Vaginal birth after cesarean delivery. Trial of labor in women with breech presentation

J Reprod Med. 1989 Oct;34(10):831-3.


Vaginal birth after cesarean delivery in a woman with breech presentation is a controversial issue. In this prospective study, 137 patients had a breech presentation. Of them, 27 (19.7%) met the protocol criteria for attempted vaginal delivery and desired a trial of labor. Thirteen (48%) achieved vaginal delivery, with no increase in fetal or maternal morbidity. Our data suggest that in selected patients, a trial of labor after a cesarean delivery with a breech presentation is a reasonable consideration.

MeSH terms

  • Breech Presentation*
  • Cesarean Section / psychology
  • Cesarean Section / statistics & numerical data*
  • Female
  • Humans
  • Infant Mortality
  • Patient Participation
  • Pregnancy
  • Pregnancy Outcome
  • Trial of Labor*