginal delivery, while elective caesarean section due to breech presentation of the foetus was not included in the study. The following parameters were compared: body mass, newborn's first minute Apgar score and head circumference, gestational maturity, gestational age, delivery duration, maternal level of education and maternal parity. Results Of total 6,470 deliveries, 653 (10.10%) were finalized by caesarean section. Of these, there were 202 (3.12%) term breech presentations, of which 72 (35.64%) women had caesarean and 130 (64.36%) vaginal delivery. A difference was detected in newborn's body mass and head circumference, delivery duration, maternal level of education and parity between pregnancies terminated surgically in comparison to vaginal delivery, while pregnancy duration, maternal age, first minute Apgar score, and most significantly, perinatal morbidity did not show any difference regardless of the method of delivery for term breech presentation. Conclusion With respect of all known parameters, vaginal delivery in breech presentation is also accepted.
Type: article
DOI: 10.2298/SARH1104155D
ISSN: 0370-8179
SCOPUS: 2-s2.0-79959561098
Appears in Collections:Faculty of Medical Sciences, Kragujevac

Page views(s)




Files in This Item:
File Description SizeFormat 
0370-81791104155D.pdf202.74 kBAdobe PDFThumbnail

This item is licensed under a Creative Commons License Creative Commons