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Not too fast, not too slow: A review of historical trends in vaginal breech time management.

Eur J Obstet Gynecol Reprod Biol

August 2023

Department of Women & Children's Health, School of Life Sciences, King's College London. 57 Waterloo Road, London SE1 8WA, United Kingdom.

Article Synopsis
  • There is a lack of consistent professional advice on when to intervene during the emergence phase of a vaginal breech birth, which can lead to complications like hypoxia and asphyxia due to umbilical cord compression.
  • A literature review of obstetric textbooks from 1960 to 2000 showed varying recommendations for the 'safe' intervals between the birth of the umbilicus and the head, ranging from 5 to 20 minutes, with no supporting evidence for these guidelines.
  • The findings highlight the need for clear, evidence-based guidance in breech birth training to prevent unnecessary injuries related to oxygen deprivation, and this guidance must be thoroughly evaluated.
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