from Section 6 - Intrapartum/Delivery
Published online by Cambridge University Press: 08 April 2025
This is a case presentation of a nulliparous patient at 36 weeks’ gestation, noted to have a fetus in a frank breech presentation. This case discusses the diagnosis, treatment, planning, and management of the breech fetus. The mode of delivery for a breech fetus is reviewed, including primary cesarean delivery, vaginal breech delivery, and external cephalic version. Earlier studies have demonstrated an association between vaginal breech delivery and poor neonatal outcomes. While more recent data have reaffirmed that vaginal breech can be approached with a well-trained team, the earlier data and changing training patterns have prompted cesarean delivery to be the typical mode of delivery of singleton breech fetuses. External cephalic can be offered to appropriate candidates to decrease the cesarean delivery rate due to fetal malpresentation.
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