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ACOG Publications

ACOG Committee Opinion No. 745 Summary: Mode of Term Singleton Breech Delivery

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doi: 10.1097/AOG.0000000000002756
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Abstract

Recommendations

The American College of Obstetricians and Gynecologists makes the following recommendations:

  • The decision regarding the mode of delivery should consider patient wishes and the experience of the health care provider.
  • Obstetrician–gynecologists and other obstetric care providers should offer external cephalic version as an alternative to planned cesarean for a woman who has a term singleton breech fetus, desires a planned vaginal delivery of a vertex-presenting fetus, and has no contraindications. External cephalic version should be attempted only in settings in which cesarean delivery services are readily available.
  • Planned vaginal delivery of a term singleton breech fetus may be reasonable under hospital-specific protocol guidelines for eligibility and labor management.
  • If a vaginal breech delivery is planned, a detailed informed consent should be documented—including risks that perinatal or neonatal mortality or short-term serious neonatal morbidity may be higher than if a cesarean delivery is planned.

© 2018 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.