Summary

  • Refers to the baby presenting for delivery with the buttocks or feet first rather than head.
  • Associated with increased morbidity and mortality for the mother in terms of emergency caesarean section and placenta praevia; and for the baby in terms of preterm birth, small fetal size, congenital anomalies, and perinatal mortality.
  • Incidence decreases as pregnancy progresses and by term occurs in 3% to 4% of singleton term pregnancies.
  • Treatment options include external cephalic version to increase the likelihood of vaginal birth or a planned caesarean section, the optimal gestation being 37 and 39 weeks, respectively.
  • Planned caesarean section is considered the safest form of delivery for infants with a persisting breech presentation at term.

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