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, 2015 (7), CD000082

Expedited Versus Conservative Approaches for Vaginal Delivery in Breech Presentation


Expedited Versus Conservative Approaches for Vaginal Delivery in Breech Presentation

G Justus Hofmeyr et al. Cochrane Database Syst Rev.


Background: In a vaginal breech birth there may be benefit from rapid delivery of the baby to prevent progressive acidosis. However, this needs to be weighed against the potential trauma of a quick delivery.

Objectives: The objective of this review was to assess the effects of expedited vaginal delivery (breech delivery from umbilicus to delivery of the head within one contraction) on perinatal outcomes.

Search methods: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 May 2015) and reference lists of retrieved studies.

Selection criteria: Randomised trials of expedited vaginal breech delivery compared with delivery not routinely expedited in women undergoing vaginal breech delivery.

Data collection and analysis: Two review authors independently assessed the one identified trial for inclusion.If studies are included in future updates, two review authors will assess risk of bias, extract data and check data for accuracy.

Main results: No studies were included.

Authors' conclusions: There is not enough evidence to evaluate the effects of expedited vaginal breech delivery.

Conflict of interest statement

Helen West is paid to work on Cochrane reviews by a grant to Cochrane Pregnancy and Childbirth. The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the Systematic Reviews Programme, NIHR, NHS or the Department of Health.

Justus Hofmeyr receives royalties from UpToDate for chapters related to breech pregnancy, delivery of a baby in breech presentation and external cephalic version. UpToDate is an electronic publication by Wolters Kluwer to disseminate evidence‐based medicine (such as Cochrane reviews).


Figure 1
Figure 1
Study flow diagram.

Update of

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