Mode of delivery and outcome of 699 term singleton breech deliveries at a single center

Am J Obstet Gynecol. 2002 Dec;187(6):1694-8. doi: 10.1067/mob.2002.127902.


Objective: Elective cesarean delivery has been postulated to improve the outcome of term fetuses in breech presentation. We retrospectively compared the short- and long-term outcomes of term infants who were delivered from a breech presentation at a single center.

Study design: We reviewed 699 consecutive term breech presentations according to the intended mode of delivery at a single center between January 1993 and December 1999. The short-term outcome measures were perinatal death, neonatal death, or serious neonatal morbidity; the long-term outcome measures were developmental delay and spasticity.

Results: The rate of serious perinatal morbidity in the trial-of-labor and cesarean delivery groups was 2.3% and 0.5%, respectively (P =.12). There was no perinatal or neonatal death in either group. With a median follow-up period of 57 months (range, 13-100 months), the rate of developmental delay was 1.9% and 0.5%, respectively (P =.29). Spasticity was not noted in any of the children.

Conclusion: Our data suggest that planned vaginal delivery remains an option for selected term breech presentations.

MeSH terms

  • Adult
  • Apgar Score
  • Breech Presentation*
  • Cesarean Section
  • Delivery, Obstetric / methods*
  • Developmental Disabilities / epidemiology
  • Female
  • Follow-Up Studies
  • Humans
  • Hydrogen-Ion Concentration
  • Infant Mortality
  • Infant, Newborn
  • Morbidity
  • Muscle Spasticity / epidemiology
  • Pregnancy
  • Pregnancy Outcome*
  • Retrospective Studies
  • Umbilical Arteries