The premature breech: trial of labor or cesarean section?
Karp, L.E.; Doney, J.R.; Mccarthy, T.; Meis, P.J.; Hall, M.
Obstetrics and Gynecology 53(1): 88-92
1979
ISSN/ISBN: 0029-7844 PMID: 760025 Document Number: 139295
Premature breech deliveries (66) were studied retrospectively. Patients (48) were permitted a trial of labor, 47 of whom ultimately delivered vaginally. Patients (18) underwent cesarean section as soon as possible after their arrival at the delivery suite. When Apgar scores, perinatal mortality rates, cord prolapse and entrapment of the aftercoming head are considered, cesarean section is probably the safer course of management for the patient with a footling breech infant, especially when the infant weighs 1500 g or less. A trial of labor can be safely undertaken in the presence of a premature frank or complete breech presentation.