Contraindications in national guidelines for vaginal breech delivery at term: Comparison, consensus, and controversy.

ABSTRACT:

Introduction

The optimal mode of delivery for vaginal breech presentation remains a clinical dilemma. Planned vaginal delivery offers maternal advantages because it avoids major abdominal surgery and has no consequences for following pregnancies, while elective cesarean delivery proves advantageous for the neonate because adverse outcomes are less frequent. Patient selection for vaginal breech delivery is important based on the individual risk balance. A lack of consensus exists regarding the specific contraindications for vaginal breech delivery, largely due to limited scientific evidence. This systematic review aims to give an overview of contraindications for vaginal breech delivery, as presented in guidelines, analyze relevant literature, and offer evidence-based recommendation

SUBMITTER: van Dijk MR 

PROVIDER: S-EPMC11609984 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature