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"It's a breech, and what now?": A decision-aid tool to help clinicians counsel women with breech presentation near term.
Eur J Obstet Gynecol Reprod Biol
February 2025
Faculdade de Medicina, Universidade de Lisboa, Portugal; CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Portugal.
Article Synopsis
- Management options for breech presentation include vaginal delivery, cesarean delivery, and external cephalic version, which require detailed discussions about risks and recovery.
- A decision aid tool for clinicians was created through literature review and expert input, followed by evaluation with obstetricians.
- This tool received unanimous agreement from participants, demonstrating strong consensus and effectiveness in aiding shared decision-making for pregnant women with breech presentations.
Contraindications in national guidelines for vaginal breech delivery at term: Comparison, consensus, and controversy.
Acta Obstet Gynecol Scand
December 2024
Department of Obstetrics and Gynecology, Northwest Clinics, Alkmaar, The Netherlands.
Article Synopsis
- * A systematic review was conducted to assess existing national guidelines and literature on contraindications for vaginal breech delivery, revealing limited consensus and significant gaps in scientific evidence.
- * Ultimately, the review identified 11 contraindications with only two having strong supportive evidence, highlighting the need for further research to clarify guidelines in this area.
The influence of MRI-based pelvimetric measurements in mother's choice of delivery in fetal breech position.
Arch Gynecol Obstet
September 2024
Department of Obstetrics, Gynecology and Reproductive Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Introduction: At term, about 3-4% of all singleton pregnancies present as breech. MRI-based pelvimetry is a valuable tool to support selection of adequate candidates for a trial-of-labor in women expecting term breech babies. Shared decision-making is playing an increasingly important role in obstetrics.
View Article and Find Full Text PDFConsensus-based recommendations for the care of women with a breech presenting fetus.
Midwifery
March 2024
Senior Lecturer at Edith Cowan University, Western Australia.
Objective: To establish consensus related to aspects of breech presentation and care.
Design: A multinational, three round e-Delphi study.
Participants: A panel of 15 midwives, four obstetricians and an academic with knowledge and/or experience of caring for women with a breech presenting fetus.
Purpose: The incidence of developmental dysplasia of the hip (DDH) is higher in Eastern Europeans and Middle Easterners. This study aimed to establish consensus among experts in this geographical area on the management of DDH before walking age.
Methods: Fourteen experienced orthopedic surgeons agreed to participate in a four-round online consensus panel by the Delphi method.
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