Clinical Edge Journal Scan

No increase in neonatal risks with vaginal breech delivery in an experienced setting


Key clinical point: Vaginal breech delivery (VBD) performed under experienced supervision does not significantly increase the risk for negative short-term perinatal outcomes.

Major finding: VBD, elective caesarean section (CS), and emergency CS did not result in any significant difference in the proportion of neonates with a 5-min Apgar score of <3, umbilical arterial pH of <7.00, or the need for admission to the neonatal intensive care unit (all P > .05).

Study details: This single-center, retrospective study included 804 singleton pregnant women with a fetus in breech position at delivery who underwent VBD (n = 433), emergency CS (n = 214), or elective CS (n = 157).

Disclosures: No source of funding was reported. The authors declared no conflicts of interest.

Source: Fruscalzo A et al. Short-term neonatal outcomes in vaginal breech delivery: Results of a retrospective single-centre study. Eur J Obstet Gynecol Reprod Biol. 2022;279:122-129 (Oct 28). Doi: 10.1016/j.ejogrb.2022.10.022

Recommended Reading

Birth method affects microbiome and vaccination response
MDedge ObGyn
Women pursuing assisted reproductive technology prone to pregnancy-associated cardiovascular complications
MDedge ObGyn
Meta‐analysis reveals effective prophylactic strategies for preeclampsia
MDedge ObGyn
Tranexamic acid inhibits postpartum hemorrhage-induced hyperfibrinolysis
MDedge ObGyn
Intraoperative cell salvage: A potent intervention for postpartum hemorrhage
MDedge ObGyn